Bending the head firmly down between the knees is the best and most rapid
way of dealing with an attack. Another method is to lay the patient on
a couch, loosen any clothing which is round the neck, bathe his face
and arms with cold water, and fan him vigorously. Give three grains of
carbonate of ammonia in an ounce of water. Alcohol may be given if the
pulse is very weak, but sal volatile or carbonate of ammonia is more
efficacious.
_Filariasis._
This term connotes several pathogenic conditions, but the most important
form of filariasis in man is that due to a small blood-worm which is
conveyed by the bite of one or other species of mosquito. The most
important symptom of filariasis is the condition known as elephantiasis,
but the presence of filaria in the blood also causes a febrile state and
various other symptoms which need not be detailed.
_Prophylaxis._—Protect from the bites of mosquitoes, especially those
which breed in the vicinity of human habitations. The most effective
method of doing this is the careful use of a mosquito net.
_Gonorrhœa._
Gonorrhœa, or clap, is an acute inflammation of the urethra or pipe,
attended with a discharge of more or less matter. It is nearly always due
to direct contagion.
_Symptoms._—At first there is some itching about the end of the pipe,
which is followed by a yellowish-white discharge. This lasts from three
to five days. Then great pain is noticed on passing water, and the
discharge becomes thick and yellowish-green in colour, with redness and
swelling about the lips of the opening of the pipe. After a time the pain
on making water disappears, and the discharge becomes thin and watery, a
condition known as “gleet.”
_Treatment._—Forbid alcohol in any form. Give large quantities of
liquid—water, weak tea, or milk—to thoroughly flush the system. Light
diet and as complete rest as possible. Keep bowels well open with saline
and other purges. Give sandal-wood oil or copaiba, twenty drops three
times a day, and urotropin, ten grains twice a day.
If there is much pain in the acute stage, a mixture containing fifteen
grains of bicarbonate of soda, and five drops of chlorodyne or laudanum,
in an ounce of water, may be given twice a day. Except in very acute
cases the pipe should be syringed out with a very weak solution of
permanganate of potash, or better, a solution of protargol (quarter to
two per cent.); later on, a lotion containing four grains of sulphate of
zinc to one ounce of water may be used as an injection.
If the glands in the groin become tender and inflamed, they should be
painted with tincture of iodine. If, in spite of this, the pain and
swelling increase, they should be poulticed frequently, and treated as
ordinary abscesses.
_Hay Fever._
This is a very severe catarrh which attacks certain individuals yearly,
when grasses and other plants are flowering. It is most probably due to
the irritation of the nose by pollen grains in the air.
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