A SPRAIN [Footnote: "A sprain," says Dr. Hope, in that admirable little
book entitled _Till the Doctor comes and How to help Him_, "is a very
painful and very serious thing. When you consider that from the tips of
the fingers to the wrist, or from the ends of the toes to the leg, there
are not less than thirty separate bones, all tied together with straps,
cords, and elastic bands, and about twenty hinges, all to be kept in good
working order, you will not wonder at sprains being frequent and sometimes
serious."] is often more painful and dangerous than a dislocation. Wrap
the injured part in flannels wrung out of hot water, and cover with a dry
bandage, or, better, with oiled silk. Liniments and stimulating
applications are injurious in the first stages, but useful when the
inflammation is subdued. _Do not let the limb hang down, keep the joint
still_. Without attention to these points, no remedies are likely to be
of much service. A sprained limb must be kept quiet, even after all pain
has ceased. If used too soon, dangerous consequences may ensue. Many
instances have been known in which, from premature use of an injured limb,
the inflammation has been renewed and made chronic, the bones at the joint
have become permanently diseased, and amputation has been necessitated.
DIARRHEA, CHOLERA MORBUS, ETC., are often caused by eating indigestible or
tainted food, such as unripe or decaying fruit, or stale vegetables; or by
drinking impure water or poisoned milk (see p. 321). Sometimes the
disturbance may be traced to a checking of the perspiration; but more
frequently to peculiar conditions of the atmosphere, especially in large
cities. Such diseases are most prevalent in humid weather, when the days
are hot and the nights cold and moist. Especial attention should at such
times be paid to the diet. If an attack comes on, ascertain, if possible,
its cause. You can thereby aid your physician, and, if the cause be
removable, can protect the rest of the household. If the limbs are cold,
take a hot bath, followed by a thorough rubbing. Then go to bed and lie
quietly on the back. In ordinary cases, rest is better than medicine. If
there be pain, have flannels wrung out of hot water applied to the
abdomen. [Footnote: If it be difficult to manage the foments, lay a hot
plate over the flannels and cover with some protection. By having a change
of hot plates, the foments can be kept at a uniform high temperature. This
plan will be found useful in all cases where foments are needed.] A
mustard poultice will serve the same purpose if more convenient. Eat no
fruit, vegetables, pastry, or pork. Use water sparingly. If much thirst
exist, give small pieces of ice, or limited quantities of cold tea or
toast water. Take particular pains with the diet for some days after the
bowel irritation has ceased.
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