Insomnia; and Other Disorders of Sleep — John Shaqi
Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
For the relief of the pungent heat and restlessness which add so much to
the danger of the specific fevers cold baths have been highly recommended.
These have been employed with great energy in many of the German
hospitals; and often with great benefit to the patient. The preferable
method is the one advised by Von Ziemssen and Immerman. The patient is
placed in a tub of water at 95° F. This is very gradually cooled down, in
the course of half an hour, to 60° F. The bath should be repeated from
three to five times a day, according to the temperature of the patient. By
this method of treatment the patient is made more comfortable; he becomes
less restless or delirious, and secures a larger amount of refreshing
sleep.
The difficulty of administering such a laborious course of baths outside
of a well equipped hospital renders its adoption almost impossible in
private practice. Here the physician must rely upon assiduous sponging
with water of an agreeable temperature. In severe cases, such as measles
before the appearance of the eruption, scarlet fever during the period of
heat and agitation, and typhoid fever during the corresponding stage,
great benefit will be derived from the cold wet sheet. In order to humor
the prejudices of the laity, this should be wrung out of warm water and
applied with sufficient deliberation to insure its considerable loss of
heat. A blanket should first be spread upon an empty bed; the wet sheet
should be spread over the blanket. The patient must be placed naked upon
the sheet, which should then be drawn around the entire body, and the
blanket may be folded around the whole package. Children generally insist
upon leaving their arms uncovered. This may be allowed with safety in many
cases, but generally a wet napkin should cover the upper part of the chest
and the neck which cannot be reached with the sheet when the arms are
exposed. After remaining from half an hour to two hours in the pack, the
patient becomes comparatively cool and quiet, and the eruption, if
delayed, begins to appear. Sleep often occurs as an immediate consequence
of the relief thus obtained.
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