He paid particular attention to diseases of the nervous system, and
discussed headache at some length. Chronic or recurrent headache he
attributed to diseases of the brain, plethora, biliousness, digestive
disturbances, insomnia, and prolonged worry. Hemicrania he thought due to
the presence of toxic materials, though it was also connected with
abdominal disorders, especially in women. Alexander has much to say of the
paralytic and epileptic conditions, and recommended massage, rubbings,
baths, and warm applications for the former, and emphasized the need for
careful directions as to the mode of life, and special attention to the
gastro-intestinal tract, in the latter. A plain, simple diet, with regular
bowels, he considers the most important basis for any successful treatment
of epilepsy. Besides, he recommended baths, sexual abstinence, and regular
exercise. He rejected treatment of the condition by surgery of the head,
either by trephining or by incisions or by cauterization. His teaching is
that of those who have had most experience with the disease in our own
time. For sore throat he prescribes gargles or light astringents at the
beginning, and stronger astringents, alum and soda dissolved in water,
later in the case.
He particularly emphasized that trust should not be placed in any single
method of treatment. Every available means of bringing relief to the
patient should be tried. "The duty of the physician is to cool what is
hot, to warm what is cold, to dry what is moist, and to moisten what is
dry. He should look upon the patient as a besieged city, and try to rescue
him with every means that art and science placed at his command. The
physician should be an inventor, and think out new ways and means by which
the cure of the patient's affection and the relief of his symptoms may be
brought about." The most important factor in Alexander's therapeutics is
his diet. Watering-places and various forms of mineral waters, as well as
warm baths and sea baths, are constantly recommended by him. He took
strong ground against the use of many drugs, and the rage for operating.
The prophylaxis of disease is in Alexander's opinion the important part of
the physician's duty. His treatment of fever shows the application of his
principle: cold baths, cold compresses, and a cooling diet, were his
favourite remedies. He encouraged diaphoresis nearly always, and gave wine
and stimulating drugs when the patient was very weak.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account