North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
But heat is not the only cause of this complaint. Dentition is well
known both to predispose the system to its attack, and, after it has
occurred, to increase its violence, and diminish the chances of
recovery. In the employment, therefore, of preventive measures, it is
highly necessary to attend to the state of the gums, and to remove or
counteract this source of irritation. If at all swelled or painful, they
should be lanced freely, and the operation should be repeated as often
as their inflammatory condition may demand. In severe cases, much good
may be expected from the application of blisters behind the ears. The
irritation thus receives an external direction, and the stomach and
bowels are in less danger of an attack. I was led to this practice, by
observing that the eruption, which, during dentition, is apt to make its
appearance behind the ears, often proves a most salutary effort of
nature; and that, while it continues, the infant generally enjoys an
exemption from those dangerous disorders, incident to this critical
period of life. To imitate nature as closely as possible, the discharge
from the blistered surface should be maintained for some time by
stimulating dressings. I have witnessed the most beneficial effects from
the practice, and can strongly recommend it to the attention of the
profession.
II. At the same time that we endeavour to remove or diminish the causes
of cholera, we should not neglect to put the system of the child in such
a condition, as may enable it most effectually to resist their
operation. As cholera is a disease of irritation, originating generally
in a debilitated state of the alimentary canal, I believe this end may
be most easily attained, by preserving the natural tone of the digestive
organs. For this purpose, all flatulent and indigestible food should be
carefully avoided. During the first year, the mother's milk is, in
general, the most appropriate nutriment. When the stomach of the infant
is very delicate, the diet of the mother should be strictly regulated;
and, in all cases, it would be adviseable for her to avoid articles of a
flatulent nature. While the child is still at the breast, if a
predisposition to cholera be suspected, I would recommend the occasional
use of nutritious animal juices. The sucking of small pieces of salt
meat, as ham or dried beef for example, will sometimes be found
productive of advantage. After weaning, animal food should always enter
into the diet of the child. Many parents, fearing to render their
children gross and unhealthy, restrict them altogether to vegetable
aliments; and thus, by weakening the powers of digestion, prepare the
way for that very result which they are most anxious to avoid.
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