North Carolina Medical Journal. Vol. 3. No. 4. April, 1879Various
Science
North Carolina Medical Journal. Vol. 3. No. 4. April, 1879
Various
Medicine -- North Carolina -- Periodicals; Medicine -- Periodicals
The action of calomel and of sulphate of quinine has led some medical
men to employ these remedies, united in the same formula. I have never
understood the effect expected from this, and my experience has not
proved the result satisfactory. When one is fortunate enough to have
determined an intermission, frictions of sulphate of quinine produce a
good effect. Calomel is not indicated, when the disease following its
course, the alterations of the coat of the stomach become more
observable, the epigastric pain more violent. In this case recourse may
be had to the treatment heretofore recommended.
We have seen already, that there are three kinds of black vomit—that
formed by bile, that formed by decomposed blood, and finally, that which
is a mixture of these substances. The most numerous cases of cure are
those, in which the black substance is formed by bile, and in these
bicarbonate of soda and nux vomica will ordinarily triumph. But if the
black vomit is formed from decomposed blood, there is no treatment which
can result in positive action.
When cerebral symptoms predominate, with delirium, restlessness, etc.,
recourse should be had to blisters, to compresses upon the forehead of
cold water and of brandy with belladonna, and to the administration
internally of calomel alone, or combined with opium. This combination is
valuable—it calms the cerebral excitement. When the delirium is violent,
it is dissipated or quieted by an infusion of valerian.
Hiccough may be arrested by compressing with the fingers the phrenic
nerve on the level of the os hyoid. In other instances, it yields to the
application of cold water on the stomach to opium, to belladonna in
small doses, to ice swallowed in small pieces.
When hemorrhages occur, the most appropriate remedies are acids,
astringents, and iron. Local, such as buccal hemorrhages, yield to
lotions of diluted sulphuric acid every half hour, or to gargles of
borax. The best means of resisting epistaxis is by application of ice to
the forehead; at the same time, by acid injections into the nostrils.
Plugging of the anterior openings of the nostrils would be insufficient,
because the hemorrhage is passive, and comes from the whole surface of
the nasal mucous membrane. For anal hemorrhages, acid injections, the
application of cold to the abdomen, and tannin given internally, are
prescribed.
General hemorrhage, that is to say decomposition of the blood, is
combatted with tannin or perchloride of iron administered every two
hours, with lotions of vinegar or of wine of cinchona, applied over the
whole body.
Hematuria is combatted with weak sulphuric lemonade.
Public-domain text, read in full here on John Shaqi.
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