North Carolina Medical Journal. Vol. 3. No. 4. April, 1879 — John Shaqi
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
It is during the period of hemorrhages, that the parotids become
swollen—a frequent indication of amelioration of the general condition.
When pain or swelling appears, I apply tincture of iodine three times a
day externally, _loco dolenti_. During the epidemic of 1862, I had
twenty-nine cases of inflammation of one parotid, and seven of both
parotids, and lost but one patient. I attribute this success to iodine.
When suppuration does not invade the whole gland, premature incisions
must be avoided. They would produce the serious inconvenience of
retarding the cure, of making the patient suffer uselessly, and of
occasioning hemorrhages difficult to arrest.
The tumors which show themselves on different parts of the body ought to
be treated with topical tonics. Compresses soaked in wine of cinchona,
facilitate resolution. It is not necessary to open these tumors; this
would expose them to hemorrhage.
During the first period, slightly acidulated drinks are prescribed,
warmed to promote diaphoresis; in the second, the patient takes cool
beverages; in the third, tonics are preferable.
During the whole course of the disease, absolute diet is essential.
There must be no indulgence on this point. Often a little broth, given
before the period of remission, is enough to bring on indigestion, then
reäction, and finally death. In the second period, there is sometimes a
sensation of false hunger, which deceives the patient; but the least
compliance on the part of the physician might be fatal.
To be more exact, we now proceed to examine singly each one of the
recognized therapeutic remedies against yellow fever:
_Bleeding._—I consider general bleeding injurious, except with
individuals of apoplectic temperament, presenting symptoms of
inflammatory fever. I repeat that cupping is preferable to leeches. I
have already so insisted on this mode of application, that it is useless
to allude to it again. I will say only, that it is necessary to employ
the spring scarificator, and never the lancet or bistoury.
_Pediluvia._—Foot-baths are perfectly associated with cuppings, to
diminish local congestions. They ought to be given in the manner
following: The patient lying on the back, draws his thighs upon the
stomach, the legs upon the thighs. In this position the feet and legs
are placed in a vessel filled with warm water, the temperature of which
is gradually increased, until it becomes unendurable. The bath ought to
last from fifteen to twenty minutes. Its effect will be increased by the
addition of powdered mustard. When taken from the water, the feet should
be carefully dried, and mustard plasters applied to the thighs and
allowed to remain as long as the patient can bear them, when they will
be removed, and placed on the calves of the legs.
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