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
_Calomel._—We have spoken of calomel, the action of which, so different
according to the dose, is here formally indicated, either as a
purgative, or as an alterative, or as a derivative. We have seen, that
emetics were counter-indicated with persons too robust and disposed to
cerebral congestion. It is in these cases, that calomel should be
employed, at least, when there are no symptoms of local irritation or
inflammation of the stomach. But if the tongue is loaded, humid, large
and saburral, without redness of its borders, if the region of the liver
is painful, the indication for calomel is more precise.
For a purgative dose there will be given every half hour from three to
six grains, until the patient has taken eighteen. If, after having
obtained the purgative action, it is necessary to continue the medicine
for a certain time in smaller doses, as a derivative, it is given in
doses of two grains every hour, until the characteristic greenish stools
are obtained.
Calomel is still applicable, when constipation persists, despite the
employment of sulphate of magnesia. Administered then, every hour, in
grain doses up to twelve, it works marvellous effects. I have seen
convulsive symptoms disappear after the administration of this remedy.
One of its inconveniences is ptyalism, but this is obviated with the aid
of Seidlitz powder. Very often when it has been given after the emetic
and sulphate of magnesia, calomel is sufficient to produce a remission,
when there has been none.
_Sudorifics._—When the remedies, of which we have spoken heretofore, do
not bring on a remission of the symptoms, it is well to look to
sudorifics, which, facilitating the peripheric circulation, produce a
general relaxation, and with this an abatement of the pulse. Among the
sudorifics, I commonly select Dover’s powder, and the liquid acetate of
ammonia or spirit of mindererus.
The latter administered in doses of twenty drops, in four ounces of
flower of elder, acts as an antiseptic and sudorific. It is indicated,
when the skin is dry, with the sharp heat so common in yellow fever of
the continued acute type, without remission. I have often seen
individuals stubborn to sweat, despite the purgative, transpire
abundantly after some doses of this medicine.
Dover’s powder suits, when the patient has dry skin, is restless, and
turns over in his bed uttering deep sighs. I give for the dose, every
two hours, from three to four grains in two or three spoonfuls of
infusion of tilia, warm or hot. After the second or third dose, the
patient becomes more calm, sleeps, and wakes covered with sweat. The
effect of sudorifics will always be assisted by a mustard foot-bath.
Some medical men have considered the transpiration so useful, that they
have made it the basis of their treatment. In the outset, they prescribe
a steam bath. I have tried this but without advantageous results.
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