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
_Bicarbonate of Soda—Nux Vomica._—When the patient complains of nausea,
disposition to vomit, of eructations warm and acid, that he feels in the
throat and liver a burning sensation, bicarbonate of soda is the remedy
indicated. I give it in doses of one gramme in six ounces of distilled
water, taken by the spoonful every hour.
I have stated before, how and under what circumstances nux vomica ought
to be given. The effect of these two last remedies is often much more
sure, if their action is assisted by cold fomentations upon the abdomen,
perhaps with cold water alone, or with camphorated alcohol and
belladonna.
_Belladonna—Camphor._—Compresses of camphorated alcohol and belladonna,
placed upon the epigastric region, diminish the beating of the cœliac
trunk, the epigastric pain, and the vomiting. Laid at the bottom of the
abdomen, they quiet the colic pains and facilitate the passage of urine.
Camphor alternated with belladonna, finds its use internally, in
combatting hiccough, and camphor alone is especially useful in the
typhoid period of the disease.
_Tannin._—Tannin diminishes the excitement of the stomach. I recommend
its employment, where nitric acid reveals the commencement of albuminous
deposit in the urine. Its use must be suspended, if the albumen persists
or increases. Tannin is administered every hour, in grain doses in a
spoonful of water. When the twelfth grain has been given, and it works
no favorable change, it is replaced by arsenic.
_Arsenic._—Towards the end of the second period, when the vomiting
cannot be arrested, when the patient has continual nausea, when the
vomit contains bile or mucosities filled with blackish or sanguinolent
streaks, in a word when the characteristic signs of pronounced yellow
fever are developed, there is no better remedy than arsenic. It is given
as arsenious acid dissolved in water, and prepared in the following
manner: Boil for an hour a grain of arsenious acid in a porcelain cup,
containing a half pint of distilled water; then replace the evaporated
liquid with an equal volume of boiling water, let it cool, and give this
solution by the teaspoonful every half hour, until the nausea and
vomiting cease. The administration of this remedy is continued for two
days, at longer intervals, that is every hour, then every two hours,
finally every four hours. Prescribed under fitting circumstances,
arsenic often brings unhoped for amelioration.
There are some medicines, whose action, though certain, is inexplicable.
Such is arsenic, the influence of which must be accepted as a fact,
without considering theories more or less satisfactory. I should add,
that arsenic often determines a deceptive hunger, to which there should
be no concession, because at this period of the disease, the lightest
broth might cause fatal indigestion.
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