The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.Various
Science
The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.
Various
Drug utilization -- Periodicals; Drugs -- Periodicals
Judging from published reports, the treatment of influenza during the
present epidemic has been mainly symptomatic, simple remedies being
employed in place of the powerful antipyretics and analgesics that were
so extensively used three years ago, and this may account in part for
the reduced mortality. In this connection the writer ventures to suggest
the use of a limited number of remedies that have proven of signal
service within the past two months. In the pulmonary type, to relieve
the distressing and frequent cough, nothing has given better results
than morphine hydrochlorate and pilocarpine hydrochlorate, given hourly
in doses of one-fiftieth of a grain each, together. This combination
seems to allay sufficiently extraneous irritation, while it favors the
re-establishment of the normal secretions, and has shown remarkably
favorable effects when broncho-pneumonia threatened to supervene. Given
in these small doses, it produces neither narcotism nor depression, and
the patient is ready to take his regular meals, to which is added liquid
nourishment during the intervals. Hot milk—not boiled—and the free use
of beef-tea made from a good extract of beef, are helpful in assisting
to maintain the strength. In the abdominal type, with much pain along
with mucous discharges from the bowels, showing involvement of the
liver, a combination of mercury biniodide with codeine sulphate appears
to control and modify the progress of the disease. One one-hundredth
grain of the former with one-tenth to one-fifth grain of the latter may
be administered every two hours, and along with this, where we have to
contend with the pains peculiar to influenza—rheumatic and neuralgic—it
is well to administer conjointly small doses of bryonia. From two to
five drops of the tincture can be given at intervals of two to four
hours. Cases which do not respond readily to bryonia, will often quickly
show amenability to the administration of rhus toxicodendron, given in
one-drop doses of the green root tincture at intervals of two hours. It
is remarkable what power these two simple remedies exercise over the
fugitive neuralgic pains peculiar to influenza, doubtless because they
modify the nutrition of the cells composing the fibrous structures,
enabling them to throw off waste products and thus maintain a condition
approaching that of health. The after-treatment will embrace the
administration of the arseniates of iron and strychnine, and in
debilitated subjects this should be supplemented by the exhibition of
cod-liver oil or petroleum in the form of emulsion.
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