=Treatment.=--There is unfortunately no special cure known for yellow
fever such as we possess in malaria. The patient should be well
covered and surrounded with hot-water bags during chill. It is
advisable to give a couple of compound cathartic pills or a
tablespoonful of castor oil at the start. Two, or at most three,
ten-grain doses of phenacetin at three hours intervals will relieve
the pain during the early stage. Cracked ice given frequently by the
mouth and the application of a mustard paper or paste (one part
mustard, three parts flour, mixed with warm water and applied between
two layers of thin cotton) over the stomach will serve to allay
vomiting. Cold sponging (see Typhoid Fever, p. 232) is the best
treatment for fever. The black vomit may be arrested by one-quarter
teaspoonful doses of tincture of the chloride of iron, given in four
tablespoonfuls of water, every hour after vomiting. The bowels should
be moved daily by injection of warm soapsuds. The patient should not
rise from his bed, but should use a bedpan or other receptacle. In
addition, a pint of warm water, containing one-half teaspoonful of
salt, should be injected into the bowel night and morning and, if
possible, retained by the patient. The object of the latter is by its
absorption to stimulate the action of the kidneys. The diet should
consist of milk, diluted with an equal amount of water, broths,
gruels, etc., and only soft food should be given for ten days after
recovery. Iced champagne in tablespoonful doses at frequent intervals,
or two teaspoonful doses of whisky in a little ice water, given every
half hour, relieves vomiting and supports the strength.
FOOTNOTES:
[11] See Volume V, p. 76, for detailed methods.--EDITOR.
[12] See Frontispiece, Vol. V.
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