The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
This is also a very general trouble during pregnancy, and sometimes a
very severe one. Like several other sympathetic affections it is very
irregular as to its first appearance and duration, some suffering from
it most of the time, almost without intermission, while others only
have it at intervals, and but slightly.
It sometimes depends upon unsound teeth, but is frequently experienced
without any such cause, and is then a true _neuralgia_. When it arises
from a bad tooth, the pain is usually confined more or less to the
neighborhood of the tooth, but when it is neuralgic it extends over the
greater part or the whole of the jaw and face, and darts about from
one part to another. In true toothache there is also usually more or
less inflammation and swelling, while in the most agonizing neuralgia
nothing of the kind can be seen.
The treatment must be regulated by circumstances. If the pain appears
to be kept up by an unsound tooth, it should by all means be extracted,
unless the patient be so exceedingly nervous and irritable that
abortion is to be feared, in which case the pain must be alleviated as
well as it can be, though there is almost as much danger in leaving the
tooth in such cases as in extracting it. A few leeches to the gums will
sometimes relieve, or a mustard poultice to the cheek, or a blister
behind the ear. The stomach or bowels being out of order may also keep
up the irritation, and regulating them may materially assist in giving
relief. Some persons are relieved by lotions of camphor, or laudanum,
and others by washes of cayenne tea, or alum water. In the neuralgic
form, when no particular tooth can be found in fault, the treatment
must be more general than local. The _Carbonate of Iron Pills_, which
can be purchased at the druggists ready made, have frequently an
excellent effect; from two to four may be taken at a dose, twice a
day, the bowels being kept open, if necessary, by a little tincture of
rhubarb. If the pain comes at regular intervals, or intermits, it may
frequently be stopped by quinine. _Two_ of the ordinary _quinine pills_
may be taken every _five hours_, for two or three days. If the head
feels oppressed by their use, the dose must be lessened to _one_. M.
Guillemeau recommends the following to be tried if other means fail,
and I have known it to be of decided benefit. Take the whites of _two
eggs_, and _two ounces of common black pepper_, in powder, and beat
them well together. Spread this on some tow or cotton, and lay it on
the cheek. It may be kept on till it causes considerable irritation,
and sometimes may be used on both sides.
Some females have been relieved by bathing the face in _cold_ water, or
keeping _ice_ in the mouth, and others by hot fomentations. It has also
been recommended to fill the mouth with cold water, and bathe the cheek
with hot at the same time!
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