In all probability, however, there will be a better field in such
cases as Mr. Edgerton's for the use of nux vomlca than of
belladonna. Where the prostration is so great as to call for the most
immediate action to avoid a syncope from which there shall be no
rallying, it will be unwise to await the soothing action of the
battery, capsicum, or any other means preparatory to giving nux
votnica by the mouth. _Strychnia_ in solution (it is needless to
say with what caution) must be administered like the atropin,
subcutaneously, or else nux vomica tincture in the form of the
ordinary enema in about the same dose as it would be given by the
mouth. The former method in wise hands is the better, both as the
speedier, and, considering the opiate torpidity of the intestines, by
far the more certain. In cases where the stomach tolerates fluid, as
our ability to await the action of the battery and capsicum have now
enabled us to find Mr. Edgerton's, we may give from fifteen to twenty
drops of the ordinary pharmaceutical tincture of nux vomica in a
table-spoonful of water.
In the course of ten minutes we find a decided improvement in the
pulse of the patient; he experiences great relief from his feelings of
apprehension and distress about the epigastrium; and the most powerful
tonic known to science begins dispatching its irresistible behests to
every fibre of the organic life. That painful as well as agitating
_subsultus_--that involuntary twitching and cramp in the muscles
of the limbs and abdomen which often characterizes this form of the
opium malady, by degrees gets lulled as under a charm, and it may not
even be necessary to repeat the dose in two and a half hours to remove
it so entirely that the patient gets ten or fifteen minutes of
refreshing sleep.
The earliest symptoms of this species of attack sometimes indicate
such prostration as make any bath of the ordinary kind unsafe; yet
rare indeed are the cases (not one in a hundred I should say) where
there is any danger of further depressing the nervous system (of
course the great thing to guard against) by putting a patient like
Mr. Edgerton into a _Russian bath_. I need not enlarge upon the
value of this most admirable appliance--all the most enlightened men
of the medical profession know it and esteem it as it deserves, though
its use in rheumatic affections and cutaneous diseases has hitherto
received more study than in the class of maladies where its employment
is perhaps the most beneficial of all--the nervous. Pre-eminently
valuable is it in the treatment of delirium tremens and in every stage
of the opiomania.
As your book is for the purpose of the public rather than professional
men, I may perhaps properly say a few words about this bath by way of
description. We have one, as a matter of course, at Lord's Island.
Public-domain text, read in full here on John Shaqi.
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