The symptom of cerebral congestion--a chronic sense of fullness in the
head--is often very simply alleviated by placing the patient in "_a
sitz_" or hip-bath, with the water varying from 70° to 90° F,
_Enemata_ will constantly be found of service where the torpidity
of the bowels is extreme. Not only so, but in cases where the liver is
beginning to re-assert itself, and its tremendous overaction sends
down such a supply of bile as to provoke inversion of the pylorus, an
enema may often act sympathetically beyond that portion of the
intestine actually reached by it, and change the direction of the
intestinal movement, so as to convert the deadly nausea excited by the
presence of bile in the stomach into a harmless diarrhea which at once
removes the cause of the suffering. Of the value of foot-baths I need
not speak, and to the hot full-bath I must now make reference as the
most indispensable agent in ameliorating the sufferings of one who has
completely abandoned the drug.
When Mr. Edgerton's dose has reached as low an ebb as 1/2 grain of
morphia he abandons the drug entirely. In my _Harper's Magazine_
article I have fully depicted the sufferings which now ensue--as
fully, at least, as they can be depicted on paper--though that at the
best must he a mere bird's-eye view. During the period of diminution
he has endured considerable uneasiness and distress, but these have
been trifling to compare with the suffering which he must endure for
the first few days and nights, at least, after total abandonment.
Universal experience testifies that although the previous period of
diminution greatly shortens and softens the sufferings to be endured
after giving up opium altogether, the descent from 1/2 grain of morphia
to none at all must involve a few days at least of severe suffering,
which nothing borne during the diminution at all foreshadows.
In my _Harper's_ article I have said:
"An employment of the hot bath in what would ordinarily be excess is
absolutely necessary as a sedative throughout the first week of the
struggle. I have had several patients whom during this period I
plunged into water at [Footnote: On some occasions, by repealed
additions from the hot faucet as the temperature of the water in the
bath-tub fell, I have raised the bath as high as 120° F. without
causing any inconvenience to the patient. Most bath-tubs--all in our
own city houses--are too capacious, and too broad for their depth. To
prevent cooling by evaporation the tub should be just the width of a
broad pair of shoulders and about two feet deep.] 110° F. as often as
fifteen times in a single day--each bath lasting as long as the
patient experienced relief."
Public-domain text, read in full here on John Shaqi.
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