The practical housewife : $b A complete encyclopædia of domestic economy and family medical guidePhilp, Robert Kemp
General
The practical housewife : $b A complete encyclopædia of domestic economy and family medical guide
Philp, Robert Kemp
Formulas, recipes, etc.; Home economics; Medicine, Popular
Is a functional affection of the respiratory organs, frequently depending
on constitutional causes, and seldom the result of organic disease.
Asthma generally attacks persons of advanced years, and of a weak and lax
system; it is, when not hereditary, often the result of sudden changes
of temperature, disorder of the digestive organs, or of mental anxiety.
An attack of asthma is usually indicated by a sense of constriction
or tightness round the chest, a fulness of the stomach, lassitude,
drowsiness, and headache. All these symptoms become more urgent towards
evening, accompanied with laborious breathing and difficult expiration,
attended at the same time with a wheezing noise in the chest and windpipe
at every inspiration. As night approaches a hard dry cough succeeds to
these symptoms, while the oppressed breathing and sense of suffocation
become so acute, as the paroxysm reaches its climax, that the patient is
compelled to spring up in bed, or rush to the open window, from fear of
instant suffocation. Asthma generally attacks the patient in the night,
and most frequently the severity of the fit endures for three or four
hours, usually terminating about two in the morning, when, after a free
expectoration of frothy mucus, the symptoms gradually subside, and the
patient, after much anxiety and suffering, falls asleep. A succession of
such paroxysms occur for several consecutive nights, before the symptoms
give way and allow the exhausted patient time to recover his strength and
tone.
_Treatment._—The first endeavour must be directed to shorten the fit
and to relieve the most distressing symptoms: the next, to remove the
exciting and predisposing causes. Where the patient is strong and not
far advanced in life, an emetic, composed of ten grains of ipecacuanha
and one grain of tartar emetic, mixed in a cup of warm water, should
be given in the first stage of the attack; followed up for some hours
by nauseating doses of antimony and squills, as in the following
mixture:—Antimonial wine, one ounce; water, four ounces and a half;
tincture of squills, three drachms. Mix; and take a table-spoonful every
hour so long as the urgency of the symptoms continues. When the attack
is slight, and devoid of the marked features of a paroxysm, and the
difficulty of breathing and sense of tightness in the chest are the chief
symptoms, much benefit will be derived from taking from five to ten drops
of hydrocyanic acid in a table-spoonful of water every two hours, for
three or four times.
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