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
_Treatment._—When delirium is attended with a full quick pulse and pains
in the head, it will be necessary to bleed from the arm, apply four or
six leeches to each temple, to place a blister on the nape of the neck,
and a bag of ice on the head, or else cloths constantly wetted in an
evaporating lotion; at the same time mustard poultices should be applied
to the legs and feet, one drop of croton oil put on the tongue, followed
in an hour by a black draught. The room is to be darkened, and the
patient kept perfectly quiet. When delirium proceeds from low fever, and
is attended with a small wiry pulse, the case must be met by palliatives,
anodynes, and tonics. The feet are to be kept warm, the hair cut, and
the head cool, the cupping glasses applied to the nape of the neck, the
mental irritation soothed by an opiate, and the system roused by the
careful employment of wine and arrow-root, and such other remedies as
the concurrent symptoms at the time, and the original character of the
disease, may seem to render expedient.
There is one precaution that should be observed in all cases of
delirium, especially in the more violent kinds, and that is by moral
suasion to obtain a mastery over the patient: this is to be effected by
blending firmness with kindness, as nothing can be more injurious than
intimidation or the threat of coercion, unless, indeed, that monstrous
abuse, the strait waistcoat, an instrument of torment scarcely, if ever,
called for.
DELIRIUM TREMENS.
Trembling delirium, or the drunkard’s palsy, is a disease in which
the mucous membrane of the stomach and bowels, as well as the lining
membranes of the brain, are in a state of chronic inflammation, resulting
almost always from intemperate habits and excessive indulgence in ardent
spirits. This disease is manifested by a total want of sleep, and a
quivering of the lips, hands, and muscles, generally, every attempt
at speech or motion increasing the tremor; rambling, and constant
chattering; the skin is cold and moist, the pulse small and quick, and
the tongue furred in its centre, with red edges, the countenance is
anxious, the patient full of suspicion, and oppressed with dreams and
frightful images.
_Treatment._—The first step to be taken is to tranquillize the system,
which may be effected by giving one grain of opium as a pill every four
hours with two table-spoonfuls of the following mixture every one or two
hours.
Camphor Water 5½ ounces.
Brandy 2 ounces.
Ether 1 drachm.
Spirits of Sal Volatile 1½ drachm.
Mix. In addition to the mixture and pills, it is sometimes
necessary to give brandy-and-water, wine, or pure spirit. When
the trembling is subdued, and the system tranquillized, the
following mixture is to be given in the same dose and quantity
as the former, but discontinuing the pills.
Public-domain text, read in full here on John Shaqi.
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