The foregoing treatment is successful to a limited extent, only in
such cases where causative factors of the fever are involving the
predominating centers controlling the heat production or dispersion
and the vasomotor system directly; for if the lesion that is causing
the disorder should be affecting an auxiliary center along the spinal
cord instead of the predominating center, as is oftentimes the case,
treatment of the predominating center would be useless as far as any
permanent benefit is considered; although a temporary effect will be
gained by lessening the fever at that point. Consequently, in many
cases, the lesion lies within the jurisdiction of auxiliary centers
which are situated at various points along the spinal cord. When
such is the case, it will be of little benefit to give the cervical
treatment. In such instances the lesion to the auxiliary center would
have to be removed in order to cure. One cannot depend upon a set rule
to reduce a fever; determine the cause, as in any other disease or
symptom, and remove it.
In addition to the treatment to the cervical region and along the
spinal column, as are indicated upon an examination, attention should
be given to the heart’s action. The equilibrium between the accelerator
and inhibitory nerves (cervical sympathetic and vagi) should be
maintained. The interchange of gases in the lungs should be rendered
as nearly normal as possible; this is best accomplished by raising
and spreading of the ribs from the second to the seventh dorsals,
particularly in the region of the fifth and sixth. Also stimulation
of the vagi will aid by increasing the motor power of the lungs.
The kidneys and bowels should be kept active so as to favor a rapid
elimination of various toxic properties; besides they have control
over large vascular areas. Treatment over the ureters will prevent any
clogging that might occur in them from a condensation of the urine.
Attention, also, should be given the tissues at the fifth lumbar and
over the iliac vessels to influence the circulation in the pelvis.
The =food= of the patient should be liquid—milk, soup, broths, etc.,
and almost any quantity of water allowed if called for, given little
at a time and at frequent intervals. The room should be well lighted,
ventilated, clean and kept at an even temperature.
=Two points= should always be remembered relative to fever:
First—That there are many causes of fever; and in order to reduce the
fever the cause must be determined and removed, the same as in any
disorder. A definite fever treatment cannot be given any more than a
definite constipation treatment; the case must be seen in order to
determine the cause.
Public-domain text, read in full here on John Shaqi.
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