I soon discovered that the catarrhal inflammations got worse, in
proportion to the trouble and pains I took to treat them locally,
so that I became ashamed of my ill success and abandoned the local
treatment entirely, and this I shortly discovered was the means of
curing them. Instead, I simply directed patients to rinse themselves
with quite warm salt water, that is, a tablespoonful of ordinary
cooking salt dissolved in a gallon of water. Now I prefer Femina
antiseptic lotion to the same quantity of water, which has greater
healing properties than either pulverized borax or common salt. I
particularly advised them to keep their feet and lower extremities
warm, regulating their diet and keeping their bowels open. I noticed
that the patients began to improve, and that the improvement continued
until they were fully restored to health and vigor. This method of
treatment would not keep an office overcrowded with deluded patients,
but it proved far more satisfactory to all concerned than meddlesome
measures, and illustrated one of the most common abuses to which
suffering women are liable.
In taking a _laxative_ patients must feel their way as to the proper
dose to take in their own individual case; constitutions differ very
much in this respect, so that it is impossible to lay down one and
the same rule for different persons. It is not good practice to give
medicines three or four times a day in cases of habitual constipation,
for it is liable to derange the digestion and interfere with the
appetite. The proper method is one dose at bedtime and this should be
increased or diminished until the suitable dose of the remedy has been
ascertained; when this is accomplished, the dose of the remedy should
be gradually lessened, a few drops every day, till it can be entirely
dispensed with. If the ordinary dose fails to relieve the bowels, an
additional treatment of glycerine enema at or about the time that the
stool is to take place is to be employed. One or two teaspoonfuls of
glycerine should be diluted with an equal quantity of water, and by
means of a hard rubber piston syringe thrown into the rectum. The
stimulating effect of glycerine on the nerves and mucous membrane,
materially assists in relieving the torpor of the rectum, which has
become insensitive to the irritation of its natural contents.
Patients who are costive must get into regular habits of relieving
themselves, that is, have a regular hour every day when to go to
stool, then the medicine will in time cure the most obstinate cases
of constipation, otherwise it is impossible to cure it. It takes a
constant amount of _effort to get well_, so that those who are too
indolent or think it too troublesome to exert themselves, cannot hope
to recover.