The practice of medicine, according to the plan most approved by the Reformed or Botanic Colleges of the U. S : embracing a treatise on materia medica and pharmacy ; illustrated with numerous engravings ; designed principally for families / by J. Kost.

  • Kost, J., 1819-1904.
Date:
1847
Catalogue details

Licence: Public Domain Mark

Credit: The practice of medicine, according to the plan most approved by the Reformed or Botanic Colleges of the U. S : embracing a treatise on materia medica and pharmacy ; illustrated with numerous engravings ; designed principally for families / by J. Kost. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    tcr of the injury. There is always more or less pain, swell- ing, and a partial, or total loss of motion. The end of the dislocated bone may, in many instances, be felt in its new po- sition; and the muscles or soft parts, about the joint, change their shape, and fullness, to some extent. Dislocations are generally accompanied by laceration of the ligaments of the joints, yet instances do sometimes occur, in which the bones slip out of their places, merely from relax- ation of the ligaments. Sometimes, fractures also occur, with dislocations. This is most commonly the case in accidents at the ankle joint, where a dislocation seldom occurs without fracture of the fibula or small bone of the leg. The acetab- ulum, or socket for the thigh bone, is also sometimes fractur- ed in dislocations at this joint. A dislocation may be partial, that is, resting in part on the natural articulating surface; or complete, when the two surfa- ces are entirely separated. Moreover, the injury may also be simple, or compound: the first consists simply of the separation of the surfaces; while in compound dislocation, the articula- ting surfaces are not only separated; but there is also a sepa- ration of the muscles, and laceration of the integuments or skin; thus laying open the joint. Treatment.—In reducing a dislocation, the chief difficulty will be found in the rigidity of the muscles. For the best method of overcoming this difficulty, surgery is indebted to Dr. Thompson, the noted Reformer; for although the use of relaxing means had been in practice for many years, yet un- til the superior relaxing powers of his lobelia, and the utility of his vapor bath, became known, means of this class, had gained but little popularity. The torturing pulley, and man- ual fores, were chielly depended on, to overcome the action of ithe muscles.* When the reduction of a dislocation is undertaken, the pa- tient should take two or three doses, either of the anti-sias- inodic tincture, or of the tincture of lobelia, and should be placed over the vapor bath; or should at least have the mus- cles, around the injured parts, well vaporized by means of a steam pipe. No alarm need be taken if the medicine should produce nausea, or vomiting, or should sicken considerably; *Ca8tle, in his manual of surgery, stales: -The most effectual mode of o- riflg the muscular power, is by the pulleys, which have this advantage over ex- tension made by assistance, that your force is gentle and continued. First pass a wetted roller around the limb, and over this buckle on the leather with the rings to which the pulleys are t© be fixed. Iltiving fixed them on, draw the cord verv gently, until you fee] the ruu-scles making some resistance, then rest two or three ii inuteg, and extend agai-n.; and so on until you see the muscles beginning to < uiver, and Ly.a:little lu.rtber ^xteneion they will be overcome.