The principles and practice of midwifery : with some of the diseases of women.

Milne, Alexander

Date:: 1871

Credit: The principles and practice of midwifery : with some of the diseases of women. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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577/680 page 545

for many of these cases are associated with scrofula, anaemia, and debility. Some good is done by giving a small dose of hydr. cum creta and comp, ipecac, powder—two grains of the first, and four of the second —twice a-day, watcliing the physiological effects of the mercury, and stopping at slight tenderness of the gums. Scanzoni is fond of the cold douche to the uterus, and we believe it to be very beneficial. If the case gets chronic, the following mixture should be given;—Potassii iodid., grains, 36; potass, bromid., 6 drachms; ferri ammon.-cit., 3 drachms. Mix. A table- spoonful twice a-day to begin with. This mixture is alterative, calmative, and a chalybeate tonic, and does an immense deal of good. There is an injection we have employed, and, we think, with decided benefit, to the interior of the uterus—viz., acid, tannic., 2 drachms; iodum, 5 grains; potass., bromid. half-an-ounce; water, a pint. This is applied with an elastic tube inserted into the os, the woman being in the semi-erect- or better, the erect position, so as to avert the risk of flooding the oviducts. Although we beheve, with Barnes, that the interior of the uterus tolerates pretty strong fluids better than was at one time thought (in- deed, we have injected them into its cavity before Dr Barnes’ paper on the use of the perchloride appeared), still we are of the belief that the less flooding of the Fallopian tubes with pungent or acrid fluid the better. Dr Matthews Duncan has reported cases where there was preternatural patency and dilatation of these tubes; therefore we ought to be careful not to em- ploy force with our injections, but to throw the fluid in gently, the woman not bemg on her back, but raised, as before noticed. Of course we keep clear of a men- stiaial period. Pessaries of iod. plumb., tannin, &c., may also be used. What of Krcjot here 2 This drug is of very gi’eat service, especially where there are almost continuous oozings from the uterus. Even in a flabby, non-gravid 2n

The principles and practice of midwifery : with some of the diseases of women.

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