The principles and practice of midwifery : with some of the diseases of women.
- Milne, Alexander
- Date:
- 1871
Licence: Public Domain Mark
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.
615/680 page 583
![may be only local, in others general, and in others a combination of both. If there is a iibrons srowtli (mtramterine), it nnist be removed, and the same with the polypi. In carcinoma we can do little ; in epithe- lioma, if seen early enough, we can try removal with the knife or ecraseur; and in ulceration we may a]>ply the solid caustic. In climatic flooding we urge the patient back to the old home; and in ovarian cases we ad\dse continence and moderation. In constitutional diseases we must treat the jiarticular malady in the most approved manner; in ansemia there is the iron and hygienic measures ; in lead-poisoning tliere is the iodid. potass., baths, &c., and so on. Treatment by Astringents.—These are internal and local. The first include ice, tinct. ferri, perchlor. liquor., ferri pernit., matico, rhatany, tannic and gallic acid, cannab. indica, ergot, &c. By internal astringents we do some little good at times in the way of moderating the discharge; and then those of them such as the pre- parations of iron prove beneficial also by improving the character of the blood; but w*e secure our object much more efficiently, as a mle, by the topical use of styptics. 574. Dr Barnes has a high opinion of iron (a solu- tion of the perchloride, formerly noticed), and has ob- tained excellent residts from it; but many fear, justly or imjustly, to throw iridtating injections into the womb. There are two risks, not to be despised in con- nection with these :—(1.) You may force the fluid up the Fallopian tubes, and thus kindle mischief; and (2.) you may, if n\uch force be used, split the mucous mem- brane, and invade the circulation by them. In the one case we might enkindle a fatal peritonitis ; in the other, occasion a lamentably sudden death. We are more in favour of the insertion of inti-a-uterine solid styptics, and some of these we shall notice. First, there is solid nitrate of silver. This was a favourite with the late Sir James Simpson. A small portion, about](https://iiif.wellcomecollection.org/image/b24991235_0615.jp2/full/800%2C/0/default.jpg)
