A text-book of medical treatment : diseases and symptons / by Nestor Tirard.

  • Tirard, Nestor Isidore Charles, Sir, 1853-1928.
Date:
1900
Catalogue details

Licence: In copyright

Credit: A text-book of medical treatment : diseases and symptons / by Nestor Tirard. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    20/728 (page 4)
    purgatives—a form of treatment which will be more fully discussed in connection with chronic renal dropsy. As in acute pericarditis, it may he necessary to afford immediate relief of urgent symptoms by aspiration. Endocarditis.—Endocarditis occurs under two forms: simple and ulcerative. In both it is necessary to treat first the cause of the disease, and secondly the special sjunptoms which may develop during its progress. Simple endocarditis occurs so commonly in connection with rheu- matic fever that the treatment is largely that adapted to this disease. It may, however, also develop in connection with scarlet fever, with phthisis, diabetes, chorea, and occasion- ally with the late stages of Bright’s disease ; but in all these cases the onset is much more gradual than Mdien it is due to acute rheumatism, and it is therefore more difficult to apply appropriate remedies at the time when they may be of service. When dealing with a case of endocarditis associated with rheumatic fever, the diet should be strictly regulated so as to contain a relatively large proportion of fluid of a non-irritat- ing character. Thus it is advisable to employ fairly large quantities of milk, of weak beef tea, or broth, as well as of alkaline drinks. In these cases it is also desirable to give alkalies, such as potassium bicarbonate, and salicylates or salicin, which frequently diminish the temperature and re- duce the frequency of the pulse. With the same objects, quinine may be employed in repeated small doses. These drugs are frequently prescribed in the following forms, the mixtures being taken three times a day or oftener : Potassii Bicarbonatis .... gr. x. Potassii Nitratis . . . . . gi’. v. Aquae Si- ll Potassii Bicarbonatis .... gr. xx. Tincturae Hyoscyami .... iqxx. Aquae Camphorae . . . ad 5j. 11 Potassii Bicarbonatis .... gr. x. Tincturae Zingiberis . . • . 5ss. Infusi Ehei ...•■• 5j- Infusi Gentianae Compositi . . ad 5].