The principles of midwifery; including the diseases of women and children / [John Burns].

  • John Burns
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: The principles of midwifery; including the diseases of women and children / [John Burns]. Source: Wellcome Collection.

    813/842 (page 787)
    In obstinate cases, much benefit will be derived, by giving a regular course of purgatives, so as to keep up a constant, but gentle, effect on the bowels. After the worms are expel- led, a bitter infusion, or chalybeate water, will be useful to strengthen the bowels, or these may even be employed, whilst we are using the purgatives. | The trichuris, or long thread-worm, is about two inches long, and two-thirds of this, form a tail like a hair. The body is about the 16th of an inch thick, and the worm is white like the ascaris. It is found in the rectum, and also higher up, even in the ilium. The taenia consists of many flat, jointed, portions, and is divided into the T. Solium, where the orifices are placed on the margins of the joints, and the T. Lata, where they are found on the surface. ‘The usual symptoms are produced. The best remedies are smart purges of calomel and jalap, al- ternated with doses of oil of turpentine, proportioned to the age; a dessert-spoonful may be given to a child of four years of age. But to ensure its quick operation by stool, and to prevent strangury, another laxative, such as castor oil, should be combined with it. Colchicum may also be prescribed at amore advanced age. The teenia is more diflicult to be re- moved than other worms. ee eee CHAP. XIX. Of Jaundice. TuE jaundice of infants, is a disease attended with great danger, especially if it appear very soon after birth, and the stools evince a deficiency of bile; for we have then reason to apprehend, some incurable state, of the biliary apparatus. I conceive that there are two species, of this disease, which are very opposite in their nature. Im the first, there is an obstacle to the passage of the bile into the intestine, the child is cos- tive, and the meconium is paler than usual, and after it is re- moved, the stools become light coloured; the skin, very early after birth, becomes of a deep yellow colour, which extends to the eyes. ‘The child sucks very little, has occasionally a difficulty in swallowing, is languid, becomes emaciated, moans much, is troubled with flatulence, sometimes with cough and