Handbook of medicine & therapeutics / by Alexander Wheeler and William R. Jack.

Date:
1908
Catalogue details

Licence: In copyright

Credit: Handbook of medicine & therapeutics / by Alexander Wheeler and William R. Jack. Source: Wellcome Collection.

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

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    To help the secreting organs— (1) Diminish the amount of nitrogenous food, and substitute milk and farinaceous material. (2) Keep the bowels moderately open. Make the urates more soluble by administration of citrates, tartrates, etc. And lastly, to keep the heart going, we may employ— (1) Digitalis. (2) Strophanthus. (3) Strychnine. (4) Diffusible stimulants, brandy, ether. No routine treatment can be prescribed, because of the many complications and peculiarities of each case. In most cases we may start with a purge, if there be no contra-indication. ^ Hyd. Subclor. grs. iv. ; followed in 4 hours by ]^ Mist, Sennte Co., §iss. This may be combined, in mild cases, with a mixture such as the following, taken at intervals, say, a tablespoonful every four hours— 1^ Liq. Ammoii. Acet. . 5ij- Spt. iEtheiis Nitrosi . 5ss. Potass. Citratis . , . gr. xx. Aqufe Camph. ad . . §ss. This will keep skin and kidneys acting, the citrate also rendering the urates less irritating. Slight degrees of fever do not, however, require active treat- ment, as they are simply the expression of the protective reaction of the body against the cause of disease. II. Hygiene.—Frequently ^'drugs'' will form the least im- portant factor in successful treatment, and in all cases their action will be assisted by careful diet and strict attention to hygienic principles. The essentials are— 1. A large well-ventilated room, with blinds which may be