The principles and practice of obstetrics / by Gunning S. Bedford.
- Gunning S. Bedford
- Date:
- 1863
Licence: Public Domain Mark
Credit: The principles and practice of obstetrics / by Gunning S. Bedford. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![powder; and in six hours afterward a table-spooi.ful of the following draught may be given every hour until free purgation is produced : ]£ Sulphat. Magnesias 3j Infus. Sennas . § iij Mannae 3 ss M. The bowels should subsequently be kept in a soluble state, either by enemata of molasses, oil, and soap suds, or simply warm water, as mny be indicated. I have found much benefit, especially when there is deter- mination to the head, in the use of two tea-spoonsful of table salt in § iv of tepid water thrown up the rectum. It proves, in these cases, a capital revulsive on the intestinal mucous surface of the lower bowel, and is worthy of being remembered. Small doses of calomel occasionally, say one grain, should the bowels not properly respond to the above reme- dies, will be of special service. I have great faith in the judicious use of this medicine in scarlet fever. The throat, both in the malignant and aginose forms of this disease, will require local applications; in most cases, detergent gargles are all that will be required, and these may consist of alum and barley-water a few drops of muriatic acid and barley-water. The following, known as Labarraque's solution, is in good favor, and may be used with great benefit in these cases : Solution of the chloride of soda, 3 xij; water, §vss; honey, 3 iv. This is a gargle highly recommended by Dr. A. T. Thomp- son, and is one of much value. Equal parts of lemon-juice and honey, is also a good combination. The ulcers in the throat are usually marked by great sluggishness, and require the stimulus of some of the above ap- plications. But' how are these to be made? It is almost impossible to prevail on the child to use them as gargles. The best plan is to open the mouth with a spatula, and then with a small piece of sponge, satu- rated with whatever material may be selected, the ulcers should be freely touched three or four times a day as may be necessary. Occasionally, it will be found useful to throw some of these remedies into the nose, and this may be done without difficulty by means of an India-rubber bag, with a small ivory pipe. This process of syringing the nostrils is valu- able on two accounts; it not only removes the morbid secretions which collect there, and consequently impede respiration, but it also tends to cleanse the ulcers in the throat. Sometimes a membrane forms in the throat, the result of the inflammatory action, and this has been called the angina membranacea. When this exists, it will be necessary to change the inflammatory action by the application of the nitrate of silver, either in solution or in the solid stick ; if the former, 3) of the nitrate to § j of water; the throat may be freely touched with this latter by means of a camel's hair pencil. I have not spoken of emetics, though we have high authority for their administration in this disease. They were much resorted to by Dr. Rush, and he was in the habit of combining calomel with them in order that a](https://iiif.wellcomecollection.org/image/b21034357_0570.jp2/full/800%2C/0/default.jpg)
