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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![water being used to promote evaporation. Opium, in its vaiious preparations, may be given internally, a quarter or half a grain at a dose; or two or three drops of the solution of morphia, in a tea-spoon- ful of cold water ; equal parts of lemon-juice and cold water, say a table-spoonful of each; a table-spoonful of lime water and milk ; small pieces of ice, internally ; or a piece of ice laid on the epigastric region. The tincture of nux vomica, two or three drops every two hours, is a remedy much extolled by Lobach; but he observes that, after the arrest of the vomiting, severe cramps are apt to ensue, which, however, readily yield to the tincture of the acetate of copper, one drop each hour, gradually increasing to six drops an hour. The extract of belladonna in ointment, applied to the cervix uteri, first suggested, I believe, by Brettoneau and Cazeaux, is sometimes very efficacious. I employed it on two occasions with very striking benefit. Its strength should be 3J of the belladonna to 1] of adeps; a small portion to be smeared on the cervix once or twice a-day, as circumstances may require. It should be applied with the finger, and not through the speculum, for the reason that this instrument may, especially in sensitive women, induce premature action of the uterus. The following, which is known as the potion of Riviere, has been in great repute, and may be employed oftentimes with advantage: B, Acid Citric gr. xxxvj Syrup Sacchar. 3 viij Potassse Bicarbonat. .... gr. xxxvj Aquas distillat. 3 iv The citric acid to be dissolved in one half of the water, and then add the syrup ; the bicarbonate of potash to be dissolved in the remaining portion of water, and a table-spoonful of each to be administered suc- cessively. The vomiting of pregnancy is, I am quite confident, frequently aggra- vated by a constipated condition of the bowels, and it is proper, there- fore, to exercise a due degree of vigilance on this point. The following combination will be well adapted, by its laxative action, to prevent torpor of the system during gestation : I£ Pil. Colocynth Comp. . . Bi ss Extract Hyoscyam ... 3j Til. Hydrarg gr. xij Ft. pil. xij One or two pills, as occasion may require. Vaginal-Rectocele in a married Woman, aged thirty-six Years, niE Mother of four Children, the Youngest three Months old ; Varieties of Vaginal Hernia.—Mrs. S., aged thirty-six years, mar- ried, says her womb is down, and she is almost beside herself with the pain and suffering she has endured from constipation of her bowels. She says she has lost more than twenty pounds of flesh within the last](https://iiif.wellcomecollection.org/image/b21034357_0580.jp2/full/800%2C/0/default.jpg)
