Volume 1

A manual of medical treatment or clinical therapeutics / by I. Burney Yeo.

  • Isaac Burney Yeo
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical treatment or clinical therapeutics / by I. Burney Yeo. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    36/664 (page 16)
    until it begins to purge.* 8alol in large doses has also been highly commended. In very pronounced rheumatic cases sodium salicylate may be given in doses of 10 or 15 grains every two or three hours until relief is felt. Some apply salicylic acid directly to the surface of the tonsils. The following formula has been suggested:— R Acidi Siilicylici ... ... ... 2 di-aras. Sodii bicarbonutis ... ... ... 1^ „ Glycerini ... ... ... ... 1 oz. Aquae menthis pip. ... ... ad 4 ,, M. A tablcspoonful every 2 oi- 3 hours. An active saline purgative must also be given, such as 2 drams of sulphate of soda or magnesia, with 20 grains of carbonate of magnesia in an ounce of peppermint water every four hours until free action of the bowels'is established. We have seen advantage follow the addition of 5 . minims of ipecacuanha wine to each dose of this aperient mixture, especially when the patient is seen for the first time in the more advanced stage, and when it is desired to hasten sup- puration. The attack can sometimes be arrested at the very commencement by scarification of the inflamed ton.sil, the incisions being allowed to bleed freely. The subsequent application of a 10 per cent, solution of cocaine to the suiface of the tonsil appears to hasten resolution. Or the injection of a few drops of this solution into the inflamed tonsil by means of a hypo- dermic syringe provided with a long needle, in the early stage, is often of great value in relieving pain. When the disease cannot be arrested, cocaine may also be of service in allaying suffering. A 4 to 8 ]ier cent, solution may be sprayed on to the tonsil for a few seconds at a time, the nozzle of the atomiser being introduced between the teeth and directed towards the tonsil. * Sajous, ua Hare's System of PruptiCtVl Thej-apoutics, vol. ii. p, 457.