The principles of treatment and their applications in practical medicine / by J. Mitchell Bruce.

  • John Mitchell Bruce
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: The principles of treatment and their applications in practical medicine / by J. Mitchell Bruce. 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.

    480/676 (page 456)
    Outline of Practice, 1. If the Condition he Urgent.—General Managertunt.— Eest.—An emetic and gastric antacid (p. 453): A draught of tepid water, repeated until vomiting occurs, assisted if necessary by irritation of the fauces. Eepetition of the draught. Second repetition of the draught with the addition of one tea- spoonful of sodium bicarbonate. Diet.—No food of any kind for 6-12 hours (p. 455). Sips of hot water to relieve thirst; 2 teaspoonfuls of brandy in soda water, or 2 fluid oz. of champagne, if depression be extreme (p. 455). Thereafter, feeds of 2 fluid oz. of milk with TTl^xxx of saccharated solution of lime B.P., or of milk and soda water, every hour; followed later by beef tea or clear soup; and later still by boiled fish, etc. Medicines.—A non-irritant cholagogue purgative (p. 454): ]^ Hydrargyri Subchloridi gr. iv, Sacchari Lactis gr. iii. [U.S.P. 1^ Hydrargyri Chloridi Mitis gr. iv, Sacchari Lactis gr. iii.] At once; to be followed in six hours by an effervescing saline purgative. — A gastric sedative (p. 455): I)L Sodii Bicarbonatis gr. xv, Acidi Hydrocyanici Diluti ii\^iii, Spiritus Ammoniae Aromatici i\xx, Aqu£e ad gi. Every four hours, with the addition im- mediately before administration, of a sedative powder (p. 455) : ^ Bismuthi Subnitratis gr. xx. 2. If the Condition he less Urgent.—(P. 454) ^ Pepsini gr. X. In wafer paper. At once. Or Glycerini Pepsini B.P. 3ii, Aquee ad §i. At once.—A purgative, as above. Locally: a mild mustard poultice to the epigastrium (p. 455). Chronic Indigestion—Chronic Gastric Catarrh. The rational treatment of chronic gastric catarrh is a useful exercise in the application of therapeutical principles based on attention to aetiology. At the same time, food and feeding being the principal causes, and these under our control, it offers abundant occasion for the study and practice of the employment of dietetics as a means of treatment. Associated with the catarrh which gives its name to the disease there is present more frequently than it is recognised a degree of