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.

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    Outline of Pkactice. I. Commencement of the Case.—General Management.— Eest in bed, in room, or indoors, according to the presence and severity of epigastric pain. Whatever in the way of move- ment increases or induces pain is wrong and must not be repeated (p. 486). No patient genuinely requiring treatment is to be allowed to work; nor to visit the doctor. Diet.— lluids only (p. 486), in small frequent quantities—2 fluid ounces every hour. Two feeds of peptonised milk to one of beef tea. If pain continue, 1 fl. oz. feeds of the same every half hour. If pain still continue, feed 'per rectum only, every four hours day and night (p. 487). Nutrient enemata: (1) Peptonised milk 4 fl. oz., half a yolk of egg; (2) Peptonised beef tea 4 fl. oz., half a yolk of egg; (3) Solution of Terric Chloride 10 minims combined with either (1) or (2). Given alternately. Nutrient suppositories of peptonised beef. The rectum washed out at commencement, and each morning, with 1-2 pints of warm boric acid (4 per cent) lotion.—Thirst relieved with sips of quite hot water; by moistening mouth and lips with acidulated barley water; or (better) by a warm rectal injection of 1 teaspoonful of common salt in a pint of water. Stimulants, if urgently indicated, to consist of 1 to 4 fl. drachms of brandy given in each enema. Medicines.—None as a rule (p. 488). Distress to be borne for a few hours, when effects of rest and proper feeding will begin to be appreciated.—For persistent pain or sickness: IjL Bismuthi Subnitratis gr. xx, Pulveris Tragacanthie Conipositi gr. V, Acidi Hydrocyanici Diluti ll\^iii, Aqute ad gi. [U.S.P. R Acidi Hydrocyanici Diluti ii|^iii, Bismuthi Subnitratis gr. XX, Pulveris Tragacanthre gr. i, Pulveris Acaciai gr. i, Pulveris Amyli gr. i, Sacchari gr. iii. Aquae ad si.] Every four hours.—For severe constipation (p. 491): ^ Hydrargyri Subchloridi gr. ii, Sacchari Lactis gr. ii. [U.S.P. 1^ Hydrar- gyri Chloridi Mitis gr. ii, Sacchari Lactis gr. ii.] At once; to be followed in six hours with a saline purgative in small bulk. The saline to be repeated every other morning, the calomel once a week only if required. Local measures.—Leeches,