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.

    558/676 (page 534)
    Subchloridi gr. J. [U.S.I*. IjL Pulveris Opii gr. i, H}'drargyri Chloridi Mitis gr. -^-.] Every three or four hours. (2) At the end of invasion.—(«) If 2'>ctin continue: repeat morphine and atropine or opium and belladoima, as condition demands, {h) If yain ham modei'ated : stop opium and other medicines (pp. 528, 531); and continue local applications to relieve discomfort. Diet.—Beef tea, plain broths, meat essences or jellies, peptonized milk. Feeds not to exceed 2|- liuid ounces, at intervals of two hours. II. Progress of the Case.—(1) On second, third or later day, if evidence of suppuration or acute peritonitis supervene (for guides, see p. 531) interfere surgically. If no evidence of pus, actual or threatening by the third day, give enema of one pint of warm water with a little soap (p. 528), and repeat every morning; adding in a few days two teaspoonfuls of oil of turpentine beaten up in yolk of egg. Continue strict rest and local applications. Diet.—Peptonized or malted infant food to replace two of the feeds of peptonized milk. (2) After a few more days' successful treatment: stop enemata and give a saline aperient (see p. 520); to be repeated every morning. Diet.—Broths and milk thickened with various farinas; bread and butter; eggs; fish; lean underdone mutton ; no vegetables. later on : ordinary meals, excluding:—milk (except sparingly), whole-meal bread or por- ridge, strong tea, preserved foods of every kind, common vegetables (but potato puree and spinach permissible), fruits cooked and uncooked, fresh and preserved (but thoroughly stewed apple permitted).—Gradual return to exercise. III. After Complete Eecovery (unless appendix have been removed). Preventive treatment.—General management.— Clothing (-p. 524): warm woollen garments for lower hnibs. Tliick-soled boots and shoes. AVoollen roller or belt for abdomen.—Exertion avoided. Diet.—Much as above (II.), all constipating, flatulent and coarse (aperient) foods being rigidly excluded (p. 524). Bowels to be opened daily either naturally, by above diet, by enema, or by habitual laxative pill taken every evening (see p. 519). Remedial treatment.— Consider question of removal of diseased appendix (p. 524).