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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    acters of cerebral embolism presents us with no indications that come within the range of practicable therapeutics. Clinical Indications.—The indications to be drawn from the clinical phenomena and course of cerebral embolism are not sufficiently different from those furnished by the symptoms and course of cerebral htemorrhage to require fresh discussion in the present place (see p. 562). Particularly low diet however is not indicated ; and in some cases of failing heart with valvular disease stimulants may actually be called for, to prevent the spread of thrombosis in the blocked vessels, as well as on other principles. The management of paralysis from embolism is conducted similarly to that from htemorrhage; compensation of the damaged parts by other parts being promoted as much as possible.^ Outline of Practice. A. Preventive Treatment. General Management.— Moderate exercise of mind and body, short of excitement and exhaustion (p. 567). Diet.—Generous, with stimulants, in moderation (p. 567). Medicines.—(1) For syphilis, if present (p. 566). (2) For atheroma, if present; cardiovas- cular tonics and hfematinics (p. 567): 1^ Tinctura^ Digitalis }\\, Tincturas Nucis Vomicae iT^^v, Ammonii Carbonatis gr. iv, Ferri Tartarati gr. viii, Liquoris Arsenicalis Vi\m, Aqua3 Chloroformi ad gi. [U.P.S. ^ Tinctune Digitalis ni^v. Tinc- ture Nucis Vomicae w\y, Ammonii Carbonatis gr. iv, Ferri Tartratis gr. viii, Liquoris Potassii Arsenitis Aqute Chloroformi gss, Aquas Destillatte ad si.] Three times a day immediately after meals. Habitual laxatives (p. 567)- see p. 519. B. Eemedial Treatment. General Management.—Rest m bed. A nurse. Nursing arrangements as for cerebral haemorrhage. See p. 564. Sinapisms to neck (p. 567). i'zV^.—Moderate, of light sohds or of fluids as can be taken. Stimulants correct in most cases (p. 567). Ifedicines. — A mild mercurial purgative (p. 567): Hydrargyri Sub-