Pulmonary consumption, pneumonia, and allied diseases of the lungs : their etiology, pathology and treatment, with a chapter on physical diagnosis / by Thomas J. Mays.
- Thomas Jefferson Mays
- Date:
- 1901
Licence: Public Domain Mark
Credit: Pulmonary consumption, pneumonia, and allied diseases of the lungs : their etiology, pathology and treatment, with a chapter on physical diagnosis / by Thomas J. Mays. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![muscle. Capsicum is also of the greatest utility. It is one of our most effective dift'usible stimulants, and it is of spe- cial usefulness in that stage of pneumonia which is accom- panied by a low muttering delirium, comatose tendency, ])icking at the bedclothes, etc., and which is very often asso- ciated with a dry, black, crusty tongue. It is to be given in doses of from ten drops to a teaspoonful of the tincture in water every three or four hours. The author has given a teaspoonful of the tincture of red pepper every hour wilii the best results in low alcoholic pneumonia. The addition of from five to ten drops of the tincture of the chloride of iron to each dose of cajisicum, will improve its efficacy in the very adynamic form of acute pneumonia. Quinine should i>c given in doses of five or ten grains every four hours until some of its constitutional effects are produced. When a malarial element is present, as is fre(|uently the case in low, damp climates, it nuist be administered in doses from twenty to thirty grains every four hours. Morphine given hypodermically in (|uaricr-grain doses at the outset of the disease, and at night, will adtl comfort and secure sleep to the patient. Sleep is very important in this disease, and a ten-grain suppository of asafcetida at bedtime will frequently produce a quieting effect. Oxygen given by inhalation is of immense service in cases of great dyspncca and cyanosis. Tt is, of course, only a temporary measure, but it often assists greatlv in bridging over the most critical period of the disease. If the dyspnoea is pronounced it must be given more or less constantlv. In pleuro-pneumonia or in grip-pneumonia, or when an ordinary pneumonia is complicated with painful joints, or if pneumonia occurs in persons with either a personal or a strong family history of rheumatism, the salicylates of cinchonidia and soda, each in five-grain doses every three or four hours, with a tea- spoonful of liquor ammonia acetate, is a useful combination. In case there is constipation, especially in the beginning of](https://iiif.wellcomecollection.org/image/b21013901_0471.jp2/full/800%2C/0/default.jpg)