Volume 1

A manual of medical treatment of clinical therapeutics / [Isaac Burney Yeo].

  • Yeo, I. Burney (Isaac Burney), 1835-1914.
Date:
1909
Catalogue details

Licence: Public Domain Mark

Credit: A manual of medical treatment of clinical therapeutics / [Isaac Burney Yeo]. Source: Wellcome Collection.

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    their help we may for days keep the stomach almost entirely unoccupied. They are specially useful when for any reason lavage of the stomach is impracticable. They also afford a means of supplying water to the system, which is greatly needed. The following sketch of a model dietary for cases of dilatation of the stomach may prove useful:— 8 a.m.—Breakfast.—Two poached or lightly boiled eggs, or a small grilled sole flavoured with lemon-juice, 1 oz. of thin toast, followed by 2 to 4 oz. of beverage—water, or hot milk and water (if milk agrees). ( 1.30 p.m—A small teacupful of hot water. 2 p.m.—Luncheon.—4 to 6 oz. of boiled riceA or tapioca, or sago, with a little fruit I A little cream jelly ; or macaroni, with a little grated rma^reparin<* cheese; 4 oz. of water, or weak brandy these. ° and water. J 7.30 p.m.—A cup of hot water. 8 p.m.—The lean of a mutton chop; or a slice of the lean of roast or boiled mutton or chicken (about 3 oz.); 1 oz. of puree of potato, 1 oz. of dry toast; 4 oz. of water, or weak brandy and water. 11 p.m.—A tumblerful of Vichy water (made hot). A cup of milk and water or two or three tablespoonfuls of panopepton may be taken during the night if the need for food be felt. This dietary admits of obvious variations, in accordance with the principles laid down, and the quantities may be increased as the patient’s condition improves. It is generally advisable to keep the patient absolutely at rest when following a restricted diet of this kind. Kussmaul has advised that the patient should wear an abdominal bandage, and should lie on the right side the greater part of the day, so as to promote the escape of food from the dilated stomach. The bandage, especially if accompanied by a light epi¬ gastric pad, causes more intimate contact of the con¬ tents of the stomach with its walls, and consequent increase of movement and secretion. Before proceeding to apply some such dietary, or to make use of the medicinal means we shall immediately describe, it is undoubtedly desirable to cleanse the stomach of its decomposing contents and morbid secre-