Index raisonné to the New materia medica / by J.C. Peters and F.G. Snelling.
- John Charles Peters
- Date:
- [1861]
Licence: Public Domain Mark
Credit: Index raisonné to the New materia medica / by J.C. Peters and F.G. Snelling. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
101/104
![this to t;ike place [the escape of the blood, drop by drop, from the os uteri] menstruation may be rendered very painful; and, just as when stricture of die urethra exists, the bladder and ureters, and kidneys, become irritated and disturbed in the performance of their functions. So it is quite conceivable that a similar state of the cervix-uteri may exert the same influence on the functions of that organ, and render the menstrual rlux scanty in quantity and morbid in character, as the consequence of the difficulty in its discharge. It is his opinion, however, that the narrow cervix is only a part of the evil, and that it is a consequence of an undeveloped state of the organ. Whether this be so or not we do not attempt to decide. Very many respect- able authorities differ from Dr. Weston this subject, although his argu- ment seems to us to be clear and to the point. Treatment.—In the purely neuralgic form of this disease the treat- ment at the time of the attack must be palliative ; we must pursue very much the same course that we would for neuralgia anywhere else, giving Quinine, Aconite, Belladonna, Opium, Phosphorus, Verat- rum, Plalina, Pulsatilla, Ignatia, Nux-vomica, Hyoscyamus, Cannab.- indica, &c. The patient may also be placed in a hot hip bath, of either very hot water or of hot mustard and water, or a local vapor bath may be given. It will also be found advantageous to inject warm water into the rectum at the time of the attack, and indeed it will be found of great service to do so a day or two before menstruation takes place. Applications of Ether or Chloroform to the hypogastriuin, or injected per rectum and vagina, will often give relief. Dr. West advises the internal administration of Ether, in a draught containing half a drachm of the compound Spirits of Ether and fifteen minims of Chloric Ether. The unguentum Belladonna;, rubbed on the hypogas- trium, may also be of some service in many cases. During the in- terval between the catamenia the general health of the patient should be attended to, and, if the cause of the neuralgia can be discovered, the treatment should be directed towards its removal. Appropriate remedies, such as Quinine, Iron, Ignatia, Cannabis-indica, Nux-vomi- ca, and Belladonna, should be administered. The patient should daily- use the tepid sitz bath, and the back and abdomen should be well rubbed by the hand of another person. The patient should also take a proper amount of exercise in the open air, be regular in her habits of eating and sleeping, avoiding excitement, late hours, and indiges- tible food. Treatment of Congestive Dysmenorrhea.—Dr. Wesjt advises deple- tion and the administration of Ipecac, until its nauseating effects are produced. The remedies which are best, suited to this form of the disease are Aconite, Belladonna, Pulsatilla, Secale-cornut., Sabina, and Ipecac.; but, more especially, Collinsonia-canadensis, which seem* to have a specific effect in nearly all cases of dvsmenorrhcea, and in all forms of it. The hot hip bath may be used with advantage, and also injections of warm water. Warm cloths applied to the abdominal region will frequently give relief. If the patient desires hot whiskey I](https://iiif.wellcomecollection.org/image/b2114719x_0101.jp2/full/800%2C/0/default.jpg)
