Volume 1

Napheys' Modern therapeutics, medical and surgical : including the diseases of women and children a compendium of recent formulae and therapeutical directions from the practice of eminent contemporary physicians, American and foreign / [edited by Allen J. Smith and J. Aubrey Davis].

  • Napheys, George H. (George Henry), 1842-1876
Date:
1892-1893
Catalogue details

Licence: Public Domain Mark

Credit: Napheys' Modern therapeutics, medical and surgical : including the diseases of women and children a compendium of recent formulae and therapeutical directions from the practice of eminent contemporary physicians, American and foreign / [edited by Allen J. Smith and J. Aubrey Davis]. Source: Wellcome Collection.

    954/1096 (page 938)
    To aid our remedies, we may employ some lbrm of warm fomenta- tion to the stomach. Or, by producing a positive redness of the surface of the epigastrium, by means of a mustard plaster, great re- lief is frequently obtained. Other and very useful methods are poultices of hops, spice plasters, and the application of a few leeches to the surface of the epigastrium. Additional medicaments are chloroform, in drop doses frequently repeated, mixed with mucilage of acacia and a little syrup, followed immediately by the application of a small piece of ice in a cloth, so that it may slowly be dissolved ; small doses of camphor dissolved in ether; or powders of the subnitrate or subcarbonate of bismuth. To arrest the frequency of the discharges, a very useful remedy is the subnitrate of bismuth, in five to ten grain doses, with the com- pound powder of ipecacuanha : 1418. ]J. Pulv. ipecac, comp., gr. iv-vj Bismuthi subnitrat., 5j. M. Ft. in chartulse, No. xij. S.—One every two to four hours, according to circumstances. Where the exhaustion is great, the bismuth may with much ad- vantage be combined with the aromatic spirits of ammonia, which is a most excellent stimulant in all cases of exhaustion in children; or it may be given separately while the bismuth is continued, with or without the ipecac powder. In employing any narcotic, particularly opium, great watchfulness must be observed as to its results. It is always contra-indicated where the disease is complicated with brain symptoms. Give it in small doses with care, and withdraw it as soon as the evacuations are checked, or if necessary, continue it in greatly reduced doses. For children, the camphorated tincture of opium is preferable to the tincture. The diet must be mainly milk, with lime water, beef tea and muci- laginous fluids. Brandy or whiskey should be added from the outset, and continued in small but frequently repeated doses, until recovery has proceeded so far as to render stimulation unnecessary. To relieve the intense thirst, ice in small pieces may be rubbed over the gums and allowed to dissolve in the mouth, or a teaspoonful of cold water, at short intervals, may be given. The child should never be allowed to suffer for want of it. Frequent sponging with alcohol and water, or tepid water alone, will prove advantageous. This is better than the use of the bath, as