{"1": {"fulltext": "", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0001.jp2"}, "2": {"fulltext": "Glass\\nJ? C si\\nBook 1J t f\\nCOPYRIGHT DEPOSIT", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0002.jp2"}, "3": {"fulltext": "", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0003.jp2"}, "4": {"fulltext": "", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0004.jp2"}, "5": {"fulltext": "", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0005.jp2"}, "6": {"fulltext": "", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0006.jp2"}, "7": {"fulltext": "", "height": "3369", "width": "2246", "jp2-path": "homepracticeofme00dail_0007.jp2"}, "8": {"fulltext": "", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0008.jp2"}, "9": {"fulltext": "THE HOME\\nPRACTICE OF MEDICINE\\nWITH\\n249 pages o?i General Diseases\\n20 pages 011 Hygienic Methods\\n45 pages on Diseases of Women\\n38 pages 011 Diseases of the Skin\\n71 pages on Piles, Fistula* Fissures, and\\nOther Diseases of the Rectum, illustrated\\nby most Beautiful Chromo-lithograph En-\\ngravings and Woodcuts\\nBY\\nJOHN WESLEY DAILY, A.B., M.D.\\nFormerly Field Surgeon with the Fifteenth Regiment of the United\\nStates Infantry; Surgeon of the General Field Hospital, At-\\nlanta, Georgia; Surgeon of the General Hospital at Chatta-\\nnooga; Surgeon of the General Ci.ay Hospital, Louisville;\\nSurgeon of Camp Douglas Hospital at Chicago; Visiting\\nSurgeon for a Year in the Hospitals of Europe;\\nand for Years a Physician and Surgeon of a\\nPrivate Hospital of Boston, Massachusetts\\nTHE DAILY PUBLISHING COMPANY\\n596 Tremont Street\\nBOSTON, MASS.\\n1899", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0009.jp2"}, "10": {"fulltext": "TWO COPIES RECEIVED\\nOffjc;\\nRaster of CpyHrfU -CJ\\n49426\\nCopyright, 1898,\\nBy THE DAILY PUBLISHING COMPANY.\\nCopyright 1899\\nBy John Wesley Daily.\\nSECOND COPY,\\nJ. S. Cushing Co. Berwick Smith\\nNorwood Mass. U.S.A.", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0010.jp2"}, "11": {"fulltext": "MY BROTHER, DR. S. J. DAILY\\nTo whom I am indebted for the able article on Heredity\\nwho has also rendered me other valuable assistance in prepar-\\ning this work for publication who was a surgeon in various\\nhospitals during the Civil War who was with me, as surgeon,\\nin the General Clay Hospital, Louisville the General Field\\nHospital, Atlanta the General Hospital, Chattanooga and who\\nhas been my companion in sickness, danger, and distress,\\nhts 33oofc is EKfottonatelg Bctftcatefc\\nBY THE AUTHOR", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0011.jp2"}, "12": {"fulltext": "", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0014.jp2"}, "13": {"fulltext": "PREFACE\\nTO\\nTHE SECOND EDITION.\\nAs a Home Practice of Medicine this book is in-\\ntended to meet the wants of the people as no other work\\nhas ever done.\\nIt gives unfailing treatments for more than one-half of\\nthe usual diseases is written in a clear and condensed\\nstyle is freed from difficult and confusing medical terms\\nand deals with the ailments of mankind in the language\\nof human experience the people s experience.\\nIt devotes seventy-one pages to Piles, Fistula, Fissures,\\nFalling of the Rectum, and Itching Piles describes all\\nthese diseases as fully and clearly as possible tells their\\nusual causes how to prevent them and how to arrest\\ntheir development.\\nIt also gives the methods for curing Piles, Fistula, and\\nFissures without cutting without the use of ether or\\nchloroform without clamp, cautery, or scissors with but\\nlittle if any pain and, usually, without loss of time from\\nbusiness.\\nWhile every page is as plain and definite as language\\ncan be, Diseases of the Rectum and Anus are made\\ndoubly clear by the finest chromo-lithograph engravings\\nand woodcuts that ever adorned the pages of a medical\\nwork.\\nIf the book only contained sure methods of treatment\\nfor ten diseases, cholera infantum, membranous croup,\\ndiphtheria, dysentery, aciUe rheumatism, pneicmonia, dys-\\n5", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0015.jp2"}, "14": {"fulltext": "6 PREFACE.\\npepsia, sick headache, cramp colic, and catarrh, its worth\\ncould never be estimated in dollars, because no one can\\nplace a moneyed value upon life, health, and human love.\\nThe work is intended to separate the known and reliable\\nfrom the unknown and experimental, and to give facts and\\nadvice that will bring joy to the hearts of millions in times\\nof sickness and danger.\\nThe prescriptions have all been written in plain English,\\nand everything that is mind-confusing and time-wasting\\nhas been left out.\\nThe habit of giving mixtures containing many drugs has\\nalways been confusing to physicians, has prevented valu-\\nable discoveries in medicine, and just as long as it lasts\\nwill be a clog upon the wheels of progress.\\nThe use of one remedy to cure many diseases is far more\\nreliable than the use of many remedies to cure one disease.\\nA portion of the work is devoted exclusively to female\\ndiseases, including the signs of pregnancy, the manage-\\nment of the pregnant state, and the effects of the mother s\\nmind upon her unborn child.\\nAnother part is exclusively upon skin diseases, and\\ngives sure methods of treatment for over half the affec-\\ntions of the skin, including eczema in all its many forms,\\nsuch as salt-rheum, tetter, scall-head, and scrofulous disease\\nof the scalp. It also gives a never-failing treatment for acne,\\na disease through which so many young people of both\\nsexes are ruined in personal appearance by unsightly pim-\\nples upon the face.\\nThe treatment leaves the skin sound, by entirely remov-\\ning the pimples the red color soon fades, and the face\\nbecomes smooth, fair, and natural.", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0016.jp2"}, "15": {"fulltext": "IMPORTANT EXPLANATIONS.\\nAs this book is intended for the general public, every\\nchapter, including all the prescriptions, has been written\\nin plain English.\\nThe work has not been brought out to save the money\\nthat is usually paid to doctors, but to save life and suffering.\\nWhen a star is found before the name of a disease in\\nthe index, it means that the chapter devoted to that affec-\\ntion gives a method of treatment that is practically sure to\\ncure it.\\nIn discovering modes of treatment that are sure to cure\\nover forty diseases, the author wishes every one to know\\nthat success frequently depends more upon the proper use\\nof food and drink than upon drugs.\\nIn some diseases there is nothing capable of doing so\\nmuch harm as water, while in others, there is nothing can\\ndo so much good.\\nThe writer s success in cholera infantum, and almost all\\ndiseases attended with sickness of the stomach and diar-\\nrhoea, depends largely upon measuring and limiting the\\namount of fluid taken by the patient.\\nIn cholera infantum there is nothing kills so many chil-\\ndren as the reckless use of water, and strange as it may\\nseem, the quickest way to reduce the thirst is to limit the\\n7", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0017.jp2"}, "16": {"fulltext": "8 IMPORTANT EXPLANATIONS.\\nwater to a teaspoonful every half hour, and this should\\nalways be measured, as guesswork will not answer in such\\ncases.\\nIn almost all diarrhoeas there is constant thirst, which the\\npatient tries to control by drinking from a half to a pint of\\nwater at a time, and this increases the diarrhoea and the\\nthirst also.\\nThere are no drugs that will control diarrhoea under such\\nmanagement, and the quickest and surest plan of treatment\\nis to limit the amount of liquid to a tablespoonful every\\nhalf hour for adults, and a teaspoonful for children.\\nWhen this plan is conjoined with the drug treatment as\\nadvised in the book, the sickness and diarrhoea will subside\\nin fifteen hours and the desire for water will gradually cease.\\nIce, for the purpose of allaying thirst, is one of the worst\\nthings that ever went into the month of a sick pei son, as the\\nreaction following its use is so great as to cause a burning\\nthirst that nothing but more ice will satisfy, a7id in a few\\nhours the stomach is full of water, and sickness and diarrhoea\\nfollow.\\nIn the treatment of fevers, provided there is no sickness\\nand diarrhoea, water, both internally and externally, is fre-\\nquently of the utmost importance but in all diseases com-\\nplicated with sickness and diarrhoea, water and other liquids\\nshould be limited to teaspoonful doses for children, and\\ntablespoonfuls for adults until the trouble subsides.\\nIn inflammatory rheumatism the patient should drink all\\nthe water he can. In all acute inflammations of joints,\\nmuscles, membranes, or organs of the body, the inflamed\\nstructures should be kept in a state of perfect rest, if pos-\\nsible, until the inflammatory condition is overcome.\\nDyspepsia is found to exist more or less in connection", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0018.jp2"}, "17": {"fulltext": "IMPORTANT EXPLANATIONS. 9\\nwith a great many diseases, and should always be treated\\nin accordance with the advice given in the chapter upon\\natonic dyspepsia.\\nThere are a great many maladies due to a common cause,\\nand yet are very unlike in their symptoms for example\\nneuralgia, sick headache, common headache, cramp colic,\\ncommon colic, insomnia, dyspepsia, melancholy, palpitation\\nof the heart, and, usually, constipation of the bowels, are\\nall due to a partial nervous exhaustion, and are all treated\\nupon one general principle, and mainly with one drug\\nthe extract of ignatia.\\nAs some of the above diseases are found to exist with a\\nvast number of human ailments, and as ignatia always cures\\nthem, that drug is prescribed in a great many chapters in\\nthe book.\\nIt surely seems more logical to give one remedy for a\\nmultiplicity of diseases, provided it cures them all, than it\\nis to give a multiplicity of remedies for one disease and\\nguess at results.\\nThe reason that ignatia cures so many affections is, that\\nthey are all due to a common cause nervous debility.\\nIn almost all inflammatory affections of an acute charac-\\nter, an arterial sedative, such as tincture of veratrum or\\naconite, should be given as early as possible in the disease.\\nThere are three diseases cholera infantum, diphtheria,\\nand membranous croup in either one of which a delay of\\none hour may prove fatal to a little patient.\\nEvery family with children liable to these diseases should\\nalzuays keep a box of powders for cholera infantum, a bottle\\nof medicine to apply to the throat in diphtheria, and a bottle\\nof the syrup for membranous croup.\\nI11 cholera infantum, if the powders are given as directed,", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0019.jp2"}, "18": {"fulltext": "10 IMPORTANT EXPLANATIONS.\\nand the amount of liquid is limited to a teaspoonful every\\nhalf hour, every child can be saved.\\nIn membranous croup, if the remedy advised in the book\\nis given as soon as the attack sets in, and the sickness is\\nkept up for several hours, every case will recover, as the\\nsickness will arrest the formation of the membrane.\\nhi diphtheria, if the throat is properly treated as soon\\nas the white patches are seen, the disease will be overcome\\nin twenty-four hours.\\nIn the treatment of over forty diseases for which this work-\\ngives methods of treatment that are reasonably sure to cure,\\nbut very few disappointments will occur if all the directions\\nare carefully followed.", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0020.jp2"}, "19": {"fulltext": "THE\\nHOME PRACTICE OF MEDICINE.\\n*Kc\\nHYGIENE.\\nIt seems that one of the most important chapters of\\nany medical book intended for the general public, is one\\ndevoted to those principles and habits of life that relate to\\nhealth and longevity. To know how to keep well and\\ncarry the health-tinted cheeks and youthful vigor across\\nand beyond the meridian of life s journey, is one of the\\nmost interesting problems that concerns mankind.\\nIt is not necessarily the frosts of many winters that\\nmake us old, nor is it altogether the weight of years\\nthrough which we are depressed and bowed down. Those\\nwho recklessly abandon themselves to all manner of ex-\\ncesses, are soon bereft of health and forced to join the\\nsilent majority before reaching the natural noon time of\\nlife. Others, wisely aware that only a certain amount\\nof enjoyment can be crowded into the brief span of indi-\\nvidual existence, live model lives, and keenly enjoy health\\nand happiness at the age of eighty.\\nIf the sporting class that lead intemperate lives by in-\\ndulging in all kinds of dissipation, are truly the wicked\\npeople of the world, then that old and sometimes abused\\nbook uttered an approximate truth in saying, The wicked\\nii", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0021.jp2"}, "20": {"fulltext": "12 HYGIENE.\\ndo not live out half their days. But the maxim, Ephraim\\nis joined to idols, let him alone, applies as well to the\\nsporting class of our time as it did to a similar class two\\nthousand years ago and therefore this article will not be\\nturned into a temperance lecture in order to reform those\\nwho have hopelessly abandoned themselves to the allure-\\nments of vice. Saint Paul struck the keynote of hygiene\\nwhen he said in his letter to Timothy, Be temperate in\\nall things, as there is not a solitary pleasure that mankind\\nenjoys that may not become a blighting bane to happiness\\nwhen its indulgence is carried to excess.\\nThe main question under consideration is, what to do\\nand what not to do in order to escape disease. There\\nis nothing surer than this If every organ of the body is\\nkept in a natural, healthy condition, and stimulants and\\nexcesses of every kind are avoided, the individual is in the\\nfinest possible state to resist disease.\\nAs one of the most important factors connected with\\nthe maintenance of a healthy organism is the avoidance of\\nstimulants, the subject of alcohol in its many forms and\\nof tea and coffee, all of which act as a spur to the nervous\\nsystem, deserves special attention.\\nThere is nothing in the universe superior to nature\\nnothing that can rise above it. When a man is in a state\\nof health, he is in the enjoyment of everything, so far as a\\nhealthy, vigorous body is concerned, that any power can\\ngive. To give him a stimulant, is to lash his entire\\norganism into exerting, for a limited time, undue energies.\\nThere are only three conditions, as regards the natural, in\\nwhich a man can exist First, the normal, or natural\\nsecond, the subnormal, which is below the natural and,\\nthird, the supernormal, which is for a limited time above", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0022.jp2"}, "21": {"fulltext": "TEA AND COFFEE. 1 3\\nthe natural. There is only one way by which to force the\\nhuman system into a supernormal condition, and that is\\nby a stimulant. What follows Let us see. One of the\\neternal principles in the economy of nature is, that a cor-\\nresponding degree of depression always follows the exhil-\\narating effect of a stimulant. For example If a stimulant\\nraises the energy of the organism twenty-five per cent\\nabove the normal, it will certainly fall twenty-five per\\ncent below the normal when the effect of the stimulant\\nceases; and, what is more, the stage of depression will be\\nfully as long as that of the exaltation. The above being the\\neffect of a stimulant, what good can it accomplish under\\nsuch circumstances? None whatever. Does it do any\\nharm It certainly does. Anything that interferes with\\nnature and changes the functions of the physical body from\\nthe natural to the unnatural, can do nothing but harm.\\nTEA AND COFFEE.\\nThese two drugs are intensely stimulating to the nervous\\nsystem, and the harm they are capable of doing when\\nused as beverages, depends, first, upon the quantity taken,\\nand second, upon the temperament of the individual. The\\nfollowing is an exact quotation from the United States\\nDispensatory, a standard work on the preparation and\\naction of drugs Coffee, if taken in large quantities,\\nleaves, after its first effect, a degree of nervous derange-\\nment or depression equivalent to the previous excitement\\nand its habitual employment is well known to injure the\\ntone of the stomach, and frequently to occasion trouble-\\nsome dyspeptic and nervous affections. This effect is\\npeculiarly apt to take place in persons of susceptible ner-", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0023.jp2"}, "22": {"fulltext": "14 TEA AND COFFEE.\\nvous systems and in those of sedentary habits. We have\\nrepeatedly known patients who have suffered with headache\\nand vertigo to get rid of them by abstaining from coffee.\\nThe action of tea upon the nervous system is very\\nsimilar to that of coffee, and like the latter, is liable to\\ncause wakefulness when taken at night but owing to the\\ndelicious taste and fascinating odor of coffee, it is used\\ntwenty times as much as tea and therefore capable of do-\\ning that much more harm to mankind.\\nThe author, in devoting a great deal of time and study\\nto a large number of diseases associated with dyspepsia and\\nlargely depending upon it, had occasion to study closely\\nthe causes of chronic indigestion, a disease known to doc-\\ntors by the familiar name of atonic dyspepsia. There\\nis scarcely anything more obvious to the intelligent reader\\nthan this that any drug having the power, when taken in\\nmoderate quantity for a limited time, to favorably stimulate\\ndigestion, also has the power to ruin digestion when taken\\nin large quantities, or during a long period of time in less\\nquantities. A knowledge of these facts caused the author\\ntwenty-five years ago to put a close watch upon coffee\\nas a leading factor in causing dyspepsia and its great train\\nof associated diseases.\\nThe manner in which coffee enfeebles digestion and\\ndevelops those obstinate dyspeptic conditions, such as sick\\nheadache, painful colics, constipation, hypochondria, insom-\\nnia, and many other maladies, seems to be as clear as a\\ncloudless noonday, and it is hoped it will be equally clear\\nto the reader. The eternal principle that should govern\\nand limit the use of all stimulants is this A correspond-\\ning period of depression always follows the exhilarating\\neffect of a stimulant.", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0024.jp2"}, "23": {"fulltext": "TEA AND COFFEE. 1 5\\nIf a strong cup of coffee is taken at breakfast, a feeling\\nof moderate and rather pleasant excitement lasts almost\\nuntil the next meal. For this reason dyspeptics who limit\\ntheir coffee drinking to the morning meal, have but little\\ntrouble, comparatively, in digesting that meal, because the\\nnervous system that presides over the digestive functions,\\nis under a constant spur for hours. By noon, however,\\nthe stimulant has died out and a state of depression in\\nwhich the nervous energy drops as far below the natural\\nas the coffee raised it above, is established.\\nBefore taking the coffee, the man is in a normal or nat-\\nural condition. For hours after taking it, he is in a super-\\nnormal or unnaturally excited state, and by dinner time,\\nwhen the stimulant has given out, he is in a subnormal or\\ndepressed state. From the foregoing it seems evident that\\nany stimulant that forces the digestive system to the exer-\\ncise of undue energies, in order to digest the morning\\nmeal, impairs the power of the stomach and bowels to\\ndigest the subsequent meals of the day. Unfortunately\\nfor mankind, coffee drinkers do not limit themselves to\\none or two cups at breakfast, but drink it at the other\\nmeals as well. Let us see what results from the constant\\nuse of a nervous stimulant of any kind. The muscular\\nsystem when forced to work too hard or too long, gets\\ntired and sooner or later becomes exhausted. The same\\nis true, exactly the same, of the nervous system, and a\\nstimulant like coffee bears about the same relation to the\\nnerves that the lash of the task master of the South did\\nto the muscles of the slaves in the cotton fields, and there-\\nfore, if coffee is taken three times a day or even once per\\nday in large quantity, a state of partial nervous exhaus-\\ntion is almost sure to follow, and with it one of the worst\\nforms of dyspepsia imaginable.", "height": "3764", "width": "2426", "jp2-path": "homepracticeofme00dail_0025.jp2"}, "24": {"fulltext": "1 6 EFFECT OF STIMULANTS.\\nIn such cases the disease is called atonic dyspepsia,\\nas atony means debility, and is caused by nervous debility.\\nA better term would be coffee dyspepsia, as it is essen-\\ntially different in many respects from dyspepsia from other\\ncauses. One of the most distressing characteristics of\\ncoffee dyspepsia is the frequent and terrible headaches\\nthat accompany it, especially the sick headache.\\nIt is well to state in this connection that most all coffee\\ndrinkers suffer from headache more or less, and usually\\nthe trouble is moderate or severe, according to the amount\\nof coffee taken.\\nEFFECT OF STIMULANTS UPON THE DIF-\\nFERENT ORGANS OF THE BODY.\\nUnder the influence of an excitant, the brain and nerves\\nwork harder, the stomach secretes more juices, digestion\\nis more complete, the liver secretes more bile, the pancreas\\nmore pancreatic juice, the \\\\idneys more urine, the peri-\\nstaltic or worm-like action the bowels is increased, the\\nheart beats faster, the lu gs nil and empty themselves\\nquicker, the state of general vitality is higher, and the\\nindividual actually lives faster and wears out quicker than\\nhe otherwise would but the most unhappy effect of a gen-\\neral stimulant is, that after its action ceases, every organ\\nof the body drops down to a sluggish or subnormal state\\nand waits to be aroused by another stimulant. A physic\\nis usually a local stimulant or irritant, and when used for\\nconstipation, is as irrational as it is harmful. The bowels\\nbecome accustomed to its use and simply wait for it.\\nBefore the horse cars were taken from Tremont Street, in\\nthe city of Boston, it was found hard for the teams to pull", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0026.jp2"}, "25": {"fulltext": "TOBACCO. 17\\na car filled with passengers up one of the steepest grades.\\nIn all such cases the car had to wait until an electric car\\ncame up behind and boosted it over the hill. The horses\\nsoon learned that the electric car would do the work for\\nthem, and therefore they would wait at the foot of the\\ngrade until they could hear the buzzing of the electric\\nwheels, before they would offer to pull. This illustrates\\na principle that runs through the entire animal economy,\\nnamely That every physical organ when stimulated for\\nany length of time, becomes blunted in its susceptibility\\nto the natural nerve forces and waits for an artificial exci-\\ntant. As constipation is treated at length in a chapter\\ndevoted especially to that subject, it cannot be considered\\nfurther in this connection than to say this Never take\\nphysic for constipation. If you do, the bowels will drop\\ninto the habit of waiting for it, and in that way your\\ntrouble will gradually increase.\\nThere is a natural diminution of nervous intensity as\\nshown in its effect upon most of the organs as one passes\\nfrom childhood to adult life, and therefore a general ten-\\ndency to constipation as we grow older. For this reason\\nanything that has an intrinsic tendency to dull or lessen\\nthe susceptibility of the bowels to a nerve force that is\\ngradually diminishing as the frosts of other winters come\\nupon us, should be carefully avoided.\\nTOBACCO.\\nThis weed is used by millions and millions of people,\\nand is condemned by almost every one, including those\\nwho use it. Its active principle consists mainly of nicotin\\nand a volatile oil empyreumatic oil. Strong tobacco con-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0027.jp2"}, "26": {"fulltext": "1 8 SMOKING.\\ntains from five to eight per cent of nicotin, which is a\\ndeadly poison. Tobacco, like alcohol, is an active stimu-\\nlant in its primary effect, while its secondary action is that\\nof a prostrating sedative, especially if carried to the point\\nof producing sickness of the stomach. The most harmful\\nway in which tobacco is ever used is by chewing. In\\naddition to the fact that tobacco chewing is disgustingly\\nfilthy, that the chewer is compelled to be spitting con-\\nstantly, that his breath is extremely offensive, and the\\nspittoon is a foul, odor-breeding thing that is not fit to be\\nin any parlor, the drug often has a terrible effect upon the\\nnervous system and organs of digestion. Almost all of\\nthe so-called heartburn from which tobacco chewers suffer,\\nis from tobacco. The tendency of tobacco chewing, even\\nwhen it does not seriously impair the general health, is to\\nreduce the flesh from ten to fifteen per cent. For exam-\\nple A person whose normal weight is one hundred and\\nfifty pounds before using tobacco in this way, will drop off\\nfrom fifteen to twenty pounds from its continued use. A\\nforced reduction of flesh from tobacco, anti f at, or any\\nother drug, is almost always at the sacrifice of health and\\nvitality.\\nSMOKING.\\nThe first effect of a cigar or a pipe is to quicken the\\nheart s action and maintain, during the smoking hour and\\nfor some little time after, a supernormal condition of the\\nnervous system. Since the nerve forces are spurred by\\nthe weed to an unnatural intensity, it is often claimed\\nby the friends of the pipe and cigar that smoking after\\nmeals favorably affects digestion. But it must ever be\\nremembered that the nervous system is capable of exer-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0028.jp2"}, "27": {"fulltext": "SMOKING. 19\\ncising a certain definite force, and that any artificial means\\nemployed to develop a physical force that does not actu-\\nally exist, is at the sacrifice of enduring energy. There is\\nnothing in man superior to himself, nothing that can rise\\nabove his natural organic forces. If he could be hastened\\nin his speed like a locomotive, only using a drug instead\\nof steam, he would at once cease to be a physical being\\nand become a machine. Tobacco, in all the forms in\\nwhich it is used, belongs to the catalogue of stimulants,\\nand, like alcohol, tea, and coffee, quickens the heart s\\naction and forces the entire body into a condition that is\\nsupernormally energetic for a limited time, to be followed\\nby a corresponding period of depression. It is not possible\\nfor an unnatural stimulant and all drug stimulants are\\nunnatural to raise the average energy of the nervous\\nsystem the thousandth part of a unit. The only effect of\\nstimulants is to make the human organism run irregularly,\\nsomewhat like a Kansas windmill, that only runs when\\nthe wind blows.\\nWhile tobacco is a depressing and devitalizing agent,\\nand while smoking, chewing, and snuff rubbing are all\\ndebilitating, it must be admitted that some persons estab-\\nlish a perfect tolerance for the drug and use it during a\\nlong life with impunity.\\nA discharging ulcer upon the body is a constant drain\\nupon the system, and yet nature arouses her energies, in\\nmany cases, so as to supply an extra amount of recupera-\\ntive power to support the ulcer and a healthy and vigorous\\norganism. It is probable that through the elastic and\\nconservative principles of nature the otherwise disastrous\\neffects of the tobacco habit are occasionally overcome and\\nhealth and longevity maintained.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0029.jp2"}, "28": {"fulltext": "20 DIET.\\nA century ago, a pseudo-philosopher, ignorant of the\\nprinciple that action and reaction are equal, placed a great\\nbellows in the stern of his sailing-boat, in order to blow\\nagainst the sails and make fair headway during a dead calm.\\nAs part of the artificial breeze went wide of the mark\\nand was wasted, the action was less than the reaction, and\\nthe craft moved in the wrong direction, that is, backwards.\\nAnd so it will ever be with every man who attempts to\\nforce himself into an unnatural gait by using stimulants.\\nHe will go in the wrong direction.\\nThe recoil of a gun is always equal to the force of the\\ndischarge in the other direction, and whenever a man can\\nescape the recoil of a stimulant, that eternal principle of\\nnature, that action and reaction are equal, will be destroyed,\\nand men will be able to lift themselves over the fence by\\ntheir own bootstraps.\\nDIET.\\nThere seems to be some excuse for the maxim One\\nman s meat is another man s poison, as some persons are\\ndistressed by almost everything they eat, while others eat\\nwith impunity anything they can swallow, and for this reason\\nno absolute rule can be given for the guidance of persons\\nin a state of health except this Every man should use\\nthose articles of food that he has found by long and care-\\nful experience best suited to his particular case as regards\\ncomfortable digestion, regularity of the bowels, and the\\nmaintenance of a vigorous body.\\nThe treatment of constipation by coarse bread and other\\narticles of rough food is to a great extent a failure, as it\\nis a physic in disguise and acts by irritating the lining\\nmembranes of the stomach and bowels.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0030.jp2"}, "29": {"fulltext": "DIET. 21\\nAs the health and comfort of almost every individual\\ndepend upon the regular movement of the bowels, the\\nsubject of constipation has to be considered to some extent\\nin connection with diet, as the dietetic treatment of the\\ntrouble in connection with other hygienic measures is the\\none upon which every person must mainly depend.\\nThe best treatment that the author has ever known for\\nconstipation is a fruit diet. It consists in the abandon-\\nment to a great extent of meat, and eating fish, bread and\\nbutter, and an abundance of fruits and vegetables.\\nThe reason that fruits often fail to overcome constipa-\\ntion is, that the fruit regime is not rigidly carried out.\\nEating an apple now and then when one happens to feel\\napple-hungry, or taking an orange at bedtime, does no\\ngood. If three or four fair-sized apples are eaten raw\\nduring the day and suitable fruits and vegetables taken at\\nmeals, the bowels will soon begin to move easily and will\\ngradually, except in the very worst cases, get to moving\\nevery day. Fruits containing seeds like raspberries and\\nblackberries are bad and should not be eaten by persons\\nsubject to constipation. The same is true of grapes if the\\nseeds are swallowed. A great many cases of fatal appen-\\ndicitis are caused by swallowing such seeds. The use of\\npowdered magnesia as a physic is equally dangerous, as it\\nis liable to cause obstinate obstruction if not appendicitis.\\nApples, peaches, oranges, plums, and lemons are the\\nbest fruits to be eaten. When the peach season is over,\\nthe best dried peaches, when properly stewed, are calcu-\\nlated to favor a natural action of the bowels. Prunes are\\nsimply half-dried plums, and are also good, but inclined\\nto act like a physic and cause griping pains when eaten\\nin excessive quantities. They are fine, however, to eat", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0031.jp2"}, "30": {"fulltext": "22 CLOTHING.\\nin connection with other fruits. While the fruit diet is\\nbeing followed, such articles as cheese and eggs and such\\nothers as are known to be constipating, should be avoided.\\nCLOTHING.\\nWhen the writer of a medical book brings forward ideas\\nin regard to clothing or anything else that are in open\\nconflict with the established customs of the people, he is\\ncalled a crank or fanatic. The author has not sought\\nto popularize this work by catering to the pet notions of\\nany one, but, on the other hand, has tried to point out\\nmany of the customs of living that are radically and\\ndeplorably wrong. One of the greatest mistakes of this\\ngeneration, especially among the rich, is the habit of\\nclothing children so warmly that proper exercise in the\\nopen air during the winter season is almost impossible.\\nWhen a boy is fettered with overshoes, and then wrapped\\nup from his throat to his feet, almost, with an overcoat, he\\ndoesn t run to school as is natural with children, but walks\\nand acts like a man. In many cases such boys are ad-\\nmonished never to go out of the schoolroom without over-\\nshoes and overcoat. He cannot indulge in any games or\\nromps with boys that are properly clad, because he cannot\\nrun. He suffers for want of the vigorous thrill of the\\nheart and arteries that childhood ever demands, and for\\nwant of which physical development is impeded.\\nSuch boys are usually slender, with soft, flabby muscles,\\nare decidedly effeminate when fully matured, and not very\\nstrong intellectually. They correspond to the feather-\\nbed soldiers of the late war. In childhood the heart\\nbeats a third faster than in adult life, the breathing is", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0032.jp2"}, "31": {"fulltext": "THE SKIN. 23\\nfaster, the vitality naturally greater, much more physical\\nheat is generated, and the power to resist cold much\\ngreater, and therefore they do not need the clothing that\\nmen and women do. The muscular and organic systems\\nmust be developed during adolescence, during the main\\nperiod of physical and mental growth, and anything\\nthat seriously impedes the motion of the body seriously in-\\nterferes with proper development.\\nTHE SKIN.\\nThis is one of the most extensive and also one of the\\nmost important organs of the body. It covers and pro-\\ntects the veins and capillaries and also various glands. It\\nis intensely endowed with nerve fibres, and is therefore a\\nhighly sensitive organ. This seems to be a wise provision\\nof nature, as the skin, being an immense envelope enclos-\\ning the human body and exquisitely sensitive in every\\npart, is practically a force of sentinels guarding the indi-\\nvidual while he sleeps.\\nAny one who has ever been aroused from sweet and\\npleasing dreams by a bedbug meandering over his body\\nat midnight, can realize how wonderfully sensitive the skin\\nis. The membranes lining the cavities of the body are a\\ncontinuation of the skin, and, like the latter, are depurating\\norgans, or, in plainer terms, organs through which innu-\\nmerable poisonous elements are eliminated from the body.\\nThe skin is endowed with a multiplicity of glands of two\\nkinds, sweat glands and oil glands. The latter are at the\\nroots of the hair and contribute to hair nourishment and\\ngrowth. The sweat glands exist in some parts of the skin\\nto the number of two thousand or more to the square", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0033.jp2"}, "32": {"fulltext": "24 THE SKIN.\\ninch, and rising from them like church spires, are little\\ntubes or ducts that conduct the water from the secreting\\nglands to the surface of the skin. These tubes are known\\nby the common name of pores, and the water that they\\nbring to the surface under the name of sweat, or insen-\\nsible perspiration, gradually evaporates, and in doing so,\\nlowers the temperature of the body.\\nIn this way persons are protected from the otherwise\\ninsufferable heat of summer. The amount of water given\\noff by the skin reaches, in rare cases, a half gallon in\\ntwenty-four hours. That is called sweating or per-\\nspiring, but when the amount of water exhaled by the\\nskin is only a pint or a little more, it is called insensible\\nperspiration.\\nIt is said and the statement seems reasonable that\\nif a coat of varnish be applied to the entire skin, that a\\nperson would almost perish from ordinary summer heat,\\nas in that case no water could come out of the pores\\nand lower the heat of the body by evaporation. All these\\nthings teach the importance of keeping the skin in a clean,\\nhealthy condition so the sweat ducts will not be closed.\\nThis leads us up to the subject of bathing.\\nAs to how often a person of ordinary vigor and strength\\nof body should bathe, is a question not easily answered,\\nas a great deal depends upon occupation. Coal diggers\\nbathe every night, year in and year out when working.\\nWith them it is a necessity, and they are exceedingly\\nhealthy. The question, How often should a person bathe\\ncan only be answered one way, and that is this Often\\nenough to keep clean.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0034.jp2"}, "33": {"fulltext": "EXERCISE. 25\\nEXERCISE.\\nIt is one of the immutable principles of nature that\\nevery physical organ that is not used, gradually becomes\\natrophied or shrunken greatly in size so as to be worthless.\\nIf a leg or arm is tied up for years and not used, muscular\\natrophy or shrinking away of the muscles takes place, and\\nthat member of the body becomes forever useless; and if\\nsome physical organ in a certain animal species becomes\\nuseless for a great many generations on account of the\\nchanged conditions of that species, the organ will entirely\\ndisappear. There is a deep and rapid stream in Mam-\\nmoth Cave, Kentucky, that contains a great many fish.\\nThe light of day never enters the cave, and for that reason\\nthe fish never have an opportunity to see, even if they\\nhad eyes. Nature is ever conservative, and therefore\\nnever creates and maintains organs that are not needed.\\nFor this reason the fish of the cave are stone blind.\\nWhen man, in the infancy of the human race, was an\\narboreal animal or cave dweller, he had muscles in his\\nears like those of a horse, so that he could turn his ear in\\nany direction and gather and intensify the rustling sound\\nof a leaf and be warned of approaching danger. In civil-\\nized life he is not exposed to such dangers, and therefore\\nhas no use for such muscles, and they have almost ceased\\nto exist. Nature never makes any half hinges, because\\nthey would be useless. She never maintains organs that\\nserve no purpose in the natural economy, and therefore\\nall the organs of physical beings must be used or they will\\nperish.\\nThat style of exercise that is used solely for the promo-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0035.jp2"}, "34": {"fulltext": "26 EXERCISE.\\ntion of health, is called calisthenics, and may consist of\\nexercising with Indian clubs or dumb-bells, or going\\nthrough the extensive routine of an ordinary gymnasium\\nevery day, or of walking or running. There is one very\\nimportant principle that should govern every one in the\\nmatter of taking exercise, and that is this The condition\\nof the mind when exercising must always be considered.\\nIf the character of the exercise is distasteful to a person,\\nthere are two reasons why it will fail to be of much if any\\nbenefit to him. In the first place, he will probably abandon\\nit before it amounts to anything. In the second place, the\\ndissatisfied state of his mind is liable to do him more harm,\\nespecially if he is sick, than the exercise would do good.\\nAll exercise should either be pleasant in itself or carry with\\nit some ultimate object or hope that is pleasant to contem-\\nplate. If a person feels that some good or pecuniary gain\\nwill be accomplished aside from the promotion of health,\\nthe exercise naturally becomes pleasant and satisfying to\\nthe mind, and in that way favors digestion and does much\\ngood. It is a notable fact that persons who suffer from\\ndyspepsia, lung disease, and other depressing affections,\\nare in a subnormal state so far as vitality is concerned and\\nvery little inclined to exercise at all. It is best for such\\npatients to place themselves under conditions that compel\\nthem to exercise in the open air. If they have a long\\nwalk to and from their place of business, it is all the better\\nfor them. Walking calls into use almost all the muscles\\nof the body, more or less, and in that way is capable of\\nmuch good.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0036.jp2"}, "35": {"fulltext": "EFFECTS OF THE MIND UPON THE BODY. 2 J\\nEFFECTS OF THE MIND UPON THE BODY.\\nThe influences of the mind upon the body manifest\\nthemselves in a multiplicity of ways. When a person with\\na usually sunny and pleasant face takes on a corrugated\\nbrow, with wrinkles about the eyes, and has a far away\\nor vacant look, such phenomena are to be hailed as the\\noutward expression of a deeply seated grief, anxiety, or\\ndissatisfied state of mind. In such cases there is a con-\\nstant mental effort to overcome the trouble, whether\\ndomestic or otherwise, and this gives rise, in many cases,\\nto a state of mental abstraction that renders the individual\\nsomewhat oblivious to his surroundings. An unhappy\\nstate of the mind or an unduly anxious condition cannot\\nexist for a considerable length of time without seriously\\naffecting the general health.\\nWhen a person is suffering from pain or infirmities that\\nare wholly physical, a haggard and wrinkled appearance of\\nthe face may exist, but that total abstraction that shows\\nthe mind to be struggling with intricate and distressing\\nquestions is absent. All these things have to be con-\\nsidered in dealing with disease and also in our efforts to\\nprevent it.\\nThis may be assumed as a principle that is immutable\\nA reciprocal relation between the mind and body always\\nexists that is, the condition of the body always affects the\\nmind, and the condition of the mind always affects the\\nbody. Trouble is a mental affliction, and sooner or later\\ndevelops a physical one. The gravity of the physical\\nderangement is very liable to be in direct proportion to\\nthe extent and severity of the mental perturbation. Busi-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0037.jp2"}, "36": {"fulltext": "28 EFFECTS OF THE MIND UPON THE BODY.\\nness difficulties and embarrassments are health-destroying,\\nnerve-exhausting, peace-disturbing, and sleep-preventing\\nafflictions that are familiar to almost every business man\\nwho has passed the meridian of life. They are also dis-\\ntressingly familiar to the physician in general practice, as\\nhe is usually confronted with the business complications\\nof others, as well as his own. The friction with customers,\\nthe constant attention and mental strain that business life\\nrequires in order to succeed, are all wearing and depress-\\ning upon the nervous system, and yet are of minor im-\\nportance compared with the distressing anxiety that arises\\nfrom inability to meet financial obligations.\\nFollowing all these, and closely related to them, comes\\nthe grim and terrible nightmare of the closing century\\na dread of financial failure and bankruptcy.\\nHappily for us all, nature has provided the human\\nfamily with a redundance of nerve energy, so as to afford\\na supply for ordinary contingencies but under long and\\nsevere mental strains, the supply gives out and nervous\\nprostration follows: In such cases the nerve forces are\\ninadequate to properly stimulate any of the organs of the\\nbody, digestion is greatly impaired, the blood is impover-\\nished, color fades from the cheeks, and the general trend\\nof the patient is to a lower state of vitality, because the\\nblood, diminished in quantity and defective in quality,\\ncannot nourish and properly excite the brain and nervous\\nsystem. This further illustrates the correlation between\\nthe mind and body.\\nIn cases as above outlined, the sphere of medicine is\\nvery limited, as the primary and principal trouble is men-\\ntal, and an effort to restore the patient to health and\\nvigor without removing the exciting cause of diseased", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0038.jp2"}, "37": {"fulltext": "EFFECTS OF THE MIND UPON THE BODY, 29\\nconditions is like giving pills and powders in order to get\\nrid of a thorn in the flesh.\\nThere are two principal sources of mental affliction that\\nconcern mankind, and the physical derangements they\\nentail are as widely different as the origin of the mental\\ndisorders. One is business trouble, and develops that\\nwide range of diseases known as dyspeptic and nervous.\\nThe other is the sorrow of all sorrows and trouble of all\\ntroubles, domestic discords and wrangles that finally\\nseparate husband and wife, and also disappointment in\\nlove affairs.\\nIn the mental afflictions incident to business complica-\\ntions and overwork, the expenditure of nerve force is\\ngreater than the daily income, and physical bankruptcy\\nmust necessarily follow sooner or later. But the rapidity\\nwith which business men recover from financial disaster\\nand regain their physical and mental equilibrium, is\\nwonderful. Dear as money is to us all, the cases are rare\\nin which men fail to recover from the state of nervous\\nexhaustion that bankruptcy usually brings.\\nBut the tenderest and most sacred chords that ever thrill\\nthe human heart are those of love and affection between\\nhusband and wife or between lovers. When these are\\npermanently severed, a feeling of heartrending disappoint-\\nment and mortal anguish from which there is no recovery\\noften takes possession of the mind.\\nAny influences that permanently reduce the flesh and\\nvitality of a person have an intrinsic tendency to establish\\nin that person a liability to disease, especially to consump-\\ntion. When a young lady in whom there is but little, if\\nany, predisposition to consumption, is disappointed in her\\naffections to the extent of being heartbroken, the color", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0039.jp2"}, "38": {"fulltext": "30 EFFECTS OF THE MIND UPON THE BODY.\\nusually fades from her cheeks, she loses flesh, her diges-\\ntion suffers, and in a few months she is liable to pass into\\na state of decline, another name for consumption and\\nwhen she has passed away her friends truthfully say She\\ndied of a broken heart.\\nAlmost every one is familiar with such cases. Unfortu-\\nnately the millions of eyes that are steeped in tears wrung\\nout by the pangs of blighted hopes in love matters, are\\nnot limited to the state of celibacy, as many young people\\nof both sexes are ruined by following the heroes and\\nheroines of plays and love stories, and in that way led to\\nindulge hopes with reference to married life that can never\\nbe realized. When a young lady who has lived an ideal\\nlife and pictured in her morbid imagination an ideal hus-\\nband and an ideal home, is confronted with the cares and\\nprivations of a poor man s home, to which are usually\\nadded the responsibilities and anxieties of motherhood, the\\nrealities of her young life seem so strangely unreal and\\ndisappointing to her that she is heartbroken. In this way\\nthe seeds of disappointment are sown, and domestic inhar-\\nmony and grief with all their painful complications are\\nthe fruits.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0040.jp2"}, "39": {"fulltext": "GENERAL DISEASES.\\nDYSPEPSIA.\\nOther names Indigestion atonic dyspepsia heart-\\nburn pyrosis.\\nAs the digestive organs are really the blood factory of\\nthe human body, from which the entire organism is nour-\\nished, from which the system is repleted and sustained\\nduring the multiplicity of diseases to which humanity is\\nliable, it has been thought proper to deal with this disease\\nextensively in the opening chapter of the book, as there is\\nscarcely a disease of any gravity, acute or chronic, in which\\nthe digestive functions are not more or less impaired.\\nDyspepsia is known by several names as follows Indi-\\ngestion, heartburn, pyrosis. The term employed by physi-\\ncians, is atonic dyspepsia, the word atonic meaning\\ndebility, as almost all cases of chronic indigestion are due\\nto a debilitated state of the nervous system.\\nSymptoms. Appetite irregular or lost, digestion painful\\nand difficult, a heavy, disagreeable feeling in the stomach\\nafter meals, sour stomach from the decomposition of food,\\nheartburn, flatulence, and sometimes vomiting of partially\\ndigested food, frequent belching of burning fluid, usually\\ncalled waterbrash, the tongue broad and flat and gener-\\nally pale. The bowels are constipated as a general thing.\\nThere is drowsiness after meals, and sometimes patients\\nhave great difficulty in keeping awake, while at night they\\n31", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0041.jp2"}, "40": {"fulltext": "32 DYSPEPSIA.\\nare afflicted with wakefulness, usually called insomnia.\\nThe memory is often defective, there is more or less head-\\nache, and in many cases that distressing complication\\nknown as sick headache. This is very common with\\ndyspeptics, the attacks often occurring every week, while\\nin others every two weeks or at wider intervals. The\\nregularity with which these paroxysms occur is hard to\\naccount for, as they are seldom if ever due to malarial\\ninfluences. Many cases have been known to the author\\nin which sick headache occurred on a certain day of every\\nweek without an exception for several years.\\nThere are several varieties of dyspepsia. First, we\\nhave the nervous dyspepsia that affects business men of\\nthe nervous-sanguine temperament.\\nSuch men eat rapidly, do not properly masticate their\\nfood, and use too much liquid to wash it down. Second, we\\nhave the flatulent dyspepsia afflicting hysterical women, and\\nattended with great accumulation of gas in the intestines.\\nThe third variety is acid dyspepsia, and is caused by\\neating coarse, greasy food. The fourth is called irritative\\ndyspepsia, and is characterized by sickness of the stomach,\\nand more or less vomiting, the tongue being small and red.\\nTermination. With reasonable care in reference to\\ndiet and other habits of living, including the avoidance\\nof stimulants, the worst forms of dyspepsia are curable.\\nTreatment. One of the most important things in con-\\nnection with the treatment is to use such articles of food\\nas the patient, by long experience, has found best adapted\\nto his particular case, so far as easy and painless digestion,\\nregularity of the bowels, and maintenance of a vigorous,\\nhealthy body are concerned. It is best to be regular in\\neating both as regards time and quantity of food taken.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0042.jp2"}, "41": {"fulltext": "DYSPEPSIA. 33\\nMany dyspeptics have irregular appetites. Sometimes\\nthey have scarcely any, and therefore eat but little. This\\ncondition may continue for several meals, during which the\\nsystem becomes run down, and finally calls loudly for\\nnourishment, the appetite being morbidly increased. The\\npatient is then liable to eat enough at one time for three\\nor four meals. As he cannot digest that much, he is\\nseized with colic pains of the stomach and bowels, severe\\nsickness of the stomach, and other disorders associated\\nwith acute indigestion, the condition lasting for several\\ndays. It is obvious from the foregoing that the life of\\nthe chronic dyspeptic is a series of ups and downs due in\\na great measure to irregularity in eating. Hence, the\\nfollowing general advice is given to all dyspeptics\\nFirst, use the kind of food that is nourishing and most\\neasily digested.\\nSecond, take plenty of time for chewing, and use but\\nlittle fluid with meals.\\nThird, for reasons to be hereafter mentioned at length,\\navoid the use of stimulants. Use a due amount of exer-\\ncise, and for this reason it may be advantageous to live\\nsome distance from your place of business, so as to com-\\npel a regular amount of walking every day.\\nFourth, all exercise for the purposes of health should\\neither be pleasant in itself or have associated with it some\\nultimate purpose that is pleasant to contemplate.\\nAt the close of the treatment of this disease a single\\ndrug will be given, which, conjoined with good hygienic\\nmeasures, will cure almost all cases of dyspepsia. But\\nbefore entering upon the drug treatment it is desirable\\nthat all readers, and especially all dyspeptics, have a cor-\\nrect understanding of the unfavorable manner in which", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0043.jp2"}, "42": {"fulltext": "34 DYSPEPSIA.\\nstimulants of all kinds, including tea and coffee, affect the\\norgans of digestion.\\nUnder the influence of an excitant, the brain and nerves\\nwork harder, the stomach secretes more juices, digestion is\\nmore complete, the liver secretes more bile, the pancreas\\nmore pancreatic .juice, the kidneys more urine, the peris-\\ntaltic or worm-like action of the bowels is increased, the\\nheart beats faster, the lungs fill and empty themselves\\nquicker, the state of general vitality is higher, and the\\nindividual actually lives faster and wears out quicker\\nthan he otherwise would but the most unhappy effect of\\na general stimulant is, that after its action ceases every\\norgan of the body drops down to a sluggish or subnormal\\nstate and waits to be aroused by another stimulant.\\nThere is scarcely anything more obvious to the intelli-\\ngent reader than this That any drug having the power,\\nwhen taken in moderate quantity for a limited time, to\\nfavorably stimulate digestion, also has the power to ruin the\\ndigestive functions when taken in large quantities, or dur-\\ning a long period of time in less quantities. A knowledge\\nof these facts caused the author twenty-five years ago to\\nput a close watch upon coffee as a leading factor in caus-\\ning dyspepsia and its great train of associated diseases.\\nThe manner in which coffee enfeebles digestion and\\ndevelops those obstinate dyspeptic conditions, such as sick\\nheadache, painful colics, constipation of bowels, hypo-\\nchondria, insomnia, and many other maladies, seems as\\nclear as a cloudless noonday, and it is hoped will be equally\\nclear to the reader. The eternal principle that should\\ngovern and limit the use of all stimulants is this A cor-\\nresponding period of depression always follows the exhil-\\narating effect of a stimulant.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0044.jp2"}, "43": {"fulltext": "DYSPEPSIA. 35\\nIf a strong cup of coffee is taken at breakfast, a feeling\\nof moderate and rather pleasant excitement lasts almost\\nuntil the next meal. For this reason dyspeptics who\\nlimit their coffee drinking to the morning meal have but\\nlittle trouble, comparatively, in digesting their breakfast,\\nbecause the nervous system that presides over the diges-\\ntive functions is under a constant spur for hours. By\\nnoon, however, the stimulant has died out and a state of\\ndepression, in which the nervous energy drops as far below\\nthe natural as the coffee raised it above, is established.\\nBefore taking the coffee the patient is in a normal con-\\ndition. For hours after taking it, he is in a supernormal or\\nunnaturally excited state, and by dinner time, when the stim-\\nulant has given out, he is in a subnormal or depressed state.\\nFrom the foregoing it seems evident that any stimulant\\nthat forces the digestive system to the exercise of undue\\nenergies in order to digest the morning meal, impairs the\\npower of the stomach and bowels to digest the subsequent\\nmeals of the day. Unfortunately for mankind, coffee\\ndrinkers do not limit themselves to one or two cups at\\nbreakfast, but drink it at the other meals as well. Let us\\nsee what results from the constant use of a nervous stimu-\\nlant of any kind. The muscular system, when forced to\\nwork too hard or too long, gets tired and, sooner or later,\\nbecomes exhausted. The same is true exactly the\\nsame of the nervous system, and a stimulant like coffee\\nbears about the same relation to the nerves that the lash\\nof the taskmaster of the South did to the muscles of the\\nslaves in the cotton fields, and therefore, if coffee is taken\\nthree times a day, or even once a day in large quantities,\\na state of partial nervous exhaustion is almost sure to follow,\\nand with it one of the worst forms of dyspepsia imaginable.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0045.jp2"}, "44": {"fulltext": "36 DYSPEPSIA.\\nIn such cases the disease is called atonic dyspepsia,\\nas atony means debility, and is due to debility or more or\\nless exhaustion of the nervous system.\\nA better term for this form of dyspepsia would be coffee\\ndyspepsia, as it is essentially different in many respects\\nfrom dyspepsia due to other causes, one of its most distress-\\ning characteristics being the frequent and terrible headaches\\nthat often accompany it, especially the sick headache.\\nAlmost all coffee drinkers suffer from headaches more\\nor less, and usually the trouble is moderate or severe ac-\\ncording to the amount of coffee taken.\\nThe drug treatment of dyspepsia is exceedingly simple,\\nconsisting of a single remedy, and is probably worth more\\nin curative results than any or all other drugs that have\\never been given in this disease. If the proper hygienic\\nmeasures are followed as heretofore advised, the extract\\nof ignatia, given before each meal in doses ranging from\\none-half to a full grain, according to the size of the\\npatient, will cure almost every case of dyspepsia.\\nThe remedy is to be given in pill form, and if the\\npatient weighs from one hundred to one hundred and\\nsixty pounds, a half-grain pill before each meal will be\\nsufficient. Those weighing from one hundred and sixty\\nto two hundred will take three-quarters of a grain, and\\nall persons weighing over two hundred are to have a full\\ngrain. In all cases a pill is to be taken before each meal.\\nThe length of time necessary to give the drug depends\\nmainly upon the length of time the disease has existed.\\nIn the worst cases it is better to continue it for many\\nmonths without a solitary break. No remedy can have a\\nfair trial in any disease unless it is given regularly and for\\na sufficient length of time. One of the pills must be given", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0046.jp2"}, "45": {"fulltext": "CONSTIPATION. 37\\nbefore each meal, and should be continued a month for\\nevery year the dyspeptic condition has existed. Even in\\nbad and very chronic cases, they may begin to afford relief\\nwithin two weeks. One great difficulty in the treatment\\nwith this drug is that patients often feel so well by the\\nend of the first month that they think they are cured, and\\neither drop the medicine or forget many times to take it.\\nThis is very wrong, as it should be taken for months after\\nthe patient is seemingly well. The principle upon which\\nthe remedy acts is this During the time it is given it\\nstimulates the nerves that preside over the functions of\\ndigestion, rendering the digestive process practically per-\\nfect, and rilling the veins and arteries with an abundance\\nof good, red, healthy blood. This blood nourishes and\\nstimulates the brain and nervous system, which, in turn,\\nproperly stimulate the organs of digestion, rendering the\\nfurther use of medicine unnecessary.\\nCONSTIPATION.\\nOther terms for same intestinal torpor, costiveness.\\nThis is a disease or habit of the system in which there\\nis general inactivity of the bowels, either due to nervous\\ndebility of the muscular structure, causing diminished\\nworm-like action, or to a deficiency of the secretions of\\nthe liver and bowels. It is marked by a change in the\\nappearance, frequency, and quantity of the stools.\\nCauses. Dyspepsia, irregular habits of the patient, im-\\nproper food, organic diseases of the stomach and liver,\\nand lead poisoning.\\nSymptoms. When a person has one stool per day, he\\nis supposed to be in a normal condition, so far as action of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0047.jp2"}, "46": {"fulltext": "38 CONSTIPATION.\\nthe bowels is concerned, but is not necessarily in an abnor-\\nmal state if more or less than that number occur.\\nSome cases of constipation are so moderate as to cause,\\nbut little inconvenience others are somewhat distressing,\\nin which the bowels move only once in two or three days,\\nwith stools dry and lumpy; while others in which the bowels\\nmove only once or twice per week are attended with great\\nstraining and distress, the face being flushed, and the blood\\nvessels about the head and face filled to a point threatening\\napoplexy.\\nThere are other cases in which the stools are frequent,\\nbut small and hard, and act as an irritant to the intestinal\\ntract, especially to the rectum. In such cases there is\\ngenerally more or less mucus attending each movement of\\nthe bowels. When constipation sets in, there is a gradual\\nchange in the character of the stools, followed by dyspep-\\nsia, more or less headache, mental derangement or stupor,\\ndizziness, fluttering of the heart, and often great distention\\nof the abdomen.\\nTermination. Never fatal.\\nTreatment. The successful treatment depends upon a\\nchange of diet, regular habits, and hearty cooperation of\\nthe patient.\\nEvery person who can possibly have one operation of\\nthe bowels per day should have a regular hour for going\\nto stool and should not allow business engagements nor\\nanything else to interfere with his habits in this respect.\\nThis is a disease in which physic should never be given,\\nand yet every one so afflicted is disposed to take it and\\nthinks it is impossible to do without it. This is emphati-\\ncally true with reference to constipation The physicking\\ntreatment never cures a single case, nor will a drug treat-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0048.jp2"}, "47": {"fulltext": "CONSTIPATION. 39\\nment of any kind, except when conjoined with hygienic\\nmeasures, ever succeed. It must be remembered that all\\ncases of constipation, except the hereditary form, are asso-\\nciated with atonic dyspepsia, both gastric and intestinal,\\nthe atony, or nervous debility, which is the same thing,\\nbeing due in most cases to the excessive use of tea or\\ncoffee, alcohol or other stimulants, or to exhaustion of the\\nnervous forces in dealing with the annoying affairs of life,\\nwhatever they may be. All these things must be con-\\nsidered in formulating a rational treatment for constipa-\\ntion. As the underlying cause of the disease, aside from\\nheredity, is dyspepsia, the treatment is practically the same\\nas that given for dyspepsia, as far as drugs are concerned.\\nTherefore, to overcome the atony, or nervous debility,\\ngive the solid extract of ignatia in pill form before each\\nmeal, the dose ranging from one-half to a full grain ac-\\ncording to the size of the patient. Adults weighing from\\none hundred to one hundred and sixty pounds are to take\\none-half grain pills, those weighing from a hundred and\\nsixty to two hundred, three-quarters of a grain, and all per-\\nsons weighing over two hundred are to take a full grain.\\nThe remedy must always be taken before meals and in no\\ncase more than one pill taken at a time. The treatment\\nshould be continued without any interruption for eight\\nweeks, even in ordinary cases. In the most obstinate\\nand distressing cases, it should be followed without a break\\nfor four months. This is all the drug treatment that is\\nworth a trial in such cases, as the author has used the igna-\\ntia treatment for nearly thirty years, and has found it so\\nuniformly favorable in dyspepsia that he considers it as\\njustly entitled to be ranked as a specific in that disease\\nas quinine is in ague.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0049.jp2"}, "48": {"fulltext": "40 CONSTIPATION.\\nThe great difficulty experienced in dealing with obstinate\\nphysical derangements is that the treatment is not suffi-\\nciently radical, and therefore the use of fruits as they are\\nusually taken to overcome constipation is like trying to\\ndrive a railroad spike with a tack hammer, as not enough\\nfruit is taken to do any good. There are but few, if any,\\npersons who follow the fruit-diet plan with any regularity,\\ntaking but little, if any, between meals and using it at the\\ntable just as it happens to suit their taste. In order to be\\nsuccessful, the meat diet should be abandoned, to a great\\nextent, and the fruit diet substituted. An abundance of\\nfruit should be taken every day, the green fruits being\\nmost desired when obtainable. Of these the best of all\\nare apples. Three or four apples every day can be eaten\\nwith advantage between meals. In addition to this, they\\nshould be eaten either fried, stewed, or baked at two meals\\nduring the day. Peaches, plums, and other fruits, except-\\ning blackberries, raspberries, and other fruits with small\\nseeds, are beneficial in all cases. There is one important\\nthing for all patients to remember, and that is this The\\nimprovement from the fruit diet will not be observed\\nimmediately, nor will a seemingly favorable impression on\\nany chronic disease that manifests itself suddenly be either\\nlasting or beneficial.\\nRecovery from any chronic ailments must be slow, as\\nthe human organism cannot be lifted at once out of the\\nold ruts in which it has long been travelling. If, however,\\nthe fruits are eaten lavishly as recommended, to the ex-\\nclusion, mainly, of meats, improvement will be observed\\nwithin a week, and if continued, a regular and easy move-\\nment of the bowels will be the result, sooner or later.\\nFruits are said to be nature s cathartic, and it seems to be", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0050.jp2"}, "49": {"fulltext": "ACUTE DIARRHCEA. 4 1\\nreally so for the acid of the fruit in promoting movement\\nof the bowels is not irritating and not in the nature of a\\nphysic, for anything acting naturally upon the bowels is\\nnot a physic. For this reason and this alone, perhaps,\\nafter regularity of the bowels has been established by the\\nuse of fruits, it does not become necessary to increase the\\nquantity, but, on the other hand, a less quantity may\\nsuffice.\\nACUTE DIARRHCEA.\\nThis is a disease characterized by frequent and loose move-\\nments of the bowels, with or without pain, due to functional\\nirregularity of the small intestines or to organic disease.\\nDiarrhoea is caused by any irritating agents that enter\\nthe intestinal tract, or by indigestible food, or by food of\\nany kind that fails to undergo the proper changes by the\\ndigestive process. Impure water, or food that is ill\\nadapted to the purposes of nutrition and carries with it a\\nlarge amount of inert matter, acts as a physic and keeps\\nup a diarrhoea.\\nA severe mental shock or an unduly excited condition\\nof the mind, from any cause, or grief, or great anxiety, is\\nliable to precipitate an attack of diarrhoea by arresting\\ndigestion. In such cases the food acts as a physic by pass-\\ning through the bowels almost unchanged.\\nThere are two forms of this disease, acute and chronic.\\nSymptoms. Acute diarrhoea varies in accordance with\\nthe causes that produce it. When a patient within a few\\nhours after meals is seized with pain and more or less\\nflatulence, and has an anxious desire to go to stool, it is\\nsafe to presume that at that particular time he ate some-\\nthing that did not agree with him. The food failed to", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0051.jp2"}, "50": {"fulltext": "42 ACUTE DIARRHCEA.\\nagree with him because, for some reason, it was not digested.\\nThe prostrating effects of hot weather with the great amount\\nof water usually taken, have a great tendency to arrest\\ndigestion and bring on acute attacks of diarrhoea. As\\nalmost all acute forms of this disease are due to a common\\ncause, indigestion, one general treatment is applicable to\\nall, however numerous the names by which the different\\nforms are designated. As the presence of undigested food\\nalong and through the entire canal is calculated to keep\\nthe bowels in a constant state of irritation, and in that way\\nkeep up an exhaustive discharge of water and mucus, the\\nindications for a successful treatment are very clear, and\\nare as follows Rid the entire intestinal tract of all irritat-\\ning matter whatever and at the same time exercise a cura-\\ntive and healing influence upon the irritated mucous\\nlining of the bowels. The following is the proper remedy\\nin such cases, because it always succeeds For adults, give\\neight powders of five grains each of the first decimal\\ntrituration of mercurius dulcis, giving one powder every\\nhour. They must not be given in water, as that dissolves\\nthe sugar and destroys the effect of the trituration. The\\npowder may be mixed with a little common sugar and\\nplaced upon the tongue in a dry condition. Then give a\\ntablespoonful of water. A patient should not take more\\nthan one tablespoonful of water every half hour when suf-\\nfering from this disease. This amount should be care-\\nfully measured, for it is just as important to measure and\\nlimit the water as it is to weigh or measure the medicine\\ngiven. By the time the powders are all given, if not be-\\nfore, they will commence to work off. The stools will\\ngradually become darker until they are almost black, then\\nthey will fade in color at each movement until they are", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0052.jp2"}, "51": {"fulltext": "CHOLERA INFANTUM. 43\\nnatural. Then the trouble is over, provided the patient\\ndoes not foolishly drink too much water. It is rarely\\nnecessary, after these powders are given in this way, to\\ngive anything to check the bowels, and never necessary if\\nthe directions are carefully followed regarding the use of\\nwater. If, however, it should even become necessary, a\\nteaspoonful of paregoric two or three times per day for\\ntwo or three days will answer.\\nCHOLERA INFANTUM.\\nSUMMER COMPLAINT.\\nThis is an acute inflammation of the mucous lining of\\nthe stomach and bowels with irritation of the nervous\\nsystem, due in most cases to the heat of summer and\\nteething. It is attended with very severe pains, vomiting,\\npurging, intense thirst, and great prostration, sometimes\\nresulting fatally during the first day or night of the attack.\\nCauses. Infancy, bad management, teething, excessive\\nheat, improper or too much food, and the greatest of all,\\ntoo much water.\\nSymptoms. The attack is usually very sudden and may\\noccur in a child of perfect health or one suffering from a\\nbowel disease.\\nIt begins with vomiting, is soon followed by severe\\npurging, attended with intense pain and straining, the\\nchild having a determined disposition to stay on the\\nvessel. The thirst is intense and is foolishly indulged by\\nthe mother or attendant to the great aggravation of the\\ntrouble, as the water, even in small quantities, excites both\\nvomiting and purging, and is often the cause, and perhaps\\nthe main cause, of a fatal termination.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0053.jp2"}, "52": {"fulltext": "44 CHOLERA INFANTUM.\\nThe thirst is one of the most prominent symptoms, and\\nvain attempts are made by the mother to allay it by the\\nuse of ice or small quantities of ice water. The water is\\ngenerally rejected as soon as it reaches the stomach, except\\nperhaps small portions which pass into the bowels to\\naggravate the purging, and in this way frequent and pro-\\nfuse evacuations are kept up until the blood is relieved of\\nits watery elements while the child, often within a few\\nhours, is in a wrinkled, shrunken condition as if from old\\nage. In such cases there is a rapid tendency to a fatal\\ntermination. The irritable and restless condition gradually\\nsubsides, to be followed by one of stupor in which there is\\nclammy coldness, with pupil of the eye contracted, when the\\nchild is almost hopeless, death occurring from exhaustion.\\nTermination. As cholera infantum is usually treated, but\\nlittle care being observed regarding the use of water, the\\ndisease is very grave, and the result is at best doubtful\\nbut under proper drug treatment in which, practically, no\\nwater is allowed, the vomiting and purging can be arrested,\\nand every child, if taken in hand immediately after the\\nattack, ought to be saved.\\nTreatment. The first thing to be done is to stop as\\nquickly as possible the sickness and vomiting, both of\\nwhich are very prostrating.\\nIf the following directions are carefully followed, this can\\nbe easily and promptly done and the child restored to com-\\nparative health within twenty-four hours. The great mis-\\ntake of mothers and doctors in dealing with this disease\\nconsists in the reckless use of water or some other form of\\nfluid to control the thirst. Water, cold tea, coffee, milk, or\\nany other form of fluid whatever is simply death to a\\nchild in this condition as commonly given.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0054.jp2"}, "53": {"fulltext": "CHOLERA INFANTUM. 45\\nThe physician properly understanding the terrible effects\\nof water in such cases has a constant trouble to keep the\\nmother or attendant from killing the patient by giving ten\\ntimes as much fluid as should be given, as it is a thousand\\ntimes better to give none at all than too much. The doctor\\nwho has a loose and careless way in dealing with sick people,\\nwill lose half his patients in cholera infantum by failing to\\ngive proper emphasis to the dangers arising from the use of\\nfluids. If he simply tells the mother to give a teaspoonful\\nof water occasionally, he will find on returning in a few hours,\\nif he inquires into the case, that she has been guessing at\\nthe amount of water instead of measuring it, and has given\\na half-dozen teaspoonfuls instead of one, and occasion-\\nally has been construed to mean this to give the child\\nwater whenever it asks for it. Such management gets\\ntwenty times as much water into the child s stomach as it\\nought to have, and simply kills it. No such indefinite\\nterms as occasionally should ever be used in medicine,\\nand no mother or nurse should have charge of an infant\\nwith this disease who does not measure every drop of\\nwater and limit the amount to a teaspoonful every half\\nhour. The drug treatment is as follows To a child from\\none to two years old, give mercurius dulcis, the first deci-\\nmal trituration, in four-grain doses, one powder being\\ngiven every hour until six are taken. Each powder is\\nto be placed upon a very little white sugar in the bottom\\nof a teaspoon and then covered with a little more and put\\nin the child s mouth in a dry condition. The medicine is\\ntasteless, the sugar is pleasant and does not excite sick-\\nness. One teaspoonful of water is sufficient to wash it\\ndown, and if there is no water in the stomach at the\\ntime the powder is given, the child cannot throw it up,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0055.jp2"}, "54": {"fulltext": "46 CHOLERA INFANTUM.\\nas it would require more than a teaspoonful of water to\\nbring the powder back. There may be, and often is, an\\nattempt at vomiting, but owing to the total absence of\\nfluid in the stomach it is impossible to reject the medicine.\\nIt soon commences to act favorably upon the mucous tissue\\nof the stomach and to allay the irritation, so by the time\\nthe second powder is given the sickness is entirely gone.\\nAs the medicine is given every hour and with each dose\\na teaspoonful of water, there is only one teaspoonful to be\\ngiven between the times of giving the medicine. These\\npowders are strewn along and through the entire intestinal\\ncanal, exercising the effect of a local and healing balm to\\nevery part that they touch. Within six hours the medicine\\nbegins to work off, the stools become darker and darker\\nuntil they are almost black, then gradually fading off into\\nbrown and, finally, into yellow or natural. While the\\npowders are working off, the child will be somewhat more\\ndistressed, and there will be considerable straining at each\\nmovement, the pain and straining gradually ceasing as the\\nstools change in color from black or dark green to natural.\\nAnother important turn is this As the favorable change\\nin the color of the stools proceeds, the movements become\\nmuch less frequent and, finally, instead of occurring every\\nfifteen minutes, occur once in four or five hours, and the\\nchild is, practically, well. To guard against the possibility\\nof relapse, great care must be observed in reference to\\nfood and water, especially the latter.\\nOne of the happiest things in connection with the treat-\\nment is this After the powders begin to work off and the\\nstools become gradually less frequent, the thirst almost\\nwholly subsides, and hence, irrational as it may seem, the\\nquickest and best way to overcome the thirst is to give,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0056.jp2"}, "55": {"fulltext": "INTESTINAL INDIGESTION. 47\\npractically, no liquids. When the management of a case\\nis conducted in this way, it is rarely necessary to give any\\nother drug to restrain the action of the bowels. As the\\ntrouble is usually associated with teething there is a ten-\\ndency to looseness of the bowels, and it is best for such\\nchildren to have four or five evacuations in twenty-four\\nhours. If, however, the bowels should be too loose and\\nthe stools inclined to green, it is obvious that digestion is\\nimperfect and a pill of the solid extract of ignatia, one-\\neighth of a grain each, should be given at morning, noon,\\nand at night. The best way to give such pills, and they\\nare very small and coated with sugar, is to cover each pill\\nwith some kind of fruit or jelly and wash it down quickly\\nwith water before the patient chews it and gets the bitter\\ntaste. It is best for the child to take the pills in this way\\nfor two or three weeks, or until it is in a healthy, natural\\ncondition. There must be no carelessness in the use of\\nthese pills, for, while there is no danger in giving one\\nthree times a day, there would be serious trouble if a\\ndouble dose were given at any time.\\nOne-eighth of a grain is intended for a child fifteen\\nmonths old. If younger, one-sixteenth will be large\\nenough.\\nINTESTINAL INDIGESTION.\\nINTESTINAL DYSPEPSIA.\\nThis disease is a derangement in the functions of in-\\ntestinal digestion in which there is usually considerable\\ndecomposition of food that has failed to digest, due to\\ndefects in the pancreatic, biliary, or intestinal secretions,\\nor from deficient worm-like action of the intestines. A", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0057.jp2"}, "56": {"fulltext": "48 INTESTINAL INDIGESTION.\\ndefect in the secretions of either one of these organs,\\nnamely, pancreas, liver, or intestines, is sufficient to cause\\ndistressing intestinal dyspepsia, and yet the cases are rare\\nin which the defect in secretions is not more or less in all\\nthree of these organs. The disease is characterized by ab-\\ndominal pain, distention of the bowels, coming on several\\nhours after meals, with nervous disturbance and more or\\nless emaciation.\\nCauses. Bad diet, rapid and irregular or over eating, de-\\nficient exercise, overwork mentally, the immoderate use of\\nstimulants, including tea, coffee, and tobacco. It may also\\nbe due to organic disease affecting the intestinal tract,\\nliver, or pancreas. It is frequently hereditary.\\nSymptoms. The disease may be either acute or\\nchronic, usually chronic. The acute variety is generally\\nthe result of an irritant in the small intestines, pain is\\nrapidly developed, great flatulence, sometimes severe\\ncramp attending the pain, slight feverishness, coated\\ntongue, appetite morbid or lost, pains in the limbs, and\\noften a mild attack of diarrhoea.\\nIf the attack develops rapidly, there is usually a paroxysm\\nof colic, caused by distention of the bowels with gases.\\nSevere attacks are most frequently caused by derange-\\nment of the liver, the stools are light colored, often slight\\njaundice and high-colored urine.\\nChronic Variety. This form is generally caused by\\ndecomposition of partly altered food from the stomach.\\nIt is attended with pain more or less severe in character,\\ncoming on from two to four hours after meals. There is\\noften tenderness and fulness in the right side and also in\\nthe umbilical region. There is considerable gaseous disten-\\ntion of the abdomen, and shortness of breath is often expe-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0058.jp2"}, "57": {"fulltext": "INTESTINAL INDIGESTION. 49\\nrienced from pressure of the inflated bowels and stomach\\nagainst the diaphragm. There is great disturbance of the\\nnervous system due to a limited and impoverished condition\\nof the blood from impairment of the digestive functions.\\nSpirits are depressed, with sleeplessness, or imperfect\\nsleep attended with disturbing dreams, headache, dizziness,\\ndeficient mental application, palpitation of the heart,\\nnumbness of the extremities, and sometimes pains through-\\nout the body.\\nTermination. Favorable under proper and timely\\ntreatment.\\nTreatment. In the acute variety the pain is often so\\nsevere as to require a remedy for immediate relief. In\\nsuch cases it is best to give a one-fourth grain morphine\\npill every two hours until perfect relief is secured. After\\nrelief is obtained, an effort should be made to arouse the\\nliver and intestinal secretions. This is best done by giving\\nfive grains mercurius dulcis, the first decimal trituration,\\nevery hour until six powders are given. The remedy\\nmust not be given in water, but is to be placed on the\\ntongue dry and washed down with a tablespoonful of\\nwater. The six powders thus given are calculated to act\\non the bowels, but under the restraining effect of the\\nmorphine may fail to do so, and may require a dose of\\ncastor oil or sweet oil, preferably the latter. This treat-\\nment will stimulate the liver and intestinal tract, and the\\nstools will be changed from a light color to a dark brown.\\nIn almost all cases of this disease there is an atonic condi-\\ntion or debilitated state of the nervous system. For this\\nreason the nerves fail to properly excite the pancreas, liver,\\nand muscular action of the bowels. This enfeebled condi-\\ntion of the nerve forces is often caused by excessive mental", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0059.jp2"}, "58": {"fulltext": "50 INTESTINAL INDIGESTION.\\napplication or the burdens and perplexities of business.\\nIn addition to this the impoverished condition of the blood\\nfails to properly nourish and stimulate the brain and\\nnervous system. This increases the nervous debility and\\ngreatly adds to the trouble of intestinal dyspepsia. From\\nthe foregoing the indications for a rational treatment are\\nvery obvious and consist in stimulating, temporarily, the\\nbrain and nerve energies. When this is done they stimu-\\nlate the digestive organs and the latter digest the food\\nand fill the veins and arteries with pure blood. This,\\nhowever, may require weeks of time, when an abundance\\nof good, healthy blood is created by the digestive forces,\\nthe brain and nerves are properly nourished and excited so\\nas to render the use of an artificial stimulant unnecessary.\\nTherefore the curative treatment consists in eating at\\nregular hours, taking food that is easy to digest and\\nproperly adapted to the purposes of nutrition, never eat-\\ning too much at any one time, and conserving as far as\\npossible the vital forces by avoiding the mental strain and\\nlabors that are the chief factors in causing both gastric\\nand intestinal dyspepsia.\\nThe same drug is to be given in intestinal dyspepsia as\\nthat given in atonic dyspepsia of the stomach, therefore\\ngive the extract of ignatia amara in pill form, ranging in\\ndoses from one-half to a full grain, according to the size of\\nthe patient. One pill is to be given before each meal, and\\nif the patient weighs from one hundred to one hundred\\nand sixty pounds, a half-grain pill is the proper dose if\\nfrom one sixty to two hundred, three-quarters of a grain\\nis the proper sized pill. All persons weighing over two\\nhundred are to take a full grain. The dose for children\\nfrom eight years to twelve is one-quarter of a grain. Chil-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0060.jp2"}, "59": {"fulltext": "ACUTE DYSENTERY. 5 1\\ndren from two to eight that are subject to colic pains and\\nother symptoms of disturbed digestion are to have one-\\neighth of a grain before each meal. Infants from three\\nmonths old to two years one-sixteenth of a grain three\\ntimes a day. In the chronic and obstinate form of intes-\\ntinal indigestion, the drug should be given for at least ten\\nweeks. In the treatment and management of intestinal\\ndyspepsia, alcoholic stimulants, and also tea and coffee,\\nexcept in a very moderate way, are to be avoided.\\nACUTE DYSENTERY.\\nOther names colitis ulcerative colitis bloody flux.\\nThis is an acute inflammation of the mucous membrane\\nof the lower bowels, mainly the colon, followed sometimes\\nby fever, terrible pain, almost constant desire to stool, dis-\\ncharges from the bowels being small and bloody.\\nCauses. The disease prevails most extensively in the\\nsummer and early autumn months. The depressing effect\\nof hot weather is probably an exciting cause and, conjoined\\nwith this, may be included a reckless use of unripe fruits,\\nand the use of impure drinking water, especially the\\nlatter.\\nSymptoms. The catarrhal and most common form of\\ndysentery begins gradually with diarrhoea, more or less\\nsickness of the stomach, increased temperature, and loss\\nof appetite. These symptoms may continue for two or\\nthree days, when the real dysentery sets in, with pain on\\npressure along the transverse and descending colon, colicky\\npains in the navel region, burning pain in the rectum, and\\na feeling as if something offensive was there and a con-\\nstant desire to go to stool. Stools gradually change from", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0061.jp2"}, "60": {"fulltext": "52 ACUTE DYSENTERY.\\na fecal character to that of mucus, pus, and blood, the\\nlatter largely predominating. In some cases there is ob-\\nstinate vomiting. The stools vary in number from ten to\\nthirty in twenty-four hours. The duration of the real\\ndysentery, unless very successfully treated, is from a week\\nto ten days, and leaves the patient greatly reduced in flesh\\nand very weak.\\nTermination. Favorable, except in persons debilitated\\nor suffering from other affections or intemperance.\\nTreatment. It is proper to regard dysentery under all\\ncircumstances as a grave disease, and in the late war, when\\nit prevailed epidemically, it was said to be more destructive\\nto life than all the weapons of warfare. In one regiment\\nit seemed to affect, in one way or another, so many of the\\nmen that the colonel of the regiment offered a reward of\\nten dollars for a healthy stool.\\nDysenteric patients should be confined to the bed from\\nthe first, and the stools removed from the room as soon as\\npassed. The vessels should be disinfected with a solution\\nof carbolic acid of the strength of one tablespoonful to the\\npint. The diet should be of a kind most easily digested\\nand void of irritating properties.\\nAs regards the drug treatment of this disease, the golden\\nopportunity is during the premonitory or warning symp-\\ntoms. Whenever dysentery exists in a family, or even in\\na town or neighborhood, extensively, it is safest to regard\\nall cases of diarrhoea as the first stage of dysentery and\\ntreat them accordingly. If this is done and a proper treat-\\nment adopted, every case can be broken up before the\\nbloody discharges set in. Suppose, for example, that in a\\nfamily of a dozen children there are three cases of dysen-\\ntery. Each one of these cases has commenced with a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0062.jp2"}, "61": {"fulltext": "ACUTE DYSENTERY. 53\\ndiarrhoea, lasting about three days before the beginning of\\nthe bloody flux. Should a diarrhoea attack another one of\\nthe children, there is every reason to believe that it will\\ndevelop, as the other cases have, dysentery.\\nThe proper treatment, however, is employed to break\\nup the diarrhoea, and in doing so the dysentery is com-\\npletely aborted, and so on with every other case that occurs\\nin the family. Experiences of this kind have been so ex-\\ntensive in the practice of the author that he feels warranted\\nin giving the following as a specific treatment in dysentery,\\nprovided it is adopted before the bloody discharges set in\\nTo every patient with the supposed dysenteric diarrhoea,\\ngive a five-grain powder of the first decimal trituration of\\nmercurius dulcis every hour until six powders are given.\\nThe powder is to be placed in the mouth or on the tongue\\nin a dry condition, and then washed down with a table-\\nspoonful of water. The powder must never be dissolved\\nnor given in water, as that destroys the effect of the\\ntrituration. In this stage of the disease there is some\\nfever and liable to be considerable thirst, but water must\\nnot be given except in tablespoonful doses, once every\\nhalf hour.\\nAs a tablespoonful of water is given every hour with a\\npowder, there is only one tablespoonful to be given between\\npowders. The medicine will work itself off in eight or ten\\nhours, the stools becoming dark as soon as the physic com-\\nmences to operate, and the color will deepen until they are\\nalmost black, and then gradually shade off into brown and\\nfinally yellow, or natural. As the stools change from black\\nto the natural color, they become less frequent, the griping\\nsubsides, and the trouble is over. In all such cases as the\\nabove, if the patient limits the water drinking to one swal-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0063.jp2"}, "62": {"fulltext": "54 ACUTE DYSENTERY.\\nlow at a time every hour for a day or two, the diarrhoea will\\nnot return and he will surely have no dysentery.\\nIf for any reason this abortive treatment should be neg-\\nlected until the dysentery is fully established, it will not\\nbreak it up, and we are compelled to do the best we can\\nwith a fully developed case of the disease. The treatment,\\nhowever, as given above is the best way in which to rid the\\nintestinal tract of all irritating matter, even after the flux\\nhas set in. When this is done the action of the bowels\\nmay be properly restrained by giving one-half grain of\\nopium and one grain of acetate of lead every two or three\\nhours, so as to limit the stools to ten or twelve in twenty-\\nfour hours. If the patient should be a child five years old,\\ngive Dover s powder instead of the opium, giving one grain\\nof the Dover to a half grain of the acetate of lead. For\\nadults, one grain of opium to two grains of acetate of lead\\nis the proper dose in ordinary cases.\\nTo overcome the terrible burning and annoying desire\\nto go to stool, laudanum and sweet oil may be injected into\\nthe rectum with a small, black rubber syringe, the quantity\\nbeing for an adult, a teaspoonful of the laudanum to a table-\\nspoonful of the oil. After it has been held from five to\\nten minutes the patient must discharge it into a vessel to\\navoid the constitutional effect of the laudanum. If, from\\nthe exhaustive evacuations and deranged nutrition, symp-\\ntoms of great debility supervene, brandy is indicated and\\nmay be given every half hour in teaspoonful doses, and\\neven in larger quantities. But that which is most vitally\\nimportant in dealing with dysentery, is to take it during\\nits developing stage and treat it as outlined above and\\nbreak it up, so as to avoid the pain, complications, and\\ndangers that must always accompany the disease when\\nonce fully established.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0064.jp2"}, "63": {"fulltext": "EPIDEMIC CHOLERA. 55\\nEPIDEMIC CHOLERA.\\nOther names cholera Asiatic cholera spasmodic\\ncholera malignant cholera. This is an acute, specific\\ndisease, both epidemic and infectious, and is attended with\\nthe most violent purging and the discharge of rice-water\\nstools, constant vomiting, muscular spasm, or cramp, often\\nfollowed by fatal collapse.\\nCause. The cause of the disease is a bacillus, or spe-\\ncific poison, or a life germ that is seen only by the micro-\\nscope. It is supposed that the main power of infection is\\nin the cholera stools, and that emanations from these stools\\npoison the air and in that way extend the epidemic from\\none locality to another. One attack of it does not afford\\nprotection from the second.\\nSymptoms. It may set in abruptly, attacking a person\\npreviously in excellent health, or it may commence with\\npremonitory symptoms, consisting of a severe diarrhoea,\\nsickness of the stomach, griping pains, and more or less\\nprostration. The first stage of cholera begins with a chilly\\nfeeling, great thirst, coated tongue, pain in the bowels, and\\nseveral watery stools during the day, all these symptoms\\nbeing attended with weakness.\\nIn the second stage the stools become very frequent, or\\nimmense in quantity, consisting of a whitish, rice-water\\nfluid, there is terrible vomiting, the matter thrown from\\nthe stomach being mixed at first with bilious matter and\\nfinally becoming like rice water. As the water of the\\nblood is being discharged rapidly from the body through\\nvomiting and purging, the thirst is constantly increasing.\\nMuscular cramps finally come on, affecting most of the\\nmuscles of the body, but especially severe in the legs.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0065.jp2"}, "64": {"fulltext": "56 EPIDEMIC CHOLERA.\\nIn the third stage, the rapid stools, excessive vomiting,\\nand spasm of the muscles continue, the eyes are sunken,\\nthe cheeks hollow, lips blue, the skin of the hands and\\nfingers is wrinkled as in old age, the heat of the body\\nrapidly fails, the pulse is small, the voice weak, and all the\\nsymptoms point to a fatal termination. Death sometimes\\noccurs in three hours and is at other times delayed for two\\ndays, even in the fatal forms of the disease.\\nIn the stage of reaction the heat of the body gradually\\nrises, the pulse gets stronger, the face takes on a more\\nnatural appearance, the stools are less painful and not so\\nfrequent, sickness of the stomach subsides, and the patient\\ncommences a slow recovery, or the case may drift into a\\ncondition of cholera typhoid from which recovery is slow.\\nTermination. This is very unfavorable, as the death-\\nrate ranges from twenty-five to seventy-five per cent.\\nTreatment. In the treatment of this terrible disease\\nthere are two exceedingly important things to be done.\\nThe first is to take the case during the premonitory symp-\\ntoms, or those of diarrhoea, and treat it so as to prevent\\nthe occurrence of cholera, for in almost every case in\\nwhich the diarrhoea is cured the cholera fails to develop.\\nExperience has shown that it is bad policy merely to check\\nthis diarrhoea with opiates and astringents, as it only delays\\nthe trouble that must sooner or later come on, the diar-\\nrhoea in such cases breaking out as soon as the opiate is\\nwithdrawn. It is therefore best to remove all irritating\\nmatter from the bowels by giving calomel in divided doses\\nas follows for an adult Mercurius dulcis, the first decimal\\ntrituration, thirty grains. Divide into five powders and\\ngive one powder every hour by placing it in a dry state\\nupon the tongue and allowing it to be washed down with", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0066.jp2"}, "65": {"fulltext": "EPIDEMIC CHOLERA. 57\\na tablespoonful of water. It will act on every part of the\\nintestinal tract, producing first an irritant effect, and\\nsecond a healing and soothing effect. During its primary\\naction the bowels are thoroughly emptied, the stools be-\\ncoming almost black and gradually fading into the natural\\ncolor. When this is done it is rarely necessary to give\\nany other remedy. During the whole treatment of the\\ndiarrhoea, water must be given in teaspoonful doses every\\nhalf hour, as larger amounts tend to keep up the diarrhoea\\nand endanger life by final development of cholera. The\\nsecond important thing to be done is to commence a\\nvigorous treatment with the first appearance of the dis-\\nease, and prevent the stage of collapse that is almost\\nalways fatal. A great many cholera mixtures are used\\nin this stage, but the basis of all such mixtures is opium\\nin some form, and upon this drug we must rely almost\\nabsolutely in order to control the terrible symptoms.\\nJust after a severe vomiting, when the stomach is sup-\\nposed to be empty, a full half grain of morphine should\\nbe given. If thrown up, another dose of equal size should\\nbe given, and so on until the drug is retained. Within a\\nhalf hour the pain and spasm of the muscles may be\\nslightly relieved, but if great relief is not apparent within\\nforty-five minutes another half grain should be given, as\\nthere is scarcely any danger of fatal poisoning by mor-\\nphine in half-grain doses in cholera.\\nDuring all the time the morphine is being given, hot\\npoultices should be applied to the abdomen to overcome\\nthe cramp. Morphine given in this way or by hypodermic\\ninjection is the sovereign remedy in cholera, just as it is in\\ncholera morbus. There is scarcely anything that goes\\ndown the throat calculated to do as much harm as water", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0067.jp2"}, "66": {"fulltext": "58 CHOLERA MORBUS.\\nin such affections of the stomach and bowels. Instead of\\nwater checking the thirst, it provokes it by causing both\\nvomiting and purging. In this way a half pint of water\\ngiven to allay the thirst is liable to cause a loss to the\\nsystem of two or three times that amount by vomiting\\nand liquid stools. This gives rise to greater thirst, and\\nmore water is given with the same results. It is all\\nwrong, and the thirst may be controlled much quicker by\\nlimiting the amount to a teaspoonful every half hour.\\nCHOLERA MORBUS.\\nOther names bilious cholera sporadic cholera Eng-\\nlish cholera.\\nThis is an acute inflammation of the mucous membrane\\nof the stomach and bowels attended with great pain in the\\nabdomen, continual vomiting and purging, cramp colic,\\nthe cramp affecting the abdominal muscles and those of\\nthe extremities. The pulse is rapid and weak, the face\\nanxious and covered with cold perspiration.\\nCauses. The most important of all causes are the irri-\\ntating effects of hot weather. As the heat of summer\\nis very depressing to the nervous system, the power to\\ndigest food is diminished while at the same time the copious\\ndraughts of cold water further reduce the digestive energy\\nof the stomach, causing a fit of acute indigestion, and that\\nis what cholera morbus practically is, acute or temporary\\nindigestion.\\nSymptoms. The disease commences with but little if\\nany warning and almost always in the latter part of the\\nnight. The first symptoms are those of deathly sickness,\\nsoon followed by vomiting and purging, accompanied with", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0068.jp2"}, "67": {"fulltext": "CHOLERA MORBUS. 59\\nterrible griping pains. During the sickness and vomiting\\nthere are painful cramps of the abdominal muscles and\\nthose of the extremities. To commence with, the vomited\\nmatter is generally undigested food, showing, although it\\nhas been in the stomach for hours, that it has undergone\\nbut little change. The part of the undigested food that\\nis not vomited passes into the bowels, arouses the secre-\\ntions by acting as an irritant, and brings on a profuse\\nliquid diarrhoea. The stools are usually a yellowish green.\\nIf the attack is unusually severe, approaching in gravity\\nepidemic cholera, the stools will take on the rice-water\\ncharacter. The patient is rapidly reduced in strength and\\nseemingly in flesh also, the features are shrunken and\\nwrinkled, the surface cold and covered with perspiration,\\npulse frequent and feeble. The thirst is great and water\\nexcites vomiting.\\nTermination. This is very favorable under the right\\ntreatment if the patient is in a healthy condition at the\\ntime of the attack. In those suffering from the infirmities\\nof old age the mortality is great. Drunkards, in this as\\nin all other violent and prostrating diseases, are most liable\\nto perish, as they are shorn of half their strength and\\npower of endurance at the commencement of the attack.\\nTreatment. Happily there is a rational and almost\\nunfailing remedy for this distressing disease. It is best\\nnot to give any medicine to restrain the action of the\\nstomach in its efforts to get rid of the offending contents\\nuntil it has pretty thoroughly emptied itself. If it were\\npossible for the stomach to retain and absorb enough opium\\nto stop the vomiting and leave the organ distended with\\nundigested food, it would be very unfortunate if not dan-\\ngerous. Therefore, the stomach must be emptied and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0069.jp2"}, "68": {"fulltext": "60 CHOLERA MORBUS.\\na pint of warm water will be a material assistance in rid-\\nding it of all offending matter. The rest of the treatment\\nis easy and simple and consists in giving from one-fourth\\nto one-half grain of sulphate of morphine as follows\\nGive it in pill form so as to avoid the disagreeable taste,\\nput the pill well back on the tongue and give a teaspoon-\\nful of water to wash it down. The point is this In order\\nto avoid having the pill thrown up, give as little water as\\npossible, and if this amount can be limited to a teaspoonful\\nto wash it down, it will not be sufficient to wash it up.\\nIf the stomach is entirely empty, the pill will be absorbed\\nin one-tenth the time that it would be if it were full of\\nfood. After about three-eighths of a grain of morphine\\nis given on an empty stomach, the sickness and pain will\\nbegin to subside in twenty minutes, and within three-quar-\\nters of an hour, if the dose has been sufficiently large, the\\npatient will be perfectly relieved and will not likely need\\nany more medicine of any kind. Morphine is the best\\nof all remedies in these cases and should be given in a dose\\nsufficiently large to render perfect relief in three-quarters\\nof an hour.\\nIt is not always possible to tell how large a dose a par-\\nticular case will require, and it may be best to give a quar-\\nter of a grain and wait about forty minutes, and then if\\nnecessary give another quarter. It usually takes about\\na half grain to secure perfect relief.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0070.jp2"}, "69": {"fulltext": "INTESTINAL COLIC. 6 1\\nINTESTINAL COLIC.\\nThis disease is a spasmodic contraction of the muscular\\nstructure of the bowels, It is attended with acute parox-\\nysmal pain near the umbilical region, and is relieved by\\npressure or the application of heat.\\nCauses. Obstruction or constipation of the bowels,\\nimpaired digestion or the presence of indigestible food,\\ncollection of gases, an excessive amount of bile in the\\nintestines, or lead poisoning.\\nSymptoms. There are frequent pains spreading over\\nthe abdomen, attended with intervals of more or less com-\\nfort; the pain is often very severe and accompanied by\\ncramps of the most excruciating character. The patient\\nis restless, with an anxious, distressed countenance, and\\ntries to relieve the pain by lying on his stomach. There\\nare often nausea and vomiting and a desire to go to stool.\\nThe bow r els are usually bound but sometimes are loose.\\nTermination. Most favorable. It rarely terminates\\nfatally.\\nTreatment. In all cases of severe pain the attention\\nmust be directed to immediate relief. For this purpose\\nthere is nothing better than a morphine pill, one-fourth\\ngrain, given every hour until the pain is relieved. After\\nrelief is obtained an effort must be made for a radical cure.\\nFor this purpose eight or ten powders, five grains each, of\\nmercurius dulcis, the first decimal trituration, should be\\ngiven, one powder being given every hour and followed\\nby a physic of sweet oil, two tablespoonfuls. In this way\\nthe patient will get from four to five grains of calomel,\\nwhich will act on the liver and intestinal tract. After it\\nworks off the stools will change from a very dark brown", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0071.jp2"}, "70": {"fulltext": "62 CATARRHAL ENTERITIS.\\nor black, caused by the mercury, to a normal color, and the\\ntrouble will be over.\\nCATARRHAL ENTERITIS.\\nOther names inflammation of the bowels intestinal\\ncatarrh acute diarrhoea. This is an inflammation of the\\nmucous membrane of the smaller bowels, attended with\\npain, soreness on pressure, and diarrhoea.\\nSymptoms. It usually commences with a chill or chilly\\nfeeling, followed by a fever which is sometimes considera-\\nble. The pain that accompanies the fever is severe, but\\ncomes and goes. The pain is just below the stomach.\\nThere is more or less sickness, with occasional vomiting.\\nThe diarrhoea setting in soon after the attack is obstinate\\nand severe. The stools are a greenish yellow, mixed with\\nundigested food.\\nThe duration of the disease is from four or five days to\\ntwo weeks.\\nTermination. Favorable if properly treated.\\nTreatment. The main thing in these cases is to keep\\nthe bowels as near a condition of absolute rest as possible.\\nWith this idea in view the diet should be restricted to\\nchicken broth, milk, and articles of food that do not irri-\\ntate inflamed bowels.\\nRest in bed is very important, as any movement of the\\nbody is painful to the patient and has a tendency to ag-\\ngravate the inflammatory condition. Where the disease\\nexists in children it is exceedingly troublesome to manage,\\nthe most difficult thing being to control the pain. The\\nway to accomplish this deserves very careful consideration.\\nAs a rule children do not bear opiates well, and for this", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0072.jp2"}, "71": {"fulltext": "CATARRHAL ENTERITIS. 63\\nreason they should be given as little as possible. But they\\ncannot bear the pain and something very decided in its\\naction must be given to relieve it. In the great majority\\nof cases there are green stools, and these never exist either\\nin children or adults except in connection with severe pain,\\nand it is almost out of the question to control such pain\\nuntil the stools are changed from green to natural. In\\nthis affection there is often vomiting, and this and the\\ngreen stools call for the administration of mercury, but it\\nmust be given in very small doses to avoid the irritating\\neffects of the physic. Calomel in doses of three-tenths\\nof a grain may be given to children every hour, until five\\nor six powders are given. They will act gently on the\\nstomach and bowels, will change the stools from green to\\nnatural, after which the griping pains will cease. When-\\never the stools are natural in color, the diarrhoea will sub-\\nside and the little patient will pass into a quiet sleep that\\nmay last for hours. The best way to give the drug is as\\nfollows Mercurius dulcis, the first decimal trituration,\\ngrains fifteen, divide into five powders and give one every\\nhour until all are given. The poAvders must be placed in\\nthe mouth dry and washed down with a swallow of water.\\nChildren should not be allowed to drink over a teaspoonful\\nof water every half hour until the diarrhoea is entirely con-\\ntrolled. After the powders have worked off, should it be\\nnecessary to give anything to control the pain and move-\\nment of the bowels, paregoric in doses ranging from three\\nto six drops, according to the age of the child, may be\\ngiven every three or four hours.\\nShould the green stools and griping pains affect adult\\npatients, the same treatment must be followed, doubling the\\nquantity of the drug and giving it every hour whether", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0073.jp2"}, "72": {"fulltext": "64 DRUNKARD S DYSPEPSIA.\\nthere is sickness of the stomach or not. Long experience\\nhas shown that the pain is a great deal easier controlled\\nafter the stools are changed from green to the natural\\ncolor, and recovery is much more rapid and less subject to\\nrelapses. In all adult cases after the stools have become\\nnatural in color, opium, to keep the bowels in a state of\\nperfect rest, should be given. One grain every three or\\nfour hours will be sufficient.\\nBeef, mutton, or chicken broth may be given several\\ntimes per day in small quantities, or milk with a limited\\namount of stale bread when desirable. As there is a\\ntendency to diarrhoea, water should not be used except in\\nteaspoonfuls every half hour. It is much better to use\\nmilk or something that is nourishing.\\nDRUNKARD S DYSPEPSIA.\\nIn this form of dyspepsia, to the baneful effects of a\\nstimulant to the nervous system is added the terrible irri-\\ntation of alcohol to the mucous membrane of the stomach.\\nLike other stimulants, alcohol quickens the heart s action\\nand arouses every organ of the body to undue activity, and\\nexcept for the chemical effect of the drug upon the food in\\nthe stomach, has an intrinsic tendency to promote diges-\\ntion by increasing, temporarily, the nervous forces. But\\nunfortunately alcohol has been found in all cases of arti-\\nficial digestion in which tests have been made to retard\\nthe digestive process. If this were the only objection to\\nthe use of alcohol before or during meals, it would be\\nenough to condemn it but the stimulating and irritating\\neffect is a hundred times more deplorable than the local\\nchemical effect upon the food. It will therefore be ob-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0074.jp2"}, "73": {"fulltext": "DRUNKARD S DYSPEPSIA. 65\\nserved that alcohol interferes with the functions of diges-\\ntion in three different ways. First, by stimulating the\\nentire organism. As a corresponding degree of depres-\\nsion always follows the exhilarating effect of a stimulant,\\na state of the digestive functions that is more or less enfee-\\nbled must always follow the effects of alcohol. Second, the\\nirritating effect of the drug upon the stomach causes that\\norgan to secrete for a limited time an abnormal amount of\\ngastric juice. This, of course, favors digestion for a little\\nwhile, but the stomach is unduly irritated and gradually\\ndrifts into a state of chronic inflammation in which the\\nfunctions of digestion are seriously disturbed. Third, the\\nchemical action of the alcohol upon the food renders it\\ndifficult to digest and almost doubles the time required for\\nthe completion of the digestive process. This, of course,\\ndraws heavily upon the nervous and vital forces, and has a\\ntendency, sooner or later, to produce nervous exhaustion.\\nUnder the continuous use of alcohol the mucous mem-\\nbrane of the stomach, which is usually thickened, is in a\\nchronic state of irritation, and in time the organ begins to\\nreject food. The vomiting established in this way gradu-\\nally grows worse, until it has a serious effect upon nutri-\\ntion.\\nThis impoverishes the blood, which fails to nourish and\\nproperly stimulate the brain and nerve fibres, and thus\\ngreatly increases the alcoholic indigestion. It may reach\\na stage, if the patient survives long enough, in which the\\nmucous membrane of the stomach is to a great extent\\ndestroyed. However this may be, when an alcoholic dys-\\npeptic gets so far on the downward road as habitually to\\nthrow up part of his food, his days are numbered, as ceas-\\ning the use of the poisonous drug will rarely save him.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0075.jp2"}, "74": {"fulltext": "66 PERITYPHLITIS APPENDICITIS.\\nThere is no available treatment of this disease except\\nleaving off the stimulant before the habitual vomiting is\\nestablished and resorting to the treatment given for atonic\\ndyspepsia, which please see. All such cases, however, are\\nexceedingly obstinate, and the organic changes render\\nrecovery under the best possible treatment doubtful.\\nK\\nPERITYPHLITIS APPENDICITIS.\\nOther names perityphlitic abscess suppurative appen-\\ndicitis.\\nPerityphlitis is an acute inflammation, involving a small\\nportion of the colon called the caecum, usually resulting in\\nan abscess. Appendicitis is an acute or subacute inflam-\\nmation of a little worm-like appendage of the bowel, called\\nappendix vermiformis. It usually leads to perforation of\\nthe appendix and the formation of an abscess.\\n(Without a knowledge of anatomy the nature of these\\ntwo affections is very hard to understand but so many\\ndeaths have occurred in the last few years from appendi-\\ncitis, and so many surgical operations have been performed\\nand the diseased appendix removed in order to save life,\\nthat the public have become deeply interested in the sub-\\nject of appendicitis. It is therefore thought best to give\\na careful and plain description of the two diseases with\\nwhich this chapter is headed, and which are anatomically\\nconnected with each other.)\\nPerityphlitis is usually caused by appendicitis, but not\\nalways. Appendicitis is caused by the lodgment of a\\nforeign body in the appendix. The small seeds of fruits\\nmay get switched off into this useless pocket of the bowels\\nand cause inflammation, leading to perforation of the appen-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0076.jp2"}, "75": {"fulltext": "PERITYPHLITIS APPENDICITIS. 67\\ndix by an abscess. It seems to be more common in males\\nthan in females, and is most frequent between childhood\\nand the age of thirty.\\nSymptoms. The two diseases, perityphlitis and appen-\\ndicitis, have symptoms very much alike. The symptoms\\nof appendicitis commence with soreness on the right side\\nof the abdomen, low down, and are attended with severe\\npain, sickness, and vomiting. The right leg is generally\\ndrawn up so as to relax the muscles of the right side and\\nrelieve the pressure upon the inflamed portion of the bowel.\\nAt the seat of the pain and soreness is found, sooner or\\nlater, a hard lump or swelling. The affection may com-\\nmence with a chill. Whether it does or not there is fever\\nfrom the beginning, and the pulse is full and strong as in\\nother inflammations.\\nThe bowels are costive, tongue coated, and colic pains\\nfrequent and severe. The dangerous tendency of the\\ndisease is to the formation of an abscess, and during its\\ndevelopment there are chilly feelings, with greatly in-\\ncreased temperature, throbbing of the tumor, and general\\nincreased gravity, all characteristic symptoms of the sup-\\npurative process, or the formation of an abscess that is\\nliable to lead to a fatal termination.\\nTreatment. An effort should be made to allay the\\ninflammation as soon as possible. For this purpose it is\\nbest to give the tincture of veratrum veride in two-drop\\ndoses every hour, commencing as soon as the pulse reaches\\none hundred beats per minute. Continue the drug for six\\nhours, then leave it off for two hours, and then give it six\\nhours longer. In the mean time the swelling must be\\npainted every five or six hours with a strong tincture of\\niodine.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0077.jp2"}, "76": {"fulltext": "68 INTESTINAL PARASITES.\\n(This is a disease that requires the attention of a skilful\\nphysician from the commencement, or as soon as it is\\nrecognized.)\\nWhen it becomes evident that an abscess is forming,\\nthe suppurative process should be hastened by flaxseed\\npoultices, and as soon as the matter is located by fluctua-\\ntion of the tumor, it should be freely lanced. Morphine\\nshould be given to quiet the pain and keep the bowels in\\na state of rest.\\nINTESTINAL PARASITES.\\nTAPEWORMS.\\nCauses. The armed tapeworm is the most frequent\\nin this country, the germ or embryo entering the bowels\\nby the patients eating raw pork.\\nThe unarmed tapeworm enters the stomach by pa-\\ntients eating raw beef infected with the tapeworm germs.\\nAnother unarmed tapeworm is the largest ever found\\nin the human body, and the embryo is supposed to come\\nfrom some kind of a fish.\\nThe egg of the worm is simply swallowed with food,\\nhatches in the intestine, and grows to maturity. Why the\\nworm Qgg is not destroyed by the gastric juices that eat\\nup and dissolve all kinds of meat, hard-boiled eggs, and\\nother solids, no one can tell. It is well to remember that\\nbut few people have perfect digestion, and when it is not\\nperfect some of the food passes into the bowels undigested,\\nand along with this food may pass unharmed the eggs from\\nwhich various worms are hatched. Some parasites are\\nexceedingly hard to kill, as worms seemingly as long and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0078.jp2"}, "77": {"fulltext": "INTESTINAL PARASITES. 69\\nlarge as a darning needle are found in the strongest cider\\nvinegar, but of course are infinitely small and can be seen\\nonly with a microscope.\\nThe unarmed tapeworm is from ten to thirty feet\\nlong, has a round head and slender neck, somewhat like a\\nsnake. The most unfortunate thing connected with a\\ntapeworm is that it is divided up into a multiplicity of\\njoints, the longest worm having at least a thousand joints,\\neach and every joint containing the sexual organs of both\\nmale and female. When a long worm gets broken into\\npieces, as frequently happens, the rapid propagation of\\nnew worms is readily imaginable. It is said that the\\nordinary tapeworm contains millions of eggs. The worm\\nlives in the upper part of the small intestines, to the walls\\nof which it secures itself by suckers.\\nSymptoms. In many cases where tapeworms have\\nbeen found by accident to exist, their presence was at-\\ntended by no symptoms whatever but as a general thing\\nthe symptoms are essentially those of dyspepsia, such as\\na painful hunger, severe colic in the stomach and bowels,\\nloss of flesh, constipation, fluttering of the heart, and some-\\ntimes itching about the anus and nose.\\nAs in dyspepsia, all the symptoms are usually relieved\\nby the patient eating a full meal. There is no symptom\\nnor group of symptoms to afford infallible evidence that a\\ntapeworm exists in the bowels of any patient until a worm\\nor part of a worm is passed.\\nTreatment. In dealing with this trouble it is proposed\\nto give one remedy, and only one, for the destruction of all\\nthe varieties of tapeworm and the drug is a positive spe-\\ncific, provided all the directions are carefully followed, and\\nif they are not followed the chances are more than even", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0079.jp2"}, "78": {"fulltext": "70 INTESTINAL PARASITES.\\nthat the whole of the worm will not be expelled, and as\\neach joint contains the reproductive organs of both sexes,\\nany part of the worm remaining in the bowels will breed\\nother worms. The idea that the expulsion of the head\\nof the worm ends the trouble is exceedingly delusive, as\\nthe power of reproduction belongs to every part of the\\nworm.\\nThe treatment and full directions are as follows First\\ngo to a drug store and get one ounce of powdered Kousso.\\nThe drug should be as fresh as possible. Twenty-four\\nhours before giving the medicine, a thorough physic must\\nbe taken, and this should be in the morning before break-\\nfast and sufficient to thoroughly empty the bowels. But\\nvery little food should be taken during the day, so on the\\nfollowing morning the stomach and bowels will be practi-\\ncally empty. Put a half ounce of the Kousso in a half\\npint of hot water, let it sit till it cools, then stir it well,\\nhave the patient swallow half of it, and in a half hour\\nswallow the other half. This must be taken as soon as\\nthe patient arises from bed and no food eaten until the\\nKousso works off, which is usually within four or five\\nhours.\\nShould it not pass off in that time, a full dose of castor\\noil should be given. To avoid sickness from the use of\\nthis remedy it is sometimes found best to give a half cup\\nof hot coffee after each portion of the drug. Given in\\nthis way it is rarely necessary to repeat the dose, but the\\nauthor has found a few cases in which he was compelled\\nto give the remedy in ounce doses, owing, most likely, to\\nimpurities of the drug or to its having been kept too\\nlong.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0080.jp2"}, "79": {"fulltext": "INTESTINAL PARASITES. 7 1\\nROUNDWORMS,\\nOf these there are two varieties the long roundworms,\\nranging in length from eight to fifteen inches, are the most\\ncommon the eggs of these worms are introduced with food\\nor drink, and hatch and establish their dwelling-place in\\nthe small intestines, though they meander through the\\nentire bowels, more or less. The other variety is com-\\nmonly called pinworms they are also called seat-\\nworms and threadworms. They develop in the lower\\nand larger bowels, mainly the rectum. Their eggs or larvae\\ngain entrance with food and drink. These little annoying\\nthings are from a quarter to a half inch in length, and look\\nlike a piece of white sewing thread. They conceal them-\\nselves in the folds of the rectum or anus, and in wriggling\\nabout cause the greatest itching imaginable.\\nSymptoms. There are no symptoms that positively\\nindicate the presence of the roundworms except the pas-\\nsage of one or more from the bowels. Many symptoms\\nare given in the medical books suggesting that worms exist\\nin the bowels, but such symptoms are liable to occur in\\nother affections, and therefore there is but little reliance\\nupon any signs except the actual passage of worms.\\nThe symptoms of pinworms are intense itching and a\\nfrequent desire to go to stool. As anything that irritates\\nthe mucous membrane excites a flow of mucus, the frequent\\nstools caused by pinworms consist mainly of such mucus.\\nThese small worms sometimes get into the sexual organs\\nof children and cause terrible suffering.\\nTreatment. There is an infallible remedy for the long\\nroundworm, and it is as follows\\nSantonine, grains ten,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0081.jp2"}, "80": {"fulltext": "72 GASTRALGIA.\\nCalomel, grains three,\\nMix and divide into five powders.\\nGive one every three hours during the day, and at bed-\\ntime give a couple of teaspoonfuls of castor oil.\\nIf there is any difficulty in getting the child to take the\\ncastor oil some other gentle physic will answer.\\nThe same remedy may be given for pinworms, and in\\naddition an injection of the following into the rectum may\\nbe given Carbolic acid, one teaspoonful water, one pint.\\nAfter shaking well, inject about one ounce into the rectum\\nof a child, and have it sit on the vessel and pass it away\\nimmediately. This may be repeated every day for several\\ndays until the worms are all destroyed.\\nIn adults a half pint of the solution may be injected.\\nAfter it is held four or five minutes, it must be passed into\\na vessel, and the rectum washed out with a half pint of\\npure water. In all cases, when pinworms cause great\\nitching by their presence in the anus, an injection of cold\\nwater, to the amount of half a pint, should be given, and\\nwill almost always afford complete relief by dislodging\\nthem.\\nGASTRALGIA.\\nOther names stomachic colic cardialgia gastro-\\ndynia neuralgia of the stomach spasm of the stomach.\\nThis disease is commonly known as neuralgia of the\\nstomach, and, as in neuralgia of other organs, the pain is\\nintense, coming in paroxysms, and there is the severest and\\nmost painful cramp involving the muscles of the stomach,\\nusually called cramp colic. The pain is so terrible as to\\ndevelop symptoms of fatal collapse, the countenance show-\\ning great anxiety and the face covered with cold perspiration.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0082.jp2"}, "81": {"fulltext": "GASTRALGIA. 73\\nCauses. It may be due to a great many causes, but\\nthe most important are those influences that exercise an\\nexhaustive effect upon the nervous system. Business\\ntroubles, family cares and anxieties, and indeed any and\\nall things that use up nervous energy, favor the develop-\\nment of gastralgia, and with it acute indigestion. The\\ndisease may be caused by overeating or by the use of\\narticles of food that are very hard to digest.\\nSymptoms. Almost all neuralgic affections are char-\\nacterized by paroxysms, and this is especially true of\\nneuralgia of the stomach. There is violent pain in the\\nstomach, frequently severe cramp, the extremities are cold,\\nstomach distended, patients often screaming from intense\\nagony. These severe attacks may last only a few minutes\\nat a time, but in some cases they may not subside for an\\nhour or more. Even where no opiate is given, vomiting\\nmay occur, in which the stomach is entirely emptied of\\neverything, including the gas that was the source of the\\nmost pain, and in that way immediate relief is obtained.\\nTermination. This is almost always favorable in refer-\\nence both to life and health. It is not a dangerous disease\\nso far as life is concerned, but the treatment that is usually\\nadopted by doctors, with a view of curing the affection,\\nalmost always fails, and persons in whom gastralgia is\\nonce fairly established seem to be doomed to suffer from\\nit as long as they live. The author has always adopted\\nin this extremely aggravating affection a treatment never\\ngiven in any of the text-books, and that is essentially his\\nown. He considers it strictly a neuralgic trouble, just as\\nsciatica and other local disturbances are, and directs his\\ntreatment absolutely to the nervous system. So far as cure\\nis concerned, nothing whatever can be accomplished during", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0083.jp2"}, "82": {"fulltext": "74 GASTRALGIA.\\nthe paroxysm. This must be controlled with an opiate,\\nand nothing is better than morphine. A quarter-grain pill\\nof the sulphate of morphine may be given every half hour\\nuntil the spasm and pain are overcome. In a day or two,\\nwhen the patient has in a measure recovered from the\\nprostrating effects of the attack, the proper treatment\\nshould be commenced to prevent the recurrence of at-\\ntacks. This is strictly the curative treatment. The par-\\noxysms are periodic, in some cases coming on every month,\\nand in others occurring only two or three times per year.\\nIn cases that have existed for years, the treatment to be\\ngiven hereafter should be followed for six months. It con-\\nsists in giving the solid extract of ignatia three times per\\nday, in doses as large as the patient will bear without caus-\\ning headache or twitching of the muscles. For persons\\nweighing from one hundred to one hundred and fifty\\npounds, a half-grain pill will probably be strong enough.\\nIn those weighing from a hundred and fifty to two hun-\\ndred pounds, a three-quarter-grain pill may be given before\\nbreakfast and before dinner, and a half-grain pill before\\nsupper, as a large dose of the drug taken at night is liable\\nto interfere with sleeping. It must be remembered in all\\ncases, however, if the size of the pill selected causes head-\\nache, a smaller one must be taken in its place for example\\nIf headache occurs every day from the use of a three-\\nquarter-grain pill before each meal, these pills must be\\ndiscontinued and half-grain pills used instead.\\nOne of the very happy features of the treatment is\\nthis The patient does not feel the effects of the drug\\nat all, when the proper dose is given. The only effect\\nthat is observed is that the paroxysms cease to occur.\\nWhere the treatment is commenced immediately after one", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0084.jp2"}, "83": {"fulltext": "GASTRIC CANCER. 75\\nparoxysm with a view of preventing the next one, which\\nmay be due in six weeks, it will almost always prevent it.\\nThe drug must not be left off for five or six months.\\nAfter this, if no paroxysms have occurred, the patient is\\nusually safe. Sometimes, however, after four or five\\nyears, the disease sets in again and must be treated in\\nexactly the same manner.\\nGASTRIC CANCER.\\nOther names gastric carcinoma cancer of the\\nstomach.\\nThis is a malignant tumor or growth involving part of\\nthe stomach, with a tendency to constant development\\nand gradual destruction of that organ. The functions of\\ndigestion are always interrupted more or less, giving rise\\nto pain, vomiting, and other symptoms of acute dyspepsia,\\ndeath sooner or later in all cases ending the suffering of\\nthe patient.\\nSymptoms. The first symptoms may be those of indi-\\ngestion, gradually becoming more marked in character.\\nIn most cases there is vomiting soon after eating. In\\nsuch cases the cancer is located at the upper part of the\\nstomach, but if the vomiting should occur two or three\\nhours after eating, it is at the lower part where the\\nstomach connects with the bowels. The matter vomited\\nmay be imperfectly digested food or it may be food mixed\\nwith blood. Hemorrhage, which is very moderate in\\nquantity, is liable to occur at any time, and the quantity\\nbeing small, is not liable to excite vomiting for several\\nhours, and therefore, when food is thrown up it is mixed\\nwith broken-up blood clots that look like coffee-grounds;", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0085.jp2"}, "84": {"fulltext": "76 ASCITES.\\nhence the coffee-ground vomit is considered a char-\\nacteristic symptom of cancer of the stomach.\\nTermination. This is always unfavorable. Medicine\\naffords no hope whatever as far as recovery is concerned.\\nTreatment. This consists in doing whatever is possible\\nto relieve the sufferings of the patient. A sour stomach\\nmay be controlled as well with the bicarbonate of soda\\n(common baking soda) as with any other drug. Put a\\nheaping teaspoonful in a half glass of water and let a\\nswallow of it be taken as often as is necessary. The pain\\nmust be controlled, and for this purpose morphine may be\\ngiven in one-fourth-grain doses, repeated as often as is\\nneeded. For convenience it is best to give the drug in\\npill form, as morphine pills in desirable doses are obtain-\\nable at all drug stores.\\nASCITES.\\nOther names abdominal dropsy peritoneal dropsy.\\nThis is a collection of water in the abdominal cavity,\\ncausing great enlargement, usually stretching the skin\\ncovering the abdomen so as to give it a glossy appearance.\\nThe upward pressure is often so great as to seriously em-\\nbarrass respiration.\\nCauses. The disease may exist in connection with gen-\\neral dropsy or it may arise from obstruction in the liver,\\ncausing a delay in the backward flow of blood from the\\nlower part of the body to the heart. Such a condition of\\nthe liver is almost always malignant and therefore incur-\\nable, and so is the attending dropsy. The affection is also\\ndue to diseases of the heart and kidneys.\\nSymptoms. The dropsy comes on gradually. The first", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0086.jp2"}, "85": {"fulltext": "ASCITES. J?\\nimportant and most noticeable symptom is the abdomi-\\nnal enlargement, and this causes most of the other symp-\\ntoms by mechanical pressure. For example Pressure of\\nthe fluid on the lower part of the colon causes constipation\\nof the bowels, and pressure upon the vessels of the kid-\\nneys causes the urine to be scanty, upward pressure against\\nthe diaphragm crowds the lungs and heart together and\\ninterferes with respiration and circulation.\\nTermination. This depends largely upon the cause of\\nthe dropsy, but when all the different causes are con-\\nsidered, it is not very favorable.\\nTreatment. If the accumulation of water is great,\\nthreatening suffocation, the patient should be relieved\\nimmediately by tapping with a trochar. The operation is\\nexceedingly simple and easy. It consists in making a\\nlittle cut in the skin, an inch and a half below the navel,\\nand then pushing the trochar, which is about two and a\\nhalf inches long, into the cavity containing the water.\\nThe patient should be in a sitting posture, and the instru-\\nment should be pointed a little upwards and pushed as far\\nas it will go, and then the trochar, which is the cutting\\npart, is drawn out of the tube, or canula, the latter being\\nleft in. The water, which is usually a straw color, will con-\\ntinue to flow until several gallons are drawn off. As the\\ncanula is only about the size of a small goose-quill, it will\\ntake some little time for the water to run off. The habit\\nof giving exhausting cathartics and producing copious\\nwatery stools to get rid of the dropsy, is very bad, as a\\nperson cannot survive very long who has to be relieved in\\nthis way. If the kidneys can be stimulated so as to do\\ndouble or triple duty for a short time, the water can be\\ncarried off rapidly and the resort to tapping avoided but", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0087.jp2"}, "86": {"fulltext": "yS CHRONIC GASTRIC CATARRH.\\nordinary remedies to act on the kidneys have never seemed\\nto do much good in such cases. There is one remedy,\\nhowever, that the author has used a great many times with\\nmost happy results. The preparation is as peculiar as it\\nis wonderful in its effects, and is as follows Common nails,\\none pound cider vinegar, one quart. After twelve or fif-\\nteen hours, pour the vinegar off of the nails that are yet\\nundissolved, and give the patient a half tablespoonful of\\nthis vinegar, holding the iron in solution, and repeat the\\ndose every three hours if it does not offend the stomach,\\nwhich it does not usually do, but it must be given largely\\ndiluted. After a few hours it will commence acting on\\nthe kidneys, and will carry off the water in twenty-four\\nhours so that the skin of the abdomen will hang in loose\\nfolds. There is nothing like this in such cases. Some\\ncases are entirely cured in this way, while in others the\\nremedy finally loses its effect, as all medicines do in\\nchronic cases where they fail to cure in a reasonable\\ntime.\\nCHRONIC GASTRIC CATARRH.\\nOther names: chronic dyspepsia; drunkard s dyspep-\\nsia chronic gastritis.\\nThis is a chronic inflammation of the mucous membrane\\nof the stomach, attended with thickening of the coats and\\nshrinking away of the glands that furnish the gastric\\njuice. There is pain at the pit of the stomach, more or\\nless loss of appetite, difficult digestion, and depression of\\nspirits.\\nCauses. It is often caused by frequent attacks of acute\\ngastritis, but much more frequently, perhaps, by the exces-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0088.jp2"}, "87": {"fulltext": "CHRONIC GASTRIC CATARRH. 79\\nsive use of intoxicating liquors. Tea and coffee may be\\nused so recklessly as to cause the worst forms of dyspep-\\nsia, and develop chronic gastritis. Irregular meals, indi-\\ngestible food, or too much of any kind of food may lead,\\nfirst, to indigestion, and second, to chronic inflammation\\nof the membranes of the stomach, due to the scalding and\\nirritating effects of sour food. Tobacco chewing is another\\nfrequent cause.\\nSymptoms. The symptoms of this affection are mainly\\nthose of a chronic and aggravated case of dyspepsia. As\\ndyspepsia always accompanies chronic gastritis and chronic\\ngastritis accompanies, to some extent, the worst forms of\\ndyspepsia, the two diseases are very hard to separate.\\nThe disease under consideration is attended with loss of\\nappetite at times, at others with a gnawing feeling of the\\nstomach, or painful hunger, a feeling of oppression at the\\npit of the stomach, and also tenderness. There is liable\\nto be swelling due to gases from decomposing food.\\nThere is usually more or less vomiting, especially after\\nmeals. Drunkards afflicted with this disease are very apt\\nto vomit as soon as they rise from bed. Burning at the\\nstomach, usually called heartburn, is almost a constant\\nsymptom. There is almost always depression of spirits,\\nwith a drowsy, sleepy feeling during the day and an in-\\nability to sleep at night. These distressing symptoms are\\nlargely due to a deficiency in the digestive juices secreted\\nby the stomach, or a defect in the quality of these juices,\\ncausing the food to sour instead of undergoing the natural\\nchanges from the digestive process.\\nThe sour and scalding fluid that is frequently belched\\nup, sooner or later may cause inflammation of the throat,\\nadding to the misery of the patient.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0089.jp2"}, "88": {"fulltext": "80 CHRONIC GASTRIC CATARRH.\\nTermination. So far as life is concerned this is favor-\\nable, but as regards complete recovery, it is not.\\nTreatment. The first thing to be done is to cure the\\naccompanying dyspepsia if possible, and as soon as possi-\\nble, as the great acidity of the stomach, due to indigestion,\\nacts as a constant irritant to every part of the mucous\\nmembrane. Meals should be taken regularly, the patient\\nshould be in a quiet, cheerful state of mind, if possible\\ntake plenty of time for meals, eat only those articles of\\nfood that are found by long experience best suited to his\\ncase, take no stimulants of any kind, but little sugar or\\nstarchy food, drink but little at meals, and eat no fat meat.\\nTo overcome the constipation that is one of the aggravat-\\ning features of this disease, it is best to resort to a fruit\\nand vegetable diet, and eat but little if any meat, provided\\nthe fruit does not cause too much pain from an increase\\nof the gases. The constipation cannot be improved, but\\ncan only be aggravated and made more distressing by the\\nuse of a physic of any kind. It dulls the sensibility of\\nthe intestinal canal, requiring the use of stronger and\\nstronger irritants to arouse the muscular, worm-like action\\nof the bowels. For this reason it is obvious that whatever\\nis done in overcoming the constipation must be accom-\\nplished through dieting, to the utter exclusion of physic.\\nWhen a radical change is made in the diet, as when a\\npatient is taken from a heavy meat diet and put almost\\nexclusively upon fruits and vegetables, it may require some\\nlittle time for the stomach to acquire a tolerance for the\\nnew diet, but after a number of days, provided a great\\ndeal of fruit is taken, the fruit acid will begin to act as\\nnature s physic, the bowels will begin to move, the stools\\nwill become soft and easy instead of hard and knotty, the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0090.jp2"}, "89": {"fulltext": "CHRONIC GASTRIC CATARRH. 8 1\\ncolic pains will gradually subside, and a greatly improved\\ncondition of the stomach can be hoped for.\\nIt seems there is nothing more rational, more sensible,\\nthan the substitution of a fruit diet, which should be un-\\nirritating, for a drug treatment that is always distressingly\\nso in the inflammatory conditions of the stomach and bow-\\nels. In this affection we are dealing with inflammation of\\nthe mucous lining of the stomach. A physic is an irritant\\nthat arouses the secretion of the bowels, and at the same\\ntime increases their muscular action so as to empty the\\nentire tract. This irritant cannot get into the bowels with-\\nout passing through the poor, inflamed, and crippled stom-\\nach, and of course must cause great distress to that organ\\ntherefore, what can be more irrational than the use of\\nphysic in this complaint\\nThis is a disease in which the inflamed condition of the\\nstomach tends constantly to increase the dyspeptic diffi-\\nculty, while the dyspepsia is just as constantly aggravating\\nthe inflammatory affection. Therefore anything that will\\nreduce the inflammation will act favorably upon the indi-\\ngestion, or dyspepsia, and any remedy that will reduce\\nthe dyspepsia will favorably affect the inflammation. To\\nsave repetition the reader is referred to the treatment\\ngiven for acute gastric catarrh, in which the use and\\nvalue of calomel in divided doses to heal and soothe the in-\\nflamed membranes of the stomach are carefully explained.\\nThe use of ignatia in promoting digestion is also ex-\\nplained in connection with that disease, and the whole\\ntreatment is applicable to the treatment of chronic gastric\\ncatarrh, the disease now under consideration.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0091.jp2"}, "90": {"fulltext": "82 PROCTITIS.\\nPROCTITIS.\\nOther names inflammation of the rectum rectitis\\ncatarrh of the rectum dysentery.\\nThis is a catarrhal inflammation of the mucous membrane\\nof the rectum attended with pain, frequent stools, often of\\na mucous or bloody character and sometimes mixed with\\npus. The stools are often hard and lumpy.\\nCauses. The principal causes are constipation, the ha-\\nbitual use of physic, hemorrhoids, and diseases of the liver\\nbut the most frequent cause is piles.\\nSymptoms. There is a burning or aching sensation in\\nthe rectum, with a desire to go to stool. When on the ves-\\nsel or seat there is an inclination to bear down or strain,\\nhoping in that way to be relieved from the distress. This\\nsometimes causes falling of the mucous membrane of the\\nrectum, but if it does not, it is liable to cause enlargement\\nof the blood-vessels of the anus and bring on hemorrhoids,\\nor what is the same thing, piles. The stools may be hard\\nand lumpy or consist of a bloody mucus. There is gener-\\nally more or less sickness of the stomach, fever, and head-\\nache. In the most aggravated form of the disease there is\\ngreat difficulty to pass water, especially in male patients.\\nIf the case be protracted, much of the tissue round the\\nrectum is liable to become involved, developing an abscess\\nand leading to fistula in ano, or fistula of the rectum.\\nTermination. The disease when uncomplicated is favor-\\nable.\\nTreatment. The rectum should be thoroughly emptied\\nwith a pint injection of warm water. After this has passed,\\ninject another pint and perhaps still another, until the rec-\\ntum is thoroughly cleansed. The following suppository", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0092.jp2"}, "91": {"fulltext": "ACUTE GASTRIC CATARRH. 83\\nwill probably do a great deal of good in overcoming the in-\\nflammatory condition by keeping the lower bowels in a state\\nof perfect rest\\nOpium, six grains,\\nSugar of lead, eighteen grains.\\nMix and divide into six powders.\\nPut each powder into a large capsule and when ready to\\ninsert, cover it all over with vaseline and push it in with\\nthe point of the index finger, pushing it up into the rectum\\nthe whole length of the finger. One of these may be used\\nin this way two or three times in twenty-four hours, but as\\nsoon as any of the lumpy, irritating stools come into the\\nrectum they must be removed by warm water injections,\\nafter which the lead and opium capsule may be again inserted.\\nThe tormenting desire to go to stool may be relieved by\\ninjecting four ounces of cold water, that is, a half a table-\\nglassful. This may be repeated a dozen times in twenty-\\nfour hours, as cold water often works wonders in reducing\\ninflammation.\\nACUTE GASTRIC CATARRH.\\nOther names gastric fever acute indigestion suba-\\ncute gastritis bilious fever. This is an acute inflammation\\nof the lining membrane of the stomach, attended with\\nfever, loss of appetite, sickness of the stomach, and more\\nor less vomiting, pain, and difficult digestion.\\nCauses. The disease may be caused by defects in the\\njuices of the stomach that digest the food for example,\\nthe gastric juice may be either deficient in quantity or de-\\nfective in quality, or both. In addition to this, the food may\\nbe improperly masticated, owing to bad teeth, or eating too\\nfast. Then, again, indigestible food may be eaten, the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0093.jp2"}, "92": {"fulltext": "84 ACUTE GASTRIC CATARRH.\\nstomach may be abused with hot drinks, and the worst of\\nall, by intoxicating liquors. To sum it up, and get the\\ncauses into a condensed form, it is mainly due to indi-\\ngestion.\\nIt is an affection that often arises from eruptive fevers,\\nsuch as small-pox, measles, and scarlet fever. It is well to\\nremember that the skin covering the outside of the body\\nis closely analogous to the mucous membrane lining the\\ninside, and any eruptive fever that breaks through and\\ninflames the outer covering is very liable to break through\\nand inflame the inner lining.\\nSymptoms. Loss of appetite, tongue heavily coated, a\\nloathing for food, disagreeable taste in the mouth, con-\\nstant sickness of the stomach, and occasional vomiting.\\nThe vomited matter is, to commence with, undigested food,\\nbut may finally be mucous and bilious matter. The inflam-\\nmatory fever attending this disease is mild, though thirst\\nmay be considerable. In most fevers there is a craving for\\nacids, and that is especially the case in subacute gastritis.\\nThere are frequent sour eructations attended with pain,\\ntenderness, and heaviness at the pit of the stomach. The\\nbowels are usually loose. There is, many times, a great\\ndeal of nervous derangement, anxiety, and melancholy. As\\nthe affection is largely due to acute indigestion, it is obvi-\\nous that errors in diet must surely aggravate it.\\nTermination. This is almost always favorable but re-\\ncovery is slow.\\nTreatment. As the stomach is not in a condition to\\ndigest food, diet should be almost absolutely withheld for\\ntwenty-four hours or more. The vomiting can be best\\nallayed by the use of calomel in small doses as follows\\nMercurius dulcis, the first decimal trituration, twenty-five", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0094.jp2"}, "93": {"fulltext": "ACUTE GASTRIC CATARRH. 85\\ngrains divide into five powders and give one every hour\\nuntil all are given.\\nThis trituration must always be placed in the mouth in\\na dry state, and swallowed with a small quantity of water\\nor some other suitable liquid. The manner in which the\\ndrug acts in overcoming inflammation of the mucous mem-\\nbrane, both of the stomach and bowels, is very interesting,\\nand is as follows If calomel is sprinkled upon an ulcer of\\nthe skin or mucous membrane it greatly stimulates the\\nhealing process, but should the surface involved be very\\nextensive, the crude drug could not be applied to every\\npart of it without the risk of salivation. In subacute\\ngastritis the whole mucous lining of the stomach is usually\\ninvolved, and it is desirable to bring the drug in contact\\nwith every part of it. The system will not tolerate enough\\nof the crude drug to allow this to be done therefore it is\\nmixed with nine parts of sugar of milk, so as to spread it\\nover ten times as much surface. The advantages of the\\ntrituration over the crude drug are twofold first, ten\\ntimes more surface can be reached by the trituration than\\nby an equal amount of calomel not diluted with the sugar\\nsecond, in the highly irritable condition of the stomach\\nthat exists in gastritis, the calomel is too severe, and to\\nhave the happiest effect must be reduced in strength by\\nmixing it with the sugar of milk. As a healing stimulant\\nit has only one-tenth of the irritating properties of pure\\ncalomel, and therefore it stops the sickness of the stomach\\nby healing and soothing the inflamed membrane, and soon\\nsubdues the inflammation. After it passes out of the stom-\\nach it stimulates the secretions of the whole intestinal tract,\\nand, acting as a physic, removes all irritating matter, such\\nas imperfectly digested food, and in that way further con-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0095.jp2"}, "94": {"fulltext": "86 GASTRIC ULCER.\\ntributes to relief of the stomach. After the sickness of\\nthe stomach and other acute symptoms have subsided, the\\nfollowing is by far the best remedy with which to stimu-\\nlate the digestive process Extract of ignatia, from one-\\nhalf to three-quarters of a grain, according to the size of\\nthe patient, three times a day before meals.\\nIt is always given in pill form, and if the patient only\\nweighs from one hundred pounds to a hundred and seventy-\\nfive, a half-grain pill is sufficient, but if more than one\\nhundred and seventy-five, three-quarters of a grain must\\nbe given.\\nGASTRIC ULCER.\\nOther names perforating ulcer peptic ulcer chronic\\ngastric ulcer. This is a solution of continuity affecting\\nthe mucous membrane and some of the other coats of the\\nstomach. In plainer language, it is a hole in the mucous\\nmembrane and other coats, caused by ulceration. It is\\nattended with pain and deranged digestion and sometimes\\nvomiting of blood.\\nCauses. It is probably due to self -digestion of the\\nstomach at the seat of the ulcer.\\nSymptoms. The symptoms of indigestion are very\\nprominent in this affection. There is constant pain in the\\nstomach, which is increased by taking food. Vomiting is\\nalmost a constant symptom and may be greatly aggravated\\nby eating. As the ulcerative process sooner or later de-\\nstroys a blood-vessel, vomiting of fresh blood in large\\nquantities is liable to occur and is very characteristic of\\ngastric ulcer. If it is not vomited for some time after the\\nhemorrhage occurs, it will of course be dark instead of\\nbright red. The ulcer is slow in forming, and it may be a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0096.jp2"}, "95": {"fulltext": "ACUTE GASTRITIS. 87\\nyear before it is fully matured. Sometimes, however, it\\ndevelops rapidly, perforates all the coats of the stomach,\\nand ends in death by perforation and inflammation in a\\nfew weeks.\\nTermination. This is more or less unfavorable. Many\\ncases die and many recover.\\nTreatment. The stomach should be kept in a state of\\nabsolute rest if possible. In order to do this, beef, chicken,\\nor mutton broth may be given several times a day by the\\nrectum, but if for any reason this cannot be done, a milk\\ndiet by the mouth may be necessary. A quart of milk, or\\neven more, may be given in twenty-four hours, by giving\\nonly a few ounces at a time, as it will be better borne\\nwhen given in this way.\\nFor hemorrhage that may occur any time, it is best to\\ngive fluid extract of ergot in teaspoonful doses every hour\\nuntil it is arrested.\\nIn order to hasten the healing process in the ulcer, give\\nsubnitrate of bismuth in twenty-grain doses, three or four\\ntimes per day. It may be mixed with a little sugar, placed\\nin the mouth, and then washed down with a swallow of\\nwater.\\nACUTE GASTRITIS.\\nAnother name toxic gastritis.\\nThis is an acute and severe inflammation affecting the\\nentire stomach, including the mucous membranes and\\nmuscular coats, and is attended with violent pain, incessant\\nvomiting, the vomited matter being usually bloody mucus.\\nTo these distressing symptoms are added those of a fatal\\ncollapse.\\nCauses. ft is due to swallowing corrosive poisons, such", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0097.jp2"}, "96": {"fulltext": "88 ACUTE GASTRITIS.\\nas corrosive sublimate, carbolic acid, or any other drug\\nthat burns and inflames the stomach.\\nSymptoms. Soon after the poison is swallowed there\\nis deathly sickness and constant vomiting. After the\\nstomach is emptied of all food, portions of the mucous\\nmembrane that have been destroyed by the irritant are\\nthrown up, and with them clots of blood, or bloody mucus.\\nThere is a great depression of spirits, weak pulse, and\\nskin covered with a cold sweat, and yet there is a terrible\\nheat at the pit of the stomach and a burning thirst that\\nnothing will satisfy. There is frequently a burning pain\\nin the mouth and throat, as well as the stomach, and terrible\\npurging, all from swallowing the corrosive poison.\\nTermination. Recovery is very doubtful, death being\\ndue to a great shock upon the nervous system and chemi-\\ncal destruction of the stomach.\\nTreatment. So far as the treatment is concerned in\\nthis affection, almost everything depends on the nature of\\nthe drug causing the mischief.\\nIf it be a strong acid of any kind, excepting carbolic\\nacid, bicarbonate of soda (common baking soda) should be\\ngiven immediately in water, using a heaping teaspoonful\\nto a half a glass of water and giving a swallow every\\nminute until the gas ceases to rise from the stomach. As\\nlong as the gas rises the soda, however strong it may be,\\nwill not injure the stomach, as it is in a chemical fight with\\nthe acid. Should the poisonous drug be an alkali such as\\ncaustic potash, caustic soda or lye, used in washing, the\\nbest remedy is vinegar, and should be given diluted in\\nwater as long as gas rises from the stomach.\\nPoisoning from drinking a solution of concentrated lye,\\nor lye of any kind, is an accident that very frequently", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0098.jp2"}, "97": {"fulltext": "FEVERS. 89\\noccurs among young children, who are disposed to drink\\neverything they can get hold of. The treatment in all\\nsuch cases is vinegar, given as above directed, and fol-\\nlowed, after the gas ceases to rise, by a tablespoonful\\nof sweet oil. Should lye be swallowed by a child and\\nno vinegar at hand, a couple of tablespoonfuls of sweet\\noil should be given immediately, which will unite with the\\nlye, forming a crude, imperfect soap. Melted butter or\\nlard, or grease of any kind, can be used in the place of the\\noil and will have the same effect on the lye. After the\\naction of the poison is destroyed in one of the above ways,\\nthe stomach may be left in an inflamed and irritable con-\\ndition with constant tendency to vomit. In such cases\\nsolid food will not be borne by the stomach, and the diet\\nshould be milk, gruel, or animal broths. If carbolic acid\\nshould be swallowed, an alkali, such as baking soda, will\\ndo no good, as the drug is not really an acid. Oil is the\\nbest antidote for carbolic acid, and one or two tablespoon-\\nfuls of sweet oil should be given immediately. Melted\\nbutter or lard will also answer, but if much of the terrible\\npoison is swallowed the nervous system will be over-\\nwhelmed by the shock, and death cannot be long delayed.\\nSee chapter on poisons.\\nFEVERS.\\nFever is a condition characterized by a rise in tempera-\\nture of the body, the heart s action being quickened, tongue\\nusually dry or less moist than normal, and a general de-\\nranged condition of the secretions.\\nThe one symptom that belongs to all fevers and without\\nwhich there can be no fever, is a rise in temperature above", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0099.jp2"}, "98": {"fulltext": "90 FEVERS.\\nthe natural, which is said to be ninety-eight and a half de-\\ngrees F. It is impossible for any one to determine, accu-\\nrately, the degree of fever that a patient has, without using\\na thermometer. When the temperature is only about one\\ndegree above the natural, it is proper to say that such\\npatients are a little feverish. If the temperature rises to\\na hundred and one, or a hundred and two, the patient is\\nsaid to have slight fever if a hundred and three to a\\nhundred and four, high fever, and when it reaches a hun-\\ndred and five, a burning fever. There are but few con-\\nditions, either in inflammatory or common fevers, in which\\nthe temperature rises above one hundred and six.\\nThe height of the fever as witnessed by the thermometer,\\nthe experienced touch of the physician, nurse, or mother,\\naffords some information regarding the severity of the\\nattack and always deserves proper consideration but in\\nthe sick brashes and gastric disturbances of children, the\\nintense fever that accompanies them is not necessarily a\\ndangerous symptom, as the organism of childhood is in a\\nvigorous, active, and keenly sensitive state, and responds\\nso readily and violently to disorders of digestion and other\\nminor ailments as to create unnecessary alarm. For ex-\\nample A child after eating a very hearty supper may go\\nto sleep apparently in a state of perfect health, and before\\nmorning may awake with a burning fever and intense\\nthirst, and seem to be suffering from some terribly danger-\\nous disease. Sooner or later vomiting occurs, and perhaps\\npurging also, the offending matter in the form of undigested\\nfood is gotten rid of, and by morning the child is compara-\\ntively well. Such cases are constantly coming under the\\nobservation of practicing physicians.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0100.jp2"}, "99": {"fulltext": "GENERAL MANAGEMENT OF FEVERS. QI\\nGENERAL MANAGEMENT OF FEVERS.\\nBefore considering special fevers, it is thought best to\\ngive some plain and important facts regarding the general\\nmanagement of fevers. The most distressing feature of\\nall fevers is the high temperature of the body, as its ten-\\ndency is to dry up the secretions of every organ. This\\nleads to constipation of the bowels, derangement of the\\nliver and pancreas, and, consequently, to a diminished\\npower to digest the food. The system, as if aware of this\\ncondition, does not call for food, and naturally enough there\\nis no appetite. The urine is scanty and high colored, for\\nthe same reason that all the other secretions are limited in\\nquantity, and in almost all cases of high fever attended\\nwith delirium, the latter is mainly due to a retention of the\\nsalts of the urine in the blood, known as uremic poisoning.\\nFrom the foregoing, the obvious indications in dealing\\nwith fevers of all kinds are to reduce the temperature and\\nhold it as near the degree of natural heat as possible. The\\nmanner in which this is to be effected depends greatly\\nupon the character of the fever, whether due to malaria,\\nthe typhus, or typhoid germs, the specific poison of erup-\\ntive fevers, or inflammation, the latter being called inflam-\\nmatory fever. In the great majority of general fevers it is\\nimpossible to reduce the temperature, to any material extent,\\nby any drug treatment. In other words, the remedies given\\nin the treatment of fever, except in the inflammatory type,\\naffect the temperature but little, if any. This suggests\\nother remedies besides drugs, in reducing the burning tem-\\nperature of typhoid and other fevers that dry up all the\\nsecretions and tend to a fatal termination. Just in propor-\\ntion as the fever can be lowered, all the secretions can be", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0101.jp2"}, "100": {"fulltext": "92 GENERAL MANAGEMENT OF FEVERS.\\nconserved. For example Should there be six degrees\\nof extra temperature, the organic secretions would be con-\\nsumed twice as fast, and the tendency to a fatal termina-\\ntion twice as great as would be the case if the extra heat\\nwere but three degrees. Therefore every degree of fever\\nthat can be dispensed with, saves materially the natural\\nsecretions and the vitality of the patient.\\nOne of the eternal principles of nature is this That the\\nevaporation of water reduces temperature by absorbing the\\nheat. Therefore if water is spread over the surface of any\\nbody, animate or inanimate, the temperature of that body\\nis immediately lowered. If the body should be a physical\\none, that is, a human being, and such being should have a\\nhigh fever, would not the evaporation upon the surface\\nof the body have a direct tendency to lower the fever?\\nIt certainly would. This leads us up to a consideration of\\nthe power and efficacy of water in the treatment of fevers\\ngenerally.\\nThere are five ways in which water can be used to great\\nadvantage in lowering the temperature\\nFirst, Bathing in a bath-tub.\\nSecond, By using the wet pack, consisting of a dripping\\nwet sheet or towels.\\nThird, The shower, or spray bath.\\nFourth, The sponge bath.\\nFifth, By drinking large and frequent draughts of cold\\nwater.\\nThe use of the bath-tub, even where such a convenience\\nis obtainable, is limited. The patients are frequently too\\nweak to be bathed in this way, and even if not very weak,\\nthey are liable to become so by too long and too frequent\\nablutions. In the early stages of severe fevers, while the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0102.jp2"}, "101": {"fulltext": "INTERMITTENT FEVER. 93\\npatients are yet comparatively strong, the bath-tub can be\\nused to great advantage when followed by the proper use\\nof the spray or wet sponge. Where proper facilities are\\nprovided for taking care of the extra water and saving the\\nbed clothing from getting wet, the spray bath, such as is\\nused by ladies in watering house-plants, may be used several\\ntimes a day with the happiest results. As all fevers are\\nattended with evening exacerbations, that is, an increase of\\ntemperature of one or two degrees in the evening, this is\\nthe proper time for the water treatment, in whatever form\\nis best suitable to the case. If used at all, it is best to use\\nit freely during the three or four hours of the day in which\\nthe fever is highest.\\nINTERMITTENT FEVER.\\nOther names ague chills and fever swamp fever\\nmalarial fever.\\nThis is a paroxysmal fever consisting of three stages,\\nnamely, a cold, a hot, and a sweating stage. The sweat-\\ning stage is followed by a complete intermission, varying\\nin length according to the character of the attack. Until\\nthis is established by the recurrence of another chill, it is\\nimpossible to tell whether the type is quotidian, in which\\nthe chill occurs every day, the tertian, in which it occurs\\nevery other day, or the quartan, in which it occurs on the\\nfirst and fourth days.\\nCauses. Malarial bacillus. These malarial-fever germs\\nare true parasites, but how their effects manifest themselves\\nperiodically, and that, too, with such wonderful regularity,\\nit is impossible to tell. There may possibly be several", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0103.jp2"}, "102": {"fulltext": "94 INTERMITTENT FEVER,\\nspecies of the parasites, each one capable of developing\\na special type of the disease, as tertian, quartan, etc.\\nVarieties. There are many distinct types of this dis-\\nease. First, the quotidian, with a paroxysm every day;\\nsecond, the tertian, with one every other day third, the\\nquartan, with a paroxysm on the first and fourth days;\\nfourth, octan, when the paroxysm occurs weekly fifth,\\nthe double quotidian, in which two paroxysms occur daily;\\nsixth, the double tertian, with two paroxysms every second\\nday. The dumb ague is an irregular form of the disease\\nin which one of the stages, either hot, cold, or sweating, is\\nabsent. This is usually the cold stage. Sometimes two\\nstages are absent, the sweating stage alone showing itself.\\nSymptoms. Each paroxysm has three stages, the cold,\\nhot, and sweating.\\nThe cold stage begins with premonitory symptoms such\\nas headache, yawning, sickness of the stomach, followed\\nby a chill. The teeth rattle, the nails and lips become\\nblue, the skin pale and rough like goose flesh, while there\\nis great thirst and internal fever. The thermometer dur-\\ning a severe chill often ranges from one hundred and two\\nto one hundred and four F. The duration of a chill is\\nfrom fifteen minutes to an hour.\\nThe patient gradually passes out of the cold stage into\\nthe hot by the shivering ceasing, the surface becoming\\nfirst warm, and then hot and flushed, the temperature\\nsometimes reaching a hundred and six or even more.\\nThe pulse is full and strong, there is headache with\\nnausea and great thirst, the skin being perfectly dry and\\nswollen. The urine is always scanty and high colored,\\nand the hot stage lasts from one to eight hours or more,\\naccording to the length and severity of the cold stage.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0104.jp2"}, "103": {"fulltext": "INTERMITTENT FEVER. 95\\nFor example if the cold stage is long and severe, the\\nhot stage will be correspondingly so.\\nThe sweating stage comes on gradually, its first appear-\\nance being on the face and forehead, and then spreading\\nover the entire body. The temperature rapidly returns to\\nthe normal standard, the patient is restored to a condition\\nof comfort, and drops into a refreshing sleep. The dura-\\ntion of the sweating stage is from one to four or five hours.\\nFrom the time the sweating stage ceases until the chill of\\nthe next paroxysm begins, is called the intermission.\\nDuring this time, the patient is seemingly in a state of\\nusual health.\\nTermination. Almost always favorable.\\nTreatment. The treatment consists, first, in the use of\\nremedies during the premonitory, or warning, symptoms of\\nthe chill, either to postpone or modify it. This may be\\neffected by giving a full dose of morphine as soon as the\\nwarning symptoms appear. Just in proportion as the cold\\nstage is modified as regards duration and severity, the hot\\nand sweating stages will be. During the hot stage, cool\\ndrinks and frequent sponging with cold water will afford\\nthe greatest comfort. The sweating stage seldom, if ever,\\nrequires any treatment.\\nAll efforts to break up this disease and restore the\\npatient to a condition of perfect health should be com-\\nmenced immediately after the cessation of the sweating\\nstage, or, in other words, during the intermission. As\\nbefore remarked, until the second chill occurs, the type\\nof the disease cannot be determined, and, therefore, the\\nlength of time in which to give quinine or other remedies,\\nto prevent another chill, is entirely unknown. For this\\nreason the time is precious. The best remedy in the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0105.jp2"}, "104": {"fulltext": "96 INTERMITTENT FEVER.\\nacute form of the disease is sulphate of quinine, which\\nmay be given in three-grain doses every three hours until\\nfifteen grains are given. If the next day the dreaded\\nchill fails to occur, it is reasonably fair to presume that\\nthe quinine has prevented it, but at least twelve or fifteen\\ngrains of the drug must be given on the second day to\\nguard against the tertian form of the disease. If by the\\nthird or fourth day there is no chill, it is evident that the\\nattack is broken up. The quinine, however, should be\\ncontinued in three-grain doses three times per day for\\nabout a week. Regarding the amount of quinine neces-\\nsary to give in order to break up and permanently subdue\\nan attack of ague, almost everything depends upon the\\namount of malaria affecting the district in which the\\npatient lives. If this is slight, as shown by the limited\\nnumber of cases, the amount of quinine necessary to\\nbreak up and permanently cure an attack of ague is\\ncorrespondingly small. In such cases nine grains of\\nquinine per day will arrest the disease in three or four\\ndays, and by giving about six grains per day for four or\\nfive days longer, the chills will not return.\\nUnhappily, if a case of ague is trifled with by giving too\\nlittle medicine until it is allowed to return several times,\\nthe disease becomes chronic and obstinate, the skin more\\nor less yellow, and, sooner or later, the patient has an\\nenlarged spleen. Under such poor management patients\\ngradually drift into conditions that are incurable by ordi-\\nnary means, and start out on a health-hunting journey, but\\nthe ague stubbornly continues, regardless of the usual\\nremedies. In such cases, whether the patient abandons\\nthe malarial district or not, the following prescription will\\neffect a permanent cure", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0106.jp2"}, "105": {"fulltext": "REMITTENT FEVER. 97\\nSulphate of quinine, one drachm,\\nArsenious acid, one grain,\\nSulphate of strychnine, one grain,\\nAromatic sulphuric acid, ten drops,\\nExtract of gentian, a sufficient quantity.\\nMix and divide into twenty pills.\\nFor an adult, give one pill before each meal. The cases\\nare exceedingly rare in which this prescription fails to\\ncure, however chronic and obstinate they may be. No\\none except an accomplished druggist should ever be\\ntrusted to put up this prescription.\\nREMITTENT FEVER.\\nOther names typho-malarial fever bilious fever\\nbilious remittent; marsh fever. This is a paroxysmal\\nfever that may come on exactly like ague, that is, by a\\nchill followed by a hot and a sweating stage, but usually\\nthe chill is not so long and pronounced as in ague, and the\\nsweating stage is sometimes absent.\\nIt is characterized by an exacerbation or aggravation\\nevery day, usually in the evening, after which there is a\\nremission or falling of the fever, generally in the latter\\npart of the night and forenoon, and it is during these re-\\nmissions that patients must get their sleep. During the\\nintense hot stage, there is severe headache and irritability\\nof the stomach. In many cases there are sharp pains in\\nthe chest like pleurisy, always occurring, if at all, during\\nthe hot stage.\\nCause. The presence in the blood of a parasite or\\nmalarial bacillus.\\nSymptoms. There is a moderate chill to commence", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0107.jp2"}, "106": {"fulltext": "98 REMITTENT FEVER.\\nwith, the temperature rising one or two degrees above the\\nnormal, tongue dry and coated, the coating usually of a\\nlightish brown color, oppression at the pit of the stomach,\\nheadache, and pains more or less over the entire body, but\\nmainly about the chest.\\nHot stage. During this stage there is often vomiting,\\nthe coating of the tongue heavier and somewhat darker\\nthan in the cold stage, pulse full and often rising to a\\nhundred and twenty, injected eyes, flushed face, severe\\nheadache, pains over the body, hurried respiration, and a\\ntemperature ranging from a hundred and four to a hun-\\ndred and six. The bowels are usually costive, stools dark,\\nurine scanty and high colored, the skin frequently yellowish.\\nDuring the highest part of the fever there is often delirium.\\nSweating stage. Sometime within twenty-four hours\\nall the above symptoms mainly subside, and moderate\\nsweating commences. The pulse drops ten or fifteen per\\nminute, the headache and vomiting cease, and the fever\\nfalls about two degrees. This is called the remission, but it\\nmust be remembered that this stage is never free from fever.\\nAfter several hours, the symptoms of the hot stage\\nreturn, usually without the chill, this stage always being\\nknown as the exacerbation, which is followed again by the\\nremission, the entire course of the disease being simply a\\nseries of exacerbations and remissions.\\nAuthorities differ regarding the duration of this fever,\\nprobably owing to the different localities in which they\\nhave practised, but the fever rarely gives way under four-\\nteen days. Just in proportion to the darkness of the\\ntongue, with red edges, is the tendency to typhoid, and\\nsometimes at the end of about two weeks, when there is\\nreason to hope for convalescence, the tongue takes on a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0108.jp2"}, "107": {"fulltext": "REMITTENT FEVER. 99\\ndark brown coating, lips become parched with a tendency\\nto bleed, and a black, gum-like deposit appears upon the\\nteeth, showing that the case has drifted into a malignant\\nform of typhoid.\\nTermination. Usually favorable.\\nTreatment. The preponderance of authority favors the\\nadministration of quinine during the remissions, in order\\nto break the force of the paroxysm and shorten the dura-\\ntion of the disease. The author, during a very wide ex-\\nperience with this disease in malarial districts of the west,\\nfollowed the quinine treatment for a long time, giving\\nabout ten grains during each remission, and failed to note\\nany decided improvement from such a course. On the\\nother hand, quinine given in this way seemed to increase\\nthe headache and nervousness that usually attend the hot\\nstage. In this way he was led to try the expectant plan of\\ntreatment, which simply means nothing, so far as medicine\\nis concerned. It consists in waiting for the disease to run\\nits course, while sweetened water, or something else equally\\nvalueless as a medicine, is given to satisfy the patient and\\nfriends. He found that most of the cases treated in this\\nway ran a milder course, and were not a day longer in\\nduration than those treated with quinine. In all cases, due\\nattention was paid to the condition of the bowels, kidneys,\\nand other organs of the body. There is really but little to\\ndo in the treatment of a case of bilious fever except to keep\\nthe bowels, skin, and kidneys in a healthy state. If there is\\nirritability of the stomach it is best allayed by small doses\\nof calomel, given in the following form Mercurius dulcis,\\nthe first decimal trituration, twenty grains, to be divided\\ninto five powders, and one powder given every hour. The\\npowders are to be placed in the mouth dry, and swallowed", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0109.jp2"}, "108": {"fulltext": "100 REMITTENT FEVER.\\nwith a tablespoonful of water. After they work off, which\\nthey usually do in ten or twelve hours, the irritability of\\nthe stomach and intestinal tract ceases. The urine is\\nalways scanty and high colored, with a tendency to blood-\\npoisoning by retention of the salts that should be excreted\\nby the kidneys. There are two ways to facilitate the\\naction of the kidneys and get rid of the poisonous effects\\nof the salts, that are one of the greatest sources of delirium\\nin the severest types of fever. One is to give a diuretic to\\nact directly upon the kidneys, and the other is to allow the\\npatient to have all the water he can drink, in order to\\nwash the salts out of the body through the kidneys.\\nHence the following\\nSweet spirits of nitre, two ounces,\\nAcetate of potash, one-half ounce,\\nWater, two ounces.\\nMix, and give a teaspoonful every two or three hours\\nwhen awake.\\nDuring the hot stage there is usually a great deal of\\nthirst and, unless there is irritation of the stomach and\\nbowels with a tendency to diarrhoea and vomiting, the patient\\nought to drink as much water as he desires. The use of\\nthe sponge bath during the hot stage has a tendency to\\nlower the fever by the direct application of cold to the\\nsurface, and also by maintaining a healthy action of the\\nskin and favoring perspiration. When delirium occurs in\\nthe hot stage, it is best controlled by the constant applica-\\ntion of cold water to the head The practice of putting a\\nwet towel on the forehead is bad, as it keeps the head hot,\\nand does more harm than good. The water should be\\napplied with a sponge very freely all over the head, satu-\\nrating the hair thoroughly, and causing its rapid evapora-\\ntion by the vigorous use of a fan.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0110.jp2"}, "109": {"fulltext": "TYPHOID FEVER. IOI\\nTYPHOID FEVER.\\nOther names enteric fever gastric fever nervous\\nfever; abdominal typhus autumnal fever.\\nThis is an acute infectious fever that is self-limited.\\nCauses. It seems that the predisposing causes are age\\nand heredity. It most frequently occurs between the ages\\nof fifteen and thirty, and is rarely seen in those over\\nfifty.\\nSome families are especially liable to the disease, and\\nthis fact establishes heredity as a predisposing cause.\\nA special germ or bacillus, known as the typhoid germ,\\nis the exciting cause.\\nThe poison of typhoid fever, through which it is mainly\\npropagated, is in the stools and expectorations. The at-\\nmosphere is not impregnated with these germs, but the\\npoison enters the system through food and water. The\\nstools and expectorations should be disinfected with a solu-\\ntion of carbolic acid, using about four tablespoonfuls of\\nthe acid to a quart of water.\\nSymptoms. The fever comes on gradually, preceded by\\nseveral premonitory symptoms, such as dizziness, headache,\\nespecially in the back of the head, nervousness, with in-\\nability to sleep, deranged digestion, low spirits, and general\\nweakness, followed by a chill or chilly feeling. When the\\npatient comes under treatment he is wholly unable to tell\\nwhen the attack began. In malarial districts, however, the\\ndisease occasionally sets in suddenly with a chill, followed\\nby high fever.\\nWhat is known as the premonitory or warning symptoms\\nmay last ten or twelve days, but usually this stage is much\\nshorter.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0111.jp2"}, "110": {"fulltext": "102 TYPHOID FEVER.\\nDuring the first week of the fever, the temperature\\ngradually increases, the pulse becomes more frequent, the\\ncoating of the tongue heavier, more headache, the abdomen\\nenlarges, and there is tenderness in the right side and\\nfrequent gurgling of the bowels in that locality. About\\nthe end of the first week in the well-marked cases, a few\\nreddish spots appear upon the chest, back, and abdomen.\\nDaring the second week, all these symptoms increase in\\nseverity, the fever becoming higher, pulse more frequent,\\nabdomen more distended, and frequently delirium at night.\\nThere is headache, more or less stupor, some cough, jerk-\\ning of the muscles, and dark accumulations upon the teeth,\\nand there may or may not be diarrhoea. The coating often\\ndisappears from the tongue and the mouth becomes so dry\\nthat it is difficult for the patient to speak. Deafness fre-\\nquently exists.\\nDuring the third week, the fever becomes remittent.\\nIt continues quite as high in the evening but is decidedly\\nlower in the morning, while all the other symptoms remain\\nabout the same. By the end of the third week, however,\\nthere is a general improvement.\\nUnfortunately, in quite a number of cases, all the symp-\\ntoms grow worse during the third week, the tongue and\\nlips becoming dry and cracked, both teeth and gums\\ncovered with a black deposit, called sordes, the pulse and\\nrespiration quicker, the urine and stools are passed uncon-\\nsciously, and the case ends fatally.\\nIn the great majority of cases, patients that survive\\nuntil the fourth week without any of the desperate symp-\\ntoms referred to above, recover. Generally the symptoms\\nof improvement set in during the third week, so by the\\nfourth the fever is greatly reduced, being almost absent in", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0112.jp2"}, "111": {"fulltext": "TYPHOID FEVER. 103\\nthe morning, the pulse is less frequent and stronger, the\\ntongue clean and moist, and a general but slow conva-\\nlescence is established. Diarrhoea is usually supposed to\\nbe one of the most dangerous symptoms, but the author\\nhas found constipation to exist in many malignant types\\nof the disease.\\nTermination. The favorable indications are, moderate\\nfever, slight diarrhoea or constipation, and delirium, if at\\nall, of moderate character. The most fatal period of the\\ndisease is during the third week.\\nTreatment. There are two great sources of danger in\\nthis disease. One is from ulceration of the bowels and a\\ndischarge of their contents into the cavity of the abdomen,\\ncausing fatal inflammation, death usually occurring within\\ntwenty-four hours. In order to prevent this termination\\nit is best to keep the bowels in a state of perfect rest, if\\npossible, so as to allow the ulcers, if present, to heal. For\\nthis reason the diarrhoea, if any, must be controlled, and it\\nis much better in such cases if the bowels don t move for\\ntwo or three days. To arrest the diarrhoea and keep the\\nbowels in condition to favor the healing of ulcers, give the\\nfollowing\\nPowdered opium, ten grains,\\nSugar of lead, twenty grains,\\nMix and divide into ten powders, and give one every five\\nor six hours if needed.\\nThe second source of danger is exhaustion, caused by\\nthe intense fever and all the prostrating influences of the\\npoison producing it; and just in proportion as the fever\\ncan be reduced in severity, the tongue and mouth kept\\nmoist, the accumulations upon the gums and teeth les-\\nsened, the delirium prevented, and good refreshing sleep", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0113.jp2"}, "112": {"fulltext": "104 TYPHOID FEVER.\\nprocured, the danger will be diminished. A great deal of\\nthe delirium in typhoid fever is caused by a retention in\\nthe blood of certain salts that should be discharged by the\\nkidneys. On this account it is best to keep up a gentle,\\nstimulating action upon the kidneys during the entire\\nfever, care being taken to avoid offending the stomach\\nwith too much medicine. To act on the kidneys give the\\nfollowing\\nSweet spirits of nitre, two ounces,\\nAcetate of potash, a half ounce,\\nWater, simple syrup, of each two ounces.\\nMix give a teaspoonful every three hours when awake.\\nThere is nothing so effectual in reducing the fever and\\ncontrolling the distressing symptoms associated with it,\\nas the direct application of cold to the body, and water\\nis the best possible form in which it can be applied. If\\nthe water treatment is commenced in the early stage of\\nthe fever, while the patient is comparatively strong, the\\nbath-tub is by far the best means of applying it. Experi-\\nence has proved that when the temperature in typhoid\\nfirst reaches a hundred and two, it is best to put the\\npatient in a bath-tub with the water at a temperature of\\nabout seventy, allowing the water to come up to his chin,\\nwhile gallons and gallons may be poured upon his head.\\nMeanwhile he is rubbed all over with a coarse towel, so\\nas to excite the circulation of the skin. If not very weak,\\nthe bathing should be kept up for twenty minutes. This\\ngenerally reduces the temperature from one to two degrees,\\nand the most of the bathing should be done during the\\npart of the day at which the temperature is highest. The\\ninjurious and prostrating effects of the fever are mainly\\ndue to the evening exacerbations, in which the temperature", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0114.jp2"}, "113": {"fulltext": "TYPHOID FEVER. 105\\nis about two degrees higher than the rest of the day.\\nThis is when the secretions are dried up, when the tongue\\nand lips become dry and parched, and the dark accumula-\\ntions appear on the teeth and gums.\\nIf in every case of typhoid fever the temperature can be\\nheld down during three, four, or five hours of the evening\\naggravation, thousands of cases that would otherwise end\\nfatally can be saved. There is nothing of any value in low-\\nering the temperature in such cases, but water. After the\\npatient is taken from the bath-tub, should the fever soon rise\\nagain, water should be applied freely all over the body by\\na spray such as would flow from a small watering-pot. In\\norder to apply water in this way, the patient should lie\\nupon an oil-cloth or rubber sheet, and the waste water be\\nlifted by a sponge. If, in spite of the frequent use of\\nwater in this way, the fever is not held down, a sheet\\ndripping wet with cold water should be spread over him,\\nand changed as often as necessary by dipping it again in\\ncold water. The idea that must be kept in view is this\\nWhenever the temperature reaches a hundred and four\\nor five for a few hours during every day, the tendency is\\nvery dangerous, and every possible effort must be made to\\nreduce the fever and hold it down to one hundred and one\\nif possible. Water must be used in the various ways\\nmentioned above, and will often succeed when everything\\nelse fails.\\nTo prevent the chilly feeling and bluish color of the skin\\nthat sometimes occur during bathing, vigorous rubbing of\\nthe body with a moderately coarse towel is often necessary.\\nAfter the temperature is reduced by water, the patient\\nfrequently falls into a refreshing sleep.\\nIf delirium of an active character exists, it is during the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0115.jp2"}, "114": {"fulltext": "106 CEREBRO-SPINAL MENINGITIS.\\npart of the day or night in which the fever is highest and\\nit is best to have a wash-tub close to the side of the bed,\\nhold his head over it with his face inclined downwards, and\\nslowly pour several pitchers of water upon it, thoroughly\\nbathing his hair and every part of the scalp. If not too\\nexhausting, this should be kept up for ten or twelve\\nminutes at a time.\\nTo secure refreshing sleep, the following may be given\\nwhen necessary, and acts like a charm\\nFluid extract of valerian, a half ounce,\\nBromide of potassium, half an ounce,\\nWater three ounces.\\nMix and give a teaspoonful, then turn down the lights,\\nkeep the room perfectly quiet, and he will usually fall\\nasleep within an hour and may sleep all night.\\nCEREBRO-SPINAL MENINGITIS.\\nOther names cerebro-spinal fever spotted fever\\ncerebro-spinal typhus. This is a malignant fever, often\\nprevailing epidemically, attended with terrible headache,\\nvomiting, severe contractions of the muscles of the neck,\\nextreme sensitive condition of the skin and muscles, caus-\\ning the patient to scream when handled frequent delir-\\nium, stupor, and more or less coma, with frequently an\\neruption of the skin in the form of dark red spots.\\nExcepting the epidemic cases, the eruption that has given\\nrise to the term spotted fever, is not often found. The\\ndisease is due to microbes, resembling those found in\\npneumonia and erysipelas. Bad sanitary conditions seem\\nto favor the development of the malady, which occurs\\nmost frequently in the winter, usually attacking children.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0116.jp2"}, "115": {"fulltext": "CEREBRO-SPINAL MENINGITIS. 107\\nSymptoms. The common form begins suddenly with\\na chill, severe headache, nausea, vomiting, dizziness, and\\nextreme weakness. In a short time, sometimes within a\\nfew hours, the muscles of the neck become rigid, with\\ngreat pain upon moving the head, the rigidity or spas-\\nmodic action soon extending to the back, when the patient\\nis curved in the back somewhat like a bow, and, like cases\\nfrom strychnine poisoning, disposed to rest upon the but-\\ntocks and top of the head. There are liable to be severe\\ncramps in all the muscles of the body, especially the legs,\\nand spasmodic twitching of the lips and eyelids. Con-\\nvulsions frequently occur. Patients cannot bear the light\\ndeafness, with loss of smell and taste, are liable to follow.\\nThe eruption generally develops between the first and\\nfifth day. The disease reaches its meridian in point of\\nseverity within eight days, gradually passes into a comatose\\nstate that is fatal, or improved symptoms show themselves,\\nto be followed by a slow and tedious recovery.\\nTermination. Not very favorable, as more than half\\nthe cases die in a severe epidemic.\\nTreatment. The medical profession has always seemed\\nto be at sea in the treatment of this disease and has never\\nsettled on any well-defined plan. The disease germ of\\nspotted fever is similar to that of pneumonia, and like the\\npneumonic germ, develops a violent inflammatory fever,\\nthe pulse being, in the early stages, like the pulse of\\npneumonia. The experience of the author has shown that\\nmost cases of pneumonia, if treated early in the disease\\nwith veratrum veride, can be broken up within twenty-four\\nhours that the fever, having been brought down, and\\nwith it the pulse to the normal standard, does not\\nreappear, and the patient is actually restored to health.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0117.jp2"}, "116": {"fulltext": "108 CEREBRO-SPINAL MENINGITIS.\\nTherefore, as cerebro-spinal meningitis develops sud-\\ndenly like pneumonia, it has, like the latter, a proper\\nperiod in which to give the same sedative, veratrum, which\\nmay be given in doses of the tincture as follows From\\none-half to one drop every hour for five or six hours, com-\\nmencing immediately after the initial chill. If, by this\\nmeans, great sickness of the stomach with efforts to vomit\\noccurs, the fever will very probably fall and the pulse\\nalso. The skin will become cold and clammy, drops of\\nperspiration will stand upon the face and forehead, and\\nthe patient will seemingly be in a state of fatal collapse.\\nIn such cases a half tablespoonful of whiskey in a little\\nsweetened water will hasten the reaction which always\\nfollows the use of veratrum in this way, whether the\\nstimulant is given or not. Sometimes an attack of this\\ndisease is broken up by the timely employment of the\\nsedative. In the great majority of cases, however, it does\\nnot succeed in aborting the affection, but it certainly\\nbreaks the force of the inflammatory action and lessens\\nthe organic changes that would otherwise follow. To put\\nit in plainer language, it is calculated to modify the\\ndisease and cause it to run a more favorable course.\\nAfter a reaction from the first effects of the drug, the\\nveratrum should be resumed and given for a few hours,\\nevery hour as before, and then every two hours. By\\nkeeping the patient under the influence of this sedative\\nmore or less for forty-eight hours, which is really the\\nformative stage of the disease, great good can be\\naccomplished.\\nIt is believed that a great many cases that would other-\\nwise result fatally can be saved in this way, that it renders\\nthe distressing effects of the blistering treatment unneces-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0118.jp2"}, "117": {"fulltext": "SIMPLE CONTINUED FEVER. IO9\\nsary, and prevents, to a considerable extent, deafness and\\npermanent mental derangement. In such a malignant\\ndisease, however, it is not claimed that any treatment will\\nsave all the cases, but the sedative treatment as above\\ngiven affords the greatest hope. The time may come,\\nlater in the disease, as it does where the sedative is never\\nused, for a supporting treatment, such as tonics and stimu-\\nlants. They are to be given as in weakened conditions\\nfrom other diseases.\\nSIMPLE CONTINUED FEVER.\\nOther names irritative fever ephemeral fever\\nsynocha febricula.\\nThis is a fever lasting from twenty-four to forty-eight\\nhours, without any decided remissions, not the result of a\\nspecific poison, seldom fatal but when death occurs it\\nshows no anatomical changes characteristic of the disease.\\nCauses. Anxiety, grief, overwork, mental or physical,\\nmental perturbation, from whatever cause, but the most\\nprobable of all, excesses in eating and drinking, resulting\\nin a distressing attack of indigestion. It belongs mainly\\nto childhood.\\nSymptoms. The attack is sudden, often coming on\\nwith a chill, followed by a strong reaction and rapid rise\\nof temperature, high pulse, dry skin, great thirst, foul\\ntongue, bowels costive, urine scanty and high colored,\\nusually headache and sometimes nausea and vomiting.\\nThe temperature is liable to rise to a hundred and three\\nor more, and to be attended with delirium.\\nTermination. Almost always favorable, the disease\\nrunning its course, as a general thing, in from twenty-four", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0119.jp2"}, "118": {"fulltext": "110 HAY FEVER.\\nto forty-eight hours, but in some cases lasting six or seven\\ndays.\\nTreatment. If the symptoms of indigestion are promi-\\nnent, and especially if there is diarrhoea or colicky pains in\\nthe bowels, give a five-grain powder of the first decimal\\ntrituration of mercurius dulcis, every hour, until five are\\ngiven. Place the powder upon the tongue in a dry state,\\nand wash it down with a tablespoonful of water. The\\npowders will work off in eight or ten hours, and the gas-\\ntric and intestinal disturbance will usually cease.\\nWhere there are severe nervous symptoms, with inability\\nto sleep, the following can be given with the happiest\\nresults\\nFluid extract valerian, two drachms,\\nBromide potassium, two drachms,\\nWater, three ounces.\\nMix and give from a half to a teaspoonful, according\\nto the age of the child, at bedtime.\\nHAY FEVER.\\nOther names hay asthma autumnal catarrh rose\\nfever.\\nThis is a specific inflammation of a catarrhal character\\naffecting the large air passages, including those of the\\nnose, throat, and tubes of the lungs, with spasmodic con-\\ntraction of the muscular walls of the latter. The affection\\noccurs in the latter part of summer or early autumn, and\\nis attended with a flow of mucus from the nostrils, cough,\\nand more or less difficulty of breathing.\\nCauses. The most common cause is an inherited pre-\\ndisposition to be morbidly sensitive to the perfume of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0120.jp2"}, "119": {"fulltext": "HAY FEVER. Ill\\nflowers or whatever it is that causes the affection. Persons\\nin whom this tendency exists have paroxysms of hay fever\\nthat are supposed to be due to the inhalation of the pollen\\ndust of various grasses, roses, or other flowers.\\nSymptoms. The first appearance of the trouble is fre-\\nquently a flow of a watery mucus from the nose, the smart-\\ning of the eyes, sneezing, and sore throat. A little later\\nthe larynx and tubes of the lungs are affected, the voice\\nbecomes husky, and there is a wheezing cough with diffi-\\nculty of breathing, the latter occurring in paroxysms like\\nattacks of asthma. The affection is a series of paroxysms\\nand remissions for a month or more, during which there is\\nalmost constantly an irritating bronchitis. After it is once\\ndeveloped it is liable to continue till cold weather destroys\\nthe pollen dust. It is impossible to tell what plant or\\nflower exercises the most influence in exciting the disease,\\nand it may be the combined effect of many flowers.\\nTermination. The affection in itself never proves fatal,\\nbut may develop incurable asthma and chronic bronchitis.\\nTreatment. The most satisfactory treatment is a change\\nof climate each season before the hay fever sets in, and\\ngoing to a high mountain climate where the fever-producing\\nplants do not exist. Almost any part of the Rocky Moun-\\ntains seems to afford a complete immunity from hay\\nasthma.\\nIt is claimed that Dover s powder, given in six-grain\\ndoses three or four times in twenty-four hours, has often\\nbroken up an attack of hay fever. It is claimed that\\nquinine in five-grain doses, given three times a day for\\nseveral days and commenced two or three days before the\\nexpected attack, will prevent it. The paroxysms are al-\\nways relieved by the application of a four per cent solution", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0121.jp2"}, "120": {"fulltext": "112 RELAPSING FEVER.\\nof cocaine to the nostrils by means of an atomizer. The\\napplication may be repeated every three or four hours\\nduring the day. If the effects of the drug wear off to\\nsome extent, the strength may be increased to a six per\\ncent solution.\\nRELAPSING FEVER.\\nOther names febris recurrens famine fever bilious\\ntyphoid.\\nThis is an acute, infectious disease, is contagious, epi-\\ndemic, and self-limited. The fever paroxysm lasts about\\nsix days, and then there is a complete intermission to be\\nfollowed by a relapse, the second paroxysm being about\\nthe same as the first, both in duration and gravity.\\nCause. A specific poison. It seems to flourish most\\nextensively in the crowded, filthy, and unhealthy districts of\\ncities.\\nSymptoms. It has no premonitory or warning symp-\\ntoms. The attack is sudden, the fever running up from\\none hundred and two to one hundred and four, pulse fre-\\nquent and rather weak, headache, nausea, and vomiting,\\nwith sharp pains in the limbs and muscles, especially the\\nlegs. On the second day there is a feeling of fulness and\\npressure in the right and left sides, caused by swollen\\nliver and spleen. The deranged function of the liver\\nmanifests itself by the appearance of jaundice. The first\\nparoxysm ends on the seventh day in profuse perspira-\\ntion the second ends about the thirteenth or fourteenth\\nday, the symptoms being somewhat milder. There may\\nbe several relapses.\\nTermination. Generally favorable.\\nTreatment. The disease cannot be aborted by any", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0122.jp2"}, "121": {"fulltext": "TYPHUS FEVER. 113\\nknown treatment. Quinine has been used extensively to\\nprevent relapses, but never succeeds. For the nausea and\\nvomiting, and also to arouse the secretions, five-grain doses\\nof mercurius dulcis, in the first decimal trituration, may be\\ngiven every hour until four are taken. They are to be put\\nin the mouth dry, and washed down with a tablespoonful\\nof water. They will produce a slight action upon the\\nbowels, and almost always allay the sickness. If there is\\ngreat weakness during the last days of the affection and\\nafter the fever has subsided, quinine may be given in one-\\ngrain doses, and with each dose a tablespoonful of port\\nwine.\\nTYPHUS FEVER.\\nThis fever is known by a half-dozen different names,\\nas follows ship fever; contagious fever jail fever; pe-\\ntechial fever exanthematic typhus spotted fever.\\nIt is an acute, epidemic disease, very contagious, devel-\\nops suddenly, characterized by extreme depression of the\\nvital powers, disagreeable odor, an eruption of rose-colored\\nspots, sometimes being but few in number, while in other\\ncases they cover the entire body so thickly that they al-\\nmost touch each other. The favorable cases terminate in\\nabout fourteen days in profuse sweating. The disease is\\ndue to a germ regarding the nature of which but little is\\nknown, and yet it is unfavorably influenced by bad sanitary\\nconditions.\\nIt is rarely seen in the United States, except among\\nrecently arrived emigrants, and soldiers in the army. The\\nauthor, who was an army surgeon, saw a great many cases\\nin the General Field Hospital, Atlanta, Georgia.\\nSymptoms. Commences with a chill, followed by in-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0123.jp2"}, "122": {"fulltext": "114 YELLOW FEVER.\\ntense fever, the temperature frequently reaching a hun-\\ndred and five F. within a few days, pulse rapid and bound-\\ning, soon becoming small and weak severe headache and\\nusually delirium. From the fifth to the seventh day, red\\nspots appear on the skin that do not disappear on pressure\\nthere is great prostration, dizziness, trembling of the hands,\\nalso tremor of the muscles, and generally constipation of\\nthe bowels. Within about two weeks the temperature\\nsubsides suddenly, followed by a speedy recovery.\\nTermination. In many cases unfavorable, except when\\nthe disease occurs in youth under somewhat favorable\\nsanitary conditions. The best authorities agree that the\\nmortality ranges from five to thirty-five per cent.\\nTreatment. As the disease is emphatically contagious,\\neach patient should be isolated to prevent contagion.\\nThe high fever is best controlled by cold sponging, the\\ncold wet pack, or by putting the patient in the bath-tub.\\nWhen placed in the tub a gentle shower of water upon the\\npatient, the temperature being that of summer heat, will\\ngive the happiest results. The bath may be continued\\nfor ten or fifteen minutes at a time, if the patient is not\\ntoo weak. For the great debility, brandy or whiskey may\\nbe given every half hour in doses of one or two teaspoon-\\nfuls.\\nYELLOW FEVER.\\nOther names bilious malignant fever Mediterranean\\nfever; yellow jack; sailor s fever black vomit.\\nThis is an acute disease, characterized by paroxysms, and\\nhaving three stages, the fever, the remission, and the col-\\nlapse. It is an infectious disease, attended with violent\\nfever, yellowness of the skin, and black vomit. The af-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0124.jp2"}, "123": {"fulltext": "YELLOW FEVER. 115\\nfection is not contagious, but prevails as other disorders,\\nthe infection through which it is propagated being due to\\na vitiated atmosphere. It is said that one attack of this\\ndisease affords an immunity from a second.\\nSymptoms. The first stage, which is the fever, may\\nhave a premonitory or warning stage in which there is a\\ndull, stupid condition and more or less headache, or it\\nmay commence abruptly with a chill, followed in two or\\nthree hours by a fever ranging from a hundred and two to a\\nhundred and six F. The pulse may rise to one hundred\\nbeats per minute, the eyes becoming glossy, the countenance\\nflushed, tongue coated, and the stomach irritable. There\\nare often severe neuralgic pains over most of the body,\\nespecially in the large joints and region of the stomach.\\nIn the severest cases there is delirium. As in all fevers,\\nthe urine is scanty and high colored. The duration of the\\nfirst stage is from thirty-six hours to three or four days.\\nThe second stage is that of the remission, in which the\\ntemperature falls almost to the normal point, and there is a\\nrelief of all the distressing symptoms, convalescence being\\nestablished or, in more unfavorable cases, the third stage,\\nthat of collapse, or the period of secondary fever, com-\\nmences within three days, and is marked by all the symp-\\ntoms of the first stage in an aggravated form the skin\\nbecomes yellow and finally changes to a dark brown, cof-\\nfee-ground vomit, pulse feeble, surface cold, breathing\\nirregular, death occurring from exhaustion.\\nTermination. The mortality is about one in four.\\nTreatment. The disease is self-limited. Patients should\\nbe made as comfortable as possible in a good bed, the sick-\\nroom being provided with an abundance of fresh air and\\nto guard against the irritable stomach that usually follows,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0125.jp2"}, "124": {"fulltext": "Il6 YELLOW FEVER.\\nthe bowels should be moved gently with small doses of\\nmercury, and what is the best form and most efficient in\\nallaying gastric and intestinal irritation, calomel, tritu-\\nrated in sugar of milk, one grain of the calomel to nine\\ngrains of the sugar of milk. The trituration should be\\nvery thorough, or, in plainer terms, they should be ground\\ntogether for about fifteen minutes in a mortar. Of this\\ntrituration give a five-grain powder every hour until five\\nare given. Each powder must be placed in the mouth\\ndry, and washed down by a tablespoonful of water. Calo-\\nmel thus subdivided by being mixed with the sugar of\\nmilk acts as a physic by arousing the secretions of the\\nwhole intestinal tract, while its secondary effect is healing,\\nsoothing, and quieting. In dealing with a disease that is\\nalways attended with an irritable stomach, it is best to\\nanticipate it and use such treatment as is necessary to pre-\\nvent its occurrence. In all such cases, in addition to the\\nmercurial treatment to prevent vomiting, the use of water\\nshould be limited in quantity to a teaspoonful every half\\nhour.\\nThe practice of giving patients small quantities of ice\\nto slowly dissolve in the mouth, and in that way allay the\\nthirst, is dead wrong, for two reasons In the first\\nplace, after it is once fairly commenced it must be con-\\ntinued through the fever, to avoid the terrible reaction and\\nthirst that would follow if it were left off. In the second\\nplace, the ice, by constantly melting in the mouth, soon\\ngets entirely too much water in the stomach, which is\\nliable to excite both vomiting and purging. Should mer-\\ncury given in this way fail to arrest the vomiting, morphine\\nmay be given in one-fourth-grain doses, or, in the severest\\ncases, three-eighths of a grain may be given. In order to", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0126.jp2"}, "125": {"fulltext": "PERNICIOUS FEVER. WJ\\nsucceed with this, a great deal depends on the way in\\nwhich it is given. If swallowed during a fit of vomiting,\\nor when there is water in the stomach, it will probably be\\nrejected.\\nImmediately after a spell of vomiting, the stomach is\\nsupposed to be entirely empty, and this is the proper time\\nin which to give the morphine pill. If it is placed on the\\ntongue, well back, and a teaspoonful of water given to\\nwash it down, it will be difficult for the patient to throw it\\nup, and in twenty minutes it will be absorbed by the\\nstomach and the sickness will be over. The great objec-\\ntion to morphine as compared with mercury in these cases\\nis that in ten or fifteen hours, if not sooner, the sickness\\ncomes on again and is often attended with nausea and\\nvomiting, solely due to the effects of the drug, and is\\nknown to doctors as morphine sickness, and there is\\nnothing that will allay it. The only remedy is to wait\\nuntil the effects of the drug die out, which is sometimes\\nforty-eight hours.\\nPERNICIOUS FEVER.\\nOther names congestive fever malignant remittent\\nfever malignant intermittent fever.\\nThis is an exceedingly malignant malarial fever, and\\nmay be either of the remittent or intermittent form. It is\\nattended with great congestion of one or more internal\\norgans, with violent nervous action, followed by nervous\\ndebility.\\nCause. An excessive amount of malarial poison.\\nSymptoms. The disease may commence in any of its\\nforms, either as a remittent or an intermittent fever. The", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0127.jp2"}, "126": {"fulltext": "Il8 PERNICIOUS FEVER.\\nfirst paroxysm usually appears as an ordinary malarial\\nattack.\\nThe gastro-enteric variety of the disease is the one in\\nwhich the stomach and bowels are greatly affected, and is,\\nconsequently, attended with intense nausea, vomiting, and\\npurging, the discharges being thin and mixed with blood.\\nThere is a painful desire to go to stool, burning heat in the\\nstomach, great thirst, pulse frequent and weak, feet and\\nhands cold and shrunken, and great vital depression. This\\ncondition may continue for several hours, followed by either\\nan intermission or a remission.\\nThe thoracic form may have most of the above symp-\\ntoms, and, in addition, there is great congestion of the\\nlungs, in which suffocation is threatened, the patient gasp-\\ning for breath, and breathing fifty times per minute, or\\nmore. There is a desperate effort to cough, and the ex-\\npectoration is often streaked with blood. The pulse is\\nweak and rapid, and surface cold. The chill may last for\\nseveral hours.\\nThe cerebral or brain form is caused by great conges-\\ntion of the brain, sometimes by accumulation of water in\\nthe cavities, or by rupture of small blood-vessels of the\\nbrain. This form is attended by terrible delirium with\\nstupor and coma, the pulse full and a s1ow, the surface\\nflushed. As the hemorrhage of the brain is truly apo-\\nplexy, there is a great tendency to fatal coma. Duration\\nof chill, from one to four hours.\\nThe hemorrhagic variety begins as a common remittent\\nor intermittent fever, and is soon succeeded by symptoms\\nof internal congestion. Nausea, vomiting, threatened suf-\\nfocation, intense pain over liver and kidneys, continue for\\ntwo or three hours, when the skin suddenly turns yellow", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0130.jp2"}, "127": {"fulltext": "PERNICIOUS FEVER. 119\\nand the urine bloody. The bloody urine has given rise to\\nthe name hemorrhagic form. After the yellow skin and\\nbloody urine appear there is a remission or intermission, to\\nbe followed sooner or later by another and severer paroxysm.\\nThe algid form is so named because the word algid\\nsignifies cold. It is characterized by extreme coldness of\\nthe surface, while the internal temperature of the body\\nmay reach one hundred and seven F. The attack,\\nwhich begins with a chill, is soon followed by a fever of\\nuncertain duration, and when it subsides, the temperature\\nof the body falls to ninety, and sometimes even to\\neighty-five F. there is a cold sweat, the tongue is\\nwhite, the breath is icy cold, voice weak, pulse slow and\\nfeeble, sometimes imperceptible, and notwithstanding all\\nthese symptoms of extreme cold the patient complains\\nof a burning thirst. The mind is clear, but the counte-\\nnance is ghastly.\\nTermination. In all its forms it is unfavorable, unless\\nit is controlled prior to the second paroxysm. Those cases\\nin which a complete intermission occurs are more favorable\\nthan where there is only a remission. Under the best\\ntreatment and best management it is calculated that from\\ntwelve to fifteen cases in a hundred end fatally.\\nTreatment. In all the forms of this disease the first\\nand most important thing to be done is to establish a\\nreaction as soon as possible. Stimulants are to be used\\ninternally and heat applied to the surface with a view of\\nmodifying or shortening the cold stage. In the hot stage,\\ncold water is to be applied freely to the surface by means\\nof a sponge, and using a fan to hasten the evaporation and\\ncause the absorption of the heat.\\nThe terribly distressing symptoms of the hot stage are", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0131.jp2"}, "128": {"fulltext": "120 PERNICIOUS FEVER.\\nbest controlled by a full dose of morphine, and of this,\\nmost patients will bear three-eighths, if not a half grain at a\\nsingle dose. As soon as an intermission or remission of\\nthe fever occurs, sulphate of quinine should be given, and\\nas the time may be limited in which it is possible to give\\nit, at least twenty grains should be given at a single dose,\\nto be followed in two hours by another dose of equal size.\\nThere is a difference of opinion among authors regarding\\nthe proper time in which to commence the quinine treat-\\nment. Some wait for an intermission or a remission,\\nwhile others favor giving it as soon as the reaction is\\nestablished. The latter plan is doubtless the safer course,\\nas it is not known how soon the second chill, which is\\nusually fatal, may occur.\\nLike all other terrible diseases, a multiplicity of remedies\\nare suggested for congestive fever, and formulas contain-\\ning a dozen, and sometimes even twenty different drugs,\\nare found in the text-books. The curative value of all\\nsuch prescriptions depends almost absolutely upon one\\ndrug, and that is quinine. Such large combinations are\\nliable to offend the already irritable stomach, and for that\\nreason it is decidedly better to limit every prescription to\\nsuch remedies as have beyond question the greatest cura-\\ntive action.\\nWhen a many-drug prescription is made to stop vomiting,\\nit almost always contains mercury in some form, as that\\ndrug is known to cover a wider range of such affections\\nthan any other drug. In such cases the curative action of\\nthe only valuable remedy in the prescription is often\\nruined by irritating and useless drugs, and the stomach\\nrejects them all.\\nTherefore, in the gastro-enteric variety of this disease,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0132.jp2"}, "129": {"fulltext": "SCARLET FEVER. 121\\nit is better to allay the vomiting with small doses of calo-\\nmel as follows\\nThe first decimal trituration of mercurius dulcis, twenty-\\ngrains. Divide into five powders, and give one every hour\\nuntil the sickness is relieved. Give each powder dry, and\\nas soon as it is in the mouth, give a tablespoonful of water.\\nIf the mercury fails to allay the vomiting, a one-fourth-\\ngrain morphine pill may be given, using the smallest amount\\nof water necessary for swallowing. If vomiting is the only\\ndistressing symptom, a quarter-grain pill may be sufficient;\\nbut there is usually a great deal of pain and irritation in the\\nbowels, and the dose may have to be repeated in a half\\nhour. Therefore it is better in most cases to give three-\\neighths of a grain to commence with.\\nSCARLET FEVER.\\nOther names scarlatina scarlatto.\\nThis is an acute, contagious, infectious disease, essen-\\ntially belonging to childhood, attended with high tempera-\\nture, rapid pulse, and a scarlet eruption covering the\\nentire body. There is inflammation of the mouth and\\nthroat, and also of the glands of the throat and jaw. It\\nhas what is called a desquamation stage following the\\nfever, and during which the entire cuticle separates from\\nthe underlying skin. In other words it peels off. One\\nattack affords an immunity from others.\\nCause. A specific poison. At present the informa-\\ntion regarding the character of the specific germ is con-\\nflicting, but it seems to be a parasite, the nature of which\\nhas not been satisfactorily determined.\\nScarlet fever ranges in point of severity from cases that", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0133.jp2"}, "130": {"fulltext": "122 SCARLET FEVER.\\nare so mild as to attract but little, if any, attention to\\nthose of the severest and most fatal type.\\nThe development is usually sudden, and commences\\nwith a marked chill and vomiting. There is pain in the\\nthroat followed by a high fever, the pulse being very rapid.\\nWithin twenty-four hours the eruption appears, which is\\na bright scarlet, giving rise to the name of the disease,\\nscarlet fever. The rash, which appears first on the\\nneck and chest, spreads over the entire body in a short\\ntime. At this time there is burning heat of the skin,\\npain in the throat, and difficulty in swallowing. On exami-\\nnation the throat is found red and inflamed. The head-\\nache and restlessness are great, and there is frequently\\ndelirium. Diarrhoea is a frequent complication.\\nWithin four or five days the fever declines and with it\\nthe eruption fades, when the cuticle begins to separate\\nfrom the skin. This process may cover a period of two or\\nthree weeks. The patients are thin and pale, and recovery\\nvery slow.\\nTermination. Always more or less unfavorable, as the\\ndisease is a grave affection, the mortality ranging from\\nfifteen to twenty-five children in a hundred.\\nTreatment. The medical profession knows no remedy\\nthat will abort the disease in other words it is impossible\\nto break it up until it runs its course. The treatment\\nconsists, mainly, in treating the symptoms as they occur.\\nAs it is highly contagious, each patient should be sepa-\\nrated from other members of the family, with room well\\nventilated and disinfected. The fever and inflammatory\\ncondition of the skin are best controlled by cooling drinks\\nand frequent sponging with water at a temperature of about\\neighty F. The wet pack is often used as a substitute for", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0134.jp2"}, "131": {"fulltext": "SCARLET FEVER. 1 23\\nthe sponging, and a great deal is claimed for it in keeping\\ndown the fever and carrying the patient along to a favor-\\nable termination. Water, if not actually a sovereign balm\\nin scarlet fever, is certainly one of the best remedies.\\nDuring the high fever great benefit may be obtained from\\nthe use of aconite, as follows Tincture aconite, ten drops,\\nwater, forty teaspoonfuls. For children from two to six\\nyears old, give a teaspoonful every hour. In cases attended\\nwith great fever, throbbing of the arteries of the neck, and\\nwild delirium, very small doses of the tincture of bella-\\ndonna may be given with benefit. A convenient way to\\ngive the drug is as follows Put four drops of the tincture\\nin a glass of water, and give a teaspoonful every hour.\\nAconite, as above recommended, may be given at the same\\ntime, so as to bring one dose of the latter between the\\ndoses of the belladonna. As soon as the eruption appears,\\nrub the patient s entire body, except the scalp, with vase-\\nline, night and morning. The most happy effect of the\\nointment is quieting the irritation of the skin, and in pro-\\nportion as this is effected, the inflammatory action and the\\nfever are reduced. Later in the disease, usually during\\nthe peeling-off process, there may be a great deal of\\nitching. If the. simple ointment does not allay this itch-\\ning, it is best to add ten drops of pure carbolic acid to two\\nounces of the vaseline, and thoroughly mix. In some cases\\nthe venice turpentine acts better than the carbolic acid.\\nWhen it is used, one drachm may be mixed with two\\nounces of the vaseline. It is hard to tell when a patient\\nis out of danger with scarlet fever, as it is attended with\\nmany complications, some of them commencing after the\\npatient seems to be almost well. One of the serious\\nphases of the affection is the inflammatory and enlarged", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0135.jp2"}, "132": {"fulltext": "124 SCARLET FEVER.\\ncondition of the glands about the throat. This, conjoined\\nwith the accumulations of mucus in the mouth and air\\npassages, greatly embarrasses respiration, causing blood\\npoison, and in that way hastening a fatal ending of the\\ncase. The swelling of the glands, as a general thing, is\\nbest reduced by the use of hot cloths, changed every two\\nminutes, and applied for about fifteen minutes at a time,\\nand repeated every two hours. The cloths are to be\\ndipped in water as hot as the patient can bear. Instead\\nof this, hot flaxseed poultices, changed every half hour\\nand continued eight or ten hours at a time, may rapidly\\nreduce the swelling. Sometimes these enlarged glands\\ncannot be reduced to any great extent by any treatment,\\nbut obstinately continue through the entire acute stage, and\\nsuppurate. In other words, they break, or have to be\\nlanced. These abscesses developing in the advanced\\nstage of the disease, may lead to a fatal termination from\\nexhaustion and blood poisoning. In such cases the follow-\\ning tonic may be of great benefit\\nFluid extract of cherry-tree bark,\\nFluid extract of peruvian bark, of each a half ounce,\\nSulphate of iron, thirty grains,\\nPort wine, fourteen ounces,\\nSimple syrup, one ounce.\\nMix, and give a half tablespoonful three times per day.\\nThe irritation of the bowels attended with diarrhoea, with\\nor without sickness of the stomach, is best controlled by\\nthe first decimal trituration of mercurius dulcis in five-grain\\npowders, one powder being given every hour until five are\\ngiven. These powders are always to be put in the mouth\\nin a dry state, and washed down with a little water. This\\nis the best treatment for the irritation of the stomach and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0136.jp2"}, "133": {"fulltext": "MEASLES. 125\\nbowels, at whatever time it may occur during the course\\nof the disease.\\nThere is always a tendency to disease of the kidneys\\nin scarlet fever. This is probably due to an extra amount\\nof work they have to perform in order to compensate for\\nthe suppressed action of the skin. In this way they may\\nbecome tired, as it were, and need stimulating.\\nFor this purpose give the following as directed\\nSweet spirits of nitre, one ounce,\\nAcetate of potash, two drachms,\\nSimple syrup, water, each an ounce and a half.\\nMix, and give a teaspoonful every three hours.\\nMEASLES.\\nAnother name rubeola.\\nThis is an acute disease, communicated by contagion.\\nIt commences with the symptoms of a very severe cold.\\nThere is usually a cough and a flow of mucus from the\\nnose, considerable fever, loss of appetite, and a miserably\\nbad taste in the mouth, so that food of every kind is dis-\\nagreeable.\\nCause. A specific poison, or a poison that is sure to\\nproduce in all cases the same kind of disease. The attack\\nalmost always protects a person from another.\\nSymptoms. The disease comes on gradually, and from\\nthe time of the first premonitory symptoms until the rash\\nappears on the body, is sometimes four days. Where\\npersons are exposed to cold, or get wet during the warning\\nsymptoms of the affection, the eruption is liable to be\\ndelayed, which greatly aggravates the distress. During", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0137.jp2"}, "134": {"fulltext": "126 MEASLES.\\nthis prodrome there may be a decided chill, but as a gen-\\neral thing it is only a chilly feeling, followed by fever, the\\ntemperature sometimes rising to one hundred and two, or\\nmore. There is soreness over most of the body, with\\nheadache and all the symptoms of acute catarrh. The\\neyes are deeply reddened and watery. On the second day\\nthe fever subsides to a great extent, but the catarrh con-\\ntinues. Usually on the fourth day a deeply red eruption\\noccurs on the face and chest, soon spreading over the\\nwhole body. The fever always returns with the appear-\\nance of the eruption, and as the latter affects the mucous\\nmembrane as well as the skin, the catarrh is aggravated,\\nthe discharge from the nose changing from the watery\\nform to a thick and heavy mucus that may be a cream\\ncolor. The catarrh also extends to the mucous membrane\\nof the air passages. On the ninth or tenth day, the erup-\\ntion fades. The cuticle curls up and separates from the\\ntrue skin, but not to the extent that it does in scarlet\\nfever.\\nThe disease is frequently attended with pneumonia, and\\nwhen it proves fatal in children, death is mostly due to\\npneumonia.\\nTermination. Generally favorable, but sometimes re-\\ncovery is slow and attended for weeks with a distressing\\ncough. The disease is one of the exciting causes of con-\\nsumption, and when this complication occurs it is almost\\nalways unfavorable.\\nTreatment. The mild cases require no medicine what-\\never. In the winter season, patients should be protected\\nfrom draughts of cold air and in that way avoid taking\\ncold. If the fever is very high, give the following every\\nhour", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0138.jp2"}, "135": {"fulltext": "VACCINATION. 1 27\\nTincture of aconite, ten drops,\\nWater, four ounces.\\nMix. Dose, a teaspoonful to be given every hour until\\nthe fever is properly controlled.\\nShould pneumonia occur, it should be treated in the way\\nlaid down for the management of that disease. The itch-\\ning of the skin that is sometimes very annoying may be con-\\ntrolled by the free application of vaseline, but if the simple\\nointment fails to stop the itching, five drops of carbolic acid,\\nadded to each ounce of vaseline, will stop it almost instantly.\\nAfter the fever has all subsided, the eruption faded from\\nthe skin, and the peeling-off process is under way, there is\\nyet great danger from exposure to cold, and fatal lung\\ncomplications may arise from getting caught out in a rain.\\nVACCINATION.\\nWhen the teat of a cow is scratched in the proper way\\nso as to bleed slightly, and matter and lymph are taken\\nfrom a case of smallpox and applied to the cow s teat\\nabout as vaccine matter is to a person s arm, the cow\\ntakes smallpox. As the animal is much less susceptible\\nto the poison than a human being is, the virulence or\\nseverity of the disease is greatly reduced, so that a scab\\ntaken from the cow and used in vaccinating children affects\\nthem in a greatly modified form, manifesting- itself in a\\ngroup of symptoms familiar to every person who has seen\\na case of vaccination. The cow vaccine is very properly\\ncalled the nonhumanized vaccine matter. When a person\\nis vaccinated for the first time with the cowpox matter,\\nfresh from the cow, such person is liable to encounter all\\nthe severe symptoms, and enjoy all the protection obtain-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0139.jp2"}, "136": {"fulltext": "128 VACCINATION.\\nable from any vaccination. As syphilis and other consti-\\ntutional diseases cannot be communicated to man through\\na cow, it is evident that the horrible dread of contracting\\nthe bad disorder from cowpox is not warranted. It is\\ntrue that a great many complications arise from the use\\nof the cowpox matter, and sometimes there are extensive\\nsloughings of the arm, attended with unsightly scars. In\\nall such cases the patients are themselves scrofulous, or\\ntainted with some constitutional disease that is simply\\nexcited by the vaccination. These cases, even though\\nthey rarely occur, have given rise to a foolish and absurd\\nopposition to vaccination.\\nAfter a person is once effectively vaccinated, whether in\\nchildhood or not, it is a matter of some doubt whether it is\\never necessary to repeat it, but in order to be on the safe\\nside it is thought better where persons are vaccinated in\\nchildhood to have them vaccinated again after maturity.\\nThe author was vaccinated in boyhood,- and when he was\\ntwenty-four had the varioloid. The fever was considera-\\nble, the headache and backache were terrible, the eruption\\nvery slight, and the whole trouble subsided in forty-eight\\nhours. The best way to perform the operation in vacci-\\nnating is as follows First, take the scab and put it on\\nthe bottom of a plate and add a drop of water to it, then\\nbreak it up with a table knife so as to get it into a watery\\npaste. Next, take a common lance, dip it quickly in boil-\\ning water, wipe it dry, and make four or five light cuts\\nthrough the skin of the arm, about the sixteenth of an\\ninch apart. These cuts should be deep enough to cause\\na very little bleeding, then cross them at right angles\\nby an equal number of cuts made in the same way.\\nAfter this is done, scrape off the blood, and rub the check-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0140.jp2"}, "137": {"fulltext": "SMALLPOX. 1 29\\nered surface over thoroughly with the pasty matter, using\\nthe lance for this purpose.\\nIn this operation a great deal depends on the extent of\\nthe surface to which the matter is applied. If it is large,\\nmore matter will naturally be absorbed, a larger surface\\naffected, and a larger and deeper scab, with more fever\\nand greater protection, will be the result. If done as\\nabove directed with fresh cowpox matter, the protection\\nin the large majority of cases will be perfect.\\nSymptoms. In successful cases of vaccination a papule\\nor pimple appears about the third day. By the sixth day\\nit is matured into a vesicle containing a pasty lymph, and\\nbecomes depressed at the centre. On the eighth or ninth\\nday it becomes a fully formed pustule, the surface sur-\\nrounding it for an inch or more in every direction being\\ndeeply red and inflamed. The color begins to fade by the\\ntenth day, the pustule dries, and in four or five days more\\nis a dark brown scab. In from twenty to twenty-five days\\nit drops off. The color of the scar fades from red to the\\nnatural color of the skin, finally becoming white, with a\\nnumber of those indentations characteristic of smallpox.\\nSMALLPOX.\\nAnother name variola.\\nThis is an acute disease, and intensely contagious. It\\ncommences with the severest aching pains imaginable, in\\nthe lower part of the back. There is no possible position\\nin which the patient can sit, stand, or lie, that affords any\\nrelief. The fever that marks the beginning of the attack\\nlasts from three to four days. As this fever and terrible\\ndistress in the back begin to subside, the eruption char-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0141.jp2"}, "138": {"fulltext": "130 SMALLPOX.\\nacteristic of the disease gradually makes its appearance,\\nand has three distinct stages. First, papular or pimple-\\nlike. Second, vesicular, in which they contain fluid.\\nThird, pustular, in which they are full of white matter.\\nFrom first to last they are called pustules. During their\\ndevelopment another fever comes on which is called the\\nsecondary fever.\\nCause. A specific poison, the nature of which is un-\\nknown, that retains its specific contagious energy for\\nmonths. The poison is the most contagious known in\\nmedicine. An infected sheet of writing-paper would\\nbreed a case of smallpox after going round the world. Its\\nperiod of contagion lasts from the earliest appearance of\\nthe fever until it has passed through all of its stages,\\nuntil the scabs have all fallen from the skin and the latter\\nis entirely sound and free from irritation. The stage of\\nsuppuration is the one in which contagion is greatest.\\nOne attack usually protects a person from another. Vac-\\ncination in the great majority of cases affords absolute\\nprotection, the cases being few, where it is properly per-\\nformed, that will have it at all. The period of incubation\\nis from fourteen to sixteen days.\\nSymptoms. It commences with a terrible chill, sick-\\nness of the stomach, and intense aching pains in the back,\\nespecially in the lower part. The fever rises rapidly the\\npulse is full, bounding, and frequent, like the inflammatory\\npulse. The face is red, eyes red and suffused, severe\\nheadache, extreme restlessness, and great debility. Active\\ndelirium is a frequent symptom in this stage of the dis-\\nease. The characteristic eruption appears on the third or\\nfourth day, commencing first on the face.\\nThe eruption consists of plump, red spots about the size", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0142.jp2"}, "139": {"fulltext": "SMALLPOX. 131\\nof bird shot, rising about half the diameter of such shot,\\nabove the level of the skin they feel hard under the finger\\nuntil they pass into their second stage. All the prominent\\nand distressing symptoms either subside or become greatly\\nmodified on the appearance of the eruption, and the pa-\\ntient is somewhat comfortable. About the fifth day the\\nspots are papular, or pimple-like. By the sixth day they\\nare vesicular and filled with fluid and soon become de-\\npressed in the centre, as is the case with a vaccine pustule.\\nBy the eighth day the vesicles are changed to pustules,\\nthat is, they are filled with pus instead of watery lymph.\\nBy the ninth or tenth day the pustules are fully matured,\\nand the features are terribly swollen and distorted. By\\nthe eleventh or twelfth day, pus, more or less mixed with\\npasty lymph, runs out of the pustule and dries into a firm\\ncrust, giving a crustaceous character to all scabs. During\\nthe suppurative stage of the disease there is a terrible\\nfever, called the fever of suppuration. This is the most\\ndistressing and critical period of the disease, the delirium\\nbeing of the wild and violent type. The fever begins to\\nsubside in three or four days, if the case is inclined to a\\nfavorable termination, and recovery commences.\\nThe confluent form of smallpox is the one in which the\\npustules are so close together that they run into each\\nother, and the malignancy of the disease is almost always\\nin direct proportion to the amount of surface that is in~\\nvolved in the pustules; therefore the confluent form is\\nexceedingly grave, and should a patient recover he is so\\nhorribly disfigured as to make life undesirable.\\nIn the most malignant form of the disease, death results\\nbefore the characteristic eruption makes its appearance.\\nIt seems that this is a much more desirable termination", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0143.jp2"}, "140": {"fulltext": "132 SMALLPOX.\\nthan recovery from the confluent form with the features\\nterribly distorted.\\nTermination. Much depends upon the character of the\\nepidemic, the variety of the attack, and the age of the\\npatient.\\nThe discrete variety, or that form in which the pustules\\ndo not run together, is comparatively mild, the deaths num-\\nbering about five in a hundred. In the confluent form at\\nleast one-half die. It is claimed that in cases of smallpox\\nunder five years old and over fifty, one-half die. In the\\nmalignant form not one survives.\\nTreatment. As the period of incubation of smallpox is\\nfrom fourteen to sixteen days, that is, it takes from fourteen\\nto sixteen days after exposure until the attack commences,\\nand the period of incubation from vaccination is only a\\nlittle over half that, if the patient is vaccinated immediately\\nafter the exposure, the vaccination will have time to run its\\nfull course before the real smallpox sets in, and for this rea-\\nson an opportunity is afforded for a great deal of protection.\\nExperience has abundantly proven that smallpox is ma-\\nterially modified by vaccination performed in this way.\\nDuring an epidemic in the west in which the author\\ntreated nearly a hundred cases of smallpox in the various\\nforms, he saw that vaccination performed immediately after\\nexposure, modified the real disease at least fifty per cent.\\nIn other words, the cases in which vaccination was per-\\nformed were not more than half as severe as those not\\nvaccinated at all. If, however, the vaccination is not per-\\nformed until several days after the exposure, the chances\\nof its affording much if any protection are very small. In\\nthe epidemic above referred to, the author was called to\\nvisit a lady, five miles out of town, with an eruption somewhat", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0144.jp2"}, "141": {"fulltext": "SMALLPOX. 133\\nsuspicious. At that time no cases except varioloid had\\nshown up in that part of the country, and those had been\\nmistaken for chicken-pox. On arriving at the house of the\\nlady, a party of about thirty young people were present and\\narranging for a ball. Sitting close to a wood fire was the\\npatient, with a heavy shawl around her, broken out all over\\nthe face, neck, and hands, with smallpox. The dancing\\nparty were arranging the large dining-room for an all-night\\ndance. When it was positively announced that the lady had\\nsmallpox, the crowd of young folks actually fell over each\\nother trying to get out of the house, and were terribly panic-\\nstricken and demoralized. On examination it was found\\nthat about one-half of them had good vaccine marks, and\\nthat something like one-third of them had not been vacci-\\nnated at all. The whole crowd went to town that night\\nand the next morning, and were vaccinated. Those having\\na good vaccine mark upon the arm did not take the small-\\npox at all, while with the others, the disease, though more\\nor less severe, was greatly reduced in severity by vacci-\\nnation. There was not a solitary case of the confluent\\nform from this exposure. None of the cases were disfig-\\nured to any extent by pitting, due, perhaps, to the careful\\nuse of a mask to be hereafter described.\\nDuring the first stage of the disease, the distress from the\\nfever and intense aching of the back and head, anti-\\npyrine may be given in doses ranging from twelve to fifteen\\ngrains, repeated every two hours until patient is relieved.\\nFor sleeplessness give the following\\nBromide potassium, one-half ounce,\\nFluid extract valerian, one-half ounce,\\nWater, three ounces.\\nMix, and give a teaspoonf ul at bedtime and repeat it in five", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0145.jp2"}, "142": {"fulltext": "134 SMALLPOX.\\nor six hours if necessary. The above is for an adult. For\\nchildren over two years old, the dose is from one-eighth\\nto one-half of that for adults, according to the size and age\\nof the patient. The most critical period of the disease is\\nduring the secondary fever and is caused, largely, by blood\\npoison, and of course is pyaemic in character, that is, it is\\ndue to absorption of pus from the hundreds of pustules\\ncovering the body. This stage is attended with extreme\\ndepression, and liable to fatal exhaustion. It calls loudly\\nfor tonics and stimulants, especially iron and brandy. A\\nconvenient tonic containing iron may also contain the best\\nalcoholic stimulant, and hence the following\\nFluid extract Peruvian bark,\\nFluid extract wild cherry bark, of each an ounce,\\nSulphate of iron, forty-five grains,\\nBrandy, one pint.\\nMix, and give a tablespoonful four times in twenty-four\\nhours.\\nDuring high fevers of any kind, patients have a craving\\nfor liquid food and it is fortunate they do, for the dry,\\nsolid foods, like meat, could not be properly digested.\\nThe appetite in such cases is an important guide in the\\nselection of diet, and patients usually crave chicken broth,\\nmilk, soft-boiled eggs, and such other articles as are easily\\ndigested.\\nTO PREVENT PITTING.\\nThe following is the description of a mask that should\\nbe applied to the face of every person with smallpox as\\nsoon as the eruption commences. Make it of two thick-\\nnesses of heavy, black muslin, and large enough to cover", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0146.jp2"}, "143": {"fulltext": "SMALLPOX 135\\nevery part of the face, from the edge of the hair on the\\nforehead to beneath the chin. It must be secured to the\\nface by elastic bands passing round and over the head, so\\nas to make it bear as firmly as possible upon every part of\\nthe skin it covers.\\nIt must have four openings one for each eye, one for\\nthe nostrils, and one for the mouth. When ready to apply,\\nit is to be covered with a paste or salve made as follows\\nCarbonate of zinc, three ounces,\\nOxide of zinc, one ounce,\\nOlive oil, a sufficient quantity to make a salve soft\\nenough to spread nicely.\\nAfter the salve is spread over every part of the mask, it\\nis then to be firmly secured to the face. It must be\\nobvious to every one that the mask cannot touch the sides\\nof the nose nor the parts of the cheek close to the nose.\\nIn order to overcome this defect, a considerable amount of\\ncotton batting must be crowded in between the two sheets\\nof muslin on each side of the nose so as to force the paste\\ndown upon every part of the skin. The mask should not\\nbe removed until all the scabs are ready to drop off. Any\\nscabs that are pulled off before they are ready to drop off\\nthemselves, increase the pitting and deformity of the features.\\nThe author has used this form of mask through two\\ngreat epidemics of smallpox, in which it was probably\\napplied to forty patients, knows what it accomplishes when\\nproperly used, and has this to say If made, applied, and\\nworn as directed, it will almost entirely prevent pitting\\nexcept in the worst forms of the disease known as con-\\nfluent smallpox. In this form the scabs are so thick that\\nthey touch each other, and every one that has it is to be\\npitted.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0147.jp2"}, "144": {"fulltext": "136 ERYSIPELAS.\\nA separate mask should be kept on the neck from first\\nto last, and the ears must be kept covered with the paste.\\nERYSIPELAS.\\nThis disease has a number of other names, some pretty\\nlarge and rarely used. They are as follows erysipelatous\\ndermatitis the rose Saint Anthony s fire.\\nIt is an acute, specific disease, strongly infectious,\\nattended with a fever of low type and scarlet inflammation\\nof the skin, usually affecting the head and face. The\\ninflammation is inclined to spread, sometimes rapidly, the\\nskin becoming swollen and greatly congested. The glands\\nof the neck and jaw are often greatly enlarged, so as to\\nendanger life from suffocation.\\nCause. A specific poison. Instead of one attack afford-\\ning an immunity from other attacks, one attack actually\\npredisposes to another.\\nSymptoms. The disease usually has an abrupt com-\\nmencement, and, like most fevers, is attended with a chill\\nfollowed by a fever that is either high or low, according to\\nthe severity of the chill, but in the well-marked cases the\\ntemperature reaches a hundred and five, pulse rapid, tongue\\nheavily coated. There is often nausea and vomiting, and\\nsometimes diarrhoea. Bleeding from the nose is not an\\nunusual symptom. There are few diseases more prone to\\ndelirium than erysipelas, especially when it affects the head\\nand face. During the fever that follows the chill, the\\neruption appears, usually at the commencement of the\\nfever, but this is not always the case, and until the eruption\\nappears it is impossible to tell what the disease is. A\\ndoctor may visit a case in the evening and think he is deal-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0148.jp2"}, "145": {"fulltext": "ERYSIPELAS. 1 37\\ning with a case of bilious fever, and give a diagnosis to that\\neffect. By morning almost any person can name the dis-\\nease, because it has the characteristic eruption. The\\nauthor, who had charge of two erysipelatous wards in Camp\\nDouglas Hospital, Chicago, in 1865, treated several hundred\\ncases. In almost all, the inflammation commenced about\\nthe head and face, there was great and rapid swelling of\\nthe skin, with burning, tingling pain, the swelling in almost\\nall the cases being so great as to close the eyes. During\\nan attack which would last a week or more, the eyes were\\nprobably closed, on the average, for forty-eight hours.\\nThere was more or less delirium, of a violent character, in\\nmost of the cases. It was controlled by the free use of\\nwater and bags of ice to the scalp. The ice-bags were\\napplied for ten minutes at a time and then left off for twice\\nthat period, and so on until the delirium was subdued. In\\nthe milder form the water was used instead of ice-bags, a\\nnurse sitting by the patient and fanning his head and face\\nto hasten the evaporation of the water and reduce the tem-\\nperature. The swelling of the skin, and also the extension\\nof the inflammation, were combated with the tincture of\\niodine. Every part of the inflammation was painted two\\nor three times in twenty-four hours by the strong tincture,\\nthe painting always reaching a little beyond the diseased\\nskin. Great care was taken to prevent getting the drug\\nin the eyes, and consequently the eyelids were not touched.\\nThe drug treatment consisted further of salts and cream of\\ntartar in laxative doses, the aim being to get a good evacua-\\ntion every day. With a view of overcoming the condition\\nof the blood that was supposed to give rise to the disease,\\nmuriated tincture of iron in twenty-drop doses was given\\nevery three hours, so as to give a hundred drops or more", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0149.jp2"}, "146": {"fulltext": "138 ERYSIPELAS.\\nduring the day. No sedatives, no stimulants, and no tonics,\\nexcept the iron, were given. Every case recovered.\\nTermination. Where the disease occurs in healthy\\nsubjects it is usually favorable. It may cause death from\\nsuffocation by closing the air passage of the larynx. As\\nin all other grave affections, intemperate patients are most\\nliable to succumb.\\nTreatment. In the mild cases of this disease, unat-\\ntended by glandular enlargement and swelling of the\\nskin, but little treatment of any kind is required. In\\nsuch cases it is not necessary to paint the inflamed skin\\nwith iodine, as that drug is used mainly to stimulate ab-\\nsorption and reduce the swelling. In the mild forms, or\\nthose in which the inflamed skin rises but little above the\\nsurrounding healthy skin, a solution of sugar of lead ap-\\nplied to the surface with a small sponge will have a very\\nsoothing and cooling effect. Under its use the redness\\nusually fades in a short time. The proper strength is a\\nheaping teaspoonful to a pint of water. Great care must\\nbe taken to avoid getting it into the eyes. In the more\\nsevere cases, in which swelling of the skin and enlarge-\\nment of the glands about the throat are great, the strong\\ntincture of iodine should be used upon every part of the\\naffected skin, except the eyelids. It is best to apply it\\nabout every twelve hours. Should the swelling about the\\nthroat be of a character to threaten suffocation, hot poul-\\ntices, changed every ten or fifteen minutes, should be\\napplied.\\nThe disease can be greatly modified by the use. of a\\nsedative to the heart s action if commenced early. If the\\npulse is decidedly strong and full, tincture of veratrum\\nveride in two-drop doses every hour, for five or six hours,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0150.jp2"}, "147": {"fulltext": "ERYSIPELAS. 1 39\\nwill do a great deal of good. There is often violent delir-\\nium during the first twenty-four hours, and as this is caused\\nby the burning fever and brain congestion, any remedy\\nreducing the force and frequency of the pulse must natu-\\nrally reduce the fever, the congestion of the brain, and\\nin doing so lessen the delirium.\\nAfter the veratrum has been given for five or six hours\\nin this way, it may cause sickness and vomiting. The\\nnausea from veratrum is distressing, countenance pale,\\nbedewed with a cold perspiration, pulse weak and flut-\\ntering, the patient having all the symptoms of a fatal\\ncollapse. In such cases a tablespoonful of brandy will\\nhasten a reaction, after which the disease runs an exceed-\\ningly mild course if it is not wholly aborted. It is not\\ndesirable to give the veratrum in such doses as to get the\\nprostrating effects of the drug as above mentioned, but to\\nwatch the effect of it upon the pulse and when it com-\\nmences to fall, stop the remedy at once. In two or three\\nhours it may be commenced again, and sometimes it may\\nbe best to limit the dose to a drop every hour. Should\\nthe pulse not be full and bounding, with delirium and\\nother symptoms less violent, it is better to use a milder\\nsedative than the veratrum. Therefore, the tincture of\\naconite root may be given in drop doses for eight hours,\\nand then left off two or three hours, to be resumed as\\nbefore. The sooner the sedative treatment is begun after\\nthe fever is fairly established, and the nature of the disease\\nrecognized, the greater effect it will have in limiting the\\ngravity of the affection. The same is true when veratrum\\nis given instead of aconite. It is truthfully said that there\\nis a time for all things, and there is certainly a time and a\\nproper time, too, in which to give sedatives in inflamma-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0151.jp2"}, "148": {"fulltext": "140 ERYSIPELAS.\\ntory diseases, and that is as near the commencement of\\nthe attack as possible. The object is to arrest inflamma-\\ntory development, and if the inflammation is allowed\\nunlimited sway for forty-eight hours, a sedative of any\\nkind can do but little, if any, good. In all forms of ery-\\nsipelas, what is known as the iron treatment is the most\\nefficacious. The muriated tincture of iron is the most\\npopular form in which to give it, the dose being from\\ntwenty to thirty drops every three hours during the day-\\ntime. It should be largely diluted with water, and if the\\npatient is rational, it is better to have it sucked through a\\nstraw or glass tube to avoid its effects upon the teeth. The\\ntreatment of erysipelas with this remedy has been so won-\\nderfully favorable as to suggest the idea that its effects are\\nnot due wholly to the iron. It is very probable that the\\nmuriatic acid used in preparing the tincture has a favor-\\nable effect in overcoming the condition of the blood to\\nwhich erysipelas is mainly due. If the intense fever and\\ndelirium are not controlled by the sedative treatment, con-\\njoined with the laxative effects of salts and cream of\\ntartar, water may be applied freely to the head and face\\nbut the head must never be covered by a cloth of any\\nkind. If the hair is kept thoroughly wet and the evapora-\\ntion of the water hastened by the gentle but constant use\\nof a fan, it will probably do more good in arresting the\\nfever and delirium than bags of ice applied to the head.\\nThere are many unpleasant things connected with the use\\nof ice in this way, and one of them is, that the scalp is\\nliable to be frozen, causing the hair to fall off and never\\nreturn. In order to avoid this deplorable result, it is\\nnecessary to remove the bags of ice every five or ten\\nminutes, and keep them off until heat returns to the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0152.jp2"}, "149": {"fulltext": "GERMAN MEASLES. 141\\nscalp. As reaction from the use of ice is very intense,\\nthe trouble is liable to be aggravated by leaving it off too\\nlong. It is therefore apparent that the use of ice in sub-\\nduing inflammation affords an opportunity for two serious\\nmistakes. For this reason water, as above advised, is\\nmuch safer and better. The most violent forms of\\ndelirium are sometimes entirely subdued within ten\\nminutes by holding the patient s head over a wash-tub\\nwith his face down, and pouring a dozen dippers of cold\\nwater all over it, keeping up a slow but constant stream\\nfor ten or fifteen minutes.\\nGERMAN MEASLES.\\nOther names: epidemic roseola; French measles; false\\nmeasles.\\nThis affection is a self-limited disease, attended with\\nslight fever, congested and watering eyes, sore throat and\\ncough, while the glands about the neck are enlarged. The\\neruption, which is red and generally exists in patches of\\nirregular size, appears on the first day.\\nCause. It is due to infection, the exposure to the infec-\\ntion before it breaks out covering a period of from one to\\nthree weeks. The length of time elapsing after a person\\nis exposed to a disease until the attack commences is\\ncalled the period of incubation. It literally means the\\nhatching period.\\nSymptoms. It is an acute disease, and the attack is\\nabrupt in its development, but the fever is mild, eyes\\nsuffused with tears, enlargement of the glands about the\\nneck, attended with an inflamed condition of the throat,\\nand pain on swallowing. The eruption generally appears", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0153.jp2"}, "150": {"fulltext": "142 VARICELLA.\\nearly in the disease, but sometimes it is delayed till the\\nfourth day. The spots constituting the eruption are about\\nthe size of bird shot, rising a little above the level of the\\nskin. Some of these spots run together, forming thick\\nclusters of irregular size. The eruption appears on the\\nupper part of the body first, and commences fading there\\nabout the time it begins to appear on the lower extremities.\\nTermination. Always favorable, as the disease runs its\\ncourse in a week, leaving no after effects of any conse-\\nquence.\\nTreatment. There is scarcely anything to be done in\\nthis affection. If there is severe itching of the skin, vase-\\nline ointment, as recommended in scarlet fever and measles,\\nwill allay it.\\nVARICELLA.\\nCommon name chicken-pox.\\nThis is a mild, contagious, eruptive fever, the vesicles\\ndrying up and falling off within four or five days.\\nCause. A specific poison, the disease being limited to\\nchildhood, because but few persons pass through that\\nperiod without having it.\\nSymptoms. It commences with a moderate fever, fol-\\nlowed by the eruption of vesicles that dry up rapidly and\\nfall off within a week, leaving little dints or pits, very much\\nlike varioloid.\\nTermination. This is always favorable, as the affection\\nis so trifling in its nature as to attract but little attention\\nif it were not for the eruption. In some cases there is\\nserious pitting, and it is very probable that persons dis-\\nfigured in this way are scrofulous subjects, and that the\\ndisease simply arouses an affection that had not previously", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0154.jp2"}, "151": {"fulltext": "APHTHOUS STOMATITIS. 1 43\\nmanifested itself, just as vaccination does under similar\\nconditions. To avoid the pitting, use zinc ointment to the\\npimples, and cover the face, neck, and forehead with a black\\ncloth, leaving holes for the eyes, mouth, and nostrils.\\nAPHTHOUS STOMATITIS.\\nOther names croupous stomatitis follicular stomati-\\ntis vesicular stomatitis.\\nThis is an inflammation of the mucous lining of the\\nmouth, including the covering of the entire tongue. It is\\ncharacterized by vesicles appearing in small clusters in\\ndifferent parts of the mouth, these clusters multiplying in\\nnumber and gradually spreading until they meet each\\nother, thus involving the whole of the mouth and tongue.\\nThese vesicles finally rupture, leaving an ulcer correspond-\\ning to the size of the vesicle, and slowly heal.\\nCauses. It is a disease almost exclusively of childhood.\\nIt is due to deranged digestion, delay in teething, neglect\\nto properly wash the child s mouth after nursing, and some\\nof the eruptive fevers, especially measles. One of the most\\nfrequent and provoking causes is sour stomach, caused by a\\nfailure of the milk to digest.\\nSymptoms. It commences with a reddened and in-\\nflamed condition of the mucous membrane of the mouth,\\nsoon to be followed by the appearance of whitish vesicles\\non the mucous covering of the lips and point of the tongue.\\nAs the disease develops, the vesicles, which exist in little\\nclusters or patches, increase in number until every part of\\nthe mouth and tongue is covered with them. The mouth\\nis so sore that the child cannot nurse. As soon as it\\ncatches the nipple and tries to nurse, it will let go with an", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0155.jp2"}, "152": {"fulltext": "144 APHTHOUS STOMATITIS.\\nangry scream from pain. There is a constant flow of\\nsaliva from the mouth. In children two or three years\\nold the mouth is so sore they cannot chew, and are com-\\npelled to live on liquid food.\\nTermination. Always favorable.\\nTreatment. As in all other cases the cause of the\\ndisease must be found and removed. The affection is\\nusually attended with sour stomach, which can be con-\\ntrolled with bicarbonate of soda, given as follows\\nSoda, a heaping teaspoonful,\\nWater, a half pint.\\nMix dose a teaspoonful every hour.\\nWhere these vesicles run together so as to form, after\\nrupturing, an ulcer of some size, it is best cured with\\ncarbolic acid, full strength, as follows Clean the floor of\\nthe ulcer with a bit of absorbing cotton, then touch it with\\na drop of the acid so as to make the ulcer as white as\\nmilk. Several of them can be treated at one time, and\\nthey heal in a day or two. It will not do to treat very\\nmany of them at once, as there would be danger of poison-\\ning from the drug but carbolic acid has no equal in such\\ncases, first, because it is painless, and, second, because it\\nalways cures. Nitrate of silver is cruelly painful, and\\nshould never be used as a caustic when carbolic acid will\\nanswer. If there is derangement of the bowels, small\\ndoses of calomel may be given as directed in the treat-\\nment of catarrhal stomatitis.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0158.jp2"}, "153": {"fulltext": "THRUSH. 145\\nTHRUSH.\\nOther names white mouth parasitic stomatitis.\\nThis is an inflammation of the mucous membrane of the\\nmouth, attended with the growth of a fungus or parasitic\\nplant. There is usually derangement of the digestive\\norgans.\\nCauses. The disease is largely due to carelessness and\\nuncleanliness, and occurs in debilitated children. It is sel-\\ndom seen after two years of age.\\nSymptoms. Great pain and tenderness, aggravated by\\nchewing or nursing. There is great drooling, the lips are\\nsore and swollen, and the breath has a fetid odor. There\\nis generally diarrhoea attended with griping pains, the\\nstools being green.\\nTermination. This is almost always favorable.\\nTreatment. Thorough cleanliness of the mouth is of\\nthe utmost importance, and the nipple must be thoroughly\\ncleansed after nursing, and the mouth carefully rinsed.\\nIn this affection the stools are green, due to indigestion,\\nand there is a great deal of griping pain which adds to the\\nrestless condition of the child. In this, as in all other\\naffections of the mouth, in infancy and in childhood, when\\ngreen stools are found, the following must be given\\nMercurius dulcis, the first decimal trituration, fifteen\\ngrains divide into five powders, and give one every hour\\nuntil all are taken. A powder must always be placed in\\nthe mouth, dry, and then washed down with a swallow of\\nwater or milk. As the powders work off, the stools change\\nfrom green to almost black, then gradually fade into brown,\\nfinally becoming yellow or natural, when the stomach and\\nbowel derangement is conquered. As the mouth trouble", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0159.jp2"}, "154": {"fulltext": "146 GANGRENOUS STOMATITIS.\\nis largely due to disorders of digestion, the powders given\\nin this way favor a rapid recovery.\\nThe following is a very desirable wash for the mouth\\nCommon borax, three drachms,\\nWater, three ounces.\\nMix, and apply with a swab.\\nGANGRENOUS STOMATITIS.\\nOther names water-cancer cancrum oris noma.\\nThis is a destructive, gangrenous ulceration of the mouth,\\nin which most of the affected tissues are destroyed.\\nCause. It is usually a disease of childhood, seldom\\nappearing in adults, and is due to a parasite.\\nSymptoms. The disease may develop in connection\\nwith ulcerative stomatitis, or it may start as a sloughing\\nulcer upon the gum or mucous membrane of the mouth,\\nwhen all the other mucous tissue is seemingly in a healthy\\ncondition. There is great swelling of the cheek, the skin\\nbecoming glossy, the inflammation spreading, usually so\\nas to involve entirely one side of the face.\\nThe pulse is rapid but weak, fever high, debility great,\\nand the case is characterized by a terribly disagreeable\\nodor. Death usually occurs in a week or ten days.\\nTermination. This is almost always unfavorable, as it\\nis one of the most malignant diseases that afflict children.\\nTreatment. There is practically nothing to be done in\\nthese cases, except to make the patients as comfortable as\\npossible until death ends the suffering.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0160.jp2"}, "155": {"fulltext": "ULCERATIVE STOMATITIS. 1 47\\nULCERATIVE STOMATITIS.\\nAnother name diphtheritic stomatitis.\\nThis is an inflammation of the mucous membrane of the\\nmouth, diphtheritic in character, attended with extensive\\nulcerations. It generally begins on the edges of the lower\\ngum, and soon affects the lips and whole interior of the\\nmouth. It is almost wholly a disease of childhood, and\\nis closely connected with poverty, indolence, and unclean-\\nliness.\\nSymptoms. It commences with an inflamed and swol-\\nlen condition of the gums, both chewing and swallowing\\ncausing great pain, and the patient is compelled to live on\\nliquid food. The mouth is intensely feverish, and hot\\nsaliva, often mixed with blood, drips from the mouth the\\nglands below the jaw are enlarged and very sore.\\nTermination. This is quite favorable so far as life is\\nconcerned, but the destruction of the gums is considerable,\\nand sometimes part of the teeth are lost.\\nTreatment. The cause of the disease should be found\\nand removed. Absolute cleanliness must be observed\\nfrom first to last.\\nChlorate of potash, given in three-grain doses every two\\nhours, has a positive curative value, its prompt action\\noften winning for it the reputation of a specific. In this\\naffection there is a very low state of vitality with a dis-\\nposition of the ulcers to spread, and to touch them\\nwith carbolic acid, which lowers the vitality of the part\\nfor many hours, might do a great deal more harm than\\ngood by increasing the disposition to spread therefore,\\na very stimulating application, such as nitrate of silver, ten\\ngrains to the ounce of water, may be necessary. Should", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0161.jp2"}, "156": {"fulltext": "148 GLOSSITIS.\\nirritation of the stomach and bowels exist in this affection,\\nit may be treated in the same way as in catarrhal stomatitis,\\nwhich please see.\\nGLOSSITIS.\\nThis is an inflammation of the entire structure of the\\ntongue, in which swelling is great, mastication and swallow-\\ning painful, and speaking difficult or impossible. It may\\nbe either acute or chronic. The acute form is generally\\ncaused by an injury, such as hot water, an irritating drug,\\nor the sting of an insect.\\nIn the chronic form the inflammation is generally limited\\nin extent, may be caused by constant irritation from the\\nteeth, and also from the use of a tobacco pipe. Smoking\\nis by far the most frequent cause of chronic inflammation\\nof the tongue, the inflamed and reddened part usually\\nappearing at or near the point. When once, established,\\nit is almost impossible to cure it until the smoking is left\\noff. While the nicotin of the tobacco has much to do\\nin causing the inflammation, it is not the only source of\\nthe trouble, as the heat of the smoke, especially when\\na cigarette is used, is very irritating. To overcome the\\ntrouble from heat, it is often found necessary to use a pipe-\\nstem two feet long.\\nSymptoms. Acute inflammation of the tongue develops\\nsuddenly, is attended with fever, pain, anxiety,* and great\\nswelling of that important organ. There is always an\\nunusual flow of saliva, and a burning sensation in the mouth.\\nChewing and swallowing are difficult. The power of speech\\nis almost lost, and there is threatened suffocation. There is\\nusually enlargement of the glands at the angles of the jaw.\\nTermination. This is not always favorable, as there is", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0162.jp2"}, "157": {"fulltext": "GLOSSITIS. 149\\nmore or less danger of death from suffocation. Chronic\\ninflammation of the tongue, after it has existed for many\\nmonths, is very difficult to cure, and in the majority of\\ncases is not favorably affected by any treatment, except\\nwhen due to smoking, recovery may occur when the habit\\nis abandoned.\\nTreatment. This should commence as soon as possible\\nafter the disease is developed and recognized, and the best\\npossible remedy to break the force of the inflammatory\\naction and lessen the dangers that are liable to arise from\\nsuffocation, is the tincture of veratrum veride in three-drop\\ndoses every hour for six or eight hours. It should be given\\nin a tablespoonful of water. By the time five or six doses\\nare taken in this way the pulse may fall rapidly, attended\\nwith extreme nausea and vomiting, the countenance very\\npale and wet with a profusion of cold perspiration. In\\na case with such marked drug action as the above, the\\npulse is liable to be feeble and fluttering, and this, conjoined\\nwith the other symptoms, suggests the idea of a fatal col-\\nlapse. When reaction occurs, which may be hastened with\\na tablespoonful of brandy, the pulse gradually increases\\nin volume, heat and color are restored to the features, the\\nnausea and vomiting stopped, and the patient is better in\\nevery way, the inflammatory action being almost subdued.\\nWhere this treatment has been followed so as to get such\\ndecided drug action as this, the case rarely needs further\\ntreatment. The prostrating effects of the drug, however,\\nare frightful to those who have had no experience with\\nit, but the cases of death are a hundred times more nu-\\nmerous from the less violent sedative, aconite, than from\\nveratrum, as the latter gives warning of its own specific\\naction through vomiting. Aconite does not.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0163.jp2"}, "158": {"fulltext": "150 CATARRHAL STOMATITIS.\\nCATARRHAL STOMATITIS.\\nOther names simple stomatitis catarrh of the mouth.\\nThis is an acute inflammation affecting the mucous\\nmembrane of the mouth and tongue and sometimes the\\nthroat. It may be limited to a part of the mouth, but in bad\\ncases it involves the whole mucous surface. Infants at the\\nbreast are most liable to the affection.\\nCauses. It most frequently arises from inflammation of\\nthe mouth caused by teething and disorders of the stom-\\nach. All the eruptive fevers, such as measles, scarlet fever,\\nand smallpox, have a tendency to produce the affection.\\nSymptoms. Stomatitis commences with the usual\\nsigns of inflammation, such as heat, pain, and redness, and\\nmay affect the entire mouth or only a part of it. The\\nmouth is usually so sore that infants cannot nurse, render-\\ning it necessary to feed them with a spoon. They are\\nintensely fretful and hard to take care of.\\nTermination. Patients almost always recover from the\\nacute form of the disease. In chronic cases they are gen-\\nerally adults in whom the disease has been developed by\\nalcohol or tobacco, and no treatment is available in such\\ncases until the tobacco habit or the whiskey is abandoned.\\nTreatment. That which is most important in this, as in\\nall other affections, is to remove the exciting cause. If it\\nis due to derangement of the stomach, this may be some-\\nwhat easily effected; but if from difficulty and delay in\\nteething, it may require weeks of time to remove the cause,\\nas the teething process cannot be hastened, and any\\nattempt to do so by lancing the gums is injurious. When\\na tooth is almost ready to come through the gum, so its\\nsharp edges can be felt by the finger, mothers sometimes", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0164.jp2"}, "159": {"fulltext": "CHRONIC BRONCHITIS. 151\\nbring it through by rubbing the gum with the edge of a\\nthimble or the ringer nail. This is all right but when the\\ntooth is covered by enough tissue to require the use of a\\nlance, the incision in the gum will close by healing, the\\nscar will be harder than the natural gum, and it will be\\nthat much harder for the tooth to get through when the\\nproper time comes.\\nThe following mouth wash will probably give the best\\nresults in allaying the irritation\\nBorax, two drachms,\\nWater, three ounces.\\nMix, and use as a mouth wash three times per day.\\nCHRONIC BRONCHITIS.\\nOther names winter cough secondary bronchitis.\\nThis is a chronic inflammation of the membranes lining\\nthe large and middle-sized tubes of the lungs. It is\\nattended with cough and copious expectorations.\\nCauses. The main causes are exposures to cold, or liv-\\ning in a wet, disagreeable locality or climate. It is also\\ncaused by the inhalation of irritants, such as marble dust,\\nand often afflicts stone-cutters. The secondary form is\\nmostly due to inflammatory affections of the lungs.\\nSymptoms. The principal symptoms of the disease are\\ncough and expectoration. The cough is more or less peri-\\nodic, disappearing at times and then reappearing, and thus\\ncontinuing more or less through life. It is more severe at\\nnight, the expectoration being greatest in the morning.\\nAs the lungs and stomach are supplied by the same nerves,\\na sympathetic action between the two organs manifests", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0165.jp2"}, "160": {"fulltext": "152 CHRONIC BRONCHITIS.\\nitself by a loss of appetite, impaired digestion, and the\\ngeneral symptoms of dyspepsia.\\nTermination. Chronic bronchitis when not complicated\\nby other diseases is rarely a fatal affection.\\nTreatment Patients suffering with this affection may\\nfind great relief by adopting and carefully following proper\\nhygienic measures. The most important of these, except-\\ning a change of climate, is to wear woollen underclothing,\\nyear in and year out, always keeping the feet warm and\\ndry. There is no one factor in the treatment of the\\ndisease so important as a change from a low, cold, wet cli-\\nmate to one that is high, dry, and moderately warm. Per-\\nsons going from the low altitudes of New England, where\\nthe air is damp and cold, to live on the dry plains of New\\nMexico, or to the best of all climates, Southern California,\\nare not only relieved of their sufferings from chronic bron-\\nchitis, but in almost all cases get entirely well. Complete\\nrecovery often occurs when the changes of climate are\\nmuch less radical, as when patients go from the eastern\\ncoast to central Kansas where the altitude is only about\\ntwelve hundred feet above the sea level. So far as a per-\\nmanent cure is concerned there is nothing but a decided\\nchange of climate that affords much, if any, hope, but there\\nis one drug, if properly given and for a sufficient length of\\ntime, that favorably affects most cases of chronic bronchi-\\ntis. It is iodide of potassium and should be given as fol-\\nlows\\nIodide of potassium, two and a half drachms,\\nCompound syrup of stillingia, one pint.\\nMix dose a half tablespoonful three times a day.\\nThis mixture may aggravate the symptoms for a few\\ndays by causing a flow of mucus from the nose, but the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0166.jp2"}, "161": {"fulltext": "INFLUENZA. 1 53\\nsystem soon gets used to the drug, when a gradual\\nimprovement follows, the cough becoming much less\\ntroublesome. The treatment should be followed for\\nseveral months. Where it is given in chronic bronchitis\\nattended with asthma, the paroxysms of the latter are\\nusually much less frequent and less severe. The syrup of\\nstillingia in this prescription is not used merely as a con-\\nvenient vehicle for iodide of potassium, but it has a curative\\neffect, scarcely second to the iodide itself; and those who\\nhave always given iodide of potassium in simple syrup or\\nsome other form instead of being combined with stillingia,\\nhave failed to appreciate one of the most valuable altera-\\ntives we have.\\nINFLUENZA.\\nOther names La Grippe grip contagious catarrh.\\nThis is an acute, infectious fever, somewhat contagious.\\nThere is almost always bronchitis, derangement of the\\ndigestive functions, and marked disturbance of the nervous\\nsystem. There is usually great debility with a tendency\\nto melancholy.\\nCause. The disease is due to bacillus, another term\\nfor a disease germ that floats in the atmosphere. It is\\nsaid that one attack of the disease predisposes to another.\\nSymptoms. The disease ranges in severity from the\\nmildest possible form to one of the gravest character. In\\nthose cases that are well marked, the disease generally\\ncommences with a chill or a chilly feeling, followed by\\nfever. The pulse is quick, shooting pains about the eyes,\\npains in the muscles and also about the joints, suggesting\\nthe idea of rheumatism. There is chilliness along the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0167.jp2"}, "162": {"fulltext": "1 54 INFLUENZA.\\nspine, pain in the throat, hoarseness, as if from a severe\\ncold, deafness, discharge from the nose, frequent sneezing,\\nas in hay fever, eyes red and watery, and usually a severe\\ncough. The attacks are sometimes attended with distress\\nin the stomach, nausea, vomiting, and diarrhoea. The\\nfever generally begins to subside in from four to seven\\ndays, and a slow convalescence is established. Relapses\\noften occur. The most frequent and fatal complications\\nare those of pneumonia. The mild attacks are liable to\\nbe mistaken for a bad cold.\\nTermination. Almost always favorable, as the fatal\\ncases are less than one in a hundred.\\nTreatment. The medical profession knows no remedy\\nthat can be ranked as a specific in this disease. The\\nmost rational course to pursue is to meet the symptoms\\nwith the best known remedy as they occur. Everything\\nthat has a tendency to exhaust the vitality, or depress the\\nnervous system, or unduly excite the respiratory functions\\nand heart s action, should be carefully avoided.\\nPatients should be kept comfortably warm, and as a\\ngeneral thing it is safest for them to keep their bed.\\nFor the guidance of every one who may be afflicted with\\nthis disease, it is well to state this The great majority of\\nfatal cases are rendered so by exposure to cold and the\\nhardships of labor or business after the disease has set in.\\nOne peculiarity of this affection is, that violent physical\\nexertion during the attack, even though it may be mild, is\\nvery apt to develop pneumonia, the most dangerous com-\\nplication.\\nThe most annoying symptoms of this trouble, such as\\npains in the muscles and joints, cough, and acute nasal\\ncatarrh, are relieved by Dover s powder in ten-grain doses", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0168.jp2"}, "163": {"fulltext": "INFLUENZA. 1 55\\nfour or five times in twenty-four hours; in mild cases, two\\nor three powders will be sufficient.\\nIt is a self-limited disease, running its course in from\\nfive to twelve days, and there is but little to be done except\\nkeeping the patient either in bed or in a warm, comfortable\\nroom, and giving such remedies as are best calculated to\\nsecure rest and comfort.\\nIf there is sickness of the stomach with a tendency to\\nvomiting, it can be promptly controlled by giving a half\\ngrain of the extract of ignatia before each meal. The\\nheadache complications are also controlled by the same\\nremedy.\\nAFTER EFFECTS.\\nOne of the most terribly unfortunate terminations of this\\ndisease is the state of mental aberration, or deranged mind\\nthat often follows it. Such patients are liable to be greatly\\ndepressed and to live in a chronic state of melancholy with\\ngreat tendency to suicide. They are also in a somewhat\\nchildish condition, with an inclination to weep on the slight-\\nest provocation. Whether these symptoms are due to\\nindigestion or not, the best remedy is the extract of igna-\\ntia, ranging in dose from one-half to a full grain, accord-\\ning to the size of the patient, persons weighing over two\\nhundred pounds requiring a full grain.\\nOne pill is to be given before each meal and should be\\ncontinued for several weeks; meanwhile the patient should\\nnot be left alone, as many have been known to slip off to\\nthe barn and hang themselves, or suicide in some other\\nway.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0169.jp2"}, "164": {"fulltext": "156 PLEURISY.\\nPLEURISY.\\nOther names stitch in the side pleuritis.\\nThis is an inflammation of the pleura, which is a mem-\\nbrane covering the lungs or lining the cavity of the thorax.\\nThe membrane covering the lungs is called the pleura\\npulmonalis. The membrane lining the chest is called\\npleura costalis. They are both sleek, glossy membranes,\\nand come in contact with each other in breathing. Dur-\\ning inflammation of the lungs there may be more or less\\npleurisy, and in that case it is usually inflammation of the\\nmembrane covering the lungs. Where the disease comes\\non independently of inflammation of the adjacent organs,\\nit is very liable to affect both membranes.\\nCauses. It is usually due to exposures to cold or to\\ninjuries of the chest. Consumption frequently causes pleu-\\nrisy, but in such cases it is limited to a small part of the\\nmembrane covering the lungs, and is never what is termed\\ngeneral pleurisy.\\nSymptoms. The disease in its acute form commences\\nas most inflammatory affections do, with a chill, followed\\nby a sharp pain in the side or near the nipple, which is\\nalways increased by breathing or coughing. The breath-\\ning is rapid, running from thirty to forty per minute,\\nattended with a dry cough, fever, and frequent pulse.\\nSoon water is poured out on the surface of the inflamed\\nmembrane, the fluid accumulating between the two mem-\\nbranes, the one covering the lung and the other lining the\\nwalls of the chest. This fluid presses upon the lungs and\\ninterferes with breathing, the difficulty being in proportion\\nto the amount of the existing fluid. It often causes a feel-\\ning of threatened suffocation, and the patient almost always", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0170.jp2"}, "165": {"fulltext": "PLEURISY. 157\\nlies on the affected side. There are two reasons for doin\\nb\\nso. The first is to keep the muscles of that side that are\\nconcerned in breathing, in a state of perfect rest so as to\\nprevent pain by the inflamed membranes rubbing against\\neach other. The second is to give the sound lung every\\nopportunity to carry on the functions of respiration, instead\\nof being compressed by the weight of the body and dimin-\\nished in its breathing capacity.\\nCases of pleurisy that are more or less chronic come on\\nslowly, after exposure to cold or other exciting causes.\\nSuch cases are affected by shortness of breath, aggravated\\non slight exertion, have fever and night-sweats, a dry cough,\\nthe pulse being small, frequent, and rather weak. There\\nmay be but little, if any, pain in the side.\\nTermination. Pleurisy that comes on independent of\\nany other affection is generally favorable, running its course\\nand ending in recovery within a few weeks. If it exists as\\na result of pneumonia or consumption, it ceases to be a\\nsimple disease, and the danger to life is largely due to the\\ncause producing it.\\nWhen it occurs on both sides at the same time it is called\\ndouble pleurisy, and is exceedingly unfavorable.\\nTreatment. In all cases of acute pleurisy in which the\\ninflammatory symptoms, such as severe pain, full, frequent,\\nand bounding pulse are present, a sedative to the heart s\\naction should be given every hour as follows\\nTincture veratrum veride, one drachm,\\nWater, four ounces.\\nMix, and give a teaspoonful every hour for eight hours,\\nthen leave it off for three hours, after which give it every\\ntwo hours for twelve hours longer. If at any time while\\nthis drug is being given sickness and vomiting should occur,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0171.jp2"}, "166": {"fulltext": "158 PLEURISY.\\nit must be left off at once, and a tablespoonful of whiskey in\\nan equal amount of sweetened water given. When vomit-\\ning occurs from the remedy given in this way, it almost\\nalways reduces the force and frequency of the pulse, brings\\nthe temperature down greatly, and relieves pain and other\\ndistressing symptoms. When this occurs, the pleurisy or\\ninflammatory process, whatever it may be, is completely\\naborted, and rapid recovery follows. Unfortunately, how-\\never, the cases of pleurisy that are sufficiently acute and\\nviolent to call for this powerful sedative, are comparatively\\nfew.\\nFor this reason, milder forms of treatment have to be\\nemployed in most cases. While there is nothing so com-\\npletely abortive as the veratrum veride when it is perfectly\\nadapted to the case, there are other remedies calculated to\\nmodify the disease and greatly shorten its course, and one\\nof the very best is salicylate of soda, given as follows\\nSalicylate of soda, two drachms,\\nWater, four ounces.\\nMix, and give a teaspoonful every hour for eight or ten\\nhours, after which give it every two hours. If this is com-\\nmenced in the early stage of pleurisy, and the patient cov-\\nered up warmly in bed, profuse perspiration will soon follow,\\nand with it a subsidence of the pain, fever, and other dis-\\nagreeable symptoms. It is claimed by the best authorities\\nthat pleurisy is often broken up by this drug, if timely and\\nproperly given, and that it is also valuable in the stage of\\naffusion, or during the collection of water in the cavity of\\nthe chest. After water has accumulated in the thoracic\\ncavity it greatly embarrasses the breathing process, and\\nshould be gotten rid of as soon as possible and the follow-\\ning treatment hastens its absorption Give, about an hour", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0172.jp2"}, "167": {"fulltext": "ACUTE TONSILITIS. 159\\nbefore breakfast, two heaping tablespoonf uls of Epsom salts\\ndissolved in two or three ounces of water. Continue this\\nfor two or three mornings and there will be four or five\\nstools each day, consisting almost entirely of water, and in\\nthat way the system is in a great measure drained of the\\nwatery portion of the blood, and the fluid in the cavity of\\nthe chest naturally passes back into the circulation. But\\nlittle water should be given to the patient during this\\ntreatment.\\nIn the chronic form of pleurisy, absorption of the fluid\\nshould be stimulated by iodide potassium in ten-grain doses,\\nthree times per day, in a gill of water. In all cases of\\npleurisy it is best to control the pain with the sulphate of\\nmorphine, given in quarter-grain doses every three or four\\nhours, as the case seems to require.\\nACUTE TONSILITIS.\\nThe common name is quinsy.\\nThis is an acute inflammation involving the structure or\\nsubstance of one or both tonsils, and is attended with fever\\nand pain in the throat which is greatly increased by swal-\\nlowing. In the majority of cases one or both tonsils sup-\\npurate, and either break or have to be lanced.\\nSymptoms. The disease commences suddenly with a\\nchill, followed by a fever, the pulse being full and strong,\\ncharacteristic of inflammation. There is headache, great\\nthirst, with swelling at the angle of the jaw, severe pain\\nwhich is always increased by swallowing. There is a\\nfeeling of suffocation caused by the general swelling about\\nthe throat, but more especially from enlarged tonsils. When\\nsuppuration of one of the tonsils is taking place, all the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0173.jp2"}, "168": {"fulltext": "l6o ACUTE TONSILITIS.\\ndistressing symptoms are increased, and to these are added\\na new one, that of painful throbbing in the affected tonsil.\\nThis gets worse and worse, the pain and throbbing in-\\ncreases, the breathing becomes more and more embarrassed,\\nand the countenance takes on an anxious expression. Fi-\\nnally in a violent effort to cough or get rid of offending mucus\\nin the throat the abscess of the tonsil breaks, the matter is\\ndischarged by the mouth, and immediate relief follows.\\nTermination. This is almost always favorable, except\\nin children. In the little patients it sometimes proves\\nfatal by obstructing the air passage in the throat.\\nTreatment. In all inflammatory affections commen-\\ncing suddenly with a chill and followed by a high fever\\nand a strong, full, and frequent pulse, tincture of veratrum\\nveride in two-drop doses every hour, should be given to\\nan adult for about six hours. Acute tonsiiitis is of this\\ncharacter, and the system should be brought under the in-\\nfluence of the drug as soon as possible without running\\nthe risk of over-dosing. Where the veratrum is given\\nevery hour in this way the pulse must be watched, and as\\nsoon as it commences to fall, the remedy should be left off\\nfor a couple of hours. The object of the veratrum is to\\nso control the heart s action as to lessen the amount of\\nblood sent to the affected part, and in doing this to reduce\\nthe swelling, the fever, the inflammation, greatly relieve\\nthe pain, and prevent abscess of the tonsils. There is\\nnothing so capable of bringing about these favorable re-\\nsults as this drug. Unlike the tincture of aconite, if it is\\ngiven in too large doses, or continued for too long a time,\\nor in small doses too often repeated, it causes vomiting, in\\nwhich the drug is thrown up. The sickness in such cases\\nwarrants the doctor or nurse to discontinue the remedy for", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0174.jp2"}, "169": {"fulltext": "WHOOPING COUGH. l6l\\na few hours. A tablespoonful of whiskey will check the\\nsickness and hasten a reaction. Aconite gives no warn-\\ning of its dangerous effects upon the system, and for that\\nreason is a dangerous remedy.\\nDuring the whole course of this disease the bowels may\\nbe kept open by a mixture of Epsom salts and cream of\\ntartar, equal parts, given in heaping teaspoonful doses two\\nor three times per day in a half glass of water. It is well\\nto stimulate the kidneys by a teaspoonful of sweet spirits\\nof nitre in a gill of water every three hours.\\nWHOOPING COUGH.\\nOther names pertussis hooping cough.\\nThis is a catarrhal affection of the bronchial tubes of\\nthe lungs, manifesting itself by convulsive coughs coming\\non in paroxysms, and characterized by a loud, familiar\\nwhoop as the air is drawn into the lungs.\\nIt is a disease of childhood, because a person seldom\\nfails to contract the affection in early life. One attack\\nusually prevents another. It is due to a poison, the char-\\nacter of which is unknown, that acts upon the nervous\\nsystem.\\nSymptoms. It has three stages. The first is the ca-\\ntarrhal stage in which the membranes of the nose, the\\nlarynx and bronchial tubes are affected, and this stage is\\nattended with a loose cough, lasting from one to two weeks.\\nThe second stage is the whooping or spasmodic stage,\\nin which the cough comes on in paroxysms, and is exceed-\\ningly rapid so as to almost exhaust the child, and when\\nthe breath is about given out, the effort of the child to get\\nanother full breath is accompanied with a crowing whoop.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0175.jp2"}, "170": {"fulltext": "1 62 WHOOPING COUGH.\\nThere are usually about three spells of coughing in each\\nparoxysm, the last one generally ending with a discharge\\nof mucus and sometimes vomiting. Bleeding of the nose\\nsometimes occurs during this stage.\\nThe third or closing stage During this stage the par-\\noxysms become less frequent or milder in character and\\nshorter in duration, the expectoration is easier, and the\\npatient much more comfortable. The duration of this\\nstage is from one to two weeks, ending in recovery.\\nTermination. This is almost always favorable, except\\nin very young infants or when associated with other dis-\\neases.\\nTreatment. It is a self-limited disease, and it is doubt-\\nful if its course can be shortened by remedies. As a gen-\\neral thing, simple whooping cough does not require any\\ndrug treatment. The little patient should be kept in\\nrooms that are comfortably warm and not exposed to\\ndraughts of cold air, and the clothing should be warm.\\nWhen the cough is severe, the spells may be modified in\\nseverity and lessened in frequency by the following\\nBrown mixture, six ounces. Shake, and give from a half\\nto a teaspoonful and a half, according to the age of the\\nchild. The dose may be repeated every four hours if\\nnecessary. When this is given at bedtime and another\\ndose after midnight, the paroxysms after midnight will be\\nless frequent and less severe.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0176.jp2"}, "171": {"fulltext": "ASTHMA. 163\\nASTHMA.\\nOther names spasmodic asthma bronchial asthma.\\nThis is a spasmodic contraction of the muscles surround-\\ning the smaller tubes of the lungs, and is paroxysmal in\\ncharacter. It is almost always attended with chronic\\nbronchitis, and in the majority of cases the frequency\\nand severity of the asthmatic attacks are in proportion\\nto the existing bronchitis.\\nThe spasmodic attacks of asthma may last for only a\\nfew hours, or they may last for weeks. In some patients\\nthey are always short, in others always long.\\nCauses. Asthma is undoubtedly a nervous affection,\\nand is due to a condition of the nervous system that\\naffects the breathing functions. It is essentially a he-\\nreditary disease, that is, the tendency to the disease is\\ninherited.\\nAttacks of asthma are frequently brought on by dis-\\nagreeable odors, such as musty feathers or mattresses.\\nDust of any kind, but more especially that of irritating\\ndrugs, often causes a violent attack.\\nThe most distressing paroxysms often arise from a re-\\nflex or sympathetic condition in which the stomach is the\\nseat of the trouble, as when that organ is gorged with a\\nheavy, meat supper, or food that is difficult to digest.\\nIn such cases the attack may be cut short by vomiting.\\nSymptoms. When asthma first sets in, the seizure may\\nbe sudden, but after the disease has once fixed itself upon\\nan individual, the attacks are preceded by warning symp-\\ntoms which are usually those of a common cold. Acute\\nindigestion is often one of the premonitory symptoms.\\nThe paroxysms may come on at any time, but like other", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0177.jp2"}, "172": {"fulltext": "1 64 ASTHMA.\\nnervous disorders frequently break out in the night. The\\nfirst symptom of the attack is an intense and anxious de-\\nsire for air. The breathing is attended with loud wheezing,\\nthe face is either flushed or takes on a dusky appearance\\ndue to a want of breath. The labored breathing sometimes\\nbrings on profuse perspiration, and the symptoms for a\\ntime are so distressing as to threaten life from suffocation.\\nSooner or later the respiration becomes easier, the tubes\\nof the lungs ceasing their spasmodic contraction, and the\\ndusky appearance of the face changes to normal, and the\\nparoxysm is over. Sometimes asthma consists of a series\\nof attacks and remissions, lasting for many days or even\\nweeks, during which the patient is unable to attend to busi-\\nness of any kind.\\nTermination. Simple asthma is never fatal.\\nTreatment. The first and most important thing to be\\ndone is to relieve the distressing paroxysm, and the second\\nto commence such a course of treatment as to prevent, if\\npossible, its recurrence. If the treatment fails in prevent-\\ning other paroxysms it may reduce them in number and\\nseverity. To relieve the paroxysm a full dose of opium in\\nsome form is the most effective. A quarter of a grain of\\nmorphine, if given to a patient not long accustomed to its\\nuse, may give prompt relief, but if the drug has been used\\na great many times it may take twice that amount or a\\nfull half-grain. There are two serious objections to mor-\\nphine, or opium in any form. The first is, that the dose\\nmust be gradually increased until it becomes enormous in\\norder to be effective. This necessarily develops the opium\\nhabit. The second objection is, that it suppresses the se-\\ncretion of all the organs, and causes disorders of digestion.\\nTherefore, it is a poor remedy in a never-ending disease", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0178.jp2"}, "173": {"fulltext": "ASTHMA. 165\\nlike asthma. It is much better to rely upon inhaling the\\nsmoke from burning stramonium leaves, or nitre-paper, or\\nboth.\\nThe disease is one of the most distressing that afflict\\nmankind, and the effects of any drug used to overcome\\nthe paroxysm will wear out sooner or later, and for this\\nreason a great deal of time is spent by asthmatic patients in\\nhunting for a new remedy to relieve their sufferings. The\\ndisease is usually considered incurable, and this is true,\\nif the patient is compelled to live in a climate and locality\\nwhere it developed. As a great many cases are attended\\nwith chronic bronchitis upon which the severe attacks of\\nasthma mainly depend, a systematic treatment should be\\nadopted with a view of curing this affection. The follow-\\ning is the best\\nIodide potassium, three drachms,\\nCompound syrup of stillingia, one pint.\\nMix; dose a half tablespoonful three times per day.\\nThis remedy soon produces a flow of mucus from the\\nnose with other symptoms of a severe cold. It affects in\\nthe same way the mucous membranes of the bronchial\\ntubes of the lungs, and gradually cures or greatly relieves\\nthe bronchitis, and just in proportion as it is relieved the\\nasthma is modified. The pleasantest thing that can be\\nsaid of asthma, obstinate and stubborn as it always is, is\\nthis Proper climatic changes will almost always cure it, or\\nso wonderfully modify it, that the attacks scarcely amount\\nto anything. The author can speak from abundant expe-\\nrience on this subject, and knows that the altitude of\\nDenver, Col., affords in most patients an immunity from\\nasthmatic attacks. There are others, however, who are\\nnot greatly benefited by living in Denver. They need a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0179.jp2"}, "174": {"fulltext": "1 66 SPITTING OF BLOOD.\\ndrier atmosphere than that locality, and may find com-\\nplete relief in Los Angeles, and other parts of Southern\\nCalifornia. Others may fail to get relief in California, and\\nget permanent freedom from it on the high and dry moun-\\ntain ranges of the West.\\nIt sometimes happens that climatic influences, though\\nalmost absolutely curative to commence with, lose their\\neffect in time, but this rarely occurs except after the lapse\\nof many years.\\nSPITTING OF BLOOD.\\nOther names haemoptysis pulmonary hemorrhage.\\nThis consists of an expectoration of blood following or\\naccompanying the act of coughing, the blood usually being\\nbright red.\\nCauses. It is almost always due to pulmonary con-\\nsumption in which small arteries have been severed by\\nthe destructive process of tubercular softening. It may\\nalso be caused by violent muscular action in which small\\nblood-vessels of the bronchial tubes are ruptured.\\nSymptoms. It occurs suddenly as a general thing.\\nSometimes it has no warning symptom whatever, while at\\nothers it is preceded by a slight pain in the throat. The\\nquantity of blood may be small or it may be a pint or more.\\nSometimes it is so great as to end fatally in an hour. As\\na general thing the attacks are much less severe and sub-\\nside for several hours at a time, to come on the following\\nnight or day.\\nTermination. Spitting of blood in itself is not neces-\\nsarily dangerous, although it weakens the patient and has\\na discouraging effect upon his mind, as it is usually hailed\\nas an unmistakable sign of consumption.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0180.jp2"}, "175": {"fulltext": "MUMPS. 167\\nTreatment. The patient should be kept in a state of\\nperfect rest in bed, as the least movement of the body ag-\\ngravates the hemorrhage.\\nThe author has always been able to stop the spitting of\\nblood by giving a teaspoonful of the fluid extract of ergot,\\nrepeating the dose in twenty minutes if necessary. The\\nsecond or third dose always stops the hemorrhage if the\\nfirst does not.\\nMUMPS.\\nAnother name parotiditis.\\nThis is an inflammatory disease involving the parotid\\nglands at the angles of both jaws, and also other salivary\\nglands, and adjacent parts. The affection is much inclined\\nto move to other parts of the body, affecting the mammary\\nglands or breasts of females and the testicles of males. It\\nis characterized by swelling, pain, and functional disorder\\nof the parts affected, and is infectious, that is, it is\\ncatching.\\nCause. It is due to a specific poison, and one attack\\nalmost always affords an immunity from other attacks.\\nSymptoms. It comes on quite suddenly, often with\\na slight chill, followed by considerable fever, frequent\\npulse, headache, and dry skin. Within twenty-four hours\\nit is difficult for the patient to open his mouth, owing to\\nthe swelling and soreness at the angle of the jaw or at the\\naffected side, if only one side is involved. The disease\\nruns its course, as a general thing, within eight or nine\\ndays, and where both sides are involved simultaneously it\\nwill run its course in about a week.\\nThe affection is liable to be set up in the breasts, ovaries,\\nor testicles, any time during its usual course. If the fever", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0181.jp2"}, "176": {"fulltext": "1 68 MUMPS.\\ncontinues after the glandular swelling subsides, the disease\\nis very liable to migrate to the other parts.\\nTermination. Uncomplicated mumps almost always\\nend favorably. But while the affection does not endanger\\nlife it is liable to impair, or even destroy, the functions of\\nthe ovaries and testicles.\\nTreatment. The disease is self-limited, running its\\ncourse in about a week, and with proper care, recovery\\nought to be perfect.\\nThe author has treated hundreds of cases, has always\\nkept the boys in bed until the subsidence of the glandular\\nswelling, and kept them in their room for some time after-\\nwards. Children of either sex should not be exposed to\\ndraughts of cold air, nor be allowed to sit in cold rooms\\nduring the disease. A state of perfect quiet for each a^d\\nevery patient should be maintained, as any exercise, such\\nas romping and playing, increases the heart s action and\\ntends to the development of the disease in the sexual\\norgans. If the glands about the jaw continue to be en-\\nlarged after the disease has had proper time to run its\\ncourse, they should be painted with the tincture of iodine,\\ntwice in twenty-four hours. In addition to this give the\\nfollowing\\nIodide of potassium, two drachms,\\nSimple syrup, a half pint.\\nDose, teaspoonful three times a day. If the child is\\nvery young, half of the above dose will be sufficient. If\\nthe testicles are inflamed and swollen, hot flaxseed poul-\\ntices, changed every fifteen minutes, should be used. It is\\ntwenty times easier to keep children quiet in bed, and in\\nthat way avoid inflammation of the testicles, than it is to\\ncontrol it after it is established.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0182.jp2"}, "177": {"fulltext": "MEMBRANOUS CROUP. 1 69\\nMEMBRANOUS CROUP.\\nOther names true croup croupous laryngitis.\\nThis is an acute inflammation of the mucous membrane\\nof the larnyx in which a false membrane is gradually de-\\nposited upon the true membranes.\\nCause. It is a disease of childhood and most common\\nin strong and vigorous boys.\\nSymptoms. Membranous croup may develop suddenly,\\nbeing ushered in by an attack of spasmodic croup, or it may\\ncome on as an acute inflammation of the larnyx, attended\\nwith fever, thirst, dry cough, and hoarseness or loss of\\nvoice. Difficulty of breathing soon follows in which the\\nchild is unable to lie down. As this increases, each inspi-\\nration is attended with a shrill or almost whistling sound.\\nAs the disease continues to develop, the air passage is\\nnarrowed by encroachments of the membrane from all sides,\\nand fatal suffocation is threatened. The skin gradually takes\\non a bluish appearance caused by a deficiency of air in the\\nlungs, and death seems imminent but sometimes when all\\nhopes appear desperate the spasm is suddenly relaxed, the\\nair rushes into the chest, the breathing is easier, and the\\nchild drops into a short sleep.\\nBut these attacks of suffocation continue to return at\\nshort intervals, or there may be portions of the false mem-\\nbrane discharged by coughing, affording longer intervals\\nof quiet repose.\\nIn favorable cases the paroxysms gradually become less\\nsevere and less frequent, the bluish cast of the skin fades,\\nthe difficulty of breathing is less, the cough gets looser, the\\nvoice becomes more natural, and the fever diminishes or\\nceases altogether.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0183.jp2"}, "178": {"fulltext": "170 MEMBRANOUS CROUP.\\nIf the case is destined to end fatally, all the violent and\\ndistressing symptoms are aggravated, the paroxysms are\\nmore frequent, expectoration ceases, the voice is lost, diffi-\\nculty of breathing increases, and the blue condition of the\\nskin takes on a deeper hue. The child becomes drowsy\\nand stupid from blood poisoning, a cold, clammy sweat\\ncomes on, and the patient dies for want of breath.\\nTreatment. The indications are first, to commence treat-\\nment as soon as the character of the disease is suspected,\\nwith a view of arresting the inflammation and preventing\\nthe formation of the false membrane, as it is a great deal\\neasier and safer to stop the development of the croup mem-\\nbrane, than to secure its detachment and expulsion after it\\nis fully formed. As the disease is essentially an inflamma-\\ntion of the natural membrane of the larnyx, and the false\\nmembrane is simply a product, and often a fatal one too,\\nthere is nothing more obvious than this Any remedy that\\nwill stop the inflammation will prevent the false membrane\\nfrom forming. The author is positive, from years and years\\nof experience, that tartar emetic given in small doses, after\\nvomiting is once established, so as to keep the child under\\nthe influence of the drug for eight or ten hours, will so re-\\nduce the inflammation as to prevent the false membrane.\\nThe extent to which it is proposed to keep the patient\\nunder the influence of the drug is this It is to be given\\nevery fifteen minutes until vomiting occurs. After this\\nthe sickness of the stomach, followed by vomiting, will\\noccur every half hour for two or three hours, and mean-\\nwhile there will be watery discharges from the bowels, prob-\\nably. As soon as the sickness of the stomach subsides,\\nabout half of the first dose of the drug should be given, and\\nin this way sickness of the stomach, attended with more or", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0184.jp2"}, "179": {"fulltext": "MEMBRANOUS CROUP. 171\\nless vomiting every hour, should be maintained for eight or\\nten hours. As soon as the child vomits, it drops back into\\na refreshing sleep and so continues until the sickness and\\nvomiting come on again. In such cases the hot skin and\\nflushed or bluish countenance are absent, the child is rather\\npale, and the skin covered with moderate perspiration.\\nThere are two ways in which the antimony given in this\\nmanner exercises its curative effect. In the first place, as\\nsoon as the nausea and vomiting are commenced, the heart\\nis brought under the control of the nauseating sedative, in\\nwhich its power to pump blood to the affected parts and\\ndevelop the inflammatory exudation, that is, the false mem-\\nbrane, is reduced one-half or more. In the second place,\\nthe relaxation of the system by the constant sickness pre-\\nvents the spasmodic paroxysm, and as these paroxysms\\nhave an intrinsic tendency to increase the congestion of the\\nparts involved in the inflammation, anything that prevents\\ntheir occurrence exercises a curative effect upon the disease.\\nAs it is proposed to break up and abort all cases of mem-\\nbranous croup in which the treatment as herein given is\\ncommenced at the beginning of the attack, it is a waste of\\ntime to mention other remedies for this disease. The fol-\\nlowing is the formula for the tartar emetic\\nTartar emetic, eight grains,\\nSimple syrup, five ounces.\\nMix, and give a teaspoonful every fifteen minutes until\\nvomiting commences. If the symptoms are exceedingly\\nviolent and the vomiting does not occur within fifteen min-\\nutes, two teaspoonfuls may be given. This remedy will\\ncure every case of croup if commenced early in the attack.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0185.jp2"}, "180": {"fulltext": "172 ACUTE CATARRHAL LARYNGITIS.\\nACUTE CATARRHAL LARYNGITIS.\\nOther names sore throat catarrhal laryngitis. This\\nis an acute inflammation of the mucous membrane of the\\nlarynx, and is attended with a slight fever, hoarseness,\\npain on swallowing, and often difficulty in breathing.\\nCauses. The most important of these include atmos-\\npheric changes, draughts of cold air, and all other\\nconditions causing persons to contract a severe cold.\\nThe affection is also due to irritating drug powders or\\nvapors. It is also caused by public speaking and singing.\\nSymptoms. It comes on abruptly, the throat feeling\\nraw and dry, with a tickling pain in the windpipe. There\\nis pain on swallowing and also at any attempt to speak.\\nIn the early stage of this affection the voice is hoarse and\\nsoon ceases altogether. In children the fever develops\\nsuddenly, the tongue is coated, pulse rapid and strong,\\nskin hot, the face red, and the child has a croupy cough\\nwith threatened suffocation.\\nTermination. This is always favorable.\\nTreatment. Patients should be kept in rooms uniformly\\nheated and the air kept moist by steam. This can be\\ndone in a great many ways. If there is a stove in the\\nroom, water can be evaporated in a large flat dish but\\nif there is not, large hot rocks may be placed in a pan\\nand water poured slowly upon them so as to keep the air\\nalmost saturated with vapor.\\nCloths wrung out of hot water and wrapped around the\\nneck are capable of doing a great deal of good. It is best\\nto have them very large so as to hold the heat for a long\\ntime. The bowels should be thoroughly moved in the\\ncommencement by a suitable physic.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0186.jp2"}, "181": {"fulltext": "ACUTE CATARRHAL LARYNGITIS. 1 73\\nIn order to procure rest and at the same time get a free\\naction of the skin, the following may be given at bedtime\\nto adults Dover s powder and nitrate of potash, of each\\ntwelve grains. Give this at one dose, and keep the patient\\nwarmly covered in the bed or with clothing if not in bed.\\nIf there is much fever and the pulse strong and rapid,\\ngive tincture veratrum veride in two-drop doses every\\nhour for five hours, and then continue it for eight or ten\\nhours in one-drop doses. The treatment given here is for\\nadults, as the doses are far too large for children. When\\nthe disease occurs in children, the bowels may be kept\\nopen by teaspoonful doses cream of tartar, three or four\\ntimes a day in water. In almost all fevers there is a\\ncraving for acid, and for this reason the cream of tartar\\nwater will be eagerly taken. To control the heart s action\\nand lessen the fever and inflammatory development, the\\nfollowing may be given to children from three to eight\\nyears old\\nTincture veratrum veride, ten drops,\\nWater, twenty teaspoonfuls.\\nMix teaspoonful every hour for ten hours and then\\nleave it off for two or three hours, after which continue it\\nevery hour till it is all given.\\nTo procure rest for little patients from one to eight\\nyears old, paregoric may be given in doses ranging from\\nfour to twenty drops every four or five hours, but care\\nmust be taken to avoid giving too large doses of opium\\nto children, especially to those suffering from throat\\naffections, as profound sleep favors the accumulation of\\nmucus in the air passages and leads to danger from\\nsuffocation.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0187.jp2"}, "182": {"fulltext": "174 THROAT CONSUMPTION.\\nTHROAT CONSUMPTION.\\nOther names: tuberculous inflammation of the larynx;\\nlaryngeal phthisis.\\nThis is an ulcerative inflammation of the larynx caused\\nby tubercles, practically the same kind of tubercles that\\nexist in pulmonic or lung consumption. The throat con-\\nsumption is attended with cough, pain on swallowing, more\\nor less loss of voice, great loss of flesh, and fever, in which\\nthere are usually red spots on the cheeks.\\nCauses. The exciting cause is the action of tuberculous\\nparasites upon the larynx. The predisposing causes are\\nhereditary.\\nSymptoms. The affection is almost always a complica-\\ntion of pulmonary consumption. When it occurs as a\\nprimary disease lung consumption soon follows. About\\nthe first symptom noticed is hoarseness or a feeble state of\\nthe voice. The husky voice may gradually increase until\\nonly a faint whisper is heard at the same time there is\\ngenerally a distressing cough with but little expectoration.\\nThe act of swallowing is difficult and painful. In addition\\nto these symptoms those of pulmonary consumption are\\nadded, such as loss of appetite, loss of flesh, night-sweats,\\nand extreme restlessness.\\nTermination. Always unfavorable.\\nTreatment. This disease is essentially consumption,\\nalthough it may appear, primarily, in the throat instead\\nof the lungs. As it is purely a constitutional disease, the\\napplication of local remedies afford no hope so far as a\\ncure is concerned. There is nothing but a change of cli-\\nmate, from a low altitude, low temperature, and moist", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0188.jp2"}, "183": {"fulltext": "THROAT CONSUMPTION. 1 75\\natmosphere to a high, dry, and warm climate, that is calcu-\\nlated to afford any hope of recovery.\\nThere is one general principle that should be observed\\nin dealing with consumption either of the larynx or lungs,\\nand that is this Any locality or climate in which the\\ndisease develops, should be abandoned as soon as possible,\\nas a person who passes from a state of perfect health to\\none of constitutional disease under climatic influence, can\\nscarcely hope to be restored to normal health under the\\nsame influences. The climate best suited to consumptives is\\nthe warm, dry, semi-tropical region of Southern California,\\nwhere the high mountain ranges exclude the northern\\nwinds and prevent precipitation of moisture in the form of\\nrain. For this reason the so-called rain season only lasts\\nabout five or six weeks in the year, during which there are\\na few light showers. The climate is so mild and uniform\\nthat patients can live in tents and exercise in the open air\\nwith impunity. A great many patients who have gone to\\nLos Angeles within the last ten years, suffering from lung\\nand throat affection, have entirely recovered. But a great\\nmany people are too poor to go, while others have business\\naffairs they cannot readily leave, and in the meanwhile\\nsomething must be done to stay as far as possible the\\nravages of the fell destroyer. It has been fashionable for\\ndecades to give all consumptive patients cod-liver oil with\\na view of stopping the wasting of flesh. The cases in\\nwhich it succeeds, even though when mixed with whiskey,\\nare comparatively few, as consumptives generally have an\\nintolerance for oil of any kind and especially this. The\\nauthor, many years ago, substituted cream for the cod-\\nliver oil with the most satisfactory results. It is given as\\nfollows Put two tablespoonfuls of good cream into a glass,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0189.jp2"}, "184": {"fulltext": "176 PNEUMONIA.\\nand then pour into it one tablespoonful of pure whiskey.\\nStir it, adding a little sugar if desirable, and give it at\\nonce. If the whiskey and cream are given in this way, the\\nlatter will not curdle, but if the cream is poured into the\\nwhiskey, coagulation immediately follows. The mixture\\nshould be given just before meals, and under its use the\\ncough frequently grows less, the throat symptoms improve,\\nand the patient either ceases to lose flesh or gains a few\\npounds. Sometimes, however, the cream is not well borne,\\nand in such cases it is worse than useless to give it.\\nPNEUMONIA.\\nOther names: lung fever; winter fever; pleuro-\\npneumonia pneumonitis.\\nThis is an acute inflammation involving the substance\\nof the lungs, the congestion being of such character as to\\nrender the affected parts of the lung impervious to air. It\\ncommences with a severe chill, headache, fever, pain in\\nthe chest, cough and difficulty of breathing, expectoration\\nbeing of a rusty color.\\nCause. It is said to be an infectious disease, caused\\nby parasites.\\nSymptoms. A well-marked case of pneumonia com-\\nmences with a protracted chill followed by a high fever\\nthe pulse is full, strong, and rapid, there is sharp pain\\nin the chest, caused by each act of breathing or coughing,\\nthe breathing often being so rapid as to reach forty or\\nfifty respirations per minute. The cough is at first harsh\\nand dry, but gradually becomes moist, with a discharge of\\nfrothy mucus that changes by the second day into a rusty\\ncolored expectoration, characteristic of the disease. There", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0190.jp2"}, "185": {"fulltext": "PNEUMONIA. 177\\nare all the symptoms of a violent fever, the face being\\nflushed, sometimes of a bluish red color due to carbonic\\nacid poison in the blood, for want of breath. The above\\nsymptoms, more or less severe, continue for eight or nine\\ndays, when a crisis sets in attended with profuse perspira-\\ntion and symptoms of great prostration the fever almost\\nentirely subsides, and if the case is destined to end favor-\\nably, recovery speedily follows.\\nUnfortunately, a great many cases of pneumonia, after\\nhaving passed through the various stages in a reasonably\\nfavorable manner, seemingly sink rapidly as soon as the\\ncrisis is reached and die within a day or two. Such cases\\nare exceedingly common in those who have passed the\\nmeridian of life s journey or gone a little beyond it.\\nTermination. The highest medical authorities claim\\nthat less than twenty per cent of all cases of pneumonia\\nend fatally, but there is something exceedingly deceptive\\nin this claim.\\nBetween the ages of childhood and forty, deaths from\\npneumonia are exceedingly rare, while above forty the\\nfatality gradually increases, and after the age of fifty is\\npassed, more than half die. A man s intrinsic worth to\\nthe world is far greater after he has passed fifty than\\nduring the early part of his life, and it is the province of\\nmedical art to save him if possible. How can it be done\\nin pneumonia The expectant plan of treatment, that is,\\nwaiting for the disease to run its course, is generally fatal,\\nas the natural crisis is so long delayed that fatal exhaus-\\ntion soon follows.\\nTreatment. Other things being equal, the longer the\\ncrisis is delayed the greater is the tendency to a fatal\\nending by exhaustion.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0191.jp2"}, "186": {"fulltext": "1/8 PNEUMONIA.\\nThe extent and violence of the inflammation and its\\ncontinued interference with the functions of respiration\\nand nutrition cause the exhaustion mainly. The ques-\\ntion arises Is there any way to cut short the destructive\\nand strength-consuming stage of inflammation so as to\\nsave enough of the vital forces to carry a bad case of\\npneumonia to a favorable termination, even when the\\npatient has passed the fiftieth or sixtieth mile-post of life\\nLet us see. Suppose the natural crisis is destined to end\\non the seventh, ninth, or eleventh day of the disease.\\nThis gives at least a whole week for all the distressing\\nand exhausting stages of the inflammation to run their\\ncourse. Now if any drug can be given during the first\\ntwenty-four or thirty-six hours that will break up the inflam-\\nmation and bring on an artificial crisis attended with\\nsweating and a subsidence of all the violent symptoms,\\nand yet exercise but little prostrating effect upon the\\npatient, what could be more rational than the use of such\\na drug Exactly such a drug is known to the author and\\nhas been used by him for thirty years. It is true that it is\\nvery depressing, that it reduces the force and frequency\\nof the pulse to the natural standard if not lower, changes\\nthe face from red to a peculiar pallor, bedews the skin\\nwith cold perspiration, often causes sickness and vomiting,\\nand may alarm nervous and timid attendants but the\\nwhole period, from the earliest development of the artificial\\ncrisis until reaction occurs, is less than one-twentieth of\\nthe time required to establish the natural crisis. The\\nartificial crisis arrests the disease during the stage of\\nengorgement or congestion, and absolutely prevents the\\nvarious inflammatory stages that always attend the disease\\nwhen it is permitted to run its full and natural course.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0192.jp2"}, "187": {"fulltext": "PNEUMONIA. 179\\nAs it takes the morbid condition twenty times as long\\nto bring on the natural crisis as it does the drug to estab-\\nlish an artificial one, the logical inference is that twenty-\\ntimes more physical force is used up by the disease than\\nby the drug, and a very extensive experience in dealing\\nwith pneumonia affecting persons of all ages, confirms the\\ntheory.\\nBased upon an experience of thirty years during which\\nthe abortive treatment of pneumonia has been employed\\nin all well-marked cases, the following treatment is given\\nIn all cases of pneumonia attended with a full, strong, and\\nbounding pulse, high temperature, flushed face, and other\\nsymptoms indicative of the disease, the following should\\nbe given as directed, as soon as the reaction from the chill\\noccurs\\nTincture veratrum veride, a teaspoonful,\\nWater, twenty teaspoonfuls.\\nMix, shake, and give a teaspoonful every hour until the\\npulse and fever begin to fall. About this time sickness of\\nthe stomach will come on, the face will become pale, the\\nskin will be covered with cold sweat, the pain, hurried\\nrespiration, and other violent symptoms will subside, and\\nthe whole group of symptoms, excepting the sickness of\\nthe stomach, will be practically the same as those of the\\nnatural crisis.\\nThe similarity of the drug effect to the natural crisis is\\nfurther observed in the fact that all the inflammatory\\nsymptoms permanently subside after the specific effect of\\nthe drug is obtained. In other words, the crisis, whether\\nartificial or natural, practically ends the inflammatory\\nprocess.\\nWhen the artificial crisis is reached within twenty-four", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0193.jp2"}, "188": {"fulltext": "l80 PNEUMONIA.\\nhours, and it ought to be reached within ten or twelve\\nhours, the disease is broken up before it has time to\\nexercise much, if any, prostrating effects, and also before\\nit has time to produce permanent organic changes in the\\nlungs. The depressing effects of the remedy are transient,\\nwholly disappearing in a few hours, and the patient is\\npractically well in three days.\\nWhen the disease is permitted to run its course, the\\ncrisis is liable to be followed by fatal prostration, and this\\nliability is greatly increased if the patient is advanced in\\nyears. If, however, enough strength is conserved through\\nit all to prevent a fatal ending, the patient, even if young,\\nis liable to be left with a crippled respiratory apparatus,\\na partially consolidated lung that is worthless. Under the\\nsystem of practice in vogue fifty years ago, certain symp-\\ntoms were given calling for blood-letting. The principal\\nones were a strong, full, frequent, and bounding pulse.\\nThese were few and easy to remember, and afforded a\\ngeneral guide to doctors in treating inflammatory affec-\\ntions in those days. Exactly the same symptoms call for\\nthe use of an arterial sedative, such as veratrum veride, in\\nall acute and violent inflammations, especially pneumonia.\\nThe time in which to give this sedative is of the utmost\\nimportance. It should be given as soon as possible after\\nthe chill subsides, but at this early stage of the disease its\\ncharacter can only be suspected. It cannot be positively\\nknown, but if the full, frequent, and bounding pulse is\\npresent the sedative should be given on general principles,\\nas an inflammatory seizure of some kind is imminent.\\nShould it not be given until twenty-four hours after the\\ninitial chill, the chances of wholly aborting the inflam-\\nmation, that is of breaking it up during the stage of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0194.jp2"}, "189": {"fulltext": "SPASMODIC LARYNGITIS. l8l\\ncongestion, are much less than if given at the commence-\\nment; but it should be commenced just the same, and\\nfollowed for fifteen hours with the hope of terminating\\nthe disease in its first stage or greatly modify its subse-\\nquent force.\\nAfter the disease is developed, and the lung is fully\\ninvolved in the inflammatory process, the arterial sedative\\ncan do nothing but harm. During this and subsequent\\nstages of the disease, what is known as the supporting\\ntreatment, such as quinine, iron, alcoholic stimulants, and\\nanimal broths, is the best. But this idea cannot be urged\\ntoo strongly The golden opportunity is during the first\\ntwenty-four hours when the disease ought to be broken up\\nby the sedative.\\nSPASMODIC LARYNGITIS.\\nOther names false croup spasmodic croup child-\\ncrowing.\\nThis is an inflammation of the mucous membrane of the\\nlarynx, attended with a spasmodic contraction of that part\\nof the air passage known as the glottis.\\nCauses. The principal cause is the sudden contraction\\nof a violent cold.\\nSymptoms. The paroxysm comes on chiefly in the night,\\nand may affect a child that a few hours previous seemed to\\nbe in a perfect state of health. The little patient is aroused\\nfrom sleep in an agonizing state of suffocation, has a sharp,\\ndry cough, hot fever, face flushed, and general symptoms\\nof distress. Within an hour or so the breathing becomes\\neasier, the cough moist, and the child falls to sleep. On\\nthe following day the cough is loose and easy, the breathing", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0195.jp2"}, "190": {"fulltext": "1 82 SPASMODIC LARYNGITIS.\\nnatural, and the patient seems practically well but if the\\nproper treatment is not followed during the day, the par-\\noxysm comes on the second night about the same time,\\nbut usually less violent. The child is well during the fol-\\nlowing day, and on the third night another very slight\\nparoxysm occurs, and this is usually the end of the trouble.\\nIf the first paroxysm does not abate during the day, but\\nis accompanied with inflammatory symptoms for two or\\nthree days, there is danger that the true croup may set in.\\nTermination. False croup is almost always favorable in\\nits termination.\\nTreatment. The best thing to break the paroxysm,\\nwhich is always nervous in false croup, is to put the child\\nin a tub of warm water. If the paroxysm does not yield\\nto the use of the warm bath in fifteen minutes, an emetic\\nshould be given, and at this point arises a question of the\\ngreatest importance in dealing with croup, whether true or\\nfalse. The false croup always terminates favorably. The\\ntrue croup is always dangerous and should receive prompt\\nand radical treatment from the first. Should the false\\ncroup be mistaken for the true, and treated accordingly,\\nsuch treatment might be unnecessarily severe, but would\\nnot injure the child. On the other hand, if the true croup\\nis mistaken for the false, and so treated, the disease will\\nget so fully developed before its true character is deter-\\nmined as to greatly endanger the life of the child. Doctors\\nfrequently make mistakes by failing to recognize the form\\nof disease they are dealing with, and of course mothers and\\nfathers are much more liable to commit the same error;\\ntherefore it is always safer to treat every case of croup as\\nif it were the worst form of the disease, and in that way\\narrest the inflammatory development, should it be the true", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0196.jp2"}, "191": {"fulltext": "SPASMODIC LARYNGITIS. 1 83\\nmembranous croup, and save the child. This can probably\\nbe done in almost all cases. Therefore get the following\\nmixture put up, keep it in the house, and when croup\\nshows itself in any child, give a teaspoonful every fifteen\\nminutes until vomiting begins\\nTartar emetic, eight grains,\\nSimple syrup, five ounces,\\nAlcohol, one ounce.\\nMix dose, a teaspoonful every fifteen minutes until\\nvomiting commences. After it once commences the child\\nwill be sick more or less for several hours, probably most\\nof the night, and will vomit every hour or so. This is all\\nvery desirable, as it acts as a sedative to the heart s action\\nand arrests the croup. There is usually more or less spas-\\nmodic croup in connection with the true croup, and this is\\nalways relieved by the relaxing effect of emetics.\\nThe folly of trying to distinguish between the mild and\\ngrave forms of croup, and thus taking chances of making\\na fatal mistake, ought to be readily apparent to every\\nfather and mother, and the treatment herein given will save\\nevery child if the directions are carefully followed. It is\\nnot claimed that it will save every patient unless it is com-\\nmenced soon after the attack. In croup, as in all other\\ninflammatory affections, the golden opportunity in which\\nto arrest the disease is during the first two or three hours\\nafter its commencement.\\nUnfortunately, this time is often wasted in hunting for\\nsome particular physician, and by the time he is found, the\\nopportunity to save the child is past.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0197.jp2"}, "192": {"fulltext": "1 84 DIPHTHERIA.\\nDIPHTHERIA.\\nOther names malignant quinsy putrid sore throat.\\nThis is an acute, specific disease, both epidemic and\\ncontagious, commencing in the throat, and characterized\\nby the appearance of small white patches upon the ton-\\nsils which run together, forming a white membrane that\\ngradually extends to other parts. The glands of the\\nthroat and corners of the jaw are swollen and sore, there\\nis usually a burning fever, the temperature sometimes\\nrising to a hundred and five or more. It is generally\\nunderstood that the grave character of the disease is in\\ndirect proportion to the height of the fever.\\nCauses. A specific germ that exists in the atmosphere.\\nSymptoms. It may be mild and slow in its develop-\\nment, the chills or chilly feeling being followed by mod-\\nerate fever, headache, loss of appetite, soreness about the\\nangles of the jaw, and slight tenderness of the throat caused\\nby swallowing.\\nIn other cases the disease may come on suddenly with\\na severe chill, followed by intense fever, rapid swelling of\\nthe glands at the angles of the jaw, great pain on swallow-\\ning, aching of the limbs, loss of strength, loss of appetite,\\nand bowels relaxed. On examination the throat is found\\nto be red, the tonsils enlarged and partly covered with the\\nwhite exudation or membrane that always determines the\\ntrue nature of the disease, as such a membrane is not\\nfound in other affections.\\nTermination. As the disease is usually treated it is one\\nof the most dangerous maladies that afflict children. It is\\nan unfortunate thing that the medical profession has never\\nsettled upon a definite treatment, but, from time immemo-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0198.jp2"}, "193": {"fulltext": "DIPHTHERIA. 1 85\\nrial, has pursued a course purely experimental, always\\ntotally unreliable, and always, in grave cases, void of satis-\\nfactory results.\\nMany years ago, the author, who had had a sad experi-\\nence with diphtheria, set out to find a remedy that would\\nbreak up the disease at once by killing the parasites\\nsecreted in the mucous tissues of the throat, as the throat\\nhas always been the focus of infection.\\nAs he regarded the disease mainly as a local affection\\nin its commencement, he naturally thought any remedy\\nthat would destroy the infecting germs, would prevent the\\ndeplorable and prostrating effects of blood-poison that are\\nso often fatal. His first and only selection of a remedy\\nwas carbolic acid, as follows\\nPure carbolic acid crystals, melted by heat, one ounce,\\nPure olive oil, three ounces.\\nMix.\\nThere must be no water whatever used in dissolving\\nthe acid, for if there is, the mixture will be muddy. It\\nshould be almost exactly the color of olive oil.\\nIf this remedy is timely and thoroughly used, it will cure\\nevery case of diphtheria, and as much depends upon the\\nthorough way in which the work is done, the following\\nfull and explicit directions are given Take a stick of the\\nproper length and about as large as a common lead pencil.\\nAround this stick, cut a notch close to the end. A half\\ninch from this, cut another. Then wrap a piece of white\\nmuslin several times round the stick, allowing it to project\\nthree-eighths of an inch beyond the end. Tie it securely\\nby two strong threads, one at each notch. Pour a little of\\nthe remedy in the bottom of a teacup, dip the swab into it\\nuntil it is well soaked, then rub it carefully on the edge of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0199.jp2"}, "194": {"fulltext": "1 86 DIPHTHERIA.\\nthe cup so it will not be dripping wet. Next take a large\\ntablespoon, holding it right side up, and with the handle\\npress down the tongue. The spoon should be pushed well\\nback, and will almost always make the child gag. This\\nis the golden opportunity for applying the remedy to every\\npart of the throat, and the work should be done in a very\\nfew seconds, turning the mucous membrane of the throat\\nas white as milk. Even if these membranes are only\\npartially affected at the time, the parasites are there and\\nmust be destroyed.\\nThe disease never extends to the parts thus treated,\\nand where the cases are taken in hand during the first\\ntwenty-four hours and treated in this way, it is rarely\\nnecessary to repeat the operation or to give other treat-\\nment.\\nThat diphtheria is, practically, a local disease in its com-\\nmencement, that a local treatment is an absolute necessity,\\nand that the plan of treatment herein given is the cor-\\nrect one, the following is submitted as a proof In such\\nepidemics as were attended with great mortality under\\nother methods of treatment, there were absolutely no\\ndeaths when this drug was used. When called to see\\ncases during the second day of the attack, it was often\\nfound difficult to save them, but where other cases occurred\\nin the same family and the carbolic acid treatment was\\nused, the child would be about well on the following day.\\nFrom the unfailing success of this quick, easy, and\\nsimple treatment, the author has long since ceased to\\nregard diphtheria as a dangerous disease, and it does not\\nseem that one case in a hundred should be lost if the\\ncarbolic acid and sweet oil plan is skilfully carried out.\\nIn using the swab, care must be taken not to have it", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0200.jp2"}, "195": {"fulltext": "DIPHTHERIA. 1 87\\ndripping wet with the drug so it will run down the throat\\nor spread extensively to the parts not touched. It is only-\\nnecessary to touch the parts affected with the wet swab\\nin order to turn them white, and every parasite secreted\\nin the membranes thus whitened is instantly killed. It\\nis not possible for any one to see the parts that are being\\ntouched by the swab, as children always struggle, but after\\nthe treatment is over, a glance into the throat will show\\nexactly what has been done, as the membranes touched\\nwill be milk-white. In a large number of cases operated\\non in this way no symptoms of poisoning from the car-\\nbolic acid were ever observed, and yet it is best not to use\\ntoo much of the medicine to commence with, knowing that\\nif the parts are not sufficiently whitened at first, another\\napplication can be made in two or three hours. The best\\ncaution that can be given to prevent the remedy from run-\\nning down the throat is this Get the swab thoroughly\\nwet in the solution, then press it against the sides of the\\nteacup until it ceases to run. If it will not run down\\nthe sides of the teacup when thus pressed it will not run\\ndown the throat.\\nThe terribly poisonous character of this remedy has no\\ndoubt prevented its successful employment in diphtheria.\\nA watery solution would probably be very dangerous, as\\nit would be liable to run down the gullet, but an oil mix-\\nture, with anything like reasonable care, is not. When it\\nis a well known fact that the focus of infection, or starting\\npoint of the disease, is in the throat, and in ninety-nine\\nper cent of the cases within easy reach of an unfailing\\nlocal application, the folly of using antitoxine or any other\\nblood-poisoning injection, is readily apparent. As anti-\\ntoxine has been used quite extensively by hypodermic", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0201.jp2"}, "196": {"fulltext": "1 88 HEMORRHAGE OF THE BRAIN.\\ninjection to cure diphtheria, and in many cases with fatal\\nresults, it deserves a passing notice. With reference to\\nthat remedy, if it can be called a remedy, there is one\\npuzzling question that confronts us Will the system of\\nany patient tolerate enough poison, when injected into the\\nblood, to destroy the parasites that caused diphtheria?\\nThe attempts that have been made to get a satisfactory\\nanswer to this question by injecting antitoxine, have cost\\nmany children their lives. The injection of any remedy\\ninto the blood is radically wrong, because the parasites\\nare located in the throat and can be easily killed by a drug\\napplied locally, that is a thousand times stronger than the\\nsystem would bear if injected into the blood, and there is\\nno guessing at results, as every parasite is destroyed, and\\nthe disease arrested. If all cases of diphtheria are treated\\nlocally as recommended above, and the application is\\nmade as soon as the white patches make their appearance\\nin the throat, the use of tonics, such as quinine and iron,\\nwith alcoholic stimulants to overcome the prostrating\\neffects of blood-poisoning, will seldom if ever be necessary.\\nThe early and thorough employment of this treatment\\nwill prevent its extending to the larynx, or windpipe, and\\ncausing death from diphtheritic croup.\\nHEMORRHAGE OF THE BRAIN.\\nOther names: apoplexy; a stroke.\\nThis disease comes on suddenly from bursting a blood-\\nvessel in the brain, and the escape of blood into the brain\\nsubstance, causing undue pressure upon that part of the\\nbrain at which the hemorrhage occurs, and ultimately more\\nor less destruction of brain tissue. It is characterized by", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0202.jp2"}, "197": {"fulltext": "HEMORRHAGE OF THE BRAIN. 1 89\\ncomplete and sudden unconsciousness, irregular and ster-\\ntorous breathing, with absolute relaxation of the muscles.\\nCauses. The disease is almost always confined to those\\nwho have passed the meridian of life, the main cause being\\ndisease of the blood-vessels. It may also be due to intem-\\nperance in the use of alcoholic stimulants and also in eating.\\nEnlargement of the heart, in which the muscular structure\\nis greatly increased in volume and strength, is not an infre-\\nquent cause, as the blood is thrown with such force as to\\ngreatly endanger the vessels. Fright, intense grief, and\\nmental anxiety are all important factors in causing a stroke\\nof apoplexy.\\nSymptoms. Apoplexy usually comes on suddenly, but\\nnot always. The vessels ruptured are sometimes so very\\nsmall that it takes considerable time for enough blood to\\naccumulate to cause the stroke. The usual premonitory\\nsymptoms are headache, dizziness, the patient being more\\nor less blind, with numbness of the limbs, and often a\\npowerless condition of some of the muscles. Vomiting\\nfrequently precedes the stroke, the breathing immedi-\\nately becoming slow and irregular, with a puffing sound.\\nThe cheeks are usually blown outward at each expiration.\\nThe pulse is slow and full, and the eyes are insensible to\\nlight. The face is flushed, and yet there is no fever until\\nseveral hours after the attack. The muscular system is\\nthoroughly relaxed.\\nSooner or later reaction occurs as a general thing.\\nSometimes it commences within an hour, at others it is\\ndelayed for several hours. A return of the senses brings\\nheadache, the mind is wandering and confused, and one\\nside of the body is usually paralyzed.\\nDuring reaction inflammatory symptoms may set in,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0203.jp2"}, "198": {"fulltext": "190 HEMORRHAGE OF THE BRAIN.\\nattended with a high fever, and the paralyzed muscles may\\nbecome rigid. In such cases there is frequently severe\\nshooting pains.\\nTermination. The great gravity in apoplexy consists\\nin the fact that one attack predisposes to another, and if\\nthe first is not fatal a subsequent one is almost sure to be.\\nTreatment. If a stroke is preceded by premonitory\\nsymptoms, it shows that slow hemorrhage is probably tak-\\ning place in the brain, and the best thing to be done in\\norder to relieve the pressure upon the arteries and stop\\nthe hemorrhage is blood-letting. This should be done in\\nthe old-fashioned way, by opening a vein in the arm and\\ndrawing off a pint or more of blood.\\nDuring the attack the tendency to hemorrhage of the\\nbrain may be lessened by elevating the head, and this\\nshould be done immediately. The patient should be on\\nhis side with the face inclined a little downward to prevent\\nthe choking effect of the mucus and saliva, that might\\notherwise accumulate in the throat. If when reaction is\\nestablished the pulse should be full and bounding, a seda-\\ntive to the heart s action should be given, and the best is\\nthe tincture veratrum veride as follows\\nTincture veratrum veride, one drachm,\\nWater, three ounces.\\nMix, and give a teaspoonful every hour until the strong\\nand bounding character of the pulse is lessened or until\\nsickness of the stomach occurs.\\nIf an attack is marked by pallor of the countenance and\\nfeeble and irregular pulse, a tablespoonf ul of whiskey in\\nan equal amount of sweetened water may be given every\\nhour until the condition commences to improve. After all\\nthe acute symptoms of an apoplectic seizure have subsided,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0204.jp2"}, "199": {"fulltext": "SICK HEADACHE. 191\\niodide potassium may be given in ten-grain doses three\\ntimes a day to cause absorption of the blood clot in the\\nbrain.\\nThe following is a convenient form for giving it\\nIodide potassium, three drachms,\\nSimple syrup, nine ounces.\\nMix, and give a tablespoonful three times a day.\\nAfter a month or two the paralyzed condition may be\\nfavorably affected by giving the solid extract of ignatia\\nthree times a day before meals, the dose ranging from one-\\nhalf to a full grain according to the size of the patient, a\\nfull grain being intended only for the largest and strongest\\nmen.\\nSICK HEADACHE.\\nOther names bilious headache blind headache mi-\\ngraine hemicrania.\\nThis is a paroxysmal pain or aching in the head, usually\\nperiodical, attended with sickness and vomiting and a\\nmorbid sensibility of the nervous system. The affection\\nis aggravated by sound, disturbed by strong light and ob-\\nnoxious odors. The smell of tobacco smoke greatly in-\\ntensifies the sickness and headache.\\nThe causes are largely hereditary, that is, patients inherit\\nan irritable, nervous disposition that favors the develop-\\nment of atonic dyspepsia, and the dyspepsia in a large\\nmajority of cases causes the sick headache. There are a\\ngreat many cases of the disease, however, that are not\\ntraceable to any known cause, and yet permanently yield\\nto such a course of treatment as cures dyspepsia, even\\nthough the latter does not seem to exist. There is noth-\\ning in the way of diet or habits of living that is so great", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0205.jp2"}, "200": {"fulltext": "192 SICK HEADACHE.\\na factor in causing sick headache as the use of tea and\\ncoffee, but more especially the latter. In a large per cent\\nof the obstinate cases of sick headache the patients are\\nexcessive coffee drinkers, some of them taking one or two\\nstrong cups three times per day. Others drink two cups\\nat each meal, and the number of persons who can drink\\ncoffee thus intemperately and not be afflicted with frequent\\nand severe paroxysms of headache, are certainly very few.\\nSymptoms. The attacks of this disease come on in\\nirregular paroxysms, each attack seemingly ending in per-\\nfect recovery. The paroxysms usually have warning symp-\\ntoms which are mainly disorders of digestion.\\nThe headache may commence with a feeling of chilliness\\nfollowed by nausea and vomiting, or the chilly feeling may\\nbe entirely absent. There is often soreness of the muscles\\nsomewhat like muscular rheumatism, and the patient is\\ndisturbed by strong light, by unusual sounds, or anything\\ncalculated to disturb in the least the nervous system.\\nAbout this time pain of a severe character sets in. It may\\nbe darting like neuralgia or it may be an intense aching\\npain over the eyes, in one or both temples, or in the back\\nof the head. The pain is usually felt on the left side and\\nvery rarely felt on both sides at once.\\nThe sickness of the stomach, instead of preceding the\\npain, as it sometimes does, more frequently commences\\nwith it and accompanies it, the greatest nausea and vomit-\\ning being apparent during the greatest intensity of the\\nheadache.\\nMotion, light, sound, disagreeable odors, and everything\\nthat perturbs the nervous system, aggravates the suffering.\\nThese attacks, if not cut short by drug treatment, may last\\nfor two or three days.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0206.jp2"}, "201": {"fulltext": "SICK HEADACHE. 193\\nTermination. The disease is not only free from danger\\nto life, but almost all cases, under the right treatment, can\\nbe permanently cured.\\nTreatment. The first thing to be done is to break up\\nthe paroxysm, which can be done with either one of two\\nremedies. Sulphate of morphine given in pill form, sugar\\ncoated, in one-fourth-grain doses every half-hour until the\\npatient is entirely relieved, is, perhaps, the best, unless that\\nintense sickness of the stomach, characteristic of morphine,\\nshould make its use undesirable. If it is given, however,\\nas directed, the third pill will rarely if ever have to be\\ngiven. The other remedy is antipyrine, and in severe\\ncases may be given in twenty-grain doses. The first dose\\nwill afford within one hour partial relief, but it is usually\\nnecessary to give the second dose within an hour and a\\nhalf from the first. This almost always breaks up the\\nparoxysm.\\nTHE CURATIVE TREATMENT.\\nThere is a permanent and almost infallible cure for this\\nterrible affliction, if the proper remedy is taken for a suf-\\nficient length of time, and the advices regarding eating and\\ndrinking carefully followed. In the first place coffee, if\\nused at all, must be abandoned. It is better to avoid the\\nuse of stimulants of every kind but if something in that\\nline must be taken, a cup of tea at breakfast may be used\\ninstead of coffee. Granting that this wonderfully pleasant\\nbeverage, coffee, is to be permanently abandoned, the next\\nthing is to select a remedy that will so act upon the nervous\\nsystem, and so change it, as to break up the headache habit.\\nThe remedy is well known to the author, and has been", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0207.jp2"}, "202": {"fulltext": "194 SICK HEADACHE.\\nsuccessfully employed by him in these cases for thirty\\nyears.\\nIt is the solid extract of ignatia amara, given in doses rang-\\ning from one-half to a full grain three times per day before\\nmeals. If a person weighs from a hundred to a hundred\\nand sixty pounds, a one-half-grain pill is sufficient if from\\none hundred and sixty to two hundred, a three-quarter of\\na grain pill must be given. All persons weighing over two\\nhundred should take a one-grain pill. All adults, even\\nthough they may weigh less than a hundred pounds, will\\nbear a half-grain pill. Children from eight to fifteen years\\nold may take a quarter-grain pill, and in those below eight\\nsick headache rarely if ever occurs.\\nIt seems that the merits of this remedy are almost wholly\\nunknown to the medical profession, as the impression gen-\\nerally prevails that ignatia is about the same as nux vomica,\\nor its more active principle, strychnine. The facts are, that\\nignatia, though chemically very similar to nux vomica, has\\nmedical properties wonderfully superior, and also vastly\\nsuperior to strychnine, and covers a wider range of nervous\\nand dyspeptic disorders than any other remedy known in\\nmedicine.\\nWhen it is given to cure sick headache or any other\\naffection that has existed for many years, it must be re-\\nmembered that the primary cause of the disease has to be\\nremoved, and the habit of its occurrence broken up. For\\nthis reason, when sick headache has existed for fifteen or\\ntwenty years it is foolish to suppose that any treatment\\nwill cure it in a month or two. Therefore the remedy\\nshould be given three times a day without a miss for six\\nmonths or more, where it has existed for many years.\\nIf it is much more recent in its origin, that is, if it has", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0208.jp2"}, "203": {"fulltext": "CONGESTION OF THE BRAIN. 1 95\\nonly existed for two or three years, three months will prob-\\nably be long enough to continue the drug.\\nCONGESTION OF THE BRAIN.\\nOther names cerebral congestion cerebral hyperaemia.\\nThis is an unnatural fulness of the vessels of the brain.\\nWhen the congestion involves the arteries, it is called active\\ncongestion. When the veins are mainly involved, it is\\ncalled passive congestion. The affection is attended with\\nheadache, dizziness, and sometimes convulsions.\\nCauses. In the active form it may result from enlarge-\\nment of the heart, causing a flow of too much blood to the\\nbrain, and unduly distending the vessels.\\nExcesses in eating lead to a fulness of all the blood-\\nvessels by creating too much blood, and in this way are\\nliable to cause brain congestion. Alcoholic stimulants,\\nsunstroke, great anxiety, or severe mental labor, all have a\\ntendency to cause cerebral congestion.\\nSymptoms. Congestion of the brain may come on\\nsuddenly or may develop gradually, and the symptoms are\\nliable to be aggravated by the horizontal or recumbent\\nposition. It is characterized by headache, neuralgic pains,\\nand derangement in the senses of vision and hearing, ring-\\ning in the ears, dizziness, contracted pupils, a rattled or\\nstupid condition of the intellect, and weird hallucinations\\nthe face is congested, eyes suffused with tears, or there is\\nmore or less twitching of the muscles.\\nTermination. This is more or less unfavorable so far\\nas perfect recovery is concerned, but the cases that end\\nfatally are comparatively few.\\nTreatment. In the active form of the disease the appli-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0209.jp2"}, "204": {"fulltext": "196 DYSPEPTIC MELANCHOLY.\\ncation of cold water to the head in immense quantities, so\\nas to completely overwhelm the morbid action, is the best\\ntreatment that can be adopted, but in the meantime the\\nhead should be sufficiently elevated to allow the force of\\ngravity to assist in carrying the blood away from the brain.\\nIn using water a great deal depends on the amount and\\nthe temperature, and a wash-tub full is not too much as a\\ngeneral thing. A physic of Epsom salts, to the amount of\\ntwo tablespoonfuls, may be given in half a glass of water\\nif the patient can swallow.\\nIn all cases where the symptoms are violent and attended\\nwith a strong, full, and frequent pulse, the following should\\nbe given as directed\\nTincture veratrum veride, one drachm,\\nWater, two and a half ounces.\\nMix dose, a teaspoonful every hour. Within eight or\\nten hours the fever and pulse will probably be greatly re-\\nduced, preceded by sickness of the stomach and vomiting.\\nThese changes are the characteristic effects of the drug,\\nand when the distressing symptoms subside in this way re-\\ncovery is usually rapid but should the nausea and depres-\\nsion from the drug be great, a tablespoonful of whiskey in\\nan equal amount of water may be given to hasten reaction.\\nDYSPEPTIC MELANCHOLY.\\nThis is one of the forms in which dyspepsia manifests\\nitself. In such cases the patient is called a hypochon-\\ndriac, or a subject of hypochrondia. He is very much\\ndepressed in spirits, and imagines he has an incurable mal-\\nady of some kind. The tendency of such patients is to\\nbrood over their physical infirmities, and allow themselves", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0210.jp2"}, "205": {"fulltext": "ANGINA PECTORIS. 1 9/\\nto be haunted with ideas of cancer of the stomach or some\\nterrible affection from which there is no escape. It is hard\\nto convince them that dyspepsia, originating in nervous\\ndebility, is the cause of all their misery and painful abstrac-\\ntions. Many cases of insanity are traceable to stomach\\nderangements, and in all such affections attended with\\nprofound melancholy, there is a tendency to suicide. Mel-\\nancholy itself is a mental derangement, and when it reaches\\na condition in which it is incurable, it is called insanity.\\nTermination. Under prompt and proper treatment this\\nis almost always favorable. It consists in giving from a\\nhalf to a full grain of the solid extract of ignatia before\\neach meal. If a person weighs from ioo to 160 pounds,\\nhe should take a half-grain pill if from 160 to 200, three-\\nquarters of a grain will be the proper dose. All persons\\nweighing over 200 pounds, should take a full grain. In all\\ncases the drug should be continued for three or four\\nmonths. In cases of very long standing it may be best to\\nkeep up the treatment for six months.\\nUnder the use of the remedy there is rapid improvement,\\nwhich usually sets in during the first week. It is unneces-\\nsary to prescribe anything else, as the ignatia is worth\\nmore in such cases than all other drugs in the materia\\nmedica.\\nANGINA PECTORIS.\\nThis is a disease in which there are sharp pains in the\\nregion of the heart, usually reaching the left shoulder and\\narm.\\nCauses. It is often due to a hereditary tendency. It\\nmay also be associated with fatty degeneration of the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0211.jp2"}, "206": {"fulltext": "198 ANGINA PECTORIS.\\nheart and disease of the valves, but its true place is among\\nnervous disorders.\\nIt has for its exciting causes in many cases, the exces-\\nsive use of tobacco and alcoholic stimulants.\\nSymptoms. The attacks occur in paroxysms, are irreg-\\nular in character, commence with but little, if any, warning,\\nand when the patient is seemingly in a state of perfect\\nhealth.\\nA person attacked with it screams out suddenly as one\\nin a fit of epilepsy the pain is terrible, with a feeling of\\ncramp in the chest, especially in the region of the heart.\\nTermination. It is considered a very grave disease, and\\nin bad cases any paroxysm is liable to prove fatal.\\nTreatment. Neuralgia of the heart has heretofore been\\nthought incurable, but in the last few years a remedy has\\nbeen found that has proven a specific in some of its forms.\\nThis remedy is the cactus grandiflorus, or night-bloom-\\ning cereus. It is given as follows\\nTincture cactus grandiflorus, twenty drops,\\nWater, twenty teaspoonfuls.\\nMix, and give a teaspoonful every ten minutes until the\\npatient is relieved.\\nIn using this remedy it is best to buy the green tincture.\\nWhen in the course of an inflammatory rheumatic attack,\\nthere is the sudden setting in of a constriction in the\\nregion of the heart, as if the heart were grasped with a\\nband of iron, this remedy is of the greatest importance,\\nand almost always acts like a charm.\\nAs a preventive of the paroxysms, one drop in a tea-\\nspoonful of water three times a day may be taken for a\\nweek, and then suspended if no symptoms are noted.\\nThe sulphate of morphine in pills from one-fourth to a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0212.jp2"}, "207": {"fulltext": "SNAKE-BITE. 1 99\\nhalf grain, according to the severity of the symptoms,\\nshould be resorted to in case the treatment directed does\\nnot relieve promptly.\\nSNAKE-BITE.\\nIt is scarcely necessary to burden the reader with the\\nsymptoms arising from the bite of a rattlesnake or copper-\\nhead, as the man that is bitten by such snakes will know\\nit and if he lives very long, will become thoroughly famil-\\niar with the symptoms until he passes into a state of un-\\nconsciousness.\\nFortunately, a rattlesnake is never looking for an oppor-\\ntunity to bite any one, and if unmolested, never strikes.\\nBefore striking, he gathers himself into a coil and is then\\nprepared to jump about one-third of his entire length.\\nWhen ready to make the jump and inflict the wound that\\nis often fatal to the one he bites, he shakes his tail, and the\\nsound of his rattles gives warning of the deadly stroke\\nhe is liable to make; and even then, if not further en-\\ncroached upon, he may not bite. He is utterly helpless\\nwhen stretched to his full length, and for this reason, it is\\nhard to get him to strike at a dog. He seems to know\\nthat the dog will get hold of him before he can get back\\ninto his coil so as to defy the canine. The dog under-\\nstands the snake just as well as the snake does the dog,\\nand will never try to get hold of him as long as he keeps\\nin his coil, but will bark, jump toward him in a threatening\\nway, and do everything to tempt the snake to strike at\\nhim. Finally the snake gets desperate, jumps at the dog,\\nbut the latter always dodges him, and before the poor\\nsnake can get himself back in a coil ready to strike again,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0213.jp2"}, "208": {"fulltext": "200 SNAKE-BITE.\\nthe dog catches him in the middle and shakes the life out\\nof him. Dogs rarely if ever get bitten by a snake.\\nThe effects of a snake-bite upon a man, depend upon\\nthe location of the bite with reference to blood-vessels. If\\none of the fangs enter a vein, the poison passes at once\\ninto the circulation, and death ensues before there is any\\ntime for remedies. If the part bitten is not covered by\\nclothing, a great deal more poison enters the body than\\nwould if the flesh were covered by a thin stocking, and\\nthe treatment should be very prompt and thorough.\\nTreatment. The best thing to be done after a person\\nis bitten is to touch the wound as soon as possible with the\\nstrongest solution of carbolic acid, as that kills every par-\\nticle of the poison that is not already taken into the circu-\\nlation. Nitrate of silver, sulphuric acid, or nitric acid may\\nbe used if the carbolic acid is not to be had, or the part\\nbitten may be touched with a hot iron.\\nA great many remedies are popular among people living\\nin countries infested with rattlesnakes and copperheads,\\nand among them may be mentioned the habit of binding a\\nlarge piece of warm and bleeding chicken upon the wound.\\nAnother favorite treatment is to put the foot, if that is the\\npart bitten, into a bucket full of blue mud obtained from the\\nbottom of a foul and sluggish stream. They usually keep\\nthe foot in such mud for hours. It is scarcely possible for\\nany such treatment to be of benefit. The best remedy\\nknown to antidote the poison of such snakes, is whiskey\\nor some form of alcohol. The tendency of persons bitten\\nis to pass into a state of fatal stupor, and whiskey is given\\nwith a view of counteracting it.\\nIt is foolish to give it in tablespoonful doses, as such\\nquantities can have but little effect upon the poison or the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0214.jp2"}, "209": {"fulltext": "COMMON HEADACHE. 201\\npatient. The writer remembers one particular case that\\noccurred in his practice that will afford some reliable infor-\\nmation to the reader. He was called to see a boy sixteen\\nyears old that had been bitten by a rattlesnake a half hour\\nbefore his arrival. The foot was considerably swollen and\\nthe patient was in a condition somewhat alarming, as the\\nsymptoms were similar to those of poison from morphine.\\nHe was given a half pint of whiskey immediately. This\\nsoon began to act favorably in overcoming the stupor, and\\nwas followed in an hour by smaller doses amounting to a\\npint in all, and the boy was practically well by the following\\nmorning.\\nCOMMON HEADACHE.\\nThis is one of the most common ailments of humanity,\\nas nine out of ten of the adult population of the civilized\\nworld have it more or less.\\nThe predisposing cause is heredity, as the inclination to\\nheadaches runs in families. The exciting causes are dys-\\npepsia, the immoderate use of tea, coffee, and alcoholic\\nstimulants. Among the exciting causes, coffee, though one\\nof the most pleasant drinks known to mortals, holds a front\\nrank.\\nThere are but few persons who drink coffee to any\\nextent that are not subject to headache. Some of the\\nattacks are moderate, consisting of a dull headache lasting\\nfor a day or two, while others are so severe that the patient\\nis compelled to go to bed. There are other cases in which\\nthe headache lasts for a week at a time but is not severe.\\nThere are others in which the paroxysms occur once per\\nmonth, or at wider intervals. When not accompanied with\\nsickness of the stomach, they are not called sick head-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0215.jp2"}, "210": {"fulltext": "202 PALPITATION OF THE HEART.\\nache, but are known as common headache, but are all\\ncured by the treatment given in the chapter devoted to\\nsick headache.\\nIt is unnecessary to repeat the treatment here, as the\\nreader can easily turn to sick headache and find the\\ntreatment for common headache.\\nPALPITATION OF THE HEART.\\nOther names irritable heart fluttering of the heart.\\nThis is a functional disease of the heart in which its\\nbeats are so fast that the pulse at the wrist can scarcely be\\ncounted.\\nCauses. A great many causes of this affection are\\nenumerated by authors, but the principal one is undoubt-\\nedly dyspepsia, as palpitation of the heart always accom-\\npanies that disease, more or less.\\nSymptoms. As nine-tenths of all the cases of palpita-\\ntion of the heart, and probably a great deal larger per\\ncent than this, are due to dyspepsia, the symptoms of the\\naffection arising from that cause are given, and are about\\nas follows After eating a very hearty meal or partaking\\nof indigestible food, a feeling of distress in the stomach\\noccurs, with more or less difficulty of breathing and general\\nfeeling of discomfort. About this time a rapid fluttering\\nof the heart may set in, the heart beating violently against\\nthe walls of the chest, its pulsations being apparent through\\nthe patient s clothing there is frequently shortness of\\nbreath, dizziness, and an expression of general anxiety.\\nThese symptoms are not all present in any one case, as the\\ndisorder is greatly modified in its symptoms by the tempera-\\nment of the patient. Some are unable to lie down, owing", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0216.jp2"}, "211": {"fulltext": "PALPITATION OF THE HEART. 203\\nto a feeling of suffocation that follows. Others become\\nfeeble and tottering soon after the seizure, and are com-\\npelled to lie down.\\nTermination. So far as life is concerned this is almost\\nalways favorable, as palpitation of the heart is a functional\\ndisease as a general thing but there are few patients in\\nwhom habitual palpitation is once fully established, that\\never entirely recover from it.\\nTreatment. In this as in all other diseases the most\\nimportant thing to be done is to remove, if possible, the\\ncause. Next to this in importance is to find a remedy\\nthat will break up at once the paroxysms when they oc-\\ncur. As most cases are associated with chronic indiges-\\ntion and depending upon it, the treatment must be directed\\nto the stomach and bowels through the action of drugs\\nupon the nervous system. As this is essentially a treat-\\nment of atonic dyspepsia, the reader is referred to the\\nchapter on that disease and assured that when the stomach\\nand intestinal indigestion are overcome, the paroxysms of\\npalpitation will occur much less frequently, if at all. It\\nis well to remember, however, that in all disorders of a\\nnervous character, certain organs acquire certain habits,\\nand when these habits have long continued, they are hard\\nto break up. For example, epileptic convulsions may\\ncommence early in life from a certain or specific cause.\\nAfter a great many fits have occurred they will probably\\ncontinue, even though the cause that originally produced\\nthem has long since ceased to exist.\\nThe frequent recurrence of palpitation seizures ceases\\nto be distressing to a patient, provided he has learned some\\neasy and simple remedy to break up the attack. Such\\na remedy was discovered by the author over thirty years", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0217.jp2"}, "212": {"fulltext": "204 PALPITATION OF THE HEART.\\nago, has been used by him ever since, and rarely fails to\\nstop the palpitation in a few minutes. The manner in\\nwhich it was discovered is as follows Hiccough, which is\\na spasmodic affection, is almost always controlled by a\\npatient taking a full inspiration and holding his breath as\\nlong as possible. As the author considered palpitation of\\nthe heart a nervous disorder, he tried the same treatment\\nwith all patients as that used for hiccough. If the palpita-\\ntion is of the character that permits patients to lie down,\\nthey should stretch themselves upon a lounge or bed imme-\\ndiately, and after a few minutes quiet repose, be directed\\nto fill the lungs as full as possible with air and hold it for\\na half minute or more. The palpitation usually ceases\\nwithin a few seconds after the lungs are completely dis-\\ntended, and when it once stops it seldom if ever com-\\nmences again that day or night. So far as that paroxysm\\nis concerned, it is completely broken up. This is a remedy\\nthat never wears out, as the effects of drugs do sooner or\\nlater, but is valuable and usually unfailing during the life\\nof the patient. Should the first effort at holding the\\nbreath fail to stop the palpitation, another effort of exactly\\nthe same kind should be made after the lapse of five or\\nten minutes. There is one important point always to be\\nobserved and that is this In obstinate cases the shoul-\\nders should be thrown back and every cubic inch of air\\nsucked into the lungs that they will hold. Where a fail-\\nure occurs in the first effort it is almost always owing to\\na trifling effort at inflating the lungs, and next time a\\nstronger, deeper, and fuller breath must be taken.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0218.jp2"}, "213": {"fulltext": "INFANTILE COLIC. 205\\nINFANTILE COLIC.\\nThis is one of the most frequent and annoying troubles\\nof the human race. Many babes, although growing\\nrapidly and seemingly healthy, have green stools more or\\nless, showing imperfect digestion. In all cases attended\\nwith green stools there is colic, and this may be so distress-\\ning as to keep the infant crying most of the night. The\\nparents give it hot teas, peppermint, and various remedies\\nto stop the pain, and, unfortunately, sometimes give it\\nparegoric or something of that kind which further inter-\\nferes with the functions of digestion, binds the bowels, and\\nincreases the liability to colic.\\nTreatment. This consists in the first place in giving a\\nremedy to act on the whole intestinal tract so as to get rid\\nof curdled and irritating food, including the green stools.\\nTherefore give the following\\nMercurius, the first decimal trituration, ten grains.\\nDivide into five powders and give one every hour, by\\nmixing it with a little white sugar and putting it in the\\nmouth in a dry condition, and washing it down with a\\nteaspoonful of milk or water. By the time all the powders\\nare given, the stools will be dark and will gradually change\\nto brown. After this, give the babe one-twentieth of a\\ngrain of the solid extract of ignatia three times per day,\\nallowing about six hours between each dose. The ex-\\ntract should be given in pill form and continued for two\\nweeks. This treatment prevents further trouble from\\ncolic, as a general thing.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0219.jp2"}, "214": {"fulltext": "206 BLEEDING FROM THE EXTRACTION OF A TOOTH,\\nBLEEDING FROM A CUT.\\nWhen an artery is cut that lies close to a bone, it is\\nunnecessary to tie it, as the bleeding can be stopped in a\\nminute by pressure, so as to compress the artery against\\nthe bone. If on the foot, a half dozen folds of muslin,\\nmaking a little firm compress an inch square or a little\\nmore, should be placed over the cut, and of course it\\nmust be large enough to cover it. Then a bandage is\\npassed round the foot, commencing at the toes. It should\\nextend to the ankle and bear firmly upon the compress\\ncovering the bleeding vessel. The bleeding can be stopped\\ninstantly in this way if the bandage and compress are\\nproperly applied.\\nIf the wounded blood-vessel is not close to a bone, cot-\\nton batting should be dipped in a solution of subsulphate\\nof iron until it is soaking wet, and then forced into the\\nwound and firmly held there with the fingers, until the\\nbleeding is stopped or until a doctor arrives to take charge\\nof the case.\\nBLEEDING FROM THE EXTRACTION OF A\\nTOOTH.\\nMany cases of fatal hemorrhage have been reported\\nwithin the last quarter of a century from the extraction of\\nteeth. Many other persons have experienced great an-\\nnoyance from bleeding that could not be arrested for\\ntwenty-four hours or more after parting with a distressing\\ntoothache through the application of cold steel. Either\\nof the following methods will stop such bleeding in a few\\nminutes, if properly used If convenient, examine the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0220.jp2"}, "215": {"fulltext": "BLEEDING OF THE NOSE. 207\\ntooth that has been extracted so as to see the size of the\\nopening in the jaw. Then select a vial cork large enough\\nto fit into this opening, and if necessary cut off the top of\\nit, so when it is forced into the jaw it will not project above\\nthe gum quite as much as the teeth do. Next soak it in a\\nsolution of subsulphate of iron, and crowd it down firmly\\ninto the cavity left by removing the tooth. The hemor-\\nrhage will be arrested in a few minutes, if not instantly,\\nand the cork may be allowed to remain for several hours.\\nThe other method is equally successful and is as follows\\nTake an ordinary hypodermic syringe with a point almost\\nat right angles. Draw into the syringe three drops of\\nsolution of subsulphate of iron, then screw the point on.\\nWipe the bleeding gum perfectly dry with a small sponge,\\nand as soon as a fresh drop of blood springs up, push the\\nhypodermic needle into the exact spot from which the\\nblood started and inject two or three drops of the solu-\\ntion. It will curdle the blood instantly and stop the\\nbleeding.\\nThe cork, if properly applied, will stop the bleeding in\\nalmost every case, even if not dipped in the iron solution\\nat all. If no cork of suitable size can be found, a larger\\none may be dressed down with a sharp knife. A plug of\\nsoft wood, if whittled down to the right size to fit the\\nopening in the jaw, will answer.\\nBLEEDING OF THE NOSE.\\nAnother name epistaxis.\\nThere are many persons in whom there is a peculiar\\ntendency to hemorrhage, and in all such patients slight\\nwounds upon the body, the extraction of a tooth or a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0221.jp2"}, "216": {"fulltext": "208 BLEEDING OF THE NOSE.\\nbump on the nose may cause an alarming flow of\\nblood.\\nBleeding of the nose may be due to congestion of the\\nbrain, a condition in which there is usually a fulness of\\nthe blood-vessels about the head; it may arise from en-\\nlargement of the heart, causing blood to be thrown with\\nsuch force as to rupture the small arteries of the nose and\\nits membranes, or it may result from disease of the blood-\\nvessels.\\nTermination. Although many cases of bleeding from\\nthe nose have ended fatally, all such hemorrhages, if the\\nproper treatment is employed, can be easily and promptly\\narrested.\\nTreatment. When due to congestion or inflammation\\nof the brain, cold water should be applied to the head very\\nfreely for fifteen or twenty minutes. If this does not\\nsucceed in stopping the bleeding within a half hour, the\\nfollowing plan must be substituted for the cold water In\\nthe first place, turn two ounces of solution of subsulphate\\nof iron into a teacup. Then get a half-dozen slender chicken\\nfeathers about three inches long, from the inner side of a\\nchicken s wing. They are not to be the quill-feathers of\\nthe wing, but the small straight ones that cover the roots\\nof the main wing-feathers. The straightest and best ones\\nshould be selected whether found on the inside or outside\\nof the wing.\\nThey should be tolerably stiff and firm. Dip one of\\nthem into the solution in the teacup so as to get all of its\\nfeathers soaking wet. Then quickly pass it into the\\nnostril that is bleeding, and let an inch of the quill end\\nstick out. Dip another into the solution in the same way,\\nand push it into the nostril as far as it will go, and do it", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0222.jp2"}, "217": {"fulltext": "SORE LIPS. 209\\nquickly, or a clot will form so you cannot pass it at all.\\nThese feathers are to be pushed in until there is no more\\nroom in the nostril for another feather. If there is bleed-\\ning from both nostrils at the same time, both must be\\ntreated in the same way. It will arrest the hemorrhage in\\na few minutes, as the writer has been using the treatment\\nfor a quarter of a century and has never known it to fail\\nin a single case. After the feathers are all in and the\\nbleeding stopped, the ends may be clipped off with scissors\\nto within a half inch of the nose.\\nIn a day or two the formation of mucus in the nose will\\nloosen all the feathers so they can be easily pulled out.\\nThis treatment is to be employed in all cases of bleed-\\ning from the nose that fail to yield to the ordinary\\nremedies.\\nSORE LIPS.\\nThis is an affection of the lips with which almost every\\none is to some extent familiar. Such sores are generally\\nknown by the very familiar term of cold sores, as they\\nare supposed to arise from common colds.\\nIn most cases they do not arise from colds at all, but\\nare due to errors in diet, or to eating too much rich food,\\nsuch as fat turkey. The sores as a general thing are first\\nseen in the morning, and are beneath the mucous mem-\\nbrane of the lip in little lumps sometimes as large as a\\npea or soup bean. If allowed to break out, they become\\nsore and distressing, disfiguring the mouth for about a\\nweek. Some very pretty ladies are frequently ruined for\\na week or two at a time by such unsightly sores upon\\ntheir lips.\\nTreatment. The free application of alcohol to the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0223.jp2"}, "218": {"fulltext": "210 CRAMP COLIC.\\ninflamed lips as soon as the sores begin to make their\\nappearance, and repeated four or five times during the\\nday and twice during the night, will always dry up the\\ninflamed part and prevent breaking out. This treatment\\nseems to be absolutely sure if carefully carried out, and\\ntherefore it is not necessary for any one, understanding\\nthe treatment, to suffer from raw, inflamed, and bleeding\\nlips. When the swelling is first observed, the alcohol\\nmust be freely applied, and it ought to be repeated about\\nevery two hours during the day. If no alcohol is in the\\nhouse, spirits of camphor may be used instead.\\nCRAMP COLIC.\\nThis is an affection that comes on periodically, as a\\ngeneral thing, and yet the paroxysms are not always regu-\\nlar in returning. Some persons may have the attacks a\\ndozen times per year, while others may not have more\\nthan half that many in the same length of time.\\nSymptoms. Sometimes the violent paroxysms of cramp\\ncolic are preceded by warning symptoms, such as tran-\\nsient pains in the bowels, or a distressed feeling after\\nmeals, attended frequently with headache. Such symp-\\ntoms often precede the regular attack a few days. Fre-\\nquently, however, cramp colic breaks out in the night\\nwithout any warning whatever, and is usually brought on\\nin such cases by eating too much or partaking of some-\\nthing very hard to digest.\\nThe pain is severe to commence with, and rapidly in-\\ncreases until the cramp or spasm of the abdominal mus-\\ncles sets in. Then there is a terrible feeling of constriction\\nas if the stomach and bowels were being squeezed by some", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0224.jp2"}, "219": {"fulltext": "CRAMP COLIC. 211\\npowerful force, the patient screams and groans and great\\ndrops of perspiration stand upon the face. As a rule,\\nthere is no amount of heat in the form of poultices or\\ntowels dipped in hot water, that will assuage the terrible\\npain, and it is always best to resort to other and quicker\\nmeans for relief.\\nTreatment. The treatment consists, first, in giving\\nsomething for immediate relief, and second, to put the\\npatient upon a regular course of treatment that will pre-\\nvent the return of the paroxysms. For immediate relief\\nthere is nothing so good as a full dose of morphine, and\\nin almost all cases it is better to give from a quarter to a\\nhalf grain at a single dose. If the patient is large and\\nstrong, whether male or female, a half-grain dose of mor-\\nphine will not be too much. There is nothing counter-\\nacts the effect of morphine so thoroughly as pain, the\\nterribly excruciating pain of cramp colic, and the cases\\nthat do not require a half-grain of the drug are few. It\\nis frequently necessary, even when a half-grain is given,\\nto follow it with another dose within an hour.\\nAfter complete relief is afforded by the remedy, the\\nparoxysm may be considered broken up. The next and\\nmost important thing to do, is to give such remedies as\\nwill prevent the return of the disease. Happily for all\\nsufferers from this terrible affliction, there is a treatment\\ngiven in another part of this book that seems to be abso-\\nlutely sure to cure it, as the author has never known it to\\nfail. The remedy is the extract of ignatia, and must be\\ngiven just as directed in the treatment of atonic dyspep-\\nsia, to which the reader is referred.\\nThe drug should be taken for several months.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0225.jp2"}, "220": {"fulltext": "212 GOITRE.\\nGOITRE.\\nOther names thick neck bronchocele.\\nThe name by which this disease is most frequently\\nknown, is thick neck, and consists of an enlargement\\nof the thyroid gland. The tumor appears upon the throat\\njust below the prominence known as Adam s apple, and\\nmay be moderate in size so as to attract but little if any\\nattention, or may be very large so as to cause serious de-\\nformity. It is usually slow in its development, and is much\\nmore common in females than males.\\nTreatment. This consists in the prompt and regular\\napplication of the tincture of iodine to every part of the\\nenlarged gland. The drug thus applied has a powerful\\neffect upon the tumor, and will almost always cause its\\nabsorption within a few weeks if commenced soon after it\\nmakes its appearance.\\nIf the enlarged gland is neglected for several years,\\nduring which it is allowed to develop into an unsightly\\ntumor, it is liable to become hardened or cartilaginous,\\nand consequently incurable. After it has passed into a\\ncartilaginous state, iodine will not affect it, and it can be\\nremoved only by the surgeon s knife. All glandular en-\\nlargements, this one included, can be favorably affected\\nwith the tincture of iodine, if not entirely overcome, pro-\\nvided they are treated when they are comparatively small.\\nThen they are soft and easily removed by absorption.\\nAs soon as a goitre makes its appearance, it must be\\npainted twice per day with tincture of iodine, covering\\nevery part of the enlargement and extending a little be-\\nyond it in every direction. After it is applied for two or\\nthree days in this way, the cuticle will peel off. Then the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0226.jp2"}, "221": {"fulltext": "ULCERATIVE SORE THROAT.\\n213\\napplication should be discontinued for four or five days\\nand commenced again. Meanwhile, iodide potassium\\nshould be given every day as follows\\nIodide potassium, one-half ounce,\\nSimple syrup, one pint.\\nMix, and take a tablespoonful three times per day be-\\nfore meals.\\nULCERATIVE SORE THROAT.\\nThis is an affection characterized by an ulcer, usually\\nupon one of the tonsils or the soft palate, and unless due\\nto syphilis or consumption, is generally acute, and does not\\nextend to the air passages so as to seriously affect the voice.\\nTreatment. All such ulcers occurring in strong, healthy\\npersons can be cured in forty-eight hours or less time, as\\nfollows Place in the bottom of a teacup the strongest\\npossible solution of carbolic acid. Such a solution will only\\ncontain five per cent of water. Then take a soft swab\\nand carefully clean the ulcer, but do not make it bleed.\\nAfter this is done, dip the rounded end of a common lead\\npencil into the solution of carbolic acid, and with it touch\\nevery part of the ulcer so as to turn it perfectly white. The\\nsolution should only wet the end of the pencil that is\\nrounded off with a knife especially for the purpose, and\\nthen there will be but little danger of burning the tongue\\nor any other part of the mouth. If this is properly done\\nthe ulcer will heal in a day or two. The second applica-\\ntion of the remedy is rarely necessary. Ulcers occurring\\non other parts of the body, if not due to syphilis, can be\\nhealed in the same way, as a general thing. In cases of\\nscrofula there is a low state of vitality as a rule, with a dis-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0227.jp2"}, "222": {"fulltext": "214 CHRONIC NASAL CATARRH.\\nposition of all ulcers to spread in such cases the carbolic\\nacid does more harm than good. All ulcers found about\\nthe eyes must be let beautifully alone until an oculist\\nor experienced physician can attend to them.\\nENLARGED TONSILS.\\nThis disease usually commences in childhood, and is\\nmainly due to a succession of colds and a chronic sore\\nthroat. In such cases the tonsils sometimes become so large\\nas to make breathing more or less difficult. For many\\nyears the writer adopted the popular plan of removing a por-\\ntion of such tonsils with the tonsilotome or a suitable knife.\\nTreatment. In almost all cases the absorption of en-\\nlarged tonsils can be effected by rubbing them once per\\nday with a crystal of sulphate of copper, which is usually\\nknown by the name of blue vitriol. The crystal can be\\ndressed, notched like the flint of an Indian s arrow, and\\ntied in the end of a split stick, so there is no danger of its\\nfalling out in the throat while being used. The treatment\\nin this way should be kept up for three months, as it only\\ntakes a minute every morning. Sometimes a crystal of\\nalum acts equally well.\\nCHRONIC NASAL CATARRH.\\nOther names catarrh chronic coryza.\\nThis is a chronic inflammation affecting the mucous\\nmembrane of all the passages of the nose, usually causing\\nchronic swelling of these membranes and an increased flow\\nof mucus. It may be attended with an impaired sense of\\nsmell and partial loss of hearing.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0228.jp2"}, "223": {"fulltext": "CHRONIC NASAL CATARRH. 21 5\\nCauses. It is mostly due to frequent attacks of the\\nacute variety. It is also caused by irritating drug powders\\nand vapors. Syphilis is among the frequent and persis-\\ntent causes of the affection.\\nSymptoms. The most marked symptom is an increase\\nin the amount of mucus discharged from the nostrils. As\\nthe disease develops, the mucus gradually increases in\\nquantity, and running down into the throat causes frequent\\nparoxysms of hawking, especially in the morning.\\nThe senses of smell and hearing are liable to be both im-\\npaired, the former by an inflamed condition of the mem-\\nbrane in which the sense of smell resides, and the latter by\\nclosing tubes connected with the internal ear.\\nAny changes calculated to cause a common cold, precipi-\\ntates an acute attack. The inflammation often involves the\\ntear duct, so as to close it in one or both eyes. In such\\ncase the lachrymal secretion, commonly called tears,\\noverflows, and the patient seems to be in a state of constant\\nweeping. This is greatly aggravated by the chilly winds\\nof winter.\\nTermination. If properly treated and the treatment\\ncontinued for a sufficient length of time, the great majority\\nof cases ought to be permanently cured.\\nTreatment. The author takes the position, and his\\nopinion is based on extensive experience, that nasal catarrh\\nis almost always a constitutional disease, and cannot be\\ncured nor permanently benefited by a local remedy.\\nTherefore the rational course to pursue is to find out what\\nthe disease is, as the trouble in the nose passages is not the\\ndisease at all, but simply the local expression of a constitu-\\ntional affection. It is doubtful if the irritating influences\\nthat develop common catarrh would ever bring on that so-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0229.jp2"}, "224": {"fulltext": "2l6 CHRONIC NASAL CATARRH.\\ncalled disease if it were not for coexisting scrofula or\\nsome other form of blood contamination therefore, the\\ntreatment must be from the first, general and constitutional\\ninstead of local, as the latter at best is only palliative. If a\\nsore or ulcer exist on any part of the body and will not heal\\nof itself, or by proper treatment locally, it is evident that\\nthe trouble is constitutional. The same theory applies to\\ncatarrh, as it is rarely cured by sprays, douches, and snuffs.\\nThe following, if given for a sufficient length of time,\\nwill cure almost all cases\\nIodide of potassium, two drachms,\\nCompound syrup of stillingia, one pint.\\nMix, and give a dessert-spoonful three times a day.\\nWhen this remedy is given for four or five days, all the\\ncatarrhal symptoms are aggravated, the flow from the\\nnostrils is increased, the tenderness of the membranes is\\ngreater, and there is usually sneezing, as if the patient had\\ntaken cold. In such cases, it is best to leave the remedy\\noff for a couple of days and then give it in teaspoonful\\ndoses. It will probably increase the difficulty, even in the\\nreduced dose, but not to any great extent. The fact that\\nit does aggravate the symptoms proves that it is the proper\\nremedy, and affords strong hope that it will ultimately\\ncure. After it is given for a number of weeks in tea-\\nspoonful doses, it will cease to aggravate the affection by\\nthe system becoming accustomed to the drug. Then it may\\nbe gradually increased to a half tablespoonf ul, or a dessert-\\nspoonful, which is the same thing, and continued for six\\nmonths. This remedy sometimes causes a little sore\\nthroat when taken for a long time or in too large doses.\\nWhen it does this, it should be left off for four or five days.\\nWhen it is given for a long time in small doses, as above", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0230.jp2"}, "225": {"fulltext": "ACUTE ARTICULAR RHEUMATISM. 2\\\\J\\nrecommended, it is a sovereign balm for chronic catarrh\\nbut, unfortunately, the great majority of patients will leave\\nit off after a few weeks, saying It made me worse.\\nSpecial attention is called to this feature of the remedy\\nIt always aggravates the case, and this is the greatest proof\\nthat it will finally cure. As local treatments of every kind,\\ngiven with a hope of cure, are a useless waste of time,\\nnone are recommended except the following, which seems\\nto be the simplest and one of the very best Snuff rich\\nmilk up the nose a half-dozen times a day. It accomplishes\\na great deal in relieving the irritated membranes, as the\\nmilk on evaporating leaves a thin, protecting film that\\nshields the inflamed surfaces from the air. It is important\\nto remember that deafness, resulting from existing catarrh,\\nis greatly relieved, if not entirely cured, when the catarrhal\\ninflammation permanently subsides under this treatment.\\nAs the deafness is usually caused by swelling of tubes in\\nthe throat that connect with each ear, the iodide potassium\\nis strongly indicated to stimulate absorption and get rid of\\nthe swelling.\\nACUTE ARTICULAR RHEUMATISM.\\nOther names inflammatory rheumatism rheumatic\\nfever.\\nThis is an acute constitutional disease, attended by inflam-\\nmation around the joints, and commences with fever, the\\nlatter being high or moderate, according to the character\\nand extent of the inflammation.\\nCauses. The predisposing causes are largely hereditary.\\nThe exciting causes are exposures to wet and cold.\\nSymptoms. The disease usually begins abruptly with", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0231.jp2"}, "226": {"fulltext": "218 ACUTE ARTICULAR RHEUMATISM.\\na chill, or chilliness, swelling and stiffness of the joints,\\nintense pain, loss of appetite, and a hot fever, the tempera-\\nture reaching sometimes the extreme limit of inflammatory\\naffections, or one hundred and ten. Tl e pulse is not\\ncorrespondingly rapid, seldom reaching one hundred per\\nminute in adults. The urine has a sour smell, character-\\nistic of rheumatism, and the bowels are constipated. The\\nfever continues throughout the attack, subject to remis-\\nsions. As there is no possible chance for mistake in recog-\\nnizing this disease after a person has once seen a case of\\nrheumatism, it is unnecessary to give all the symptoms.\\nTermination. The mortality is very low, as there are\\nonly three or four deaths in a hundred cases, and those\\nare usually due to heart affections.\\nTreatment. Twenty years ago this was considered an\\nincurable disease, so far as remedies were concerned, but\\nwas regarded self-limited, running its course in six or eight\\nweeks. A knowledge of these facts caused an eminent\\nphysician to give v an amusing but painfully unsatisfactory\\nanswer to one of his patients. The patient said, Doctor,\\nwhat is the surest cure for rheumatism The doctor\\nanswered, Six weeks. The idea became so thoroughly\\nengrafted in the minds of physicians that the term of six\\nweeks was necessary for the cure of rheumatism, that years\\nand years went by, during which but little effort was made\\nto find a new remedy for the most distressing affection that\\nafflicts mankind, and to-day there are thousands of doctors\\nwho believe that the do-nothing treatment is as good as\\nany.\\nThe author has had an extensive experience with acute\\ninflammatory rheumatism, and radically dissents from this\\nview of the case, believing that there is a drug treatment,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0232.jp2"}, "227": {"fulltext": "ACUTE ARTICULAR RHEUMATISM. 219\\nwhen properly conjoined with hygienic measures, that is\\nalmost infallible in the severest and most acute cases.\\nThe drug treatment to be hereafter given depends for its\\nsuccess upon other things that are almost as necessary\\nas the drug itself. If the patient has all the symptoms of\\nthe most violent form of rheumatism, he must be put in\\nbed, between heavy blankets, whether it is winter or sum-\\nmer, and made uncomfortably hot by a superabundance of\\nbedclothing. The object of this is to encourage copious\\nperspiration, and this should be further promoted by all\\nthe cold water the patient can drink. If he can drink a\\npint every hour it is all the better. In addition to this,\\ngive the following as directed\\nSalicylate of soda, two drachms,\\nWater, four ounces.\\nMix, and give a teaspoonful every half hour for twelve\\nhours, after which give it every hour until it is all given.\\nThis is for adults, and if required for children must be re-\\nduced accordingly. In the great majority of cases the\\npain, fever, and swelling will rapidly decline, and the\\ndisease is often brought under absolute subjection within\\ntwenty-four hours. To assist this treatment, however,\\nremedies must he given to act on the kidneys, and carry\\nout of the blood those salts that are supposed to be the\\nmain cause of rheumatism.\\nFor this purpose the following is probably the best\\nremedy that can be given\\nSweet spirits of nitre, two ounces,\\nAcetate of potash, one-half ounce,\\nWater,\\nSimple syrup, of each, one ounce.\\nMix, and give a teaspoonful every three hours.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0233.jp2"}, "228": {"fulltext": "220 ACUTE ARTICULAR RHEUMATISM.\\nIf the bowels are bound, they should be moved freely\\nwith the following\\nEpsom salts, two ounces,\\nCream of tartar, two ounces.\\nMix thoroughly, and give a heaping tablespoonful in a\\nglass of water. This dose may be repeated in ten or\\ntwelve hours, the object being to get watery discharges\\nfrom the bowels.\\nIn the practice of medicine total failures often occur\\nfrom the neglect of little things, of things seemingly un-\\nimportant, and this is why salicylate of soda, as it is usually\\ngiven, often does but little good. Instead of giving it in\\ndivided doses every half hour, it is usually given in heroic\\ndoses every three or four hours. In this way an unneces-\\nsary drug effect is obtained when only a drug effect upon\\nthe blood is desirable. When given every four hours,\\nfifteen grains is the usual dose. When given every half\\nhour as herein directed, the dose is about four grains,\\nwhich means thirty-two grains in four hours, or about twice\\nas much per hour as would be given by large doses. The\\nremedy is not given to act on any special organ, but to\\nsweeten and change the character of the blood that is\\nalways sour in rheumatism. While this is being done with\\na chemical, the poison in the blood is largely diluted by\\ncopious draughts of cold water. The patient is covered\\nup with blankets, and is practically in the hot room of a\\nTurkish bath-house. In this way, every one of the sweat\\nglands and there are millions of them is stimulated to\\nits utmost, and water pours out through every inch of skin.\\nMeanwhile the kidneys are carrying off water, and in\\ntwenty-four hours the watery portion of the blood is almost\\nentirely changed. Salicylate of soda is frequently given", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0234.jp2"}, "229": {"fulltext": "MUSCULAR RHEUMATISM. 221\\nto patients that are out in the open air and trying to\\nattend to business. It is practically worthless when given\\nin this way.\\nWhen patients have had one attack of rheumatism, they\\nare liable to another, and should always keep their bodies\\nwarm with heavy flannels from head to foot.\\nMUSCULAR RHEUMATISM.\\nThis disease has a number of other names, according\\nto the part of the body in which it is located.\\nTorticollis is a form of the disease affecting the muscles\\nof the neck, and signifies a wry neck, or stiff neck. It is\\nusually on one side, and the head is always inclined\\ntowards the affected side. In such cases an attempt to\\nturn the head or straighten the neck is attended with great\\npain.\\nCephalodynia is a name given to a form of the disease\\naffecting the frontal muscles and back muscles of the head.\\nIn this form the muscles of the eyes may be affected so\\nthat movements of those organs will excite great pain.\\nPleurodynia is the form of muscular rheumatism involv-\\ning the thoracic muscles, or the muscles of the chest, and\\nis often mistaken for pleurisy, or neuralgia of that region.\\nLumbago, which is also called lumbodynia, is a form of\\nthe disease attacking the muscles of the lower part of the\\nback. This is by far the most common form of muscular\\nrheumatism, and probably the most distressing.\\nTermination. This is always favorable so far as life is\\nconcerned, as it is unattended with heart affection and\\nnever results fatally.\\nTreatment. In all inflammatory affections, rest is one", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0235.jp2"}, "230": {"fulltext": "222 MUSCULAR RHEUMATISM.\\nof the most important features of the treatment, as motion\\ncauses pain, and whatever causes pain increases the in-\\nflammatory condition.\\nMuscular rheumatism is one of the most obstinate diffi-\\nculties that ever confronts a physician. As in all other\\ndiseases that are incurable by a drug treatment, a multipli-\\ncity of remedies are given in the text books for this.\\nThe author has gone through the entire list time and\\nagain, and is compelled to acknowledge he has never found\\na remedy that exercised any curative effect upon the\\ndisease. It is considered unnecessary to give a list of the\\ndrugs usually employed in the various forms of muscular\\nrheumatism, as they all seem to be worthless. Within\\nrecent years, however, the bromide of lithium has come to\\nthe front as a sovereign balm in the affection. It is claimed\\non very high authority to be a specific. It is given in\\ntwenty-grain doses, four or five times in twenty-four hours,\\nand in extreme cases, the dose may be increased to thirty\\ngrains. Each dose should be given in a half glass of\\nwater.\\nSo far as the old remedies are concerned, the hygienic\\ntreatment is twenty times better than all of them. As\\nlumbago is the worst and most frequent form, the treat-\\nment aside from the use of drugs is carefully given, and\\nconsists in wearing a heavy flannel pad around the entire\\nbody, extending from the middle of the back to the\\nlower part of the spine. This excludes the air from the\\nsurface and favors rapid recovery. As persons who have\\nhad this trouble once are very liable to have it again, it is\\nbest to wear the flannel all the time in cold weather. If\\nwoollen irritates the skin too much, canton flannel may be\\nused in its place.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0236.jp2"}, "231": {"fulltext": "JAUNDICE. 223\\nJAUNDICE.\\nOther names catarrh of the bile ducts catarrhal\\njaundice.\\nThis is an acute inflammation of the mucous membrane\\nof the bile ducts, and also of that part of the small\\nintestines called the duodenum. It is attended with\\nderangement of the stomach and bowels, the skin is\\nyellow, itches terribly, and there is mild fever.\\nCauses. Excessive eating is the most frequent cause.\\nMalarial influences also develop the affection, but in such\\ncases it is very chronic, or much less abrupt in its\\ncommencement.\\nSymptoms. It begins with distress at the pit of the\\nstomach, the tongue is coated, appetite usually lost,\\nsickness of the stomach, and sometimes vomiting. The\\nbowels are generally loose, and there is mild fever. In\\nfour or five days the eyes become yellow, and a jaundiced\\ncondition spreads over the whole body. The skin becomes\\ndry and itches continually the bowels are bound, stools\\nusually very light in color, showing the absence of bile,\\nthere are pains in the bowels as if from colic, and the\\nurine is unusually dark.\\nTermination. This is almost always favorable.\\nTreatment. The patient should rest quietly in bed or\\nin an easy-chair, and be put upon a generous and unirri-\\ntating diet. The inflammatory condition of the small\\nintestine is best met by small doses of mercury, given as\\nfollows Mercurius dulcis, the first decimal trituration,\\ntwenty-five grains. Divide into five powders, and give\\none powder every hour, placing each powder on the\\ntongue in a dry state, and giving a swallow of water to", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0237.jp2"}, "232": {"fulltext": "224 ACUTE NASAL CATARRH.\\nwash it down. As the powders work off, the stools will\\nchange from a light clay color to a dark brown, finally\\nbecoming natural. The drug acts both on the bowels and\\nthe liver, and usually places the patient on the road to\\nrecovery but the kidneys must be stimulated in order to\\nget rid of the bile with which the blood is heavily loaded,\\nand which is causing the intense itching, and which,\\nsooner or later, must give rise to bilious sores over the\\nbody. The best remedy for this purpose is the fol-\\nlowing\\nSweet spirits of nitre, two ounces,\\nAcetate of potash, a half ounce,\\nWater, two ounces.\\nMix, and give a teaspoonful every three hours in\\nsweetened water.\\nUnder this treatment, the urine will become very highly\\ncolored, and the yellow will fade rapidly from the eyes\\nand skin.\\nACUTE NASAL CATARRH.\\nOther names cold in the head acute coryza.\\nThis is an acute inflammation of all the membranes of\\nthe nose and those directly connected with the cavities of\\nthat organ, and is attended with fever, more or less distress\\nin the head, and a discharge of watery mucus from the\\nnostrils.\\nCauses. Changes in the direction and temperature of\\nthe air are the most common causes. Sitting -in a draught\\nof air, whether it is particularly cold or not, is a frequent\\ncause. Exposing the feet to cold and wet, or a changing\\nfrom warm apartments to cold ones, often brings on an\\nattack of cold in the head. Irritating vapors and the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0238.jp2"}, "233": {"fulltext": "ACUTE NASAL CATARRH. 225\\ndust of certain drugs produce all the symptoms of com-\\nmon cold. The most noted one of these is turpentine.\\nWhere it is used in inside painting, its vapor affects the\\nmembranes lining the cavities of the nose in such a way\\nas to produce all the symptoms of a violent cold. Pow-\\ndered ipecac acts as an irritant to these membranes, and\\naffects some druggists so they cannot handle it at all.\\nThe pollen, or fecundating dust of certain flowers acts\\nas an irritant upon those who are peculiarly susceptible to\\nit, affecting the membranes of the nose and eyes, produ-\\ncing all the head symptoms belonging to a common cold\\nbut the attack is much more protracted, and is usually\\ncalled hay fever.\\nSymptoms. A cold in the head is often preceded\\nby a dull, heavy feeling, with headache over the eyes,\\nchilly sensations, and a tendency to sneeze. This is speed-\\nily followed by a flow of watery mucus from the nostrils,\\ndripping in such a way as to render the constant use of\\nthe handkerchief necessary. The membranes of the nose\\nare red and inflamed, and sooner or later the discharge\\nchanges from a watery mucus to a mixture of mucus and\\npus. In five or six days, however, recovery sets in, and\\nthe patient is well within eight or ten days.\\nTermination. This is favorable if properly treated from\\nthe commencement, but if neglected may drift into chronic\\ncatarrh.\\nTreatment. When this trouble arises from atmospheric\\nchanges, it may be broken up by eight grains of quinine,\\ncombined with twelve grains of Dover s powder, given at\\none dose. This is for an adult and not for a child.\\nWhen the attack is fully developed, great relief may be\\nobtained by giving the following\\nQ", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0239.jp2"}, "234": {"fulltext": "226 GIN LIVER.\\nTincture of belladonna, ten drops,\\nWater, twenty teaspoonfuls.\\nMix, and give a teaspoonful every hour for six hours,\\nthen give the same dose every two hours for six hours.\\nIf there is considerable fever, give the following at the\\nsame time, allowing the doses to fall between those of\\nthe belladonna\\nTincture of aconite, twelve drops,\\nWater, twelve teaspoonfuls.\\nMix, and give a teaspoonful every hour until six doses\\nare given, then leave it off for three hours, and if the fever\\nis not overcome give a teaspoonful every hour until all is\\ngiven. This dose is for adults.\\nGIN LIVER.\\nThis is a chronic inflammation of the liver, with hard-\\nening of its substance and shrinking away of its secreting\\ncells. There is a catarrhal irritation of the stomach and\\nbowels, great loss of flesh, and finally abdominal dropsy.\\nCauses. It is almost wholly due to the prolonged use\\nof alcohol in some form, or, in other words, to intoxicating\\nliquors.\\nSymptoms. In the early stage of the disease, the\\nsymptoms are not strongly defined, but when a constant\\nirritation of the stomach and bowels is attended with fre-\\nquent attacks of jaundice, and the patient is an intemper-\\nate man, it is safe to infer that he has a gin liver. As\\nhardening of the liver offers an obstruction to the circula-\\ntion in the organ, the blood is checked in returning from\\nthe lower part of the body to the right side of the heart,\\ngiving rise to abdominal dropsy, and causing enlargement", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0240.jp2"}, "235": {"fulltext": "GOUT. 227\\nof all the veins below the heart, and especially those about\\nthe anus, and when these latter are very large the condi-\\ntion is known as piles. The affection is further character-\\nized by dyspepsia, pain in the bowels, hemorrhages from\\nthe stomach or bowels, due to engorgement of the veins.\\nTermination. This is always unfavorable, and a man\\ngenerally dies within a year from the time the dropsy\\nmakes its appearance.\\nTreatment. As the disease is always due to a perma-\\nnently hardened condition of the liver, attended with a\\nwithered or shrunken state of the secreting cells, there is\\nno remedy that can exercise any curative power whatever\\nupon the malady, and to attempt to accomplish anything\\nexcept temporary relief of the patient s sufferings, is a\\nuseless waste of time.\\nGOUT.\\nThis is a constitutional affection, the tendency to the\\ndisease usually being inherited, and is attended with par-\\noxysms of severe pain and swelling of one of the smaller\\njoints, frequently that of the big toe. There are often\\ndeposits of the urate of soda in the joints of the fingers.\\nCauses. The predisposing causes are inherited.\\nThe exciting causes are intemperance in eating and\\ndrinking. Cold weather may also be an exciting cause.\\nSymptoms. The disease occurs in paroxysms, a period\\nof one year usually intervening between the first and sec-\\nond attacks. The second and third attacks are liable to be\\nwithin six months of each other. After this they may come\\nvery close together.\\nEach attack is preceded two or three days with symptoms", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0241.jp2"}, "236": {"fulltext": "228 GOUT.\\nof indigestion. The paroxysm almost always begins in\\nthe night with severe pain in the big toe which rapidly\\nbecomes inflamed and tender.\\nThe foot, ankle, and leg become greatly swollen. The\\nattack may be preceded by a chill, fever, rapid pulse, thirst,\\nand all other symptoms attending an acute inflammation.\\nBy morning the severe symptoms subside to come on again\\nabout sundown, the disease gradually falling off in inten-\\nsity until the fifth or sixth day when recovery is established.\\nIn the chronic form of the disease the symptoms are all\\nless severe than in the acute, and the deposits of chalk-\\nstones are seen about the joints.\\nTermination. This is almost always favorable as far as\\nlife is concerned, but the malady is liable to return unless\\nthe greatest care in reference to diet and the use of liquors\\nis observed.\\nTreatment. The best remedy for the acute form is the\\nfollowing\\nSalicylate of soda, two drachms,\\nWater, four ounces.\\nMix, and give a teaspoonful every hour, meanwhile\\nkeeping the patient covered up with blankets.\\nThis should be continued for twenty-four hours and may\\nbe expected to relieve greatly the inflammation. The\\npain may be controlled by the use of morphine in quarter-\\ngrain doses every hour until the patient is reasonably com-\\nfortable. A rich meat diet should be avoided and milk and\\nsoups used instead.\\nIn the chronic form of the disease, iodide of potassium\\nis the best remedy and may be given as follows\\nIodide potassium, three drachms,\\nWater, eight ounces,\\nSimple syrup, four ounces.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0242.jp2"}, "237": {"fulltext": "HEREDITY AND HEREDITARY INFLUENCES. 229\\nMix dose, a dessert-spoonful four times a day.\\nIn chronic gout the diet is of the utmost importance and\\nshould consist, mainly, of fruits and vegetables. Stimu-\\nlants of every kind, including tea and coffee, should be\\ndropped pastry of every kind and eggs in every form do\\nharm. Heavy flannel underclothing in cold weather is of\\nthe utmost importance.\\nHEREDITY AND HEREDITARY INFLUENCES.\\nThis is a subject that every one knows something\\nabout, but that very few know much of. It has been\\na current quotation for many generations that the sins of\\nthe fathers were visited upon the children to the third and\\nfourth generations, but the book out of which the quota-\\ntion is taken does not say much if anything about the\\neffect of the sins of the mothers on the offspring. In\\nfact, the mothers did not amount to much in the literature,\\nnor in the religion, of the day in which the language is\\nsupposed to have been written. The discussion of hered-\\nity belongs to social science, and should have a place in\\nthe schools beside arithmetic, geography, history, philoso-\\nphy, and physiology. The exclusion of it from the com-\\nmon schools and colleges, literary, medical, and religious,\\nnecessarily impresses the educated and the cultivated, as\\nwell as the ignorant, that it is of no great importance and\\nis not a factor in human education. Authorities pretty\\nwell agree, now, that physical derangements and mental\\nalienations are more commonly inherited from the mother\\nthan from the male parent. Especially is this so in the\\ndiseases of the mind. Insanity and the suicidal impulse\\nare oftener communicated from the mother to the child,\\nand oftener to the daughter than to the son. We notice", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0243.jp2"}, "238": {"fulltext": "230 HEREDITY AND HEREDITARY INFLUENCES.\\nthe following distinction is observable between man and\\nthe other animals in the matter of the transmission of\\nphysical qualities. In the former, the general structure\\nof the body, the height, the degree of development of the\\nbones and the muscles, the tendency to obesity, leanness,\\netc., seem to depend as frequently on one parent as on the\\nother but in the dog, horse, and many other animals, the\\nmale ancestor more frequently determines the general\\nform, size, and strength of the body. It requires but\\nsmall effort of the mind to determine why the more ancient\\ntribes of man placed so great estimate on, and gave such\\nprecedence to, the position of the man in the business of\\nlife over that of the female. In the near approach to\\ncrude and animal conditions of the race, the size, form,\\nbony and muscular strength, were far more frequently\\ncommunicated to the child by the father. These were the\\nmost important and dominant features of the individual\\nwhen bodily strength was at a great premium, and when\\nwar with the wild beasts, with the elements, and with\\nsavage man constituted most of the exciting scenes of the\\ntimes. It is a sad reflection that so many mothers become\\nmentally alienated. They are compelled, with their refined\\nand delicate nervous systems, to bear the strain of nursing\\nand the care of the house affairs, often under poverty and\\nprivation, of which the world in its pomp and learning\\nknows nothing.\\nA French report, and they are an average nation,\\nperhaps, says, that out of 467 cases of insanity, 279 were\\ntraceable to the mothers. It is still more lamentable that,\\nwhere there is a taint of alienation in the mind of the\\nmother, the daughters are much more liable to affections\\nof the kind than the sons.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0244.jp2"}, "239": {"fulltext": "HEREDITY AND HEREDITARY INFLUENCES. 23 1\\nWhilst the father in the more primitive races imparted,\\nquite uniformly, the physical qualities, so did the mother\\ngive to the child the refining influences of the delicate\\ntemperament, with the spiritual and the love of the beauti-\\nful more and more unfolded, as the race of man spread\\nover the earth. Thus did man become the subduer, and\\nwoman the educator, of the world. Woman s refined and\\ndelicate temperament predisposes to insanity. This will\\nnot be the case when the race is more advanced, and when\\nbetter and more suitable modes and conditions of life are\\nprovided for her. It is truly distressing that mothers\\nare so liable to transfer insanity to their daughters, who\\nare the prospective mothers of what it is hoped will be a\\nbetter society than the present. But the disposition to\\ndisease of the nervous matter is manifested in various\\nforms and in different members of the family. It may be\\ninsanity in one member of the family, and epilepsy in\\nanother, and mere eccentricity in another, and they may\\nall be traceable to nervous affections in the mother.\\nIt is the usual custom of all the civilized countries for\\npersons who come to maturity to take upon themselves\\nthe burdens of married life without any thorough investi-\\ngation of the family history in reference to physical and\\nmental affections of the person of their choice, and in\\ncase there appears insanity, epilepsy, or idiocy, as a rule\\nthey pay little, if any, attention to it. It is admitted to be\\ntrue that, in the new family thus started, there may be a\\nnumber of children born, and no serious deviation from\\nhealth ever crop out to call the attention of the parents\\nto the carelessness of their youth. But then, again, from\\nphysical inharmony in the father and mother, or from\\nsome local situations or misfortunes, aggravating or excit-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0245.jp2"}, "240": {"fulltext": "232 HEREDITY AND HEREDITARY INFLUENCES.\\ning an inherited tendency, there may be a number of the\\noffsprings of the union hopelessly diseased in mind or\\nbody, or in both. All diseased tendencies are inherited.\\nIf one man lives in a swamp and does not contract ague,\\nwhilst another beside him does, and shakes himself to\\ndeath, it is not because the unfortunate one inherited the\\nague from his father or his mother, but it was on account\\nof his not inheriting the same amount of vitality that his\\nneighbor did, other things being equal. Should one man\\ntake a cold and cough a week or two, and then get well,\\nand another contract a catarrh at the same time of, seem-\\ningly, no greater severity, and in the same house and under\\nall the conditions and circumstances, and yet, should he\\ncontinue to cough for months, and at last the doctor should\\ndecide that he had bronchitis or consumption, what would\\nyou say of such a case You would say that there was,\\npresumably, greater hereditary tendency in the latter than\\nin the former case, to lung disease.\\nWe make this general proposition: All diseases may\\nand can be shunned and avoided in offspring by proper\\nprecautions in marriage, and in the habits of life.\\nIf the rule will hold good in one case it will hold in all.\\nSome persons are so fraught in their lives with harmoni-\\nously distributed vitality, that they will not contract the\\ncontagious diseases. If we should resort to the law of the\\nsurvival of the fittest, in marriage, it might be decried as\\ncruel, yet it would not seem more heartless than to per-\\npetuate, for thousands of generations, the diseases that\\nhave crept into the veins, arteries, bones, nerves, and the\\nbrain of the present fabric of society, and threaten to\\nshake the human temple to its foundations. There is\\nnothing more relentless than perverted nature, nothing", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0246.jp2"}, "241": {"fulltext": "HEREDITY AND HEREDITARY INFLUENCES. 233\\nin the shape of an enemy to happiness, more uncompro-\\nmising and awful, than the arrested processes of the pure\\nsprings and currents of the life and soul. There is no\\nhappiness greater than that of the healthy and temperate\\nfather, clasping his son or daughter in his arms, and bless-\\ning each with a father s love. There is no person on earth\\nmore happy than he, unless it should be the mother with\\nthe warm and the rose-tinted cheek, surrounded by comfort\\nand possessing a true and a loving husband, bestowing a\\nmother s love upon her sons and her daughters to whom\\nshe has given the pure currents of life, and the thrill of\\nan electric brain. It was once said that there was silence\\nin heaven on a certain occasion, for a brief space of time.\\nMight not the angels in the cloisters of the skies have\\nlaid down their implements of praise, and ceased their\\nsongs to gaze on a sight like this\\nTHE INFLUENCE OF HEREDITY ON LONGEVITY.\\nIt is not disputed that long life is inheritable. On the\\nother hand, all seem to admit, with one accord, that great\\nage in ancestors is a guarantee, more or less, to the de-\\nscendants, of a long life. In this matter, however, many\\nwould-be students of nature have only the most general\\nidea of how to proceed to gain information in any particu-\\nlar case, as to his lease of life, his power to resist disease.\\nA keen discretion in prognosis, an ability to weigh the\\nvital powers at the time of a crucial test, at the climax of\\na term of illness, or at other times, is no mean qualification\\nin a nurse or a physician. In writing a book to be the\\nclose companion of the fireside, the home, and the nursery,\\none should not withhold the key that unlocks the door to\\nthe chamber of the secret forces, and reveals the natal", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0247.jp2"}, "242": {"fulltext": "234 HEREDITY AND HEREDITARY INFLUENCES.\\nand ante-natal sworded angel, to use a metaphor, standing\\nguard to perpetuate the life of the patient. The life\\nfaculty is plainly shown in a certain location on the\\ncranium, or the skull, one inch above and perpendicular\\nto the large prominence immediately back of the ear.\\nThe degree of prominence in this locality invariably\\nmarks the power of endurance, the ability to resist dis-\\nease, and the strength of tendency to longevity, or length\\nof the life. Children who recover from long and severe\\nillness will, in almost all cases and instances, be found to\\nmeasure wide between these two points described as being\\none inch above the prominence immediately back of the\\nears. If the head is narrow instead of wide here, there is\\nless probability of long life and of recovery from disease,\\nand this will be in proportion to the depression and lack\\nof development. A person with a small head, say a man\\nwith a six and a half hat, might appear narrow, but if\\ndiscrimination were used it might be easily determined\\nwhether or not there was fulness or depression. If you\\nexamine the heads of persons of from sixty to seventy\\nyears of age, and, especially if they are strong and\\nsprightly, you will find this department of the brain\\nrounded out, full, and, sometimes, projecting into almost\\na sharp protuberance. In running back in the ancestry\\nof such persons you will always find that a number of\\nthe family have lived to a great age, but it is not always\\nthe case that it is the immediate ancestors, but may be the\\ngrandfather or the grandmother, on one side where the\\ngrandparents on both sides are long-lived there will be\\na greater number of the descendants having this faculty\\nwell outgrown.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0248.jp2"}, "243": {"fulltext": "HEREDITY AND HEREDITARY INFLUENCES. 235\\nMENTAL CHARACTERISTICS.\\nIf this pronounced tendency to the inheritance of traits\\nin the physical character is an absolute and incontroverti-\\nble fact, which is easy of proof and demonstration, the\\nsame may be looked for in mental characteristics. And\\nwhen we consider that this wonderful truth is established,\\nbeyond the possibility of a reasonable doubt, it then be-\\ncomes a duty to study the details of its operation upon the\\npresent and the future generations, and to diligently in-\\nquire into the uses that we, as individuals, might make of\\nthe knowledge of it in hastening the answering of the\\npetition of the prophet Lord, I beseech thee, show me\\nthy glory. Our race has come up from crude conditions,\\nthrough great tribulation. They have sought for the lamp\\nof Aladdin, and in their sleep they have dreamed of Pan-\\ndoras, yet in their visions they have too seldom sighted\\nthe true and the living way that is to guide mankind\\nin struggling up the steeps of time, that the gates of the\\nineffable may be opened to him, and that he may be able\\nto help this old world ever grow brighter.\\nThere is this difference between the vitative faculty, and\\nwhat is termed the vital temperament The vital tempera-\\nment gives bounding of the blood and vigorous digestion,\\nroundness of the limbs, and fulness of the cheeks whilst\\nthe vitative faculty may or may not be marked by these,\\nyet is always connected with tenacity of life. In the vital\\ntemperament, the powers of the mind and the body may\\nbe vivacious until middle life, or some later, and then\\nrapidly fail, whereas, in the case of the high prominence\\nof the head in the location of the organ, there is likely to\\nbe a gradual growing and strengthening of the body and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0249.jp2"}, "244": {"fulltext": "236 HEREDITY AND HEREDITARY INFLUENCES.\\nof the mind, also, until a late period in the individual s\\nyears.\\nINTELLECT AND SPIRITUALITY INHERI-\\nTABLE.\\nSpirituality and intellect are inherited. They are gifts\\nthat descend from parents to child, and when liberally\\nbestowed, and practically outgrown, are conducive to\\nhealth, long life, and happiness.\\nSpirituality, as marked in the physical organ, is located\\non the top of the head, but toward the sides, and separated\\nby another organ, and is half-way between the edge of the\\nhair in front and the crown in the back, and, when well\\ndeveloped, gives broadness to the head in that region, from\\nside to side. The intellectual embraces all that part of\\nthe head that is called the forehead.\\nMan and other animals find their associates, employ-\\nments, activities, and pleasures, in their respective spheres\\nof existence. It is hardly conceivable to one who is not\\nendowed with literary tastes and abilities, how another can\\nfind pleasure in such gifts and pursuits. It is mortifying\\nto read a splendid poem to a friend or a neighbor, and have\\nhim ask you for a chew of tobacco instead of offering\\na compliment on your manner of reading it, or of noticing\\nsome remarkable beauty in the verse. It is likewise very\\ndifficult, if not impossible, for one who is narrow in the\\nregion of the head designated as occupied by the spiritual\\nsphere of the mind, to understand the uses and pleasures\\nof this higher and acuter sense of the soul of man. It is\\nwell known that there are those who complain that divine\\nprovidence has neglected to dispense to them the favored", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0250.jp2"}, "245": {"fulltext": "HEREDITY AND HEREDITARY INFLUENCES. 237\\ngifts, and they have been heard to remark that it was\\nstrange that they could not be the possessors of such grand\\nand noble talents. Parental love weeps over a child that is\\na monstrosity in form, or a failure in brain development, or\\ndiseased in a hopeless manner. So does a true humanitarian\\ngrieve to behold so many of our race deprived of the gifts\\nthat make life sublime, and thrill the hearts of men with\\nsong and music, and cause the canvas to speak to the living\\neyes, and the stone to utter words of praise to the infinite.\\nThere is no manner of use to state facts and print them\\nin books, if they are not practised. If you look in the\\nmirror and go your way and forget what manner of man\\nyou are, you have not profited by the performance. When\\nwe make the declaration, the clear and positive statement,\\nthat the spiritual function of the mind, the faculty that\\ndetermines the probable length of life on the earth, by its\\ngreater or less development, the intellectual powers, and,\\nindeed, all the instincts, appetites, and inclinations, are\\ninherited, even the disposition to burn, murder, and poison,\\nthe generality of the people of the age may be poorly pre-\\npared to receive it.\\nIn view of this state of things existing among a large\\nclass of the population of the earth, many of the most\\ndelightful, and the most practical truths find their way to\\nthe understanding of men in much the same fashion as the\\nlight of the day reaches the inhabitants of the deep valley\\nby struggling over the mountain peaks. Therefore, we\\nare not writing for those who cannot or will not reason,\\nexcept in the sense of trying to entice them into the path\\nof unprejudiced thoughtfulness. We only mention these\\nGodlike proclivities of the human creature, the intellectual\\nand the spiritual, as qualities of descent from an earthly", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0251.jp2"}, "246": {"fulltext": "238 HEREDITY AND HEREDITARY INFLUENCES.\\nparentage, to show their connection with the health and\\nthe physical life in their broader stages, and not to refer\\nto them in a religious sense.\\nEFFECTS OF EMOTIONS OF THE MIND OF\\nTHE MOTHER ON THE CHILD.\\nArgument is not necessary to establish the fact that\\nviolent and excessive excitement of the mother s mind\\nsometimes proves disastrous to the unborn infant in pro-\\nducing marks, deformities, idiocy, epilepsy, etc. We\\nremember once being acquainted with a family in which\\nthere were four idiots of different ages, some two years,\\nrunning down from the first to the second, etc. None of\\nthem could articulate, and all walked backwards on the\\nhands and the heels. It was all caused by the mother\\nwitnessing the fall of a man who was stunned to uncon-\\nsciousness and afterwards crazed, by a fall. Another\\ncase which seemed certain of this kind of origin in an\\notherwise healthy family, was that of a young man of\\nrather fine business talent and good mind, generally, who\\nhad epilepsy from the effect of the mother seeing a rat die\\nwith convulsions from strychnine poisoning. Many slight\\nmarks which point back to some taste or fancy of the mother\\nbefore the birth of her child are somewhat amusing, but are\\nno less confirmatory of the principle in question.\\nThese and many other instances that might be cited\\nprove that through the soul and the life of the mother\\npass the influences which are to become as the brush of\\nthe artist and paint the character of the individual. But\\nwhilst the fact is easily discoverable when it takes a physi-\\ncal turn, it requires more thought and attentive reasoning", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0252.jp2"}, "247": {"fulltext": "HEREDITY AND HEREDITARY INFLUENCES. 239\\nfrom cause to effect when it comes to matters of the mind.\\nIt has been sufficiently demonstrated to clear away all\\ndoubt, that the mother, if favorably situated and so desires,\\nmay incubate her child to be a poet or a mathematician, or\\nboth. If she exercises her mind on these or any other\\nsubjects in a systematic way in the time of her pregnancy,\\nshe may safely calculate on results. A certain lady\\ndecided in her mind that she would like to have her child,\\nwho she imagined would be a son, a poet.\\nThe child was born in due time and the mother was\\ndisappointed in it not being a male child, but she was a\\nrhymer all the same, and attained distinction in her writ-\\nings. The mother had read the standard poets, and had\\nmade some efforts herself in the direction of verse during\\nthe time of her term. We well know a family in the West\\nwho illustrates this feature of descent in a rather remark-\\nable way. The young mother was absent from her hus-\\nband and was lonely she would go out in the wild, deep\\nwoods and gaze on nature in her crude but bright and\\ngrand glories, and would draw pictures and designs in the\\nsand on the shores of a stream, and would make sketches\\non the rocks. And often in these haunts of hers she would\\nsing the rural ballads she had learned. The daughter\\nearly in her life took to landscape painting and trying to\\nwrite verse, and went wild, almost, over music. We knew\\na family in which there were two sons, all the children of\\nthe marriage. The mother informed us that in the time\\nof the uterine life of the first she loved and worshipped the\\nhusband, but with the younger she did not love him but\\nhated him because she had found that he was false to her\\nand was not worthy of her love. When the younger son\\nwas born he was diseased and hated his father as soon as", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0253.jp2"}, "248": {"fulltext": "240 HEREDITY AND HEREDITARY INFLUENCES.\\nhe was old enough to do so. The mother of the Pomeroy\\nboy hated her husband and used to want to kill him when\\nhe was butchering the animals. The boy was a murderer\\nat eight years old, and is in prison at the age of thirty or\\nmore on one of the islands near Boston. Napoleon Bona-\\nparte was the greatest expression of military genius that\\never lived. His mother accompanied her husband out on\\nto the field, and witnessed the progress of battles previous\\nto his birth. Among his first boyish performances was the\\narranging of mock men in lines of battle, and deploying\\nthem so as to take military advantages. Beethoven was a\\ngreat musical composer. It is said of him that he received\\nhis wonderful talent from parental and maternal emotions.\\nHe composed sonatas at the age of thirteen, and in his\\nlast years, though deaf, he gave to the world specimens of\\nmusical art that can never die.\\nBut it is not so much to have produced the prodigies of\\ngenius nor the muscular marvels, that we urge attention to\\nthese great and living and practical truths, but more to fix\\nupon the mind that the best inheritance one can leave is\\nan ennobled and purified posterity. It is to urge the plea\\nof abstinence from the use of stimulants and all excesses,\\neven that intoxication of the mind that is often connected\\nwith business, going on from one degree of strain to an-\\nother until the life is sapped and all source of happiness is\\ncrushed out.\\nWe urge attention to these matters, again, because the\\nmen and the women of the present are the custodians of\\nthe happiness of their successors in the oncoming ages\\nof the world. Though your forms may sleep in the dust,\\nblest in memory or not, according as you have lived, they\\nwill think through your brains and act through the physi-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0254.jp2"}, "249": {"fulltext": "CONGESTION OF THE KIDNEYS. 24 1\\ncal machinery of your lives. Do not be sick. Do not\\nhand down to your sons and daughters shattered constitu-\\ntions and poor vitality. Seek the best and the surest\\nmeans of restoring health and preserving it, and remember\\nthat common sense is a splendid hygienic guide.\\nCONGESTION OF THE KIDNEYS.\\nOther names catarrhal nephritis renal hyperaemia.\\nCongestion of any organ always signifies an increased\\namount of blood in the blood-vessels of that organ. If\\nthe arteries are distended, as they sometimes are in con-\\ngestion of the kidneys, the affection is termed an active\\ncongestion of the kidneys. If the veins only are dis-\\ntended, it is called a passive congestion. Congestion of\\nthe kidneys, whether active or passive, is attended with\\npain and a frequent desire to urinate, the urine being\\nscanty, high colored, and sometimes bloody.\\nCauses. The active form may arise from exposure to\\ncold, or from taking irritating drugs, either by the mouth\\nor by inhalation. One of the worst of all drugs in this\\nrespect is turpentine, and for this reason many persons\\ncannot sit in a newly painted room in which turpentine\\nhas been used without experiencing great irritation of the\\nkidneys.\\nPassive congestion of the kidneys may be due to dis-\\neases of the heart, lungs, or liver, or to the condition of\\npregnancy.\\nSymptoms. In the active form there is pain over the\\nkidneys, the bladder is irritable, with a continued desire to\\npass water, while the quantity is small and of course high", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0255.jp2"}, "250": {"fulltext": "242 DIABETES INSIPIDUS.\\ncolored. There is a slight fever, headache, more or less\\nsickness of the stomach, and sometimes vomiting.\\nTermination. Usually favorable if properly treated.\\nTreatment. In dealing with all diseases, the most\\nimportant thing to be done is to remove the cause. If\\nthe cause of this disease is irritating drugs, the urine\\nshould be diluted by drinking large quantities of water so\\nas to weaken the effects of the drug and stop its irritation.\\nThe remedy that seems most applicable to both forms\\nof the affection is digitalis, which may be given in ten-\\ndrop doses of the tincture, four or five times in twenty-\\nfour hours.\\nThe pain is best controlled by sulphate of morphine in\\none-fourth grain doses, two or three times in twenty-four\\nhours.\\nDIABETES INSIPIDUS.\\nOther names polyuria polydipsia.\\nThis is a disease characterized by the passage of large\\nquantities of urine, without sugar or albumen.\\nCauses. More or less hereditary. A disease of child-\\nhood or young persons, chiefly, and more liable to occur\\nin men than in women. May be caused by drinking\\nfreely of cold water, or from chronic debility.\\nSymptoms. There are two principal symptoms that\\ncharacterize this disease, and when always present are\\nsufficient, in the absence of sugar in the urine, to deter-\\nmine its character. The first is great and continued\\nthirst. The second is the habitual discharge of an\\nimmense amount of urine, in which no sugar is found.\\nEither attending the large flow of urine or preceding it,\\nis a general derangement of the nervous system, attended", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0256.jp2"}, "251": {"fulltext": "DIABETES MELLITUS. 243\\nwith headache, irritability of temper, and loss of\\nmemory.\\nTermination. In reference to a radical cure, the result\\nis not very favorable. If, however, the disease is due to\\nsyphilis or some other affection that is curable, the dia-\\nbetes will disappear on removal of the cause producing it.\\nTreatment. If syphilis is the cause, iodide potassium\\nshould be given in small doses for a long time, as follows\\nIodide potassium, two drachms,\\nWater and simple syrup, each a half pint.\\nMix dose, a teaspoonful three times a day.\\nAfter it is given for a few months, the dose may be\\ngradually reduced to a teaspoonful. At the same time\\nthe following may be given\\nCorrosive sublimate, six grains,\\nWater, one pint.\\nMix dose, a teaspoonful night and morning.\\nThis may be given during the whole time that the iodide\\nof potassium is being taken.\\nDIABETES MELLITUS.\\nThis is a chronic disease in which grape sugar is present\\nin the urine, with a profuse urinary discharge, and a con-\\nstant tendency to fall away in flesh and strength.\\nCauses. The tendency to the disease is often heredi-\\ntary, it is most frequent in males, and occurs at all times\\nof life, but mostly between thirty and fifty years. It is\\nalso due to diseases of the nervous system, involving the\\nliver and kidneys. Starchy food and liquors are also\\nexciting causes.\\nSymptoms. Urination is much oftener than in health,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0257.jp2"}, "252": {"fulltext": "244 DIABETES MELLITUS.\\nand the amount of water passed is increased, while there\\nis pain in the region of the kidneys.\\nThe amount of urine passed in twenty-four hours may\\nrange from a half gallon to three or four gallons. The\\namount of sugar in the urine is very great, and if a little\\nof it is spread on a piece of paper in the summer time, it\\nwill attract the flies as readily as if it were table syrup.\\nAnother easy way to get an idea of the amount of sugar\\ncontained in a sample of urine is to pour some of it in a\\nbroad, flat dish, cover it over with netting to keep the flies\\nout, and allow it to evaporate in the sun and air. When\\nthe water is all gone a thick syrup or dry sugar will be\\nfound on the bottom of the dish.\\nSugar in the urine causes itching and burning along the\\nurethra and at the neck of the bladder. In females it\\ncauses itching of the external sexual organs.\\nOne of the most notable symptoms of diabetes is a thirst\\nthat nothing will allay. The most frequent group of symp-\\ntoms are those of dyspepsia. The bowels are generally\\nconstipated, and the stools are light colored. The pro-\\ngressive loss of flesh is the most frequent and alarming\\nsymptom.\\nTermination. This is decidedly unfavorable so far as\\na cure is concerned, and in the great majority of cases a\\nfatal termination is reached within a few years.\\nTreatment. In the line of drugs nothing has ever been\\nfound to exercise a curative influence upon the disease.\\nIn other words, no drugs are known that will cure dia-\\nbetes, and therefore the treatment is almost wholly one of\\ndiet. As the morbid conditions consist of an abundance\\nof sugar in the urine, all articles of food calculated to pro-\\nduce sugar must be left off, and these include sugar itself,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0258.jp2"}, "253": {"fulltext": "GALL STONES. 245\\nand all fruits and other articles of food containing sugar,\\nand all starchy articles, such as bread, potatoes, peas, rice,\\nbeans, oatmeal, cracked wheat, and corn. The diet must\\nbe almost wholly animal food.\\nTea, coffee, and milk may be used at the table without\\nsugar.\\nA drug treatment of any kind can do but little if any\\ngood, except to relieve symptoms. Where the nervous\\ndisorder is of a character to prevent sleep, and this is fre-\\nquently the case, sulphonal is probably the best remedy,\\nand ten grains, either in tablet or powder, given every\\nnight at bedtime, may be sufficient for months to secure\\nfor the patient refreshing sleep. In time, however, the\\ndose will have to be increased to fifteen grains, and finally,\\nthirty or forty grains may have to be given, but such cases\\nare rare.\\nGALL STONES.\\nOther names hepatic colic hepatic calculi biliary\\ncalculi.\\nThis affection consists of biliary deposits, either in the\\ngall-bladder or bile-ducts. Whenever one of these de-\\nposits or gall stones passes into the duct leading to the\\nbowels, the walls of that duct are stretched and sometimes\\nlacerated, causing in either case great pain, which is com-\\nmonly called bilious colic.\\nSymptoms. Hepatic colic commences with the first\\n.attempt of a gall stone to pass along the bile-duct, and\\ntherefore as soon as the stone leaves the gall-bladder the\\ncolic, with all its agonizing pain, begins, the seat of the\\ngall-bladder being the focus of distress. The muscles of\\nthe abdomen are sore, there is sickness of the stomach and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0259.jp2"}, "254": {"fulltext": "246 ACUTE BRIGHT S DISEASE.\\nvomiting, pulse feeble, skin pale. The paroxysm may con-\\ntinue for several days, remissions of the distress usually\\noccurring, the pain finally ceasing when the stone reaches\\nthe bowel. When the stone reaches the intestines, all the\\ndistressing symptoms suddenly subside and the jaundice\\nbegins to fade.\\nTermination. This is usually favorable, but if the stone\\nis too large to pass through the bile-duct and enter the\\nbowel, an abscess must be formed in the duct, allowing\\nthe stone to escape into the abdominal cavity outside of\\nthe bowel, causing fatal inflammation.\\nTreatment. As the pain attending the passage of a\\ngall stone is one of the very severest that afflict mankind,\\nthe dose of any remedy calculated to relieve such pain\\nmust be very large, and therefore a half grain of the sul-\\nphate of morphine may be given at one dose, and repeated\\nwhen necessary.\\nThe application of heat by the use of cloths dipped in\\nhot water, if placed over the liver, may do a great deal\\nof good in relaxing the gall-duct and allowing the stone to\\npass.\\nACUTE BRIGHT S DISEASE.\\nAnother name: inflammation of the tubes of the\\nkidneys.\\nThis is an acute inflammatory affection of the lining\\nmembrane of the tubes of the kidneys, and is attended by\\nfever, high-colored urine, more or less turbid or muddy,\\nand nervous derangement due to uremic poison, or to\\nretention in the blood of uric acid and other salts that\\nshould be carried off by the urine.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0260.jp2"}, "255": {"fulltext": "ACUTE BRIGHT S DISEASE. 247\\nCauses. The disease is most common in young persons\\nand is frequently caused by scarlet fever, diphtheria, and\\nother diseases peculiar to childhood. It is also caused by\\nthe continued use of irritating drugs, especially turpentine.\\nSymptoms. Dropsical conditions coming on slowly, at-\\ntended with general pallor, shortness of breath, and weak-\\nness, are the symptoms characterizing a mild case of this\\naffection, but it generally commences more abruptly and of\\ncourse with symptoms more severe, such as fever, sickness\\nof the stomach and vomiting, and pain over the region of\\nthe kidneys. There is usually diarrhoea, and also an urging\\ndesire to urinate; pulse quick, strong, and full. Sooner or\\nlater dropsy develops, when all the features are swollen,\\nthe dropsical condition soon being apparent over the en-\\ntire body. Blood poisoning frequently occurs from the\\nsuppression of the urine.\\nTermination. This is usually favorable, and under\\nprompt and effective treatment recovery may be expected\\nin from two to four weeks. A retention of the salts of\\nthe urine to the extent of producing that stupor or coma\\ncharacteristic of blood poisoning from this cause, adds\\ngreatly to the gravity in all cases.\\nTreatment. The patient should be kept as quiet as\\npossible everything calculated to irritate or disturb the\\nnervous system should be avoided. As the affection is\\nreally an inflammatory one, the force and frequency of the\\nheart s action should be modified by the use of a sedative\\nas early in the disease as possible. The best is probably\\nthe tincture of veratrum veride, and may be given in two-\\ndrop doses to an adult, every hour for eight hours, unless\\nit causes sickness and vomiting. In that case it must be\\nstopped, and a little whiskey or brandy given to stop the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0261.jp2"}, "256": {"fulltext": "248 THE URINE.\\nsickness. Whether sickness occurs or not after eight\\ndoses are given, it is best to leave it off for a few hours\\nand then give it in one-drop doses every hour.\\nTo avoid the irritating effects of the natural salts of the\\nurine, these salts should be largely diluted with water so\\nas to make the amount of water sufficient to take the irri-\\ntating edge off of the salts and at the same time assist in\\nwashing them out of the body and preventing blood\\npoison. If symptoms of such poison manifest themselves\\nby the appearance of stupor, the remedies must be given\\nat once to act on the kidneys, and the following is one of\\nthe best\\nSweet spirits of nitre, two ounces,\\nAcetate of potash, a half an ounce,\\nWater and simple syrup, of each an ounce.\\nMix, and give a teaspoonful every three hours.\\nThe bowels may be kept in an easy, open condition by\\ngiving the following\\nEpsom salts, two ounces,\\nCream of tartar, two ounces.\\nMix thoroughly, and give a heaping teaspoonful at bed-\\ntime.\\nThe diet should be nutritious and unirritating, milk and\\nanimal broths being the best. Stimulants of every kind\\nshould be avoided, including tea and coffee.\\nTHE URINE.\\nAs the urine is always affected as regards color, quan-\\ntity, and other properties by diseases of any kind that\\nmaterially affect a person, the appearance of the urine as\\nwell as its weight and quantity often becomes an index,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0262.jp2"}, "257": {"fulltext": "THE URINE. 249\\npointing to some well-known disease. Aware of the in-\\nformation that the various changes of the urine afford re-\\ngarding diseases of the body, it becomes very important\\nto know the characteristics of the urine in a state of per-\\nfect health. The color of healthy urine is a light amber,\\nor about the color of very weak tea. This color is due to\\nthe various salts that the urine holds in solution, most\\nof them contributing, more or less, to deepen the color.\\nNow if a tablespoonful of coffee is steeped in a gill of\\nwater the color will be nearly black and the coffee very\\nstrong. If the same amount be steeped in a quart of\\nwater the color will be very light and the coffee corre-\\nspondingly weak. The same conditions regulate and gov-\\nern, in a great measure, the color and weight of the urine.\\nFor example If the urine is scanty or small in quantity,\\nit is practically sure to be high colored, as a certain\\namount of coloring matter must pass from the body every\\nday. If the quantity of the urine is very large the color\\nmust be light and the weight but little above water.\\nTherefore any disease that reduces the quantity of urine\\npassed in a day will correspondingly increase the color.\\nIn all fevers the urine is scanty and of course high colored,\\nand these two symptoms, scanty and high colored, al-\\nways go together in giving the symptoms of fever, when\\nas a matter of fact the quantity of urine passed almost\\nalways regulates the color. Of course there are certain\\ndrugs or certain articles of food that increase the color of\\nthe urine and impart to it an odor characteristic of the\\ndrug or food taken.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0263.jp2"}, "258": {"fulltext": "250 EPILEPSY.\\nEPILEPSY.\\nThis is a disease of a chronic, periodic character, at-\\ntended with violent spasmodic contraction of the muscles\\nand a sudden and total loss of consciousness.\\nCauses. The most frequent of all causes in epilepsy is\\nheredity, as more than half the cases are traceable to\\nhereditary influence. Excepting in those cases depending\\nupon heredity, it is almost impossible to determine with any\\ndegree of accuracy the cause of epileptic convulsions.\\nSymptoms. In almost all cases of epilepsy the attack\\nis preceded by warning or premonitory symptoms. These\\nsometimes commence a day or so before the epileptic seiz-\\nure, and cousist mainly of melancholy or a distressed state\\nof mind. In other cases the warning is very short, not\\nbeing sufficiently long for the patient to find a place of\\nsafety.\\nAs the attack commences the patient falls, giving utter-\\nance to a scream that is characteristic of the affection.\\nThere is absolute loss of consciousness, the face is pale, and\\nthe muscles of the body intensely rigid. Soon this rigidity\\ngives way to a convulsive action of the muscles that may\\nlast for five or ten minutes and sometimes longer. As the\\nconvulsion ceases a profound sleep sets in, which often lasts\\ntwo or three hours. For some time after awaking, the\\npatient is in a thoroughly bewildered state of mind. After\\nthe soreness caused by the violent action of the muscles\\nsubsides, and the nervous system drops into its normal\\nchannel, the patient is much more comfortable, is in a\\nquieter and happier mood, and intellectually brighter than\\nfor some time before the attack.\\nTreatment. It is probable that the most important", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0264.jp2"}, "259": {"fulltext": "EPILEPSY. 251\\nfactor in the treatment of epilepsy is the selection and\\nmaintenance of a suitable diet. It is the opinion of the\\nauthor and his experience warrants the opinion that\\nmeats of every kind should be abandoned, and the diet\\nwith the exception of milk and butter, should consist of\\nfruits and vegetables. This theory has been extensively\\nadvocated, and patients have been told to use as little meats\\nas possible. They usually interpret such advice to mean,\\nthat when they are real meat hungry they can have a good-\\nsized piece of steak, chicken, or turkey, and with such\\ninterpretation they generally get about as much meat as\\nother persons. If meat is allowed at all it is scarcely worth\\nwhile to try to limit its use, and the only rational plan is to\\nprohibit it absolutely. Extensive experience with vege-\\ntarians who have lived for years and years without any\\nanimal food at all, enduring in the meanwhile the severest\\nphysical labor, has shown that a meat diet for the purpose\\nof sustaining a strong and vigorous body is unnecessary,\\nand that people are just as strong, physically and mentally,\\nwho live on fruits and vegetables as those who eat meats.\\nFor this reason there is nothing to be lost to the epileptic\\nby forever giving up a meat diet, except the mere pleasure\\nof eating animal food.\\nUnder a fruit and vegetable regime the blood-vessels of\\nthe body are not quite so full, the brain and nervous energy\\nare less intense perhaps, and all the conditions favoring an\\noutbreak of epilepsy are modified in their force. There is\\nno doubt but such a dietetic course, if adopted sufficiently\\nearly in life, will cure a great many cases of epilepsy, but\\nhowever efficient such a course may be, it should be con-\\njoined with a proper drug treatment in order to break up\\nthe epileptic habit.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0265.jp2"}, "260": {"fulltext": "252 EPILEPSY.\\nA multiplicity of remedies have been suggested to\\neither modify or postpone the attack, and bromide potas-\\nsium has been given for years at a time for this purpose,\\nthe amount being from thirty to fifty grains per day for\\nweeks. The drug simply acts as a check-rein to the ner-\\nvous system and exercises no favorable influence upon the\\ndisease, except while it is being given, and yet when it is\\nused in connection with a fruit and vegetable diet, it may\\nexercise a curative effect by postponing the paroxysm suf-\\nficiently long to break up the epileptic habit. A far better\\nremedy, however, and one that covers a wider range of\\ncases, is valerianate of zinc.\\nThe best way to give it is in pill form commencing with\\none-grain doses. As to how often it should be given and\\nwhen, much depends upon the violence and frequency of\\nthe attacks, and what time during the twenty-four hours\\nthey generally occur. If they are frequent and severe it\\nshould be given in grain doses three times per day, and in\\nextreme cases the dose may be increased to a grain and a\\nhalf. If the convulsions only occur about once per month\\na one-grain pill night and morning, conjoined with a fruit\\nand vegetable diet, may postpone them for a long time, or\\nentirely prevent their occurrence.\\nIn a great many cases the spasms come on in the night\\nand never occur in the daytime. In dealing with this\\nform of disease a one-grain pill given at bedtime some-\\ntimes postpones an attack for a year or two, even though\\nno attention is given to the patient s diet.\\nWhere the convulsions always occur at night, where the\\npatient is under twenty years of age, and where the whole\\nnumber of spasms do not exceed one or two hundred, the\\nfruit and vegetable diet and valerianate of zinc at bedtime", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0266.jp2"}, "261": {"fulltext": "NEURALGIA. 253\\nwill often effect a cure. The highest authorities agree\\nthat where any patient has had five hundred spasms, the\\nepileptic habit is so thoroughly fixed upon him as to render\\nany treatment, so far as effecting a cure is concerned,\\nhopeless.\\nNEURALGIA.\\nThis is a disease affecting the nervous system and is\\nattended with sharp, darting pains along the course of\\nsensory nerves.\\nCauses. It may arise from heredity, malarial affections,\\nexposures to wet and cold, from mental exertion, fright,\\nintense anxiety, or from an injury to an important nerve.\\nIt is customary to name the disease according to the parts\\naffected, as for example When the neuralgic affection is\\nconfined to the face with sharp, darting pains either above\\nor below the eyes, it is called tic-douloureux or facial\\nneuralgia.\\nWhen similar pains of a paroxysmal character affect the\\nback of the head and extend down the neck, it is called\\ncervico-occipital neuralgia, and signifies neuralgia affecting\\nthe back of the head and neck.\\nParoxysmal pains of a darting character, involving the\\nneck, shoulder, arm, and hand, are called cervico-brachial\\nneuralgia, which means neuralgia of the neck and arm.\\nWhen similar pains of a paroxysmal type dart along the\\nfifth and sixth ribs or the intervening spaces on one side,\\nthe disease is called dorso-intercostal neuralgia, or, more\\ncommonly, intercostal neuralgia, which simply means,\\nneuralgia between the ribs. This form of neuralgia is\\nnearly always attended with a bright red eruption of the\\nskin known as shingles,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0267.jp2"}, "262": {"fulltext": "254 NEURALGIA.\\nWhen neuralgic pains shoot along the course of the\\nsciatic nerve, causing severe pain in the muscles of the hip,\\nit is called sciatica. This form is generally associated with\\nor depending upon an attack of lumbago, or muscular\\nrheumatism of the back.\\nThe pain in sciatica is more intense and involves more\\nimportant muscles than that of neuralgia of other parts\\nof the body, and extends from the hip to the heel. The\\nmuscles of the hip, the inner part of the thigh, and ball of\\nthe leg are frequently all involved in a terrible paroxysm\\nof pain at the same time.\\nTermination. Neuralgia, including all the different\\nforms, should end in complete and perfect recovery if\\nproperly treated.\\nTreatment. Many years ago the author abandoned the\\nplan of treatment given in the medical text-books which\\nconsisted, as it does now, of giving an opiate to relieve the\\nviolent pain of the paroxysm, and afterwards giving the\\nnecessary remedies to prevent recurrence of such par-\\noxysms.\\nThe best time to break up an attack of neuralgia, and\\nto break it up so radically that it will never return, is dur-\\ning the paroxysm.\\nWhy this is so is not so easy to tell, but the fact is\\nestablished by treating a large number of cases both ways,\\nthat is by giving remedies when patients are practically\\nin a state of perfect health, and giving the same remedies\\nduring the attack, in both cases with a view of curing the\\ndisease. As long as the author followed the old plan of\\ntreating cases between the paroxysms, he failed to prevent\\ntheir recurrence. Since substituting a curative treatment\\nduring the paroxysm for one of temporary relief, his", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0268.jp2"}, "263": {"fulltext": "NEURALGIA. 255\\nefforts, with but few exceptions, have been crowned with\\nperfect success. Instead of giving morphine or some form\\nof opium to blunt the sensibility to pain, the proper thing\\nis to give a remedy that increases the sensibility of the\\naffected nerves and intensifies the pain for a limited time,\\nknowing by experience that complete and permanent re-\\nlief will follow. Such a remedy is the exact opposite of\\nmorphine in its action, and is strychnine, given in the con-\\nvenient form of ignatia pills.\\nBefore going into details regarding the treatment, it\\nmust be understood that all forms of neuralgia, excepting\\nneuralgia of the heart, are treated the same way. As\\nmost people are familiar with sciatica and know something\\nof the intense and prolonged suffering that it occasions,\\nthe treatment here given is for that disease. Suppose the\\npain is of the usual, sharp, lancinating kind, affecting the\\nmuscles of the hip and darting down the thigh and leg to\\nthe ankle, the pains being so great that the patient thinks\\nonly of something for immediate relief. In such a case, it\\nseems cruel to give medicine to make him worse, and yet\\nthat is exactly the right thing to do. If he weighs 150\\npounds, or from that to 175, give him a three-quarter-\\ngrain pill of the solid extract of ignatia and in six hours\\nrepeat the dose, only giving three pills in twenty-four\\nhours. This dose is calculated not only to increase the\\npain, but to cause cramps of the affected muscles. Should\\nit fail to do so by the time the third pill is given, a one-\\ngrain pill of the same drug must be substituted for the\\nthree-quarter-grain pill, and one given before each meal.\\nThe contractions of the muscles of the hip, thigh, and leg,\\nand also the attending pain, may be very severe. Should\\nthe pain be too great to bear, a half grain of morphine", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0269.jp2"}, "264": {"fulltext": "2^6 NEURALGIA.\\nmay be given at a single dose, as its effects will be neutral-\\nized to a great extent by the ignatia. After the spasm or\\ncramp -of the muscles subsides, a sore feeling of the flesh\\nfor a few days is about all that is left, and the sciatica\\nrarely returns. The success of the treatment depends\\nmainly upon the extent to which the drug is carried in\\nproducing intense pain and muscular spasm. If only\\nslight cramp with but little increase of pain is excited, the\\ntreatment will do but little if any good. There is no dan-\\nger whatever in the use of the drug as herein advised, and\\nit is very probable that a three-quarter-grain pill will be\\nsufficient, and that it will not be necessary to give more\\nthan three.\\nIf a one-grain pill is given, the second dose if not the\\nfirst, will most likely bring on the desired cramp and inten-\\nsified pain.\\nThe principle upon which the curative action of the\\nremedy depends, can only be partially explained, and is\\nprobably as follows During an attack the nerves con-\\ncerned are congested or inflamed, and therefore intensely\\nsensitive to the action of strychnine, which increases the\\ncongestion.\\nA state of numbness or partial insensibility of the\\nmuscles follows, during which blood ceases to be at-\\ntracted to diseased parts, and recovery commences.\\nWhy the attacks never return, it is hard to tell.\\nIt is thought best to report a few of the very many\\ncases in which ignatia has been permanently curative in\\nsciatica and other forms of neuralgia when given during\\nthe paroxysms.\\nCase I. Mr. Hersey, aged 60, had suffered for many\\nyears with violent attacks of sciatica, and in 1872, I was", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0270.jp2"}, "265": {"fulltext": "NEURALGIA. 257\\ncalled and found him in great agony. It was found that\\nthe attacks came on a dozen times per year, and were\\nalways fearfully distressing. I decided then and there to\\nbreak them up forever, if possible, and gave him a one-\\ngrain ignatia pill before breakfast, and another before the\\nnoon meal. At one 1 o clock the violent contractions of the\\nmuscles began, the pain was terrible, and he was screaming\\nas if he was being murdered. I gave him a half grain of\\nmorphine by the mouth, as I had no hypodermic with me.\\nIn a half hour the cramp in the muscles of the hip, thigh,\\nand leg had almost ceased, and the pain was practically\\ngone. Within two hours he was perfectly easy, and during\\nthe next twenty years of his life he never had another\\nattack.\\nCase II. Mrs. G. W. Willis, of Mankato, Minn., ad-\\ndressed a letter to me in Boston, in 1893, describing a\\nneuralgic affection of the shoulder, arm, and hand, the\\nform technically known as the cervico-brachial neuralgia.\\nIt had resisted all efforts to subdue it or even to favorably\\naffect it, and had been torturing her for many weeks.\\nThe ignatia pills in three-quarter grain doses three times\\nper day increased the pain considerably and caused mus-\\ncular contractions in the arm, shoulder, and hand, and, as\\ndirected, she left off the remedy at once. Complete and\\npermanent recovery followed. In this case, the cramp or\\nspasm of the muscles was not very severe. She has\\nnever had an attack since.\\nCase III. William Whitehead, aged 35, had suffered\\nwith neuralgia of the back of the head and neck, the\\nparoxysms occurring about twice per month and confining\\nhim to his room for a couple of days. He was put upon\\nignatia pills in doses of three-quarters of a grain before", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0271.jp2"}, "266": {"fulltext": "258 HYSTERIA.\\neach meal, and the treatment was begun during the earli-\\nest and severest part of the paroxysm. The first pill\\ngiven caused some muscular spasm, and in an hour and a\\nhalf after taking the second, violent cramps affecting the\\nmuscles of the back of the head and neck ensued, at-\\ntended with terrible pain. The pain accompanying the\\ncramps was finally so severe as to require a hypodermic\\ninjection of morphine, which gave complete relief within\\na half hour. In this case the paroxysmal attack which had\\nusually lasted two days, was completely broken up in eight\\nhours, and the habitual attacks that had been coming on\\nevery two weeks for years, never returned.\\nComment. There was some very unpleasant experience\\nin this case, owing to the terrific pain occasioned by the\\ndrug which was probably given in doses unnecessarily\\nlarge. It may be that a half-grain pill instead of three-\\nquarters would have answered, but there were no bad\\neffects from the use of large doses except during a few\\nhours, and the final result was so completely satisfactory\\nthat there was but little reason for complaint on account\\nof severe treatment.\\nHYSTERIA.\\nCommon name hysterics.\\nThis is a functional derangement of the nervous system,\\ncharacterized by more or less spasmodic action of the\\nmuscles, and seems to be associated with a morbid desire\\nfor sympathy, as the attacks almost always occur in the\\npresence of other persons.\\nCauses. The affection is confined almost entirely to\\nfemales, and is frequent among old maids, girls, and women\\nwithout children. It is often associated with the monthly", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0272.jp2"}, "267": {"fulltext": "HYSTERIA. 259\\nsickness, and also frequently occurs about the turn of life.\\nIt is probably always associated with functional derange-\\nment of the sexual organs, although those organs may\\nseem to be in a state of health. It is doubtless aggravated\\nby dyspepsia or anything calculated to disturb the nervous\\nsystem.\\nSymptoms. The symptoms of hysteria are so numerous\\nand varied that those of a typical case are exceedingly hard\\nto catalogue. The fact that the paroxysms, attended with\\nsighing, crying, or boisterous laughter, almost always occur\\nin the presence of other persons and usually those of dear\\nfriends, relatives, or lovers, suggests the idea that the\\nunderlying cause of the seizure may be a morbid craving\\nfor sympathy and yet hysteria is truly a disease affecting\\nthe nervous system in such a way, that the absurd and\\nmeaningless demonstrations can neither be suppressed nor\\nmodified by the patient. There is laughter without mirth,\\nmoaning without distress, crying without grief, talking\\nwithout saying anything, gestures that indicate nothing,\\nthreatened suffocation when there is no obstruction in the\\nthroat that is apparent. All these symptoms and some-\\ntimes a great many others generally precede the hysteri-\\ncal fit that is characterized by seeming unconsciousness,\\nthe patient usually being keenly aware of what is taking\\nplace. The paroxysm may be attended with violent strug-\\ngles in which the patient has to be restrained to prevent\\ninjuring herself or others. There may be spasmodic con-\\ntraction of the muscles affecting the features and extremi-\\nties as if it were really an attack of epilepsy.\\nFinally after the family and friends have been terribly\\nfrightened, fearing that death was imminent, the paroxysm\\nmay end abruptly in a sweet, placid, bewitching smile, the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0273.jp2"}, "268": {"fulltext": "260 HYSTERIA.\\npatient dropping into a quiet sleep. After all these violent\\nsymptoms have ended in quiet repose, a careful examination\\nusually shows that the pulse and temperature are but little\\nif any above natural.\\nTermination. As far as life is concerned, hysteria is\\nalways favorable. In regard to perfect recovery it is\\nmuch less so, as persons who have had one attack are lia-\\nble to have others, regardless of treatment.\\nTreatment. In the great majority of cases it is impos-\\nsible to tell the cause of hysteria, and for this reason the\\ntreatment is to a great extent experimental. A great\\nmany cases are undoubtedly due to the immoderate use of\\ntea or coffee, by which the nervous system is unduly ex-\\ncited, and sooner or later ends in a condition of partial ex-\\nhaustion, which favors an outbreak of hysteria. Nervous\\nexhaustion also causes dyspepsia, to which many of the\\nhysterical symptoms are often due. Therefore in all hys-\\nterical cases attended with the excessive use of tea and\\ncoffee, these stimulants should be absolutely abandoned,\\nas they are nerve exhausting, causing those who use them\\nexcessively to be intensely nervous. It is well to remem-\\nber that hysteria is simply an exaggerated or extreme con-\\ndition of nervousness, and, aside from that, is no disease\\nat all. And further, that any habits of eating and drink-\\ning or living that have a tendency to use up and exhaust\\nnervous energy, have an equal tendency to carry every\\nfemale patient in the direction of hysteria, as the nervous-\\nness from drinking strong tea and coffee is hysterics\\non a small scale.\\nFrom the foregoing it is evident that the rational treat-\\nment of hysteria, with a view of preventing the paroxysms,\\nis almost entirely hygienic, as there are no drugs that will", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0274.jp2"}, "269": {"fulltext": "SUNSTROKE. 26 1\\nprevent hysterical paroxysms as long as their exciting\\ncauses exist. If the affection is associated with dyspepsia,\\nthat trouble must be met by giving a half-grain ignatia pill\\nbefore each meal and continued for several months, but to\\npermanently cure or greatly benefit any hysterical patient\\nthat persists in the immoderate use of tea, coffee, or other\\nstimulants is a hopeless task. They should not use tea\\nand coffee at all.\\nOne of the most efficient remedies in quieting the nerves\\nand subduing an obstinate case of hysteria is the fol-\\nlowing\\nFluid extract of valerian, a half ounce,\\nBromide potassium, a half ounce,\\nWater, three ounces.\\nMix, shake, and give a teaspoonful, repeating the dose in\\nsix or eight hours if necessary. Patients usually drop into\\na quiet, restful sleep within an hour after taking the first\\ndose.\\nWhen hysteria depends upon disease of the womb, as it\\nsometimes does, that organ must receive proper attention\\nso as to remove the exciting cause of the disease.\\nSUNSTROKE.\\nOther names thermic fever heat stroke coup de\\nsoleil heat exhaustion insolation.\\nThis is a condition in which the vital powers are over-\\nwhelmed with heat. It is not necessarily sunstroke, al-\\nthough this is the most common form of the affection, but\\nmay arise from heat of any kind.\\nCauses. The causes are exposure to the effects of high\\ntemperature, whether it be from the direct rays of the sun", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0275.jp2"}, "270": {"fulltext": "262 SUNSTROKE.\\nor from artificial heat such as workmen encounter in roll-\\ning mills, furnaces, and foundries.\\nSymptoms. A heat stroke comes on rapidly with a\\nfeeling of great prostration, the face becomes pale, voice\\nweak, pulse frequent and feeble, the patient sooner or later\\nbecoming unconscious. Occasionally the prostration is\\nsudden, and without any warning symptoms the patient\\nfalls and is completely unconscious. In sunstroke the\\nsymptoms come on rapidly, sometimes preceded by a pro-\\ndrome and at other times without any warning symptoms\\nwhatever. The patient becomes irrational and may have\\na violent fit of delirium or convulsions, or instead of the\\nlatter, the exact opposite may occur paralysis. The\\nsurface is flushed with heat, the eyes are red, the breath-\\ning usually labored and puffing as in apoplexy. The pulse\\nis quick and may be either full and strong or the opposite,\\nsmall and weak. The fever often reaches the extreme\\nlimit. In such cases death usually occurs from suffocation\\nor failure of the heart s action, or both.\\nTermination. Regarding the danger of this disease\\neverything depends on the violence of the attack. In\\nsunstroke most patients die within a few hours.\\nTreatment. In heat exhaustion it is best to put the\\npatient in a horizontal position, and give good whiskey in\\nhalf-tablespoonful doses in an equal amount of water\\nevery half hour. If unable to swallow, two or three times\\nthis amount may be thrown into the rectum, but in that\\ncase should be mixed with at least two parts of water.\\nIn sunstroke the fever is intense, often reaching the\\nextreme limit, and the speedy reduction of the temperature\\nis of the utmost importance. Cold water applied without\\nlimit to the surface of the body and especially the head is,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0276.jp2"}, "271": {"fulltext": "NERVOUS EXHAUSTION. 263\\nperhaps, the best means by which to get rid of the bodily\\nheat. The face should be inclined a little downwards so\\nthe water will not enter the nostrils nor the mouth, and a\\nconstant stream of water flowing all over the head and\\nneck should be poured from a pitcher. Meanwhile the\\nbody should be thoroughly wet with a spray or shower\\nbath, and evaporation favored by the use of fans or having\\nthe patient in a draught of air. Everything depends on\\ngetting rid of the heat as soon as possible.\\nNERVOUS EXHAUSTION.\\nOther names nervous prostration spinal irritation\\nneurasthenia.\\nThis is an enfeebled state of the nervous system that\\nreduces the physical and mental energy of an individual,\\nrendering him less capable of dealing successfully with\\nthe affairs of life.\\nCauses. The principal causes are excessive mental\\nlabor, financial embarrassments, extreme and long-con-\\ntinued anxiety from any cause, disappointments in love,\\nexcessive sexual indulgence, and the use of alcoholic stim-\\nulants and tea and coffee.\\nSymptoms. When nervous prostration affects every\\norgan of the body, it is properly termed general nervous\\ndebility. When it affects but one organ it is local or par-\\ntial nervous debility. This is the case in dyspepsia, when\\nthe nerves presiding over the functions of digestion are\\nexhausted by excessive eating or the use of improper food.\\nIn nervous exhaustion there is an irritability of temper,\\nthe memory is more or less defective, the patient is unable\\nto keep his mind fixed upon his occupation, forgets or", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0277.jp2"}, "272": {"fulltext": "264 NERVOUS EXHAUSTION.\\nneglects business engagements, is a chronic day-\\ndreamer, and usually afflicted with insomnia at night. In\\nfemales, nervous prostration is generally attended with\\nfunctional derangement of the sexual organs.\\nTermination. This is usually favorable under proper\\nmanagement.\\nTreatment. In dealing with nervous exhaustion, hy-\\ngienic measures are of the utmost importance. To free\\nthe mind from the annoying cares of life and make the\\nindividual as cheerful and happy as possible, transcends\\nany and all efforts that can be made with a drug treat-\\nment. In almost all cases of nervous debility, disorders of\\ndigestion seriously complicate the situation. The nervous\\nexhaustion causes the dyspepsia, and the latter constantly\\ntends to increase the nervous exhaustion. For this reason\\nan effort must be made at once to improve the digestion,\\nfill the veins and arteries with healthy blood, properly\\nnourish, tone up, and stimulate the nerves, and in that way\\nmaintain a healthy and vigorous nutrition. The best rem-\\nedy in such cases is the solid extract of ignatia in pill form,\\nthe dose ranging from a half to a full grain according to\\nthe size of the patient. Persons weighing from one hun-\\ndred to one hundred and seventy-five pounds, should take\\na half-grain pill before each meal. Those weighing from\\none hundred and seventy-five to two hundred will need\\nthree-quarters of a grain, while all persons weighing over\\ntwo hundred must take a full grain. In all cases one pill\\nis taken before each meal, and never more than one.\\nThey do not act as a physic, but spend their entire force\\nupon the nervous system. They should be continued as\\na general thing for several months. After the dyspepsia\\nis overcome and a healthy color has returned to the cheeks,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0278.jp2"}, "273": {"fulltext": "ST. VITUS S DANCE. 265\\nthe blood will properly stimulate the brain and nervous\\nsystem, the latter will excite the organs of digestion to the\\nproper performance of their functions, and further use of\\nthe ignatia will be unnecessary.\\nST. VITUS S DANCE.\\nOther names chorea insanity of the muscles.\\nThis is a derangement of the nervous system, attended\\nwith irregular, jerking movements of the muscles.\\nCauses. It is a disease of childhood and youth, and\\nmay be due to heredity, masturbation, or fright.\\nSymptoms. The disease is gradual in its commence-\\nment, the muscles of the face and hands commencing to\\ntwitch about the same time. These symptoms may occur\\nmore or less every day, and then cease for a day or two,\\nbut finally becoming more pronounced so as to involve\\nthe muscles of the eyelids, the eyes, and those of the upper\\nextremities. Last of all, the muscles of the lower\\nextremities are affected.\\nTermination. In most cases this is favorable.\\nTreatment. As the disease is attended with a weakened\\ncondition of the nervous system, and consequent disorders\\nof digestion, and an impoverished state of the blood, a\\ngeneral nervous tonic is called for with a view of giving\\ngeneral tone to nerve tissue, improving the powers of\\ndigestion, and filling the veins and arteries with healthy\\nblood. Therefore, in children from two to eight years\\nold, the eighth of a grain of the solid extract of ignatia\\nshould be given in pill form three times per day before\\nthe meals. At the same time the following may be given\\nthree times per day after meals", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0279.jp2"}, "274": {"fulltext": "266 SHINGLES.\\nFowler s solution, one drachm,\\nWater, four ounces.\\nMix, and give a teaspoonful after each meal.\\nIn children under two years, this remedy may cause\\nswelling or puffing of the eyelids within six or eight\\nweeks, or sooner. When this condition is observed, the\\ndrug should be discontinued for two weeks and then\\ngiven as before. If the child is from eight to fifteen years\\nold, it should have a quarter of a grain pill of the solid\\nextract of ignatia before each meal, and three or four\\ndrops of Fowler s solution after each meal. Meanwhile,\\nthe diet should be nutritious and the child should be kept\\nquiet.\\nSHINGLES.\\nOther names: intercostal neuralgia; herpes zoster;\\na girdle zono.\\nThis is an acute inflammation of the skin, upon which\\nthere is a cluster of pimples or vesicles, and is attended\\nwith severe neuralgic pains.\\nCauses. The neuralgia and eruption are caused by\\ninflammation of a nerve or nerves.\\nSymptoms. It begins with neuralgia, the pains being\\nsharp and darting, characteristic of that disease, and\\nusually situated on one side of the chest. Soon after the\\nneuralgic seizure, the eruption, which is of a bright red\\ncolor, commences.\\nTermination. In almost every part of the civilized\\nworld, the idea prevails that shingles, should the infection\\never encircle the entire body, would prove fatal. There is\\nnothing more foolish and groundless than this notion, as\\nthe termination is always favorable.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0280.jp2"}, "275": {"fulltext": "MENSTRUATION. 267\\nTreatment. It is a self-limited disease, running its\\ncourse in about two weeks, but is often attended with\\ndistressing pain, and should be broken up as soon as\\npossible. For this purpose there is no better remedy\\nthan the following Extract of ignatia in pill form, given\\nthree times a day, the dose ranging from one-half to a\\nfull grain. The pills should be sufficiently large to\\nintensify the neuralgic pains, and should it also cause\\ntwitching of the muscles without severe cramp or mus-\\ncular spasm, it is all the better. After the characteristic\\neffects of the drug are obtained in this way, it is unneces-\\nsary to give it any longer, as the neuralgia almost always\\nsubsides as soon as the drug symptoms die out. In such\\ncases the shingles dry up, and the patient is practically\\nwell in forty-eight hours. Give a three-quarter-grain pill to\\nadults.\\nFEMALE DISEASES.\\nMenstruation.\\nMenstruation consists of a discharge of blood, once per\\nmonth, from the sexual organs of the human female, dur-\\ning that period of her life in which she is capable of bear-\\ning children.\\nThe discharge is commonly called the menses because it\\noccurs once per month, as the word mensis means a\\nmonth, and when a girl has her first menstrual sickness,\\nit is hailed as an unmistakable sign that she has arrived at\\nthe period of life called puberty, or, in other words, woman-\\nhood. About this time her mammary glands, commonly\\ncalled her breasts, show increased growth, she is widened\\nand enlarged in the development of her hips, is somewhat\\nmore womanly in her manners, being unusually dignified", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0281.jp2"}, "276": {"fulltext": "268 FEMALE DISEASES.\\nand reserved in the presence of boys. In this country,\\nmenstruation usually commences between the fourteenth\\nand sixteenth years, and terminates between the forty-\\neighth and fifty-second years.\\nThe time which most commonly elapses between the\\nsuccessive appearances of the so-called monthly discharge\\nis about four weeks, although it is frequently shorter and\\nthe duration of the flow is usually three or four days, but\\nis liable to greater variations. The first appearance of the\\ndischarge, as a general thing, is preceded and accompanied\\nby pain in the loins and general disturbance of the system,\\nand in many women these symptoms invariably accompany\\nthe discharge.\\nAs menstruation rarely occurs during pregnancy and\\nlactation, the cessation of the menses is hailed as the first\\nsymptom that conception has taken place.\\nIn the natural or primitive condition of the human race\\npreceding the dawn of civilization, it is supposed that the\\nmenstrual function was unattended by pain. In that period\\nof human development, there was much less difference\\nbetween the size and physical strength of the male and\\nfemale than at present her limbs were untrammelled by\\nskirts, her body was not dwarfed nor distorted by tight\\ngarments, her muscular system was strong and vigorous in\\ndevelopment, the cavities of her body containing the vari-\\nous organs were not diminished in size, and she was a\\nnatural, and not an artificial, woman. Being entirely unre-\\nstrained by garments, she had the same opportunities for\\nexercise and physical growth that the male enjoyed. She\\nwas much larger in her waist, her hips and pelvis were\\nlarger, affording greater room for the internal sexual\\norgans, and these were correspondingly strong and large.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0282.jp2"}, "277": {"fulltext": "MENSTRUATION. 269\\nThe general trend of civilization has been to a higher intel-\\nlectual development, to the neglect of her physical growth\\nand strength, and conjoined with this, there has existed for\\ncenturies a morbid and gradually increasing desire to beau-\\ntify her person by deforming it. School-girls are hampered\\nby clothing, cannot play at games requiring the free and\\nperfect use of all their limbs and muscles, and in this way\\nthe mothers of our race are restrained and enfeebled, physi-\\ncally, so that the various functions of womanhood and\\nmotherhood are attended with more or less pain and incon-\\nvenience. Therefore menstruation, which is a natural\\nphysiological function and should be free from pain, is\\nusually attended with suffering. That the restraining effect\\nof modern styles in dress and their constant encroachments\\nupon female anatomy, change the form from the natural\\nto the unnatural, and are a continued menace to the\\nhappiness, comfort, and usefulness of woman, there can be\\nno doubt. This question has been under discussion for\\nmany, many decades, and yet the evil continues. Reforms\\nin dress are a thousand times more important to the women\\nof this age and through them to humanity, generally, than\\nthe ballot, and yet they are justly entitled to the latter.\\nBut the general condition of humanity is improving the\\nworld is better this year than it was last the relics of bar-\\nbarism are becoming less conspicuous superstition is dying\\nout women can speak in meeting with their heads uncov-\\nered the once enthroned monster of the skies is becoming\\nan indulgent and loving father the superstition regarding\\nthe sacred form of females has disappeared; women have\\nceased to be the property of men are no longer the\\ncherished tools of kings and monarchs, with their faces\\nveiled from the eyes of other men are now, more than", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0283.jp2"}, "278": {"fulltext": "270 FEMALE DISEASES.\\nformerly, the guardians of their own persons have unlim-\\nited sway in establishing and maintaining the various styles\\nwith reference to dress, and if they do not cast off that pet\\ngarment of ancient and jealous kings, that leg-hampering,\\nspeed-preventing, wage-reducing, exercise-restraining thing,\\nthe skirt, and don, instead, the bifurcated garment, it is\\ntheir own fault. The idea of women adopting a male\\ncostume to the extent of getting rid of skirts, even though\\nit gives them all the freedom of muscles and limbs that\\nmen enjoy, is at first horrible to think of, as we cannot\\nendure the idea of seeing our wives or sweethearts thus\\nclad. We have learned to love and admire women and\\ngirls in skirt garments, and for this reason it does not seem\\nthey can ever look so pretty in anything else but all\\nprejudice, dislike, and opposition to male attire for the\\nlower extremities of women would disappear in a year\\nthey would enjoy the same admiration of men that they do\\nat present they could perform all the duties of life with\\nmuch less inconvenience, could earn more money with less\\nwork, enjoy better health, gradually become stronger;\\ngirls could romp, run, jump, and play without restraint\\nphysical growth would be favored instead of retarded we\\nwould have larger, stronger, and more perfectly developed\\nwomen the pains and frailties of womanhood and maternity\\nwould be greatly diminished, and in a few generations the\\nmothers would enjoy the strength and immunity from suf-\\nfering that those of the savage races now enjoy, while their\\ncapacity for intellectual development would be commen-\\nsurate with their increased physical strength. The multi-\\nplicity of skirts that are belted around the waists of women\\nand girls, that impinge uncomfortably upon the abdominal\\norgans, forcing them downward upon those of the pelvis,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0284.jp2"}, "279": {"fulltext": "MENORRHAGIA. 27 1\\nthat hamper the limbs, limit physical exercise, cause dis-\\norders of digestion and permanent derangement of the\\nsexual organs, must sooner or later give place to sensible\\ngarments suspended from the shoulders, similar to those\\nworn by the male sex.\\nMenorrhagia.\\nexcessive menstruation.\\nThis is an affection in which the menstrual flow is\\nchanged into an absolute hemorrhage from the womb,\\nand yet in some women it occurs as regularly as the\\nmonthly periods themselves, is attended with a discharge\\nof large clots of blood, the expulsion of which requires\\nbearing down efforts and pains similar to a miscarriage.\\nThe hemorrhage in such cases may be due to many dif-\\nferent causes, such as polypus of the womb, cancer, or\\nmalignant growth of some kind, but in the great majority\\nof cases it is due to an idiosyncrasy, or personal peculi-\\narity of the patient and is, in itself, unattended with dan-\\nger. It is, however, to be greatly deplored for two reasons,\\nnamely It is distressingly painful and annoying while it\\nlasts. In the second place it drains the patient of so much\\nblood that she is left in a weakened condition, her face\\nbeing characterized by the pallor of childbirth.\\nTreatment. If the patient is of a florid complexion,\\nthe veins and arteries seemingly full of healthy blood,\\nand there is for this reason a natural tendency to hemor-\\nrhage, a meat diet should be almost abandoned for one of\\nfruits and vegetables. This is especially necessary if\\nshe is habitually constipated. Whatever derangement of\\ndigestion and other functions of the body exist, should be", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0285.jp2"}, "280": {"fulltext": "272 FEMALE DISEASES.\\ncorrected by the proper treatment. If she is a subject of\\ndyspepsia she should adopt the treatment advised in the\\nchapter on atonic dyspepsia. If habitually constipated\\nlet her follow, in a thorough and radical manner, the\\ntreatment advised in the chapter on constipation. In\\norder to arrest the hemorrhage when it occurs, and, there-\\nfore, prevent the formation of blood clots and the accom-\\npanying pains of such profuse menstruation, the following\\nshould be given as soon as the hemorrhage sets in\\nFluid extract of black haw, one ounce,\\nPort wine, a half pint.\\nMix, and give a tablespoonful every hour until the hemor-\\nrhage is arrested, then give the same dose every three or\\nfour hours until the time for the excessive flow has past.\\nThis remedy is one of the very best in such cases and\\naffords the most prompt and satisfactory relief without\\nleaving an unfavorable drug effect upon the patient, and\\nyet it is not always easy to tell the proper dose for any\\nparticular case nor how often it may be necessary to repeat\\nsuch doses. This information must be gained by experi-\\nence, as one lady may require much larger doses than\\nanother. As a general thing, however, if given as ad-\\nvised, every hour, two or three doses will arrest the hemor-\\nrhage. Every lady who is subject to profuse menstruation,\\ncharacterized by great pain and the discharge of blood\\nclots, should keep a bottle of this mixture in the house and\\ncommence taking it as soon as the hemorrhage begins.\\nIn more desperate cases, where the hemorrhage is so\\ngreat as to give but little time for the action of medicine,\\na full teaspoonful of the fluid extract of ergot may be\\ngiven every fifteen or twenty minutes, until the hemorrhage\\nceases, or until three doses are given. In most cases,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0286.jp2"}, "281": {"fulltext": "AMENORRHEA. 273\\nhowever, the fluid extract of black haw is much to be pre-\\nferred, as the use of ergot every month is liable to cause\\npermanent injury to the blood-vessels.\\nAmenorrhcea.\\nsuppression of the menses.\\nThis is a condition due to one of many causes, or several\\ncombined, in which the regular monthly sickness fails to\\noccur, or which, having commenced, is suddenly suppressed.\\nIt is frequently caused by a severe cold, or being caught\\nin a rain-storm about the time the flow should commence\\nor soon afterwards. In such cases great pain in the pel-\\nvic region, headache, thirst, fever, a full and rapid pulse\\nmay follow.\\nTreatment. To treat amenorrhcea rationally with the\\nhope of obtaining favorable and permanent results, every-\\nthing depends upon the cause producing it and the way in\\nwhich it affects the individual. If the menses are sup-\\npressed by cold or by getting wet, the prompt and thorough\\napplication of heat will afford the surest and quickest\\nrelief, and for this purpose there is nothing better than\\nhot water as advised in the treatment of dysmenorrhea.\\nThis should be followed up for several hours, keeping\\npatient, meanwhile, somewhat uncomfortably warm in bed.\\nIf there is much fever, the following should be given as\\ndirected\\nTincture of aconite root, one drachm,\\nWater, four ounces.\\nMix, and give a teaspoonful every hour for four hours,\\nafter which give a dose every two hours. The menses are\\nfrequently suppressed or delayed by grief, fright, or undue", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0287.jp2"}, "282": {"fulltext": "274 FEMALE DISEASES.\\nmental excitement. In such cases the trouble is tempo-\\nrary so far as the menses are concerned, and will disappear\\nas soon as the equilibrium of the nervous system is re-\\nstored. The treatment, if any, consists in quieting the\\nmind. The failure of the menses to occur on time affords\\nno occasion for alarm unless the health of the individual is\\nunfavorably affected. One of the greatest misconceptions\\nof parents and frequently of doctors also, is that physical\\nderangements of young ladies are solely due to the sup-\\npression of menses, when actually the suppression in most\\ncases is caused by the physical infirmities. There are\\ncertain diseases in which the menses are almost always\\nsuppressed, and one of the most serious and important of\\nthese is consumption. This is usually slow and insidious\\nin its development, and attracts but little attention until it\\nis discovered that the color has faded from the cheeks and\\nthe menses have failed to appear. The misguided doctor\\nor parent is led to think the trouble is all in the sexual\\norgans, and gives remedies to restore the menses. These\\nare wasted efforts, as it is just as natural for the menses to\\nbe suppressed with consumption as it is for them to occur\\non time in health. Other debilitating diseases affect\\nfemales in the same way, and the treatment should be\\ndirected to such diseases instead of the sexual organs.\\nSuppression of the menses by disappointments in love is\\nvery serious, as in many cases it is the beginning of a\\nfatal decline, but the trouble is in no way connected with\\nthe sexual organs, as it is wholly a mental condition. The\\nderangement is primarily emotional and mental, leading to\\nderangements of nutrition, vital depression, and consump-\\ntion. The morbid condition of the mind must be over-\\ncome before the menses can be restored.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0288.jp2"}, "283": {"fulltext": "DYSMENORRHCEA. 275\\nDysmenorrhea.\\npainful .menstruation.\\nDysmenorrhcea is the technical term applied to the pain\\nthat precedes or accompanies the menstrual discharge.\\nMost women are more or less uncomfortable during the\\nfirst day of their monthly sickness, the pain frequently\\npreceding the flow. Where this discomfort is moderate\\nit is not called dysmenorrhcea, or painful menstruation,\\nbut is considered natural. But in many cases the pain is\\nsevere, covering a period of two or three days, and confin-\\ning the patient to her bed.\\nThe causes of painful menstruation are numerous, the\\nremote causes being almost wholly errors in dress, produ-\\ncing more or less physical deformity, including a meagre\\ndevelopment of the sexual organs. It is obvious from the\\nforegoing that the remote causes are, to some extent, hered-\\nitary, that mothers for many generations have suffered\\nfrom the same kind of mistakes in dress that are diminish-\\ning the comfort and happiness of the present generation\\nof women. When an anxious father wrote to Horace\\nGreeley asking him the best time at which to commence the\\neducation of his boy, the old philosopher answered\\nAbout one hundred years before he is born. The same\\nkind of advice applies to dysmenorrhcea, and the treat-\\nment should be commenced several generations before the\\nbirth of the patient.\\nThe exciting causes of painful menstruation are many,\\namong which may be included inflammation of the ovaries,\\nor the membranous lining of the womb, or mechanical\\nobstruction preventing or retarding the flow of the men-\\nstrual fluid from the womb.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0289.jp2"}, "284": {"fulltext": "276 FEMALE DISEASES.\\nSymptoms. Where inflammation of the ovaries exists\\nthere is a heavy, aching pain in the pelvis before and\\nduring the menstrual discharge, with soreness of the\\nbreasts and sometimes swelling also. The time at which\\nthe pain sets in, with reference to the commencement of\\nthe discharge, affords information that is somewhat reliable\\nregarding the cause. For example where there is inflam-\\nmation of the ovaries, the pain precedes the flow and is\\nnot relieved when the latter is established.\\nWhen the suffering is due to an obstruction in the\\nmouth of the womb, the pain precedes the flow and is\\ngreatly if not wholly relieved by it. Where inflammation\\nof the mucous lining of the womb causes the suffering,\\nthe pain commences with the flow and is gradually in-\\ncreased as the accumulated fluid with more or less clots\\nimpinges upon the inflamed membrane. In such cases,\\nhowever, the freer the discharge the less will be the suffer-\\ning from pressure upon the inflamed surfaces. This form\\nis sometimes called membranous dysmenorrhcea, as the\\ndischarge is frequently accompanied with the passage of\\ndetached fragments of membrane.\\nTreatment. Where there is heavy, aching pain in the\\npelvis before and during the discharge, and attended with\\nsoreness of the breasts, it indicates an inflammatory con-\\ndition of the ovaries, and the application of heat in the\\nform of a rubber bag filled with hot water and placed over\\nthe lower part of the abdomen, keeping a thick, dry towel\\nbetween the bag and the skin to prevent burning the\\npatient, will usually afford great relief. The heat thus\\napplied is valuable in relieving the inflammation of the\\novaries and effecting a relaxed condition of the mouth of\\nthe womb to facilitate the flow. If, however, a case of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0290.jp2"}, "285": {"fulltext": "DYSMENORRHEA. 277\\nthis kind is so severe that this treatment does not afford\\nthe desired relief, from twelve to fifteen grains of anti-\\npyrine may be given, and the dose repeated in two hours\\nif necessary. Alcoholic stimulants of all kinds should be\\navoided in dysmenorrhoea, and especially so in the ovarian\\nform. The treatment of the patient between the men-\\nstrual periods is of great importance when the painful\\nmenstruation depends upon an inflammatory condition of\\nthe ovaries. The use of hot water as a vaginal douche\\nthree or four times per week, if properly managed, ought\\nto accomplish a great deal in unloading the engorged ves-\\nsels of the ovaries and rendering the succeeding monthly\\nflow much less painful.\\nThe best way to administer the treatment is by means\\nof a fountain syringe. It is best for the patient to be in a\\nbath-tub with her hips resting upon some soft cushion\\nseveral inches high. The water should be as hot as it\\ncan be borne without pain, and the flow continued for ten\\nminutes, the waste water being allowed to escape from\\nthe bottom of the tub.\\nWhen the pain precedes the flow and is always relieved\\nby it, it is evident that the suffering is caused by a rigid\\ncondition of the mouth of the womb that prevents or\\nretards the flow. Heat in some form is the best means to\\nsecure a prompt relaxation of the womb, and get rid of the\\naccumulated fluid and the pains also by a free discharge.\\nThe application of hot water by the rubber bag, as men-\\ntioned above, will afford prompt relief.\\nWhen pain commences with the flow and gradually\\nincreases, it indicates inflammation of the mucous lining\\nof the womb, and every effort should be made to facilitate\\nthe flow and prevent undue pressure upon the inflamed", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0291.jp2"}, "286": {"fulltext": "278 FEMALE DISEASES.\\nsurfaces. Heat is usually the best means to secure this\\nend also, and the rubber bag filled with hot water can be\\nused to advantage. Bags of hot salt, or a jug filled with\\nhot water and securely corked, will afford convenient\\nmeans of supplying the heat. This form also may be\\ngreatly relieved by irrigating the vagina with hot water\\nthree or four times per week between the monthly periods.\\nIn dysmenorrhea, of whatever form, disorders of diges-\\ntion should be corrected as soon as possible, and where\\nconstipation exists, a meat and mixed diet should be aban-\\ndoned for one of fruits and vegetables. An abundance of\\nfruits, of which apples, oranges, lemons, and peaches are\\nthe best, should be eaten every day until the bowels move\\nabout once per day. The stools should be soft and easy\\nso as to avoid the necessity of straining, as such efforts\\ndo great harm by causing congestion of the internal sexual\\norgans and causing or increasing painful menstruation.\\nWhere the affection is due to constipation, and it very\\noften is, the fruit diet, followed for all it is worth, will\\neffect a cure.\\nIn such cases everything depends on the amount of\\nfruit eaten, and the regularity with which the fruit-diet\\ntreatment is followed up. Some patients will eat an apple\\nonce or twice per day, or an orange at bedtime, and if\\ntheir constipation is not promptly relieved will become\\ndiscouraged and give up the use of fruit. Eating fruit in\\nsuch limited quantities will do no good, but if four or five\\nraw apples are eaten in twenty-four hours, and fried or\\nstewed apples are eaten at one or two meals per day, or,\\nin place of apples any other fruits that may be desired,\\nexcepting raspberries and blackberries, the fruit acid will\\nsoon have a favorable effect upon the bowels, and a free and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0292.jp2"}, "287": {"fulltext": "LEUCORRHCEA. 279\\neasy movement once per day may be hoped for. Fruits\\ndo not act upon the bowels as a physic, and therefore it\\ndoes not become necessary to increase the amount. There\\nis one matter of caution regarding the treatment of dys-\\nmenorrhcea, that is of the utmost importance. It is this\\nNever take a physic of any kind, as physicking in any\\nway has an absolute tendency to cause congestion of the\\npelvic organs. Wherever patients have dyspepsia, they\\nshould carefully follow the treatment given in the chapter\\nof this book devoted to atonic dyspepsia.\\nLeucorrhcea.\\nthe whites.\\nThis is a disease attended with more or less profuse dis-\\ncharge of white, yellowish, or greenish mucus from the\\nvagina, resulting from acute or chronic inflammation of\\nthe vaginal mucous membrane.\\nAs inflammation or irritation of the mucous lining of the\\nvagina is the cause of leucorrhcea, it is very evident that\\nthe exciting causes of the disease consist of any influence,\\nmechanical, sexual, or otherwise, that is calculated to excite,\\nirritate or inflame the vaginal wall. Therefore, leucorrhcea\\nis caused by displacement of the womb downwards, in\\nwhich the tendency is to turn the vagina wrong side out\\nand chafe and irritate the two opposing surfaces. As all\\nmucous membranes when irritated, secrete mucus, a flow\\nof watery mucus necessarily follows such displacements\\nof the womb. Then again, if the womb is tipped back\\nagainst the rectum, called retroversion, the mouth of the\\norgan is directed toward the bladder, and impinges uncom-\\nfortably upon the front wall of the vagina, producing irri-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0293.jp2"}, "288": {"fulltext": "280 FEMALE DISEASES.\\ntation and consequently leucorrhcea. When the womb is\\ntipped forward, the mouth is directed backward toward the\\nrectum and irritates the back part of the vagina, causing a\\nflow of watery mucus. The most frequent and serious of\\nall the causes of leucorrhcea are probably those of womb\\ndisplacement, and any attempt to cure the affection until\\nthese mal positions are corrected, can do but little, if any,\\ngood.\\nOne of the most frequent and provoking causes of leu-\\ncorrhoea, is excessive sexual indulgence. The excitement\\nof sexual intercourse necessarily, naturally, and properly\\ncauses temporary congestion of the internal sexual organs,\\nincluding the mucous membrane of the vagina. This is a\\nphysiological action and harmless if not carried to excess,\\nbut too frequent sexual indulgence gradually produces a\\nchronic inflammatory condition called vaginitis, in which\\nevery part of the inflamed mucous membrane becomes\\nactive in the secretion of a watery mucus and sometimes\\nof pus also. Another cause of leucorrhoea is the retention\\nwithin the vaginal cavity of blood clots after profuse men-\\nstruation.\\nTreatment As the form of womb displacement most\\nconducive to leucorrhcea is downward, the remedy is easy\\nand simple if commenced in time, and consists in the in-\\nsertion of a soft rubber ring, the opening in the centre\\nbeing large enough for the mouth of the womb. This ring\\nis hollow, and integral with it is attached a rubber tube\\nabout eighteen inches long, for inflating the ring when it\\nis properly introduced. To place it in the vagina in the\\ncorrect position, it is covered with vaseline and pushed\\nas far as possible with the index finger. Then the small\\npoint of a common bulb syringe is forced into the end of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0294.jp2"}, "289": {"fulltext": "LEUCORRHCEA. 28 1\\nthe rubber tube. When the bulb is thoroughly compressed\\ntwice, the ring will be considerably inflated. The index\\nfinger, properly oiled, may now be used to further adjust\\nthe ring so that the mouth of the womb strikes* the open\\ncentre. By compressing the bulb once more the ring is\\nfully inflated, extending itself in every direction and for-\\ncing the womb upwards. Sometimes it is not necessary,\\nand this is especially true in women who have not borne\\nchildren, to compress the bulb more than twice, as that\\namount of inflation is often sufficient to correct the dis-\\nplacement. If when the patient gets up and commences\\nto walk round, the distended ring causes pain, it is an evi-\\ndence that the inflation is too great. If, on the other hand,\\nthere is no pain at all, and a constant tendency of the ring\\nto be discharged from the vagina, the inflation is not suffi-\\ncient, and the bulb should be compressed three times\\ninstead of twice. After the ring is properly blown up,\\nthe rubber tube is to be firmly tied with a piece of cotton\\ntwine of considerable size. It should be tied in three\\nknots. When necessary to remove the ring, the knots\\nmay be untied, or the tube clipped with scissors just above\\nthe cord. This form of uterine support is almost wholly\\nfree from irritation, and almost any woman can properly\\nintroduce it.\\nIn leucorrhoea depending upon excessive sexual indul-\\ngence, intercourse should be wholly abandoned until the\\nvaginal canal recovers from the irritable or inflamed con-\\ndition causing the discharge. Meanwhile, irrigating the\\nvagina two or three times per day with warm water and\\nusing an injection of sulphate of zinc after each cleansing,\\nwill hasten recovery. A teaspoonful of the zinc will be\\nenough for a quart of water. It should be injected with a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0295.jp2"}, "290": {"fulltext": "282 FEMALE DISEASES.\\nhard rubber female syringe holding about one ounce. An-\\nother very valuable remedy, and in many cases much\\nbetter than the zinc, is the non alcoholic extract of hy-\\ndrastis canadensis mixed with ten parts of water. This\\nshould be injected night and morning. Any preparation\\ninjected for the cure of leucorrhcea should not be suffi-\\nciently strong to cause much if any pain, and when sul-\\nphate of zinc is used, if it causes much smarting, more\\nwater must be added to the solution.\\nDisplacements of the Womb.\\nThere are five displacements of the womb. First, ante-\\nversion, in which the fundus or top of the womb is thrown\\nforward against the bladder, greatly diminishing its capac-\\nity to hold urine, in consequence of which the patient has to\\npass her water much oftener than usual, and in bad cases\\nevery fifteen or twenty minutes. At the same time the\\nmouth of the womb presses against the rectum, often caus-\\ning constipation. Second, retroversion, in which the fundus\\nor top of the womb is thrown backwards against the rec-\\ntum, causing, if during pregnancy, terrible obstruction of\\nthe bowels. Meanwhile the mouth of the womb is pointed\\ntowards the front of the pelvis, impinging so firmly upon\\nthe neck of the bladder that the patient is frequently un-\\nable to pass her water. In such cases the direction of the\\nurethra is very much changed, and a catheter that is con-\\nsiderably curved must be substituted for the one commonly\\nused. Third, anteflexion, in which the womb is bent for-\\nward so the fundus or top presses upon the bladder, while\\nthe mouth is in its normal position or nearly so. The\\nsymptoms of this form of displacement are much the same", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0296.jp2"}, "291": {"fulltext": "DISPLACEMENTS OF THE WOMB. 283\\nas those of anteversion, so far as the effect upon the blad-\\nder is concerned, as it is compressed and diminished in its\\ncapacity to hold water, frequent urination being necessary.\\nIt does not, however, obstruct the bowels. Fourth, retro-\\nflexion, in which the fundus or top of the womb is bent\\nbackward against the rectum, frequently causing obstruc-\\ntion of the bowels, while the mouth of the organ remains\\nin its natural position or practically so. Fifth, falling\\nof the womb, in which the organ is forced downward in\\nthe pelvis. This may be slight, causing but little incon-\\nvenience, or it may be great, in which there is almost com-\\nplete prolapse or protuding of the womb. The symptoms\\nof this form of displacement are backache, pains in the\\nlower part of the abdomen, frequently extending down the\\nthighs, a sense of heaviness or bearing down in the pelvis,\\nand usually a frequent desire to pass water.\\nTreatment. In all these displacements it is much better,\\nif possible, for the patient to lie in bed until the womb is\\nreturned to its natural position. In retroversion that oc-\\ncurs mostly during pregnancy, obstructing the bowels and\\nalso frequently causing abortion, a good physician should\\nbe called at once to correct the position of the womb by\\nputting patient on her knees and breast, and inserting one\\nor two well oiled fingers in the rectum and pushing firmly\\nagainst the womb. The other mal positions of the womb\\nwill generally correct themselves by the patient lying in\\nbed a couple of weeks, but in case of prolapse, where the\\ndisplacement is altogether downward, the soft rubber ring,\\nas advised for such displacements in the treatment of\\nleucorrhcea, may be used, in which case it is usually un-\\nnecessary for the patient to lie in bed. The reader is re-\\nquested to turn to the chapter on leucorrhcea, and carefully", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0297.jp2"}, "292": {"fulltext": "284 FEMALE DISEASES.\\nstudy the soft rubber ring and the manner of introducing\\nand inflating it.\\nWhenever a woman is seized with a very frequent de-\\nsire to pass her water, and this condition continues for any\\nlength of time, it is very safe for her to conclude that she\\nhas womb displacement of some kind. In the large ma-\\njority of cases the position of the womb can be corrected\\nby the patient taking to her bed for a few days, pro-\\nvided she does so as soon as the troublesome symptoms\\nmake their appearance. If this is not convenient the soft\\nrubber ring or pessary, if properly inserted and sufficiently\\ninflated, will raise the womb off of the bladder so as to cause,\\nin most cases, immediate relief. In cases of anteflexion,\\nwhere the top of the womb is bent forward against the\\nbladder, there is frequently more or less displacement\\ndownward, and the use of the soft rubber ring will correct\\nthe trouble. It is well to remember that all these displace-\\nments have a natural tendency to irritate the vaginal canal\\nand cause leucorrhoea, and whenever this flow commences,\\nwhether associated with bladder troubles or not, displace-\\nment of the womb should be suspected.\\nPREGNANCY.\\nPregnancy in the human family, when of the normal or\\nnatural character, signifies a state of the female in whose\\nwomb there is a germ, or egg that has been fertilized by\\nthe male germ, and which gradually becomes developed\\nwithin the cavity of the womb. When the ovum is im-\\npregnated or fertilized by the male semen in the uterus, a\\nlocal, vital action is set up by which it attaches itself to\\nthe surface of the mucous membrane lining the womb, and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0298.jp2"}, "293": {"fulltext": "PREGNANCY. 28$\\nobtains from it indirectly the nourishment necessary for its\\ngradual growth during the ordinary term of pregnancy.\\nThe duration of pregnancy, however, may be protracted to\\nthree hundred days or upwards, and ends with the birth\\nof one or more children. Pregnancy is commonly limited\\nto one child, but sometimes there are two or three, and in\\nrare instances four or five.\\nSigns of Pregnancy.\\nThe first symptom of pregnancy, and the one hailed by\\nalmost all married women as the most important, is sup-\\npression of the menses. The function of menstruation\\nrarely exists during the period of pregnancy. Sometimes,\\nhowever, the menstrual flow occurs once after conception\\ntakes place, but in such cases it is generally slight and\\nlimited in duration. When it thus occurs it is only a short\\ntime after conception has taken place. The suppression\\nof the menses, however, as a sign of pregnancy, is so\\nreliable that the date fixed for the probable birth of the\\nchild is two hundred and seventy-five days after the last\\nday of the last menstruation. When a menstruation in a\\nmarried woman is limited both in quantity and duration,\\nand this too in one who has always been regular as to time,\\namount, and duration of the flow, it is a very strong evi-\\ndence that conception has taken place. As it may have\\noccurred several days previous to the flow, the duration of\\npregnancy when reckoned from the last menstrual flow,\\nmust necessarily be shortened.\\nThe menses are not always suppressed during preg-\\nnancy, but the cases in which they are not, are exceedingly\\nrare.\\nThe value of menstrual suppression as a sign of preg-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0299.jp2"}, "294": {"fulltext": "286 FEMALE DISEASES.\\nnancy is modified by many conditions. If the individual is\\nvery irregular in this respect, occasionally running over her\\ntime from a few days to several weeks, it is almost valueless\\nas a symptom. If on the other hand she has always been\\nprompt and regular, sudden suppression is almost a posi-\\ntive sign of pregnancy. The state of the mind sometimes\\nexercises a demoralizing effect upon the nervous system,\\nand in that way delays the commencement of the flow.\\nThis may occur with young married women who are very\\naverse to raising children, and consequently in mortal dread\\nof becoming pregnant. It may exercise a still greater in-\\nfluence upon unmarried women who have rendered them-\\nselves liable to become pregnant. In either case the\\ninfluence is equivalent to a severe fright and may delay\\nthe menstrual flow for several days.\\nAnother symptom of pregnancy which is of great impor-\\ntance, is nausea and vomiting, which is commonly called\\nmorning sickness. This symptom is familiar to most\\nmarried women. The sickness usually comes on soon\\nafter rising from bed in the morning. Like the sickness\\nfrom taking morphine, it is provoked by the erect posture.\\nIt sometimes commences within a day or two after con-\\nception, but more commonly is deferred to the third or\\nfourth week. It usually ends during the fourth month.\\nIt is sometimes mild, causing but very little inconvenience,\\nand at other times so severe as to threaten the life of the\\npatient. In extreme cases it is necessary to bring about\\npremature delivery to save the life of the mother. Asso-\\nciated with the morning sickness or existing independently\\nof it, are frequently other disorders of the stomach, such\\nas acidity, heartburn, flatulence, and sour eructations.\\nSalivation often accompanies the sickness of the stomach", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0300.jp2"}, "295": {"fulltext": "PREGNANCY. 287\\nin severe cases. It may also occur in the form of drivelling\\nsaliva when there is no morning sickness at all.\\nFacial neuralgia and toothache are liable to characterize\\nthe state of pregnancy during the early weeks. This ten-\\ndency seems to run in families. Sometimes all the girls in\\na family are affected in this way as soon as they get married\\nand commence raising children. Where heredity is a\\nstrong predisposing cause to toothache and neuralgia dur-\\ning pregnancy, the occurrence of those affections may be\\nregarded as almost positive evidence of the pregnant con-\\ndition.\\nThe mammary glands or breasts commence a gradual\\nenlargement soon after conception occurs, and about the\\nsame time there are often darting pains in the region of\\nthe nipple. Sometimes, however, it is only an itching or a\\nburning. The nipples are also enlarged and surrounded\\nby a dark ring called the areola, which is especially dark\\nin brunettes.\\nThe bladder affords another important symptom of\\npregnancy during the first month on account of pressure\\nit receives from the womb, being diminished in its capacity\\nto hold urine, and rendering frequent urination necessary.\\nThis in connection with other signs of pregnancy is a very\\nconvincing symptom. During the second month there is a\\nnatural anteversion or tipping of the womb forward upon\\nthe bladder, further lessening its capacity to hold water,\\nand increasing the frequency of urination. Early in the\\nfourth month the pressure upon the bladder is relieved by\\nthe womb rising out of the pelvis into the cavity of the\\nabdomen.\\nQuickening is the symptom occasioned by decided move-\\nments of the child, and commences about the middle of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0301.jp2"}, "296": {"fulltext": "288 FEMALE DISEASES.\\npregnancy. Where conception takes place during lacta-\\ntion, and before menstruation is established after the pre-\\nvious pregnancy, there is no reliable means for determining\\nthe commencement of pregnancy. In such cases quicken-\\ning, which commences about the middle of utero-gestation,\\naffords the only information regarding the time at which\\nthe child will probably be born. Therefore, if the time of\\nbirth is set four and a half months after the first appear-\\nance of quickening, the calculation is liable to be correct\\nwithin one or two weeks.\\nManagement of Pregnancy.\\nUnfortunately for mankind in general and especially for\\nthe mothers of our race, the first pregnancies occur at a\\ntime when the ignorance of both husband and wife, re-\\ngarding the care and necessities of the pregnant state, is\\nmost profound. For this reason the young husband,\\nutterly unaware of an abnormal or nervous condition\\nthat may exist, thoughtlessly neglects his wife, or fails\\nto be responsive to her cravings for love and tenderness.\\nThis may lead to desperate despondency, or to the devel-\\nopment of an excitable and intensely irritable state of the\\nmind. When to her morbidly sensitive, nervous, and\\nmental state, are added disorders of digestion, morning\\nsickness, constipation of the bowels, sour stomach, and\\nan uncontrollable desire for articles of diet least suited to\\nher condition, it is apparent that pregnancy, the most im-\\nportant period in the life of a woman, requires the exercise\\nof all the intelligence, care, patience, love, and forbearance\\npossessed by both husband and wife. Granting that the\\nforegoing is true, this question naturally arises In what\\ndoes the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0302.jp2"}, "297": {"fulltext": "PREGNANCY. 289\\nHygiene of Pregnancy\\nmainly consist^ or, in other words, what is the best man-\\nagement of pregnancy? For her own sake and that of her\\noffspring as well, every pregnant woman should be made\\nas comfortable, cheerful, and happy as the circumstances\\nof her husband, and her general environments will permit.\\nThe unfavorable business and pecuniary affairs of the\\nfamily should never reach her mind. She should be\\ncarefully shielded from everything that is mentally de-\\npressing or annoying. If inclined to melancholy, she\\nshould not be left alone. Correcting disorders of diges-\\ntion, and providing her with the companionship of pleasant,\\ncongenial people, may overcome all despondencies.\\nShe should be encouraged to indulge freely in the walks,\\ntalks, and general pleasantries of life, including social\\ngames. If inclined to literature in any form, her taste in\\nthat direction should be encouraged, as whatever is men-\\ntally satisfying and pleasing is, on general principles, cal-\\nculated to benefit her and her unborn child. If she wishes\\nto do housework, it is much better for her to be so em-\\nployed than to sit with folded hands, and muse pensively\\nupon her prospects of motherhood.\\nEFFECTS OF THE MOTHER S MIND UPON\\nHER UNBORN CHILD.\\nIt is well known that disgusting or frightful scenes that\\nviolently affect the mind of the pregnant female are liable\\nto exert a morbid influence upon the unborn child, so as to\\ndwarf and deform its physical and mental growth.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0303.jp2"}, "298": {"fulltext": "290 FEMALE DISEASES.\\nThousands of cases are upon record showing that idiocy,\\ndeformities, and human monstrosities have been traced to\\nimpressions made upon the minds of mothers before giv^\\ning birth to children. How emotional impressions can\\naffect the mind, the facial expression, and physical con^\\ntour of a child that has never seen the light of day, is\\nhard to tell. Interspersed with the matter of this mate-\\nrial world is a realm of mysterious, unknown, and perhaps\\nunknowable, forces. The matter is objective and tangible,\\nwhile the forces are, for the most part, but dimly sensed.\\nThere are millions of sights that we cannot see millions\\nof sounds that we cannot hear millions of forces that we\\ncannot feel millions of tastes to which our natural organs\\nare insensible millions of perfumes reaching us upon the\\nwings of the viewless air, that we cannot smell there are\\nmillions of life germs spreading diseases from ocean to\\nocean, that only the most powerful microscope can reveal;\\nand there are millions of maternal influences weird,\\nmysterious, and inconceivably delicate connected with\\nthe impregnation of the human germ and its lodgement\\nand growth in the womb, that we cannot understand.\\nThe writer knows that he once lived in a dark, narrow\\nchamber, the womb, where he was peculiarly nourished\\nand slightly conscious, and believes that the mind and\\nemotions of a loving mother moulded his plastic, prenatal\\nbrain and organism so as to endow him at birth with the\\ncapacity for physical and intellectual development that has\\nmainly determined his destiny in life. How this was done,\\nis at best a matter of conjecture.\\nWhen a wound is made in the flesh, there is a rush of\\nblood to that locality, carrying fibrinous lymph, the neces-\\nsary material for healing the wound, and an active, adhe-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0304.jp2"}, "299": {"fulltext": "PREGNANCY. 29 1\\nsive inflammation is set up. If the injury is extensive, the\\ninflammation will be correspondingly so, and the demand\\nfor fibrine is liable to be greater than the normal blood can\\nsupply. Nature, as if fully aware of the deficiency of\\nhealing material in the blood, creates an extra amount of\\nfibrine with which every ounce of blood is enriched, and\\nin that way the wound is reenforced with fibrinous lymph\\nor repairing material, and the healing process hastened.\\nWhen a woman in the early months of pregnancy takes\\nup a difficult line of study, such as mathematics, for ex-\\nample, and pursues it every day for months, there is an\\nincreased flow of blood to the brain to supply the waste\\ncaused by such long-continued mental taxation. As the\\nmental labor has a tendency to use up certain chemical\\nconstituents of the blood, is it not logical to suppose that\\nnature will recognize the draught made upon the blood in\\nthis way, and enrich it with an abundance of suitable ma-\\nterial to supply the waste in the brain\\nIt is obvious, if the blood is made excessively nutritious\\nto supply the waste in the brain tissue occasioned by\\nsevere mental exercise, that it is in the best possible con-\\ndition to contribute to brain growth.\\nAs the mother and her unborn infant are nourished by\\nthe same blood, it seems that the brain growth of the\\nchild in the womb must be to a great extent commensu-\\nrate with the mental exercise of the mother.\\nIf she should apply herself vigorously to the study of\\nmusic, there would be an increased flow of blood to her\\nhead to supply the waste of brain substance, but such\\nwaste would not be the same as that caused by mathe-\\nmatical studies, and conservative nature would add to\\nthe nutritive qualities of the blood an abundance of ele-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0305.jp2"}, "300": {"fulltext": "292 FEMALE DISEASES.\\nments needed to meet the draught made upon it by the\\nstudy of music, only.\\nThis blood would nourish the unborn child, and there-\\nfore contribute to the development of the same organs\\nthat had been exercised by the mother.\\nIf true that certain mental pursuits cause the brain to\\ndraw from the blood certain chemical properties, it is also\\ntrue that nature must meet the demand made upon the\\nblood by increasing the amount of the much-needed ele-\\nments, and therefore it seems possible for a mother to\\nbestow upon her child a superior mental capacity by the\\nmanner in which she employs her mind and body during\\nthe nine months preceding its birth.\\nEvolution is the ruling principle, and highest natural\\npower of the universe. In all the countless worlds that\\nare teeming with living beings, the order of development\\nis doubtless from the lower to higher forms of life. This\\nis natural. Man is the dominating intelligence of this\\nplanet, as there is no other being that approaches him in\\nintellectual capacity. He has conquered everything that\\nbreathes or inhabits the deep, and made the whole moving\\nworld of life subservient to his imperious will. After fight-\\ning ferocious beasts for thousands of centuries, and thread-\\ning his way through the bewildering mazes of the past, he\\nhas finally made our little world a suitable dwelling-place\\nfor refined, intelligent people.\\nBut in the realm of the unseen, unheard, unfelt, and\\nunknown, he has a thousand worlds, as it were, yet to con-\\nquer. As he has but recently attained a state of mental\\ndevelopment, rendering him capable of unfolding and util-\\nizing a few of the possible millions of natural forces, it is\\nreasonable to infer that he is yet in the childhood of his\\nintellectual growth.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0308.jp2"}, "301": {"fulltext": "PREGNANCY. 293\\nIf this is true, the most important question of coming\\ncenturies is the evolution of mankind. From the infancy\\nof the human race, man has been groping his way upward\\nin search of intellectual light, and it is believed that his\\ngreatest blunder is, and ever has been, his failure to under-\\nstand the main laws and conditions that affect, for good or\\nill, his mental growth.\\nExperience has taught that the kindergarten method of\\nteaching young children a method in which the mental\\nunfoldment of pupils depends mainly upon object lessons\\nstrengthens both body and mind, renders children exceed-\\ningly precocious, and early in life lays a broad and solid\\nfoundation for the more difficult studies of schools and col-\\nleges. The reasons are obvious. The little ones are put\\nunder suitable training when the brain is as soft and pliable\\nas putty, the best of lessons are taught, and every child is\\ncarefully shielded from bad influences.\\nA child is probably a thousand times more susceptible\\nto good or bad impressions during its earliest development\\nin the womb than it is after becoming a kindergarten pupil,\\nand experience and statistics almost warrant the opinion\\nthat the womb of every pregnant woman is practically a\\nminiature kindergarten in which the mother s object les-\\nsons are impressed upon the mind of the unborn.\\nGranting that this is true, we are compelled to admit the\\nexistence of a multiplicity of conditions connected with the\\nsubtle forces and functions of maternity that we can\\nneither explain nor fully understand. Oh, what a library we\\nshould need in which to record the things of this world\\nthat no one knows For every mystery that science has\\nsolved, she has discovered a hundred new ones. She has\\nfound a few precious and glittering gems along the surf-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0309.jp2"}, "302": {"fulltext": "294 FEMALE DISEASES.\\nbeaten shore, but the great ocean of truth that she surveys\\nwith her tireless and wistful eyes, is unexplored.\\nThe objective and tangible forces of nature, such as\\nsteam, fire, wind, and wave, we understand and can usually\\navoid, but unfortunately the subjective, intangible, and\\ninconceivably fine forces are the most powerful in their\\neffects, for weal or woe, upon humanity.\\nIt is now generally admitted by the highest medical\\nauthorities that structural alterations of the growing child\\nin the womb may be caused by unfavorable mental influ-\\nences upon the mother, and that human monstrosities\\ngenerally occur in this way. Physiologists agree, and\\nobservations abundantly prove, that the emotions of the\\nmother affect the physical development, bodily form, and\\nfacial expression of her child. They also agree that men-\\ntal growth may be arrested or retarded in a similar way,\\ncausing idiocy or an enfeebled mental condition. For\\nthese reasons the best authors, in considering the manage-\\nment of pregnancy, advise every patient to be carefully\\nprotected from frights, physical shocks, and all sudden\\nnews of an unpleasant nature.\\nIt is pleasant to know that these ideas that were instilled\\ninto the minds of young people by the intelligent mothers\\nof thirty or forty years ago ideas that were stigmatized\\nby the doctors of those days as old women s whims\\nhave been recognized during the closing years of this\\nmost progressive and eventful century as an important part\\nof the scientific literature of medicine.\\nThe sprout of an acorn in coming up through a soft\\nand yielding soil, is not swerved from a direct course, and\\ntherefore appears above the surface as a straight and per-\\nfect scion. If not injured by accident, it will become the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0310.jp2"}, "303": {"fulltext": "PREGNANCY. 295\\nmonarch of the forest, and after withstanding the storms\\nof a thousand winters will be as straight as an arrow. But\\nif, in coming out of the ground, it is bent in its tender and\\ndelicate fibres by a stone or unyielding clod of earth, it\\nappears above ground more or less crooked and deformed,\\nand can never make a perfect tree.\\nThe acorn is an impregnated vegetable germ. The earth\\nin which it is planted and to which it firmly attaches itself,\\nis the womb. The length of time that it is planted before\\nmaking its appearance, is its period of gestation or growth\\nin the womb. This may be from two to four weeks, ac-\\ncording to the amount of moisture, character of the soil,\\nand other conditions, and yet in this short time the fate of\\nthe majestic oak, as regards shape and beauty, is deter-\\nmined. If two or three weeks of unfavorable conditions\\nwill dwarf, deform, and ruin a tree that might other-\\nwise live and grow for a thousand years or more, the\\nimportance of the period from conception to the birth\\nof a child in determining its destiny, is hard to over-\\nestimate.\\nIf a woman is kept in a state of mental irritation by a\\ndrunken or otherwise obnoxious and worthless husband\\nduring pregnancy, or if vexed and tormented in other\\nways, her poor child is no more to blame for being bad\\nthan a tree is to blame for being crooked.\\nOh, what a sacred temple is the maternal womb in which\\nare nourished and developed the mind, body, and spirit of\\na human being What infinite possibilities await the pli-\\nable, receptive mind of the infant whose mother is favored\\nwith suitable environments during the nine months previ-\\nous to its birth\\nEvery industry, every enterprise, every school and col-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0311.jp2"}, "304": {"fulltext": "296 FEMALE DISEASES.\\nlege, and everything else in this world that approaches the\\ngoal of perfect success, must be established and conducted\\nupon settled and definite principles. These are facts that\\nthe leaders of industry, science, literature, and art fully\\nrecognize. The telescope thrills us with the grandeur of\\na hundred million suns the artist s pencil gives body and\\nsoul to color, light, and shade the magnet conducts us\\nsafely across the bosom of the deep to the islands of joy\\nand rest and that subtle, imponderable force electricity\\nbrings us news from every country under the sun.\\nWhy Simply because the principle and power of the\\ntelescope have been studied and practically mastered\\npainting is taught in well established schools of art where\\nall the colors, delicate lines, shades, and expressions of the\\nsubject are carefully worked out; navigation has become\\na fixed and definite science and electricity is governed by\\nlaws that are thoroughly understood. But unfortunately\\nfor man the dominating intelligence of the globe the\\nlaws relating to human reproduction, to the natural, crea-\\ntive forces through which the world has been peopled, are\\nyet shrouded in mystery.\\nWhen the effects of the mother s mind and body upon\\nthe unborn are properly studied, the world will begin to\\nrealize that the best time to commence the education of\\na child is nine months before it is born. Then its intel-\\nlectual growth the growth upon which its taste, mental\\ncapacity, and success in life largely depend will begin\\nto receive the attention that the cause of human happiness\\nand progress demands. Then the management of preg-\\nnancy will be reduced to a thorough system, as everything\\nthat is successful must be. Under this regime, parents\\nwill have some idea of the inclinations and capabilities", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0312.jp2"}, "305": {"fulltext": "PREGNANCY. 297\\nof their children, and will not compel them to take up lines\\nof study for which they have no taste.\\nThen the question of blooded people will receive quite\\nas much attention as that of blooded horses, blooded cattle,\\nor blooded dogs.\\nWhen a boy keenly enjoys mathematics or anything\\nelse, it is because he has a natural ability to succeed and\\nbe equal, if not superior, to those of his class. A solitary\\nhalf hinge is one of the most worthless things on earth, and\\ntherefore conservative nature never makes one half with-\\nout making the other. For the same reason she does not\\ncreate in any boy a taste for a certain line of study or\\nwork without endowing him with a capacity to succeed,\\nand in almost all cases success depends upon his fondness\\nfor his work, whatever it may be.\\nThe best things of this world have been slow in their\\ndevelopment, because man has been slow in his own mental\\nunfoldment. A few centuries ago, muscle was considered\\nthe Archimedes screw through which to move the world.\\nThen a man never was considered a hero until he had\\nmeasured his strength with some mortal foe and conquered.\\nIt was then that women even pregnant women en-\\njoyed feasts of blood, and exultingly clapped their hands,\\nlike Mrs. Fitzsimmons, when their favorite vanquished his\\nenemy in the arena of mortal strife.\\nThen, naturally enough, the world was filled with bullies,\\nthugs, and face-beaters. Then physical conflict was an\\nessential part of the pabulum upon which the mothers of\\nhumanity lived and flourished, and men took to fighting\\nnaturally because the minds of their mothers dwelt upon\\nthat subject previous to their birth.\\nThat was a fighting age. Men, women, and children", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0313.jp2"}, "306": {"fulltext": "298 FEMALE DISEASES.\\nwere in constant danger of being destroyed by wild beasts,\\nand the necessities of the times made fighters of every\\none. Husbands and wives fought each other, their sons\\nand daughters fought among themselves, and young\\nmen frequently courted their sweethearts with a club.\\nThen it was only the strong in bones and muscles that were\\nconsidered fit to survive. Men like Corbett and John L.\\nSullivan were the idols of those days and fairly represented\\nthe ideas of the people regarding the survival of the fit-\\ntest. But over fifty years ago the calcium light of genius\\nentered the dark places of earth with a Yankee inven-\\ntion that thoroughly discouraged the big-fisted manglers\\nof human anatomy.\\nThis established a physical equality among men, so far\\nas fighting was concerned, and since that time, brain,\\ninstead of muscle, has been at a premium.\\nThe inventor s name was Colt, and although never\\npraised as a benefactor to posterity, his death-dealing\\nrevolver was a world-civilizer, and did what the schools,\\ncourts, and churches could not do broke up fighting\\namong men.\\nThis showed the superiority of mind to brute force, and\\nturned the admiration of the world from physical strength\\nto genius.\\nWhen it was found that a man, however strong he might\\nbe, could not become famous with his fists in the face of\\na six-shooter, parents ceased in their efforts to raise bullies,\\nbecause the world had no use for them.\\nWomen became less inclined, gradually, to admire men\\nin consequence of their great physical achievements, and\\nturned their thoughts, tastes, and affections in the direc-\\ntion of mental refinement and superiority.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0314.jp2"}, "307": {"fulltext": "PREGNANCY. 299\\nThe invention of the revolver was the unfoldment of\\na thought that has placed the world upon a favorable basis\\nfor an intellectual development that will go on forever.\\nThe correct principles of evolution of human develop-\\nment consist in producing good people with brilliant\\nminds, by a logical system of breeding, just as fine, high-\\nbred animals are produced.\\nHowever refining and beneficent religious teachings may\\nbe, they cannot make honest, reliable people out of persons\\nwho are naturally thieves. To be born again may im-\\nprove those who are brought into the world under condi-\\ntions that compel them to be impure in their thoughts and\\nmore or less depraved and dishonest in their dealings and\\nconduct with the world, but it is a thousand times better to\\nhave them born right the first time, and then the second\\nbirth, about which so much has been said, will be un-\\nnecessary.\\nMORNING SICKNESS.\\nOne of the most obstinate and annoying complications\\nof pregnancy is the sickness that often comes on every\\nmorning, immediately after rising from bed, or sometimes\\njust after breakfast. Sometimes the sickness is mild in\\ncharacter, only occurring once in twenty-four hours, and that\\nsoon after getting out of bed in the morning. In other\\ncases the vomiting occurs only after the morning meal, the\\nbreakfast usually being thrown up. Occasionally the sick-\\nness of pregnancy comes on within a few days after concep-\\ntion, but as a general thing it does not commence until the\\nthird or fourth week.\\nThere is every degree of morning sickness as regards\\nseverity. In some cases all food, of whatever character,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0315.jp2"}, "308": {"fulltext": "300 FEMALE DISEASES.\\nis thrown up as soon as swallowed. In such cases the\\nsmell of food may cause deathly sickness. The nausea of\\npregnancy is very much like seasickness, and is also like\\nthe sickness caused by taking a full dose of morphine, the\\nvomiting in the three conditions being hastened by the\\nerect posture, and due mainly to similar causes, that is, to\\ncomplete arrest or derangement of digestion.\\nMorning sickness has been considered from time imme-\\nmorial a sympathetic disorder, in which the stomach sym-\\npathizes with the congested womb. The writer is very\\nmuch inclined to the opinion that this theory is only par-\\ntially true, as he has found that the sickness yields\\npromptly to a remedy that he has found to be a specific in\\natonic dyspepsia. As the treatment that almost always\\ncures atonic dyspepsia breaks up the sickness from preg-\\nnancy so promptly and permanently that it proves to be\\na specific in such cases, it affords strong grounds for the\\nopinion that the morning sickness is mainly, if not\\nwholly, due to a form of dyspepsia peculiar to the pregnant\\nstate. In pregnancy there is a foolish and morbid craving\\nfor articles of food that are exceedingly hard to digest and\\ntherefore injurious. The same tendency manifests itself\\nin many dyspeptics, showing that the unnatural appetites\\nin both cases are probably due to similar causes, and in-\\nstead of catering to such diseased tastes, it is far better to\\ncorrect the conditions of the stomach, bowels, and the\\nnervous system upon which they depend.\\nTreatment. There are three very important things to\\nconsider with reference to treatment. First. Give her the\\nkind of food that is nourishing and most easily digested.\\nSecond. Until her sickness is overcome she should take\\nher meals and medicine while lying in bed with her head", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0316.jp2"}, "309": {"fulltext": "PREGNANCY. 301\\nand shoulders slightly elevated. Third. The drug that is\\ncalculated to stimulate digestion and in that way stop\\nsickness, should be given a half hour before eating, and\\nbut little fluid of any kind taken until meal-time. The\\nfollowing is the remedy for a lady weighing from one\\nhundred to one hundred and seventy-five pounds Give\\na half-grain pill of extract of ignatia before each regu-\\nlar meal. If she eats four times in twenty-four hours, and\\nthe meals are at least four hours apart, she may take a\\npill at each meal until the nausea and vomiting are\\nstopped, but, as a rule, three pills in twenty-four hours\\nare sufficient, even if more than three meals are taken.\\nThis drug does not stupefy the brain and nerves as mor-\\nphine does, and therefore does not relieve the sickness\\nlike an opiate, but gradually corrects the morbid condition,\\nwhich is indigestion, and stops the sickness permanently.\\nIt is not a palliative remedy at all. It has no direct ten-\\ndency to relieve the sickness. It does not quiet and\\nstupefy the nerves, but arouses them to greater activity,\\nso they stimulate the organs of digestion and cure the dys-\\npepsia of pregnancy upon which the sickness generally\\ndepends.\\nUnder this course the sickness generally ceases in two\\nor three days, and often within twenty-four hours, but in\\nrare cases it may have to be given for a week before the\\nsickness is entirely overcome.\\nOne pill should be given three times a day for a month\\nafter the sickness has ceased. Persons weighing over one\\nhundred and seventy-five pounds should take the three-\\nquarters of a grain pill, and they must in all cases be\\ncoated with sugar or gelatine. Those weighing over two\\nhundred should take a one-grain pill. The use of opium", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0317.jp2"}, "310": {"fulltext": "302 FEMALE DISEASES.\\nin any form, or any other remedies that quiet the irrita-\\nbility of the stomach by putting the nervous system to\\nsleep, should not be tolerated in sickness from pregnancy,\\nas such remedies arrest digestion and increase the trouble.\\nFor the sour stomach there is nothing better than bicar-\\nbonate of soda, and that is nothing more than the common\\nbaking soda. Put a heaping teaspoonful in a half glass of\\nwater, and give her a swallow of it whenever she has\\nheartburn. As long as there is acid in the stomach, the\\nsoda can do her no harm, as the fight is entirely between\\nthe soda and acid. The soda destroys the acid in the\\nstomach and the acid destroys the irritating effect of the\\nsoda.\\nCONSTIPATION OF THE BOWELS.\\nWith many women constipation during pregnancy ap-\\npears to be natural. In such cases it is not a disease, but\\na physiological condition depending upon pregnancy, and\\nlimited in its duration to the pregnant state. It is a con-\\ndition, however, that requires considerable attention, and\\nyet it is best to avoid if possible the use of physic of every\\nkind not that a moderate physic is liable to cause an\\nabortion or to do any harm to the unborn but the terrible\\nsluggish state of the bowels lasts for many months, and is\\nmore aggravated than benefited by physic, as the tendency\\nof every cathartic is to lessen the vigor and deaden the\\nsensibility of the entire intestinal tract. Therefore the\\ntreatment of constipation should be in almost all cases\\nhygienic.\\nA profusion of fruits of every kind, excepting berries\\nwith small seeds, should be eaten every day. In addition\\nto apples either baked, fried, or stewed at meals, several", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0318.jp2"}, "311": {"fulltext": "PREGNANCY. 303\\nmay be eaten raw during the day, while oranges, peaches,\\nand bananas may also be used freely. By leaving off\\nmeat in a great measure, and adopting a fruit diet thus\\nlavishly, the constipation of pregnancy grows beautifully\\nless and often disappears entirely.\\nPILES IN PREGNANCY.\\nOne of the most provoking complications arising from\\ncostive bowels and consequent straining at stool during\\npregnancy, is the development of piles. The best way to\\navoid them is to use a syringe before each movement of\\nthe bowels, and inject into the rectum about a pint of warm\\nwater. This will soften the stool so it will pass easily, and\\nin that way the necessity of straining will be avoided. Of\\ncourse, when the constipation is overcome by a fruit diet,\\ninjections are not needed.\\nENLARGED VEINS.\\nEnlarged and knotty veins of the thighs and legs occur\\nin almost all pregnancies, but usually disappear after the\\nbirth of the child. They are due in a great measure to\\nobstruction of the veins by pressure, preventing a free\\nflow of the blood upward to the heart, but the trouble is\\nalso increased by constipation. The same obstruction that\\ncauses the veins of the lower extremities to enlarge also\\nenlarges the veins of the anus, causing piles, which are\\nsimply enlarged and multiplied blood-vessels. The obstruc-\\ntion, the tendency to piles, and enlargement of the veins of\\nthe thighs and legs, are all increased by constipation.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0319.jp2"}, "312": {"fulltext": "304 FEMALE DISEASES.\\nTreatment. If the knotty veins become large so as to\\nbe in danger of rupturing, it is best for the patient to wear\\nelastic stockings, so as to firmly support the veins and pre-\\nvent further expansion of the walls. After the rupture of\\na vein has occurred the situation is more complicated, as\\nthere is an open wound that needs attention. It may soon\\nbecome an ulcer, soiling the elastic stocking, and rendering\\nits frequent removal necessary. Therefore it is far better\\nto properly support enlarged and knotty veins, so as to\\navoid all risks of bursting a vein. If the expanded veins\\nare almost wholly below the knee, a short stocking, reach-\\ning a little above the knee, will be sufficient, but if the veins\\nof the thighs are also enlarged, the stockings should ex-\\ntend clear to the body. They can be bought of almost\\nany house dealing in surgical instruments. The cotton-\\nelastic stockings will cost about five dollars per pair, pos-\\nsibly a little more. The silks will cost nearly twice as\\nmuch. In many cases only one stocking is needed.\\nSLEEP.\\nEvery pregnant woman should be permitted to enjoy\\nan abundance of quiet, restful, health-restoring sleep, and\\nfor this reason she should not be burdened at night with\\nthe care of children.\\nCLOTHING.\\nAll garments should be suspended from the shoulders,\\nso as to absolutely avoid pressure upon the chest and\\nabdomen.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0320.jp2"}, "313": {"fulltext": "PREGNANCY. 305\\nCOITION.\\nIf this is enjoyed by the pregnant woman, moderate\\nsexual indulgence will do her no harm. If distasteful to\\nher it ought not to be tolerated. She should be the sole\\narbiter upon the question of intercourse during the entire\\nterm of pregnancy.\\nNURSING SORE MOUTH.\\nThis is one of the most distressing diseases from which\\na woman is liable to suffer during pregnancy, or while\\nnursing her child, and as usually treated is as obstinate as\\nit is painfully annoying. It may commence soon after\\nconception, or it may not set in until after the child is\\nborn. It often affects the lower side of the tongue, the\\nmucous membrane becoming red and inflamed. The first\\nsymptom is usually a smarting pain from swallowing hot\\ntea or coffee. The tendency of the inflammation is to\\nincrease and also to spread and involve other parts of the\\nmouth. Sometimes it causes the worst form of sore throat\\nand ends fatally.\\nCauses. The predisposing cause is heredity, as it\\nruns in families, and is mainly due to a blood taint of\\nsome kind. Women of scrofulous parents are especially\\nliable to it. It also occurs frequently among women sub-\\nject to rheumic disorders such as eczema. The exciting\\ncauses are pregnancy and nursing.\\nTreatment. The disease should never be allowed to\\nkill a patient, because there are three ways to get rid of it,\\none of which is always sure.\\nx", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0321.jp2"}, "314": {"fulltext": "306 FEMALE DISEASES.\\nThe first is to give the following as soon as the disease\\ncommences\\nIodide potassium, two drachms,\\nSyrup stillingia co., one pint.\\nMix, and give a tablespoonful three times a day. This\\nwill usually cure a case in a week or ten days. If,\\nhowever, the case is neglected or badly treated, until the\\npatient is approaching a dangerous condition, the ques-\\ntion of premature delivery must be considered if it is due\\nto pregnancy. If due to nursing, the child should be\\ntaken from the breast and the milk dried up as soon as\\npossible. This will be followed by prompt recovery. In\\na very extensive experience with this disease, the writer\\nhas only found one case in which the drug treatment\\nfailed to effect a cure. In this case, the patient was in\\nthe sixth month of pregnancy, and died before the remedy\\nhad time to be of any benefit to her.\\nA local treatment, such as ordinary mouth washes, is\\nalmost entirely useless, but it is very important to avoid\\nhot drinks, liquors, or any irritating drinks whatever.\\nDURATION OF PREGNANCY.\\nPregnancy ends with the birth of the child, and its\\nduration is about two hundred and seventy-five days,\\ndating from the last occurring menstruation. For many\\nreasons it is exceedingly important to know about what\\ntime the birth of a child is liable to occur; and in the\\nabsence of positive information as to when conception\\ntakes place, there is nothing so reliable as the rule that\\nfixes the time at two hundred and seventy-five days after\\nthe last day of the last menstruation.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0322.jp2"}, "315": {"fulltext": "PREGNANCY. 307\\nUnfortunately, however, conception frequently occurs\\nwhile the mother is nursing, and before the menstrual\\nflow suppressed by the previous pregnancy has returned.\\nIn such cases, the best way to get an approximate idea as\\nto when the birth is liable to occur, is to place the time\\nat a hundred and thirty-five days after quickening.\\nThis will usually be within two or three weeks of the\\ncorrect time. During a long and extensive practice in\\nmidwifery, the writer kept a record of many cases in\\nwhich the date of conception was positively known, and\\nin all such cases the duration was within a few hours of\\ntwo hundred and seventy days.\\nSEX OF THE OFFSPRING.\\nThe opinion prevails somewhat extensively among the\\nlaity of this country, that where conception occurs soon\\nafter the cessation of the menses, the child will be a girl,\\nand that if it occurs a week or more later, it will be a boy.\\nIn this calculation, it is supposed that if conception occurs\\nin about four days after the cessation of the flow, the child\\nis about as liable to be of one sex as the other. As far as\\nthe observation of the writer extends, the rule holds good,\\nbut unfortunately his experience is limited to less than a\\ndozen cases.\\nSIGNS OF LABOR.\\nAs this is not a work on midwifery, it is not necessary\\nto describe the phenomena of labor, nor to allude to its\\nvarious stages but in order that every prospective mother\\nmay be on her guard and avoid being left alone and help-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0323.jp2"}, "316": {"fulltext": "308 FEMALE DISEASES.\\nless at a critical time, it is thought best to give the pre-\\nmonitory or warning symptoms of labor.\\nIn the first place, every pregnant woman should know\\nthe date of her last monthly period, and by counting\\nforward two hundred and seventy-five days from the last\\nday of the flow, she will usually be within two or three\\ndays of her time to be sick; and this, if nothing more,\\nshould be a warning to her and her husband.\\nIn addition to this, the precursory signs of labor, con-\\nsisting of a discharge of mucus streaked with blood, set in\\nwithin from one to three days before true labor. This is\\ncalled the show, and is accompanied by trifling pains in\\nthe back and abdomen. Sometimes real labor follows\\nthese warning symptoms within a few hours, and this is\\nespecially liable to occur with women who have borne\\nchildren, and therefore the physician who has been en-\\ngaged to attend the case should be called.\\nCHLOROFORM AND ETHER IN LABOR.\\nMillions of intelligent women bear testimony to the\\nfact, that among all the agonizing, torturing pains that\\nhave ever afflicted mankind, the suffering of childbirth\\nholds a front rank. Regarding the truth of their state-\\nments on this subject, there is no question. It should be\\nthe object of every physician, not only to save the lives of\\nmen, women, and children, but to prevent, as far as possible,\\nhuman suffering, to accomplish the greatest amount of\\ngood in the world with the least possible pain. There is\\nno more excuse for allowing women the best part of the\\nhuman family to writhe in the agonies of childbirth for\\nhours, than there would be for strapping a man to a table", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0324.jp2"}, "317": {"fulltext": "PREGNANCY. 309\\nand amputating a limb without ether or chloroform. Many-\\nobjections to the use of chloroform in labor have been\\nbrought forward. They are all too absurd and groundless\\nto be mentioned. It is a fortunate thing for the present\\ngeneration, that the great physicians of thirty or forty\\nyears ago, who foolishly opposed the use of ether and\\nchloroform in labor, are dead, and that a higher, wiser, and\\nbetter civilization has in a great measure adopted what\\nthey condemned. The writer has given chloroform hun-\\ndreds of times in labor and never had any bad effects from\\nit. In all cases labor seemed to proceed as regularly and\\nrapidly as if it had not been given, while at the same time\\nthe patient was almost free from pain. In recent years\\nhe has used ether instead of chloroform, and it is hard to\\nimagine a case in which a physician with any intelligence\\nwould be liable to do any harm with it. The short and\\nsharp pains in the early stages of labor should be borne\\nwithout ether, but by the time the mouth of the womb\\nopens to the size of a silver dollar, it may be given and\\nkept up until the birth of the child. The hard and forcing\\npains come on an hour or two before the waters break,\\nand are especially severe from the time the water escapes\\nuntil delivery, and during this time the patient should have\\nan abundance of ether so as to be almost free from pain.\\nWhere she is in her first confinement, and the pains are\\nviolent and rapid, giving but little time for the soft parts\\nto dilate, it is best to give enough ether to modify the bear-\\ning down effort, and prolong the labor a half hour or more,\\nso as to lessen the danger of rupturing the soft parts. At\\nthis stage of labor the patient will bear a great deal of\\nether before the voluntary, expelling effort is checked to\\nany extent.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0325.jp2"}, "318": {"fulltext": "310 FEMALE DISEASES.\\nIt is hard to think of a case in which ether is capable of\\npreventing the mortal anguish that it does in childbirth,\\nespecially if labor is severe, and every woman should have\\nit, after the hard, forcing pains come on. She should see\\nher doctor personally before her sickness and get his\\npromise to give her ether. It is a very poor town that\\ndoes not have more than one good physician, and if one\\nwill not give her ether another one will. The drug does\\nno harm either to the mother or the child.\\nCONCEPTION, AND WHEN IT IS MOST\\nLIABLE TO OCCUR.\\nConception takes place when the living seed of the\\nmale is implanted in the female germ. The germ thus\\nimpregnated or fertilized is called an ovum, and as to\\nwhere it is at the time of impregnation, is still a matter of\\nsome doubt, and is of little interest except from a scientific\\nstandpoint. The time at which conception is most liable\\nto occur, is usually a matter of the greatest importance to\\nyoung married people, and they are entitled to all the in-\\nformation that can be given them on that subject.\\nAn ovum, which is the Latin word for egg, is matured in\\none of the ovaries at the time of menstruation, and at the\\ncessation of the menstrual flow is in suitable condition to\\nbe impregnated, but the length of time that it remains in\\nthe organs of generation after menstruation ceases, is lim-\\nited, and in many cases is only a few days. Therefore con-\\nception is most liable to occur immediately after the\\nflow ceases, and the liability gradually diminishes from\\nthat time on.\\nIn a report of thirty-five thousand conceptions that", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0326.jp2"}, "319": {"fulltext": "PREGNANCY. 3 1\\nappeared in a medical work a few years ago, the greatest\\nnumber were about the fourth day after menstruation\\nceased. The number of conceptions decreased rapidly\\nfrom the fourth to the tenth day, there being less than one\\nhundred on the latter date. Five cases occurred on the\\ntwelfth day, two on the thirteenth, and none after that\\ndate. From the foregoing it seems that less than one\\nin a hundred occurred after the tenth day and none after\\nthe thirteenth. Therefore it appears that the cases in\\nwhich conception occurs after the twelfth day dating from\\nthe cessation of the monthly flow, are exceedingly rare,\\nbeing only one in thirty-five thousand.\\nCAKED BREASTS AND SORE NIPPLES.\\nOne of the most frequent and painful annoyances affect-\\ning mothers while nursing their first infant, is, first,\\ninflamed nipple, second, caked breast, third, abscess of\\nthe breast. The trouble usually develops in the order\\nnamed, and the inflamed and cracked nipple is responsible\\nfor the coagulated milk, inflammation of the breast gland,\\nand the abscess. It occurs in this way the babe irritates\\nthe tender nipple by nursing. As it becomes inflamed the\\nmilk-duct is more or less obstructed by lymph, requiring\\ngreater suction by the babe or a breast pump to get the\\nmilk out. The mother cannot endure the torture neces-\\nsary to empty the breast. The coagulated milk causes\\ninflammation of the breast, and abscess follows.\\nTreatment. It is best to commence the treatment\\nbefore the child is born. The main point in preventing\\ntrouble consists in elongating or drawing out the nipples\\nevery day with the thumb and finger. This can be done", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0327.jp2"}, "320": {"fulltext": "312 FEMALE DISEASES.\\nby the patient s mother, sister, husband, or herself. In\\naddition to drawing them out with the thumb and finger,\\nthey should be bathed every day and rubbed with a cloth\\ndipped in cold water. This treatment will almost always\\nprevent sore nipples, and in so doing will prevent abscess\\nof the breast if reasonable care is exercised. The treat-\\nment acts favorably in three ways. First. By drawing\\nout the nipple so the babe can easily hold it in its mouth.\\nSecond. By making the nipple harder, tougher, and less\\nliable to irritation. Third. By getting the young mother\\naccustomed to having her nipples somewhat roughly\\nhandled, she is better prepared for the suction necessary\\nto empty the breasts and prevent caking of the milk.\\nIf, however, the nipples become the least inflamed, they\\nshould be treated immediately by applying the following,\\ntwo or three times per day\\nTannin, one drachm,\\nGlycerine, water, of each a half ounce.\\nMix.\\nShould the nipples be inflamed and cracked, the follow-\\ning is better\\nZinc ointment, one ounce,\\nCarbolic acid, one-half drachm.\\nMix, and apply night and morning.\\nThe nipples must be carefully cleaned with soap and\\nwarm water in either case before allowing the babe to\\nnurse.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0328.jp2"}, "321": {"fulltext": "DANDRUFF. 313\\nDISEASES OF THE SKIN.\\nDandruff.\\nOther names seborrhoea pityriasis acne sebacea.\\nThis is a functional derangement of the fat glands of\\nthe skin in which there is an unnatural amount of fatty-\\nmatter secreted that discharges itself upon the skin in the\\nform of a greasy coating, and sooner or later forms itself\\ninto crusts and scales.\\nCauses. There are various theories regarding the ori-\\ngin of this affection, but there is no positive information\\non the subject, the cause of the disease being unknown.\\nSymptoms. The disease may occur upon any and\\nevery portion of the body, but it is most frequently found\\non the face and scalp. Seborrhoea oleosa is that form of\\nthe disease that appears on the face as a greasy coating.\\nIt is unattended with any congested condition of the skin\\nand does not itch as in the scaly variety, but gives a\\ngreasy, untidy appearance to the features that is very an-\\nnoying. In bad cases the oil stands in drops on the fore-\\nhead and cheeks. This form is called seborrhoea of the\\nface and nose.\\nSeborrhoea sicca is a form of the affection in which the\\ngreasy coating dries up, more or less, leaving scales upon\\nthe skin, and is attended with intense itching. When it\\noccurs upon the scalp it is called seborrhoea capitis, which\\nmeans grease of the head or a greasy condition of the\\nscalp. When these scales or crusts have become some-\\nwhat dry, they separate from the scalp and are combed out\\nin the form of dandruff, and the patient is constantly try-\\ning to comb them all out; but the diseased condition is", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0329.jp2"}, "322": {"fulltext": "314 DISEASES OF THE SKIN.\\nconstant, a new crop of scales is always forming, and the\\ndandruff remains unchanged.\\nTermination. The trouble is very obstinate and a per-\\nfect cure not often possible, but under the right treatment\\nthe condition of the patient can be so modified that he\\nwill suffer but little inconvenience from the affection.\\nTreatment. The first thing of importance is to act\\nupon the glandular system, and for this purpose take the\\nfollowing\\nIodide potassium, two drachms,\\nSimple syrup, one pint.\\nMix dose, a tablespoonf ul three times a day. It would\\nbe well to follow this treatment for three months. When\\nthe scales upon the scalp are dry, and they usually become\\nso, the hair should be cut short, and the head rubbed hard\\nand long with vaseline or sweet oil so as to soften the\\nscales and cause them to separate from the scalp. The\\nhead should be covered with a cap of oiled silk at night so\\nas to protect the pillow. In forty-eight hours after the oil\\nis applied in this way, wash the head with the following\\nmixture\\nStrong soapsuds, twelve ounces,\\nAlcohol, four ounces.\\nMix. The long and gentle application of this by rub-\\nbing will remove all the grease and detach all the scales,\\nafter which the head should be combed with a dull comb\\nso as to avoid wounding the scalp.\\nAfter this, the following stimulating and healing applica-\\ntion will be of great importance and may effect a cure\\nCorrosive sublimate, eight grains,\\nPure brandy, one-half pint.\\nMix, and apply to every part of the scalp, once per day,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0330.jp2"}, "323": {"fulltext": "DANDRUFF. 315\\nwith a small sponge. The application should be made\\ngently, as rubbing is unnecessary, wetting the affected\\nparts being all that is needed. If with this treatment,\\nconjoined with the iodide of potassium, the case is not\\ngreatly improved in two months, the iodide of potassium\\nshould be left off and Fowler s solution given as follows\\nFowler s solution, two drachms,\\nWater, four ounces.\\nMix, and give a teaspoonful three times a day.\\nIf, after everything is done that can be, the dandruff still\\ncontinues to be very annoying, falling out in dry white\\nscales on the clothing, the following, used two or three\\ntimes a week as occasion requires, will almost entirely stop\\nthe dandruff from falling out\\nGlycerine, four ounces,\\nAlcohol, twelve ounces.\\nMix, and shake.\\nThis can be rubbed into the scalp and hair with the\\nhands, and the way in which it prevents the dandruff from\\nfalling out upon the clothing is easily understood. The\\nalcohol thins the glycerine so as to make its application\\neasy, and allow it to spread over the entire scalp and also\\ncoat every hair in the head. Within a few hours after it\\nis used, the alcohol evaporates, leaving the thin film of\\nglycerine upon each hair, and also upon the scales that are\\ncommonly called dandruff. Now when these scales sepa-\\nrate from the scalp, they stick to the hair instead of shower-\\ning down upon the clothing. When a fine comb is used\\nthey stick to the teeth, and in this way can all be combed\\nout. The use of this preparation three times per week,\\nwith reasonable care in the use of a comb, will keep almost\\nany head of hair practically free from dandruff.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0331.jp2"}, "324": {"fulltext": "316 DISEASES OF THE SKIN.\\nACNE.\\nOther names varus acne vulgarus.\\nThis is a chronic inflammation of the fat glands of the\\nskin, attended with pimples or pustules, and confined mainly\\nto the face and neck.\\nCauses. The affection usually commences at the\\nperiod of manhood or womanhood and may continue in-\\ndefinitely. The predisposing cause is heredity, as it\\nfrequently runs through an entire family of children.\\nDisorders of digestion is one of the most frequent of all\\nthe exciting causes.\\nSymptoms. To put it in the plainest possible language,\\nacne is a disease in which the face, forehead, and neck are\\nmore or less covered with pimples, some of them being\\nsmall and flat, others pointed and containing fluid, while\\nsome others may contain pus. The flat form of the\\npimple is called a papule, the one containing fluid a\\nvesicle, while the one with pus is called a pustule.\\nThis is an affection of the skin that absolutely ruins the\\nappearance of thousands and thousands of both sexes.\\nIn many cases the eruption is very red, is attended with\\nmore or less suppuration, rendering the skin disgustingly\\nuncleanly, and almost every one so afflicted has exhausted\\nthe medical skill and patience of the neighborhood in\\nwhich he lives in order to get cured, and yet in nineteen\\ncases out of twenty has neither been cured nor materially\\nbenefited. With young ladies the case is simply desperate,\\nas that upon which the hopes and happiness of every\\nwoman largely depends is her beauty, and this is totally\\ndestroyed by the eruption. It appears that but few things\\ncan bring joy to the hearts of more people than the dis-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0332.jp2"}, "325": {"fulltext": "ACNE. 317\\ncovery of a remedy or certain form of treatment that will\\nalways cure this affection. Such a remedy has been dis-\\ncovered, has been used by the author for a great many\\nyears, and is published for the first time in this book.\\nIt is applicable not only to this disease, but many other\\nchronic affections of the skin, and is as follows\\nCorrosive sublimate, six grains,\\nBrandy, one pint.\\nMix, and take a teaspoonful before each meal. The fol-\\nlowing is to be used as a face wash once per day, and\\napplied with a small sponge\\nCorrosive sublimate, eight grains,\\nBrandy, a half pint.\\nMix, and apply with a small sponge to every part of the\\nface upon which there is any eruption, using great care to\\navoid getting it in the eyes. It will take many months to\\nentirely cure a bad case, but improvement will commence\\nwithin a few weeks. In the worst case ever treated by\\nthe author, both remedies were used for ten consecutive\\nmonths. In this case a young lady who was so disfigured\\nby the eruption that she had to wear two veils, was com-\\npletely cured, and became one of the prettiest women of\\nthe city. In much milder cases a cure can be effected in\\na couple of months. But the one general advice to all is\\nto follow the treatment until the patient is cured, as it\\nalways succeeds finally. In extreme cases that have\\nlasted for years, it sometimes requires three months to\\nmake a decided impression upon the eruption.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0333.jp2"}, "326": {"fulltext": "318 DISEASES OF THE SKIN.\\nWENS.\\nOther names sebaceous tumors encysted tumors.\\nA wen consists of a morbid condition of a fat gland of\\nthe skin, and its accompanying duct in which the walls,\\nboth of the gland and duct, are greatly expanded and con-\\nverted into a sack that is filled with a brown colored fluid,\\nsomewhat thick, sometimes jelly-like, and in other cases\\nconsisting of doughy matter.\\nCauses. Entirely unknown.\\nSymptoms. Wens come on slowly, and are generally\\nfound on the scalp, but frequently occur on the shoulders\\nand back, and sometimes upon other parts of the body.\\nThey are generally round or nearly so, and range in size\\nfrom a buck-shot to a small orange, the largest usually\\nbeing on the back. They are painless tumors unless\\nirritated by pressure or friction.\\nTreatment. This is easy and simple, and consists in\\nopening the sack freely with a sharp knife or lance, and\\nemptying it of its contents. The next thing is to remove\\nthe sack, and the best way to do it is to get hold of it with\\nthe finger and thumb, carefully work it loose, and extract\\nit whole if possible. When this is done the wen is forever\\ndestroyed. In the small wens affecting the scalp they can\\nbe opened with a lance, the fluid pressed out, and the\\nlittle sack filled with two or three drops of the strongest\\nsolution of chromic acid. This will entirely destroy the\\nsack so it will never refill.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0334.jp2"}, "327": {"fulltext": "EXCESSIVE SWEATING. 319\\nEXCESSIVE SWEATING.\\nOther names hydrosis hyperidrosis.\\nThis is a derangement of the sweat glands attended\\nwith an increased flow of perspiration. It may be either\\nlocal or general.\\nCauses. In the majority of cases the cause of the affec-\\ntion cannot be determined.\\nSymptoms. When this disease occurs during an acute\\ndisease such as rheumatism, pneumonia, in the advanced\\nstage of consumption, etc., it has no reference whatever to\\nthe disease under consideration, for in such cases it is\\nmerely one of the symptoms of an acute affection.\\nWhen the perspiration has the odor and chemical char-\\nacteristics of urine, to some extent, it is called uridrosis.\\nWhen the drops of respiration appear luminous in the\\ndark it is called phosphoridrosis. When profuse sweating\\noccurs locally it generally affects the palms of the hands,\\nthe feet, armpits, the anus, and external sexual organs.\\nExcessive perspiration of the feet is the most disagreeable\\nfeature of the disease, as the socks become bathed in per-\\nspiration, acting as a constant poultice upon the foot, caus-\\ning the outside skin to peal off, leaving the inner skin so\\ntender as to interfere with walking. In addition to this,\\nthe feet give off a sickening odor that is almost unendur-\\nable. When the affection attacks the genital organs of\\nthe male, as it sometimes does, it imparts a disagreeable\\nodor, to get rid of which frequent bathing is necessary.\\nThere are a great many cases that do not yield to any\\ntreatment.\\nThe parts should be thoroughly washed and dried with", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0335.jp2"}, "328": {"fulltext": "320 DISEASES OF THE SKIN.\\na good towel. Then one of the best preparations as a\\ndusting powder is the following\\nSalicylic acid, two drachms,\\nTannin, one drachm,\\nPrepared chalk, four ounces.\\nMix, and make into the finest possible powder, and ap-\\nply it with a puff.\\nFor the profuse sweating of the feet they can be bathed\\nevery morning in the following\\nTannin, two drachms,\\nAlcohol, two ounces,\\nWater, six ounces.\\nMix, and rub the feet freely, and especially the soles\\nand between the toes with a sponge dipped in this solu-\\ntion. The feet should be thoroughly cleansed with soap\\nand warm water before using the tannin in this way.\\nAfter this has been used for a few mornings, use the fol-\\nlowing dusting powder in the socks\\nTannin, one-half ounce,\\nPowdered starch, four ounces,\\nPowdered soapstone, eight ounces.\\nMix thoroughly, and apply to the soles of the feet and\\nbetween the toes with the puff, and dust freely into\\nthe socks. It is claimed that a saturated solution of\\nboracic acid, applied once a day to the parts affected, will\\ncause an absolute cure.\\nTo make a saturated solution, put all the boracic acid\\nin water that it will dissolve, and a little more, then shake\\nit well before using it.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0336.jp2"}, "329": {"fulltext": "CONGESTION OF THE SKIN. 321\\nCONGESTION OF THE SKIN.\\nAnother name is erythema simplex.\\nThis is an acute disease in which the vessels of the skin\\nare more or less engorged with blood, assuming a swollen\\nand reddened appearance, the color being removed by-\\npressure. As it is a step in the direction of inflammation\\nthe temperature is generally increased.\\nCauses. It may be produced by anything acting as an\\nirritant, for example, sunshine in burning the skin causes\\nacute congestion. The application of irritating drugs,\\nsevere friction, or pressure will have a similar effect.\\nSymptoms. The skin turns red, the color gradually\\nincreasing until it may become almost purple, and in all\\ncases as the color deepens the engorgement of the blood-\\nvessels increases. When the irritant producing the con-\\ngestion is local, the affection is local also, as a general\\nthing.\\nTreatment. Remove the irritating cause as soon as\\npossible. To overcome the congested and irritable state\\nof the skin, the treatment is easy and simple unless it has\\nbeen caused by a poison. If due to friction, pressure,\\nmustard, Spanish flies, the application of heat, or similar\\ncauses, the congestion will speedily subside when the\\nexciting cause is removed.\\nOne of the best remedies for acute congestion of the\\nskin is the following\\nSugar of lead, a heaping teaspoonful,\\nWater, a pint.\\nMix, and bathe the skin, using a soft cloth, once or\\ntwice a day.\\nY", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0337.jp2"}, "330": {"fulltext": "322 DISEASES OF THE SKIN.\\nRINGWORM OF THE BODY.\\nOther names tinea circinata herpes circinatus.\\nThis is a contagious disease of the skin caused by the\\npresence of a parasite, and appears in irregular, slightly\\ninflamed patches upon the body.\\nSymptoms. The affection generally commences by\\nthe appearance of pimples in patches or clusters which\\nsooner or later arrange themselves into circular form,\\ngiving rise to the familiar name, ringworm. The com-\\nmon size of a ringworm is about an inch in diameter.\\nWhen the disease becomes very chronic it is hard to dis-\\ntinguish from salt-rheum. This is especially the case\\nwhen it affects the thighs, and should be treated as the\\nchronic form of eczema.\\nTermination. This is always favorable under the cor-\\nrect treatment.\\nTreatment. As it is a local affection the application\\nto the affected parts of a suitable remedy to destroy the\\nparasites is all that is necessary. For this purpose the\\nfollowing should be applied to every part of the diseased\\nskin\\nCrystals of chromic acid, two drachms,\\nWater, one and a half drachms.\\nMix, and apply with a camel s hair brush. If the part\\nof the body affected by the ringworms is covered with\\nhair it must be closely clipped. If a great deal of surface\\nis involved, it is not well to treat it all at one sitting, or\\neven during the same day but as a general thing it is\\nproper to apply the solution to all the diseased surface at\\nthe same time. In the very chronic form, in which the\\ncircular or ringworm characteristics have disappeared,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0338.jp2"}, "331": {"fulltext": "RINGWORM. 323\\nthe corrosive sublimate treatment, as advised for chronic\\neczema, may be substituted for the chromic acid. The\\nformula is as follows\\nCorrosive sublimate, eight grains,\\nBrandy, a half pint.\\nMix, and apply once per day with a camel s hair brush.\\nBefore using this the skin must be washed thoroughly\\nclean, as it will do no good if grease or ointment of any\\nkind covers the surface. It should be applied at least\\nonce per day, and as the affection is liable to be compli-\\ncated with eczema, the internal remedies for that disease\\nmust be given also, and are as follows\\nCorrosive sublimate, six grains,\\nBrandy, one pint.\\nMix, and give a teaspoonful three times a day. The\\ntreatment, both local and constitutional, should be followed\\nuntil the patient is entirely well, even if it takes months,\\nwhich it may require if complicated with eczema.\\nRINGWORM.\\nOther names tinea favosa porrigo favosa favus\\ncrusted ringworm.\\nThis is a chronic, inflamed condition of the skin, caused\\nby a parasite. It is always due to this cause, and is liable\\nto affect persons of any age, as it is decidedly contagious.\\nIt is found mostly among people who are careless and\\nuncleanly in their habits.\\nSymptoms. Its commencement is characterized by the\\nappearance, usually about the scalp, of small, yellow crusts.\\nIn a few weeks the crusts increase in size and sink in the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0339.jp2"}, "332": {"fulltext": "324 DISEASES OF THE SKIN.\\ncentre, somewhat like a vaccine scab. They may be few\\nin number or very numerous, and about as large as a pea.\\nIn the early stages of this disease, the yellow color of the\\nscabs and their sunken appearance are so very character-\\nistic that it is easily recognized.\\nTermination. This is always favorable, and yields read-\\nily to local treatment.\\nTreatment. There is nothing more rational than this\\nIf a bug or insect of any kind secretes itself in the skin so\\nas to form an inflammatory affection, the first thing to be\\ndone is to kill it. If there are thousands of them, they\\nmust all be killed. There is no occasion for constitutional\\ntreatment in this disease it is essentially local in every\\nrespect, and to attempt to cure it with internal remedies is\\nas unscientific as to try to remove a thorn or a splinter\\nfrom the flesh by giving a physic. The following local\\nremedy, if properly applied, will cure every case\\nChromic acid crystals, two drachms,\\nWater, a drachm and a half.\\nMix.\\nThis is a saturated solution of the chromic acid, and\\nshould be applied to every crust or scab by means of a\\nglass rod or stick dipped in the solution. It is best to\\ntouch every part of the inflamed skin in this way, and it\\nwill kill every parasite. When these are killed, recovery\\nfollows rapidly, and the patient is well within a week. Its\\nuse is attended with but little pain or smarting.\\nIf a great deal of the scalp is involved it may not be best\\nto treat every part of it at one time but cases of this kind\\nare rare. Before making the application the hair should\\nbe cut very short, and great care must be taken to see that\\nevery part of the diseased skin, whether on the face or", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0340.jp2"}, "333": {"fulltext": "SALT-RHEUM. 325\\nscalp, is painted with the solution. If thoroughly done,\\none application is usually sufficient but the diseased parts\\nshould be carefully examined at the end of a week to see\\nif there is any appearance of living parasites, and if so,\\ntouch the suspicious spots again with the solution.\\nSALT-RHEUM.\\nOther names tetter eczema scall.\\nThis is an inflammation of the skin, either acute or\\nchronic, and may have during its different stages, papules,\\nvesicles, and pustules. In the acute stage it is attended\\nwith burning and tenderness, and, sooner or later, a watery\\ndischarge from the skin resulting in the formation of crusts,\\nand attended with itching. The disease is not contagious.\\nA great many different varieties are named in the text-\\nbooks, but they are merely different stages of the malady,\\nand to catalogue them here would simply confuse the\\nreader.\\nCauses. It is liable to attack persons in all the differ-\\nent walks of life and of any age. There are a great many\\nexciting causes that are liable to develop the affection, but\\nit is doubtful if any or all of them will produce a well-\\nmarked case of salt-rheum, in one in whom no hereditary\\npredisposition to the disease exists. Among all the affec-\\ntions that are directly traceable to heredity, salt-rheum takes\\nthe lead. Where it is found in one member of a family\\nof any size, it is almost sure to crop out in several others,\\nsooner or later. Where a train of symptoms attending an\\nacute inflammation of the skin is rheumic in character, that\\nis, having the characteristics of salt-rheum, they are exceed-\\ningly easy to overcome by treatment if no hereditary ten-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0341.jp2"}, "334": {"fulltext": "326 DISEASES OF THE SKIN.\\ndency to that affection exists, and therefore it is very-\\ndoubtful if such cases as recover with but little if any\\ntreatment are salt-rheum at all.\\nSymptoms. Salt-rheum is so varied and profuse in its\\nforms, stages, and symptoms as to assume the character,\\nduring the different periods of its development, of several\\nother skin diseases, but when it is watched through a\\nnumber of its stages, it is not liable to be confounded\\nwith other affections.\\nIt is the most common of all eruptions, and it is proba-\\nble that something near one-half of all the chronic ail-\\nments of the skin are eczema, in some of its many forms\\nand stages. Therefore, if a skin disease commences with\\nheat, redness, and swelling, attended with a watery dis-\\ncharge that leaves a crust on drying up, and is further\\ncharacterized by intense itching or burning, it is safe to\\ncall it eczema or salt-rheum.\\nThe simplest form is attended with redness of the skin\\nin patches, and as a general thing there is no discharge\\nfrom the surface.\\nThe papular form is that occurring in bright-red or dark-\\nred pimples. It is more or less associated with the vesicu-\\nlar form to be hereafter described, and is characterized by\\nterrible itching.\\nThe vesicular variety commences with the four principal\\nsigns of inflammation, namely heat, pain, redness, and\\nswelling, soon followed by the appearance of small vesicles\\ncontaining fluid. When these vesicles or pimples rupture,\\nthe escaped fluid spreads over the surface and dries up,\\nleaving crusts or scales. Itching is the terribly distress-\\ning symptom of this form also.\\nThe pustular form usually affects the face and head but", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0342.jp2"}, "335": {"fulltext": "SALT-RHEUM. 327\\nmostly the latter, and is characterized by large, thick crusts\\nfrom between which there is frequently an oozing of mat-\\nter. This variety is commonly known by the name of\\nscall-head.\\nEczema rubrum is a form characterized by red skin, as\\nthe word rubrum means red. But this variety has no\\nsymptoms essentially different from other forms.\\nThe fissured variety is one in which the skin is fissured\\nor cracked. Sometimes these fissures are extensive, deep,\\nand very painful. They frequently affect the hands, and\\nare known by the familiar term, chapped hands.\\nIn order that eczema may never be mistaken for any\\nother disease, the following condensed symptoms charac-\\nteristic of the affection, are given, namely Inflammation\\nof the skin, swelling, redness, a discharge of moisture which\\nis folloived by crusting, and itching and burning. If all of\\nthese symptoms are found in any case, it is eczema, as\\nthey are practically its autograph.\\nTermination. If properly treated, this is always favor-\\nable, as every case ought to be cured, unless it is compli-\\ncated with disease of the stomach or other infirmities, by\\nwhich the patient is rendered incapable of taking the\\nnecessary medicine.\\nTreatment. As eczema is a constitutional disease, and\\nundoubtedly of ancestral origin, so far as a predisposing\\ncause is concerned, the main treatment should be constitu-\\ntional. On whatever part of the body it appears, it writes\\nits full name and character by a half-dozen distinguishing\\nsymptoms that point unmistakably to a blood disease that\\nmay be centuries older than the patient.\\nTo suppose that such a condition can be eradicated or\\ntorn out by the roots in a few weeks, is utter folly. It", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0343.jp2"}, "336": {"fulltext": "328 DISEASES OF THE SKIN.\\ntakes months, and sometimes many months, too, to cure a\\nbad case but the author has had an extensive experience\\nwith the disease in all its many forms, and has never failed\\nto cure any case where he has been permitted to carry out\\nthe treatment as desired. The two plans of treatment to be\\nhereafter given one for the acute, and the other for the\\nchronic are not experimental. They have been tried in\\na great many cases, and always succeed. The object in\\nspeaking in such positive terms of the treatment, is to in-\\nspire every patient with a degree of confidence necessary\\nto follow it long enough to effect a permanent cure. The\\nlength of time required to cure a case depends, to some ex-\\ntent, upon the time the disease has been running. Where\\nit has recently broken out, it can be conquered in a few\\nweeks with but little if any local treatment.\\nIf the disease has only existed a few weeks, or even a\\nfew months, the following should be given immediately,\\nand followed until the patient is well\\nIodide potassium, three drachms,\\nCompound syrup of stillingia, one pint.\\nMix, and give a dessert-spoonful three times per day.\\nThere are a few, and only a few, rules of caution to be\\nobserved regarding this remedy. First. Be sure to get it\\nput up by a good, reliable druggist. Second. If the patient\\nis a child, the dose must be reduced to suit the size and\\nage, and in all children under ten years old a teaspoonful\\nthree times per day will be sufficient. Third. By the time\\nthe syrup is given a few days, all the symptoms may be-\\ncome aggravated, the skin being redder, the inflammation\\ngreater, and the burning and itching more intense. In\\nsuch cases the remedy must be left off for three or four\\ndays, and then given in a little smaller doses. After it is", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0344.jp2"}, "337": {"fulltext": "SALT-RHEUM. 329\\ngiven for a few weeks, if no further aggravation follows,\\nthe dose may be gradually increased to the amount first\\ngiven. It sometimes causes an unpleasant feeling in the\\nthroat, and also a watery discharge from the nose, as if\\none had a cold; but these annoyances can be easily borne\\nwhen every patient is assured that a permanent cure will\\nresult in a short time. In the acute form, that is, in cases\\nof recent origin, no local treatment is used with a view of\\nhaving a curative effect. A little vaseline gently applied\\nto the affected skin will prevent a great deal of the itching\\nand burning, and will also keep the crusts or scabs soft.\\nIn the form of the disease affecting the scalp, the crusts\\nare usually large, sometimes more or less loose, and pus,\\nor white matter, will frequently make its appearance from\\nbeneath one when it is pressed. The pus and watery dis-\\ncharge stick the hair down firmly upon the large scabs or\\ncrusts, and the whole surface is often of a dirty, yellowish\\ngreen. Such cases frequently resist the ordinary treat-\\nment for several years, first being treated by one physi-\\ncian, and then by another, and all to no purpose. But\\nalthough a case may have been running for a few years,\\nthe disease may be more acute than chronic in its nature,\\nand the iodide potassium and syrup of stillingia, as advised\\nfor the acute form, is the best treatment but it will take\\nsix months, and sometimes longer, to cure cases of this\\nkind. Success probably depends more upon the alterative\\nand curative effect of the stillingia than upon the iodide\\npotassium. Whether this is true or not, the form of\\neczema that affects the scalp as above described, is always\\ncured by the mixture if properly given. This variety of the\\ndisease is commonly termed scall-head, and is never too\\nchronic to be cured with the one general treatment given", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0345.jp2"}, "338": {"fulltext": "330 DISEASES OF THE SKIN.\\nfor all acute cases. During the constitutional treatment\\nof scall-head no local treatment is needed except for\\nthe purpose of making the patient as comfortable as possi-\\nble. No effort should be made to remove the crusts until\\nthey are loose enough to drop off, as they afford great pro-\\ntection to the inflamed skin beneath. The hair should be\\nkept short, and the frequent use of vaseline will prevent\\nmatting together.\\nCHRONIC ECZEMA.\\nThe generic or original meaning of the word chronic,\\nsignifies of long duration, but in medicine it does not\\nnecessarily mean of long standing, as a disease affect-\\ning one person may be acute at the end of a year, while\\nthe same disease attacking another may be chronic within\\na week or two. Some forms of eczema are more chronic\\nthan acute in character from the beginning. When it\\ncomes on gradually, with no active, inflammatory symptoms,\\nbut is mild and sluggish in its development, it is chronic\\nin form, although of recent origin, and must be treated as\\nchronic.\\nIf any local treatment is used in the acute form, it\\nshould be something to reduce the inflammatory action\\nand modify the intensity of the disease. Whatever local\\napplication is used in the chronic form is to make the dis-\\neased action more violent, and develop in that way a healing\\nand, ultimately, a curative effect. Therefore, a local treat-\\nment is always conjoined with the constitutional in chronic\\neczema, the internal remedy being as follows\\nCorrosive sublimate, six grains,\\nBrandy, one pint.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0346.jp2"}, "339": {"fulltext": "CHRONIC ECZEMA. 33 1\\nMix, and give a teaspoonful before each meal.\\nThis mixture must be taken for months, or until the\\npatient is entirely well.\\nThe local treatment to be applied at least once per day\\nis as follows\\nCorrosive sublimate, eight grains,\\nBrandy, one-half pint.\\nMix, and apply once per day with a soft brush, a camel s\\nhair brush being preferred. It is rarely if ever needed in\\nscall-head, or in the suppurative form, the variety in\\nwhich matter is discharged from beneath the scabs. Such\\ncases are cured with the idodide potassium and stillingia,\\nand where the syrup mixture is used, the corrosive subli-\\nmate and brandy should neither be given nor used locally.\\nThere are many forms of eczema in which the skin is\\nvery red and tender, and the affected parts have to be\\ncovered constantly to avoid the chafing effects of the air.\\nThis is especially the case when one or both hands are\\ndiseased.\\nSometimes a hand is wrapped up for years in this way\\nwith salt-rheum, and is red, painfully tender, more acute\\nin character than chronic, and stubbornly resists all ordi-\\nnary efforts in the way of treatment. The corrosive\\nsublimate remedies, as herein advised, will cure all such\\ncases within six or eight weeks. Improvement will be\\napparent within a week or so, and the cure will be perma-\\nnent but it may take months for the skin to lose the\\nunnatural color. In almost all forms of eczema, except\\nscall-head, the corrosive sublimate mixtures are preferred\\nto the iodide potassium and stillingia whenever the patient\\ncan comfortably bear the application of the local remedy,\\nas the cure is much more rapid from the two mixtures", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0347.jp2"}, "340": {"fulltext": "332 DISEASES OF THE SKIN.\\nof mercury and brandy than from the syrup and iodide,\\nthe cures being permanent in both cases.\\nSometimes two or more diseases of the skin affect a\\nperson at the same time, the symptoms being so confusing\\nthat it is impossible for a specialist in skin affections to\\nknow what particular form of skin disease he is treating,\\nand he is, therefore, compelled to proceed on general\\nprinciples, and cure his patient if he can.\\nThe remedies prescribed in this chapter will cure other\\nforms of skin disease besides eczema, provided the symp-\\ntoms are somewhat similar. Then, again, about one-half\\nof all the chronic affections of the skin are eczema in some\\nform, so that a non-professional, should he call every erup-\\ntion of the skin he sees, eczema, would be right about half\\nthe time. Therefore\\nTo fathers, mothers, sisters, and brothers,\\nUncles, aunts, cousins, and others,\\nthe following advice is given When you encounter a skin\\ndisease that you cannot possibly name, carefully read the\\nchapter on eczema, including the treatment and if you\\nfind symptoms somewhat similar to those of eczema in any\\nof its stages, treat the affection accordingly, and if you\\ncure a disease and do not know its name nor much of its\\npeculiar character, you simply do what we doctors are\\ncompelled to do many, many times every year we practise\\nmedicine.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0348.jp2"}, "341": {"fulltext": "THE ITCH. 333\\nTHE ITCH.\\nAnother name is scabies.\\nThis is a highly contagious disease caused by the loca-\\ntion of little animals in the skin, and is attended with an\\neruption that usually involves most of the body except the\\nhead, neck, and face. The eruption has three stages First,\\nthe papule or pimple, when it first begins to make its ap-\\npearance second, the vesicle, when the pimples are rilled\\nwith fluid third, pustules, when pus or matter is present\\nin the pimples. The little parasites burrow into the skin,\\ncausing inflammation and intense itching, to relieve which\\nthe patient is seized with an irresistible desire to scratch\\nthis tears the top off the vesicle or pustule, causing more\\nor less bleeding, and greatly changes the appearance of the\\naffection.\\nTermination. This is always favorable if properly\\ntreated.\\nTreatment. No internal remedies are needed in the\\ntreatment of itch, as it is purely a local affection. The\\nfollowing ointment will cure every case if the directions\\nare carefully followed\\nVenice turpentine, three drachms,\\nPowdered sulphur, one ounce,\\nVaseline, three ounces,\\nCarbolic acid, one drachm and a half,\\nOil citronella, one drachm.\\nMix, and rub thoroughly over every part of the body ex-\\ncept the face and head, applying it at bedtime. On the\\nfollowing night apply it again in the same way, and the\\nnext night wash thoroughly with very warm water and\\ncastile soap so as to remove every part of the ointment,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0349.jp2"}, "342": {"fulltext": "334 DISEASES OF THE SKIN.\\nand then put on clean underclothes. Common lard may-\\nbe used instead of the vaseline if desirable, and is quite as\\ngood in every way.\\nBARBER S ITCH.\\nThis is a contagious affection of the skin due to a para-\\nsite, and involves the roots of the whiskers. It is a very-\\ncontagious disease, and is said to be communicated to\\ngentlemen by the barber while they are being shaved, the\\ninfecting parasite being transferred to the skin by a brush\\nor sponge.\\nSymptoms. This form of itch begins as scaly patches,\\nthe affected skin being reddish and gradually becoming\\nmore inflamed and thickened. As the inflammatory ac-\\ntion increases, the skin becomes thicker and lumpy with\\npoints of suppuration. The pain, itching, and burning are\\nvery severe in some cases.\\nTreatment. The first thing to be done is to clip the\\nbeard as short as possible, and put a poultice of flaxseed\\nmeal on the face and allow it to remain all night. In the\\nmorning remove the poultice, and wash the face with cas-\\ntile soap and warm water, carefully removing all crusts or\\nscabs if it can be done without making the face bleed.\\nThen touch all the diseased portions of the skin with a\\nsolution of chromic acid, made as follows\\nChromic acid, two drachms,\\nWater, one drachm and a half.\\nMix, and apply with a camel s hair brush, using it spar-\\ningly so it will not spread to parts not touched with the\\nbrush. If this is properly done one application will be\\nsufficient to effect a cure. If it attacks a person with", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0350.jp2"}, "343": {"fulltext": "FRECKLES. 335\\nheavy whiskers, and there are serious objections to having\\nthem clipped close so as to allow the chromic acid solution\\nto be properly applied, the following can be used instead,\\nand will usually effect a cure\\nCorrosive sublimate, ten grains,\\nBrandy, one-half pint.\\nMix, and rub it into the skin thoroughly wherever the\\ndisease exists. If thoroughly applied it will kill the para-\\nsites, and recovery will soon follow.\\nFRECKLES.\\nAnother name is lentigo.\\nThis is a dark or yellowish deposit in the skin, showing\\nitself in the form of yellow specks that are sometimes as\\nlarge as a pea. It is most observed on the face, neck, and\\nhands, because those parts of the skin are most exposed to\\nthe sun and air.\\nCauses. The predisposing cause is hereditary and the\\nmain exciting cause is sunshine.\\nTermination. So far as permanent cure is concerned,\\nthis is not very favorable unless the patient is protected\\nfrom the sun.\\nTreatment. This affection becomes very serious when\\nthe blotches are large and deeply colored upon the faces\\nof young ladies, and efforts are constantly made to bleach\\nout the spots by the use of various drugs recommended\\nfor such purposes. It seems the best remedies that have\\never been found are only successful to a limited extent.\\nIn all diseases the most important thing to be done is to\\nget rid of the exciting cause, and this is especially true\\nwith freckles. Therefore the only rational plan that can", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0351.jp2"}, "344": {"fulltext": "33^ DISEASES OF THE SKIN.\\nyield anything like satisfactory results is for every person\\nwho is constitutionally inclined to have freckles, to veil\\ntheir faces from the sun. The following local application\\nenjoys the reputation of being one of the very best to re-\\nmove freckles\\nCorrosive sublimate, six grains,\\nDiluted muriatic acid, two drachms,\\nAlcohol, two ounces,\\nGlycerine, one ounce,\\nWater, a half pint.\\nMix, and apply at bedtime, taking great care to avoid\\ngetting it in the eyes. It should be washed off next morn-\\ning with soap and warm water.\\nCHALK-LIKE DEPOSITS IN THE SKIN.\\nThis affection has a great many other names that are\\ndecidedly technical and unnecessary to mention here, and\\nconsists of a deposit of cheesy matter in the duct of a fat\\ngland of the skin, the mouth of such duct, for some reason,\\nbeing permanently closed. The white deposit is there-\\nfore imprisoned, and shows through the thin, overlying\\nskin as a small piece of chalk. These little lumps range\\nin size from small bird-shot to a large grain of wheat, and\\nare usually seen about the eyes, upon the eyelids, and just\\nbelow the eyes.\\nTermination. This is always favorable.\\nTreatment. This consists in opening the sack, holding\\nthe substance with the point of a sharp knife, or picking\\nit open with a needle and squeezing its contents out.\\nAfter this if the sack should refill, it should be emptied in\\nexactly the same way, and then touched with a saturated", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0352.jp2"}, "345": {"fulltext": "hives. 337\\nsolution of chromic acid. This should be used very\\nsparingly, as the head of a pin will hold enough when\\ncrowded into the opening to destroy the sack. Opening\\nthe sack with a needle or lance is almost entirely free from\\npain.\\nHIVES.\\nOther names nettle-rash urticaria.\\nThis is an inflammation of the skin accompanied with\\nnumerous round elevations of the surface, being somewhat\\ndeeper in color than the surrounding skin. For example\\nThe skin may be a light pink while the circular elevations,\\nknown as hives, are a deeper red, and attended with burn-\\ning, itching, and stinging.\\nCauses. Hives prevail more extensively in hot weather,\\nscarcely causing any trouble during the fall, winter, and\\nearly spring. It can therefore be accepted as a rule that\\nthe heat of summer is the principal exciting cause. As all\\naffections of the skin are influenced, more or less, by dis-\\norders of digestion, the condition of the stomach must be\\nconsidered in dealing with hives.\\nSymptoms. Hives are known by the sudden appear-\\nance of rounded elevations upon the surface of the skin,\\ncalled wheals, which are frequently whitish to commence\\nwith, and later becoming pinkish or a deeper red. The\\ncolor, no doubt, is frequently deepened by rubbing or\\nscratching to allay the itching.\\nThe most distressing feature of this affection is the\\nterrible itching. The wheals are usually small, not much\\nlarger than a half pea, but sometimes are as large as an\\negg. They may be very few in number, while in other\\ncases they cover the entire body.\\nz", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0353.jp2"}, "346": {"fulltext": "338 DISEASES OF THE SKIN.\\nTreatment. To relieve the distressing itching, the hives\\nshould be bathed in a strong solution of baking soda.\\nAbout two heaping teaspoonfuls of the soda to a glass of\\nwater will probably answer, but should it fail to allay the\\nitching, it must be made strong enough to cause a little\\nsmarting of the skin, when the itching will cease.\\nAnother very efficient local application to stop the itch-\\ning is the following\\nCarbolic acid, a tablespoonful,\\nWater, one pint.\\nMix and shake. Dip your finger in the solution, and\\nwet every itching wheal by touching one at a time. If\\nthey are numerous, the surface involved may be wet by a\\nsponge or soft cotton cloth dipped in the solution. They\\nmust neither be scratched nor rubbed, as anything that\\nirritates the skin greatly increases the trouble, especially\\nthe itching.\\nStimulants of every kind, including tea and coffee, should\\nbe left off. The following is one of the best remedies to\\nbreak up an attack of hives\\nSalicylate of soda, two drachms,\\nWater, four ounces.\\nMix, and take a teaspoonful every two hours for twenty-\\nfour hours. Then give the following mixture until there\\nare free watery discharges from the bowels\\nEpsom salts,\\nCream of tartar, of each an ounce.\\nMix thoroughly, and take a heaping teaspoonful in a\\nhalf glass of water every three hours until it commences\\nto act on the bowels. During an attack of hives it is\\nbest to use every possible means to avoid heating the\\nblood, and, therefore, the clothing should be very light,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0354.jp2"}, "347": {"fulltext": "BLACK-HEADED WORMS. 339\\nand exercise in the heat of the day should be avoided.\\nShould the patient resort to bathing to quiet the burning\\nand itching, the water should be a little warm, as the\\nreaction from a cold bath greatly aggravates the affection.\\nBLACK-HEADED WORMS.\\nOther names acne punctata nigra comedo.\\nThis is a disordered condition of the fat glands of the\\nskin, in which there is retained in the duct of each gland\\na resinous, cheese-like secretion, having in its centre a\\nblack point. When this obstructed duct is squeezed be-\\ntween the thumb and finger nails, the cheesy substance,\\ncrowned with a black head, comes out and turns over\\nupon the skin, presenting the appearance of a worm the\\neighth of an inch long or more, and for this reason the\\naffection is usually known as black-headed worms.\\nCauses. The only thing sure in reference to the cause,\\nis that it runs in families, and is therefore due to an\\ninherited predisposition.\\nSymptoms. This is a chronic derangement of the skin\\nunattended by irritation, itching, or any other unpleasant\\nsymptom except disfiguring the features of the patient, as\\nthe mouth of each excretory duct of the skin may be a\\nblack speck, giving a person the appearance of having\\nbeen burnt with powder.\\nTermination. Under proper treatment this is usually\\nfavorable, but many cases are tedious and troublesome.\\nTreatment To begin with, the disorders of the stom-\\nach and bowels, if any exist, should be corrected. The\\nlocal treatment consists in poulticing the face over night\\nwith bread and milk or flaxseed, and washing thoroughly", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0355.jp2"}, "348": {"fulltext": "340 DISEASES OF THE SKIN.\\nin the morning with soap and water, and rubbing the\\nso-called worms out of the skin with a Turkish towel.\\nThose that cannot be rubbed out can be pressed out with\\nthe thumb nail. After this, the application of zinc oint-\\nment once per day will be of great service to prevent their\\nreturn. It may be continued for a week.\\nCARBUNCLE.\\nAnother name is anthrax.\\nThis is a circumscribed inflammation, the skin and\\ntissues involved being thickened, hardened, of a dark red\\ncolor, and very painful.\\nCauses. It most frequently occurs after the meridian of\\nlife, but its real cause is unknown.\\nSymptoms. To commence with, it is usually a circular\\ninflammation rising somewhat above the surrounding parts\\nlike a boil, and taking on a dark red or purple color.\\nSometimes the inflammation is deep and extensive in all\\ndirections. The pressure from congestion and deposits of\\nlymph partially arrest the circulation, causing more or\\nless destruction of the central part of the carbuncle by\\ngangrene. There may be several of these points in which\\ndeath of the tissue has occurred. These form openings\\nthrough which matter is permitted to escape. As the\\ndisease progresses, these numerous openings may honey-\\ncomb the whole central part, leaving but little living flesh\\nbetween the openings. The affection is attended with\\nsevere throbbing pain, loss of appetite, coated tongue, and\\nthe usual symptoms of inflammation. Its duration is from\\ntwo weeks to two months, and its favorite location seems\\nto be the back of the neck.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0356.jp2"}, "349": {"fulltext": "CARBUNCLE. 34 1\\nTermination. This is not always favorable, as blood\\npoisoning is frequently a fatal complication.\\nTreatment. The diet should be nutritious, consisting\\nof beef, chicken, or mutton broth, and all the good animal\\nfood that the patient may desire. As a tonic, the follow-\\ning is probably as good as can be given\\nFluid extract of Peruvian bark,\\nFluid extract of wild-cherry bark,\\nOf each, six drachms,\\nSulphate of iron, thirty-two grains,\\nPort wine, one pint.\\nMix dose, a tablespoonful before each meal.\\nAfter the flesh of the carbuncle is mostly destroyed by\\na number of pipes that are connected only by thin walls,\\nthere is no quicker, better, and safer plan of treatment\\nthan to cut the whole honeycombed portion out, leaving\\non all sides a wall of inflamed flesh. The operation is\\neasy, simple, and almost painless. For this purpose the\\nwriter has always used curved scissors similar to those\\nused by an oculist in taking out an eye. In order to do\\nthis without giving ether, the walls of the pipes embracing\\nthe central and main part of the carbuncle are wet with a\\nstrong solution of carbolic acid so as to turn them white.\\nBy this means, clipping the tissues that separate the open-\\nings from each other is practically painless, and the opera-\\ntion is attended with no hemorrhage to speak of. When\\nit is all removed, leaving the walls of the carbuncle sound\\nand free from any dead tissue, the cavity may be packed\\nwith absorbent cotton wet with a five per cent solution of\\ncarbolic acid. This course greatly lessens the danger\\nfrom blood poison, and recovery sets in immediately.\\nThe cavity gradually fills up with granulations, and the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0357.jp2"}, "350": {"fulltext": "342 DISEASES OF THE SKIN.\\nscar does net seem to be increased much, if any, by the\\noperation.\\nFLESH-WORM DISEASE.\\nOther names trichinae trichina spiralis pork worm.\\nThis is a condition of fever caused by the pork worm\\nentering the stomach and bowels, and meandering, sooner\\nor later, into other parts of the body, especially the mus-\\ncular structure. It is attended with severe irritation of\\nthe stomach and bowels, soreness of the muscles, and a\\ntyphoid type of fever.\\nThese worms gain entrance to the human body by the\\nuse of hog s flesh in the raw or imperfectly cooked state\\nas food. The intestinal pork worm, which is fully matured\\nin its sexual organs, is from one eighteenth to one eighth\\nof an inch long, the longer ones being the female. Seen\\nunder the microscope they appear about as large and long\\nas a fine cambric needle. As the author remembers them,\\nafter the lapse of several years, they look like a miniature\\nsnake, the head being enlarged, and the neck somewhat\\nslender. They propagate by eggs.\\nSymptoms. These are greatly modified by the number\\nof worms in the affected food. It is claimed by good\\nauthority that a cubic inch of pork may contain eighty\\nthousand of the parasites.\\nThe intestinal stage of the disease is that during which\\nthe worms are in the stomach and bowels, and is attended\\nwith nausea, vomiting, and liquid diarrhoea. The symptoms\\nare grave or mild, according as the number of worms are\\nmany or few.\\nThe second stage is the one during which the worms\\ntravel to other parts of the body, and invade the muscular", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0358.jp2"}, "351": {"fulltext": "CHAFING. 343\\ntissue. This stage is attended with fever, somewhat ty-\\nphoid in character, thirst being great, tongue and lips dry,\\nface red and swollen, with great soreness of the muscles.\\nEncysted stage. This is the stage of the affection in\\nwhich the parasite locates himself, and ceases to migrate,\\na cyst or small sack forming around each one of them.\\nIn this way the ravages of the worms upon the flesh are\\nstopped. If the number that have invaded the muscular\\nstructure are comparatively few, recovery may occur during\\nthis stage.\\nThe mortality depends almost solely upon the number\\nof worms in the pork, but, on the average, from twenty-\\nfive to fifty in a hundred die.\\nTreatment. The prevention consists in eating no pork\\nthat has not been thoroughly cooked. If the infected meat\\nhas been recently eaten, a thorough emetic should be given\\nso as to have it expelled from the stomach. A large physic\\nof castor oil should also be given to carry them out of the\\nbowels. After they leave the stomach and bowels their\\nprostrating effects on the system is readily apparent, and\\nstimulants and tonics should be resorted to.\\nCHAFING.\\nThe technical name of this very common affection is\\nerythema intertrigo.\\nIt is a congested or inflamed condition of the skin, caused\\nusually by friction of the opposite parts of the body, and is\\nspecially troublesome in hot weather among fleshy people.\\nCauses. It is an annoying affliction confined mainly to\\nfat people, and caused by chafing of the opposing skin\\nsurfaces in walking. In such cases it is usually between", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0359.jp2"}, "352": {"fulltext": "344 DISEASES OF THE SKIN.\\nthe thighs or buttocks. It also occurs under the arms, and\\nis then due, in a measure, to perspiration and rubbing of\\nclothing.\\nSymptoms. Redness and soreness of the opposing sur-\\nfaces of the skin, caused by the movements of the body,\\nthe parts affected being the groins, armpits, beneath the\\nbreasts of females, or any other parts of the body where\\nundue friction occurs from the folds of the skin coming in\\ncontact with each other.\\nTreatment. The affected parts should be washed thor-\\noughly with soap and warm water and carefully dried, then\\ndusted with powdered starch, soapstone, or prepared chalk.\\nThere is scarcely anything better than powdered starch,\\nwhich can be applied with the fingers or a puff. In ad-\\ndition to this it is important to keep the opposite surfaces\\nseparated by the use of lint or absorbing cotton. The latter\\nis of great service in separating the buttocks, where persons\\nare exceedingly fleshy. Where the chafing has developed\\nan inflammatory condition, it is better to wash it thoroughly\\nclean in soap and warm water, and use the following lotion\\nat bedtime\\nSugar of lead, a heaping teaspoonful,\\nWater, a pint.\\nMix.\\nThe parts should be thoroughly washed in the morning,\\nand gently dried with a soft towel, and then some one of\\nthe favorite dusting powders applied freely. Common flour\\nis a good substitute.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0360.jp2"}, "353": {"fulltext": "warts. 345\\nWARTS.\\nThe technical name is verruca.\\nA wart consists of a morbid or unnatural excrescence upon\\nthe skin, and may be as small as a pin head or as large as\\nthe end of a finger. They are due to an unknown cause.\\nSymptoms. The common wart is familiar to almost\\nevery person, their favorite location being upon the hands\\nand fingers. There are many strange things in connection\\nwith this form and the manner of getting rid of them.\\nThere are two drug treatments known to the author, one\\nof which will remove a great many warts without causing\\nany inflammatory action whatever. The remedy is sal\\nammoniac, and is applied by wetting it with saliva and rub-\\nbing it on the wart once per day, causing it to disappear in a\\ncouple of weeks. It may be that this treatment would\\nremove all of the common form of warts, if kept up long\\nenough. A gentleman who undertook this treatment upon\\na large wart on his finger, applied it once just before start-\\ning on a long journey. He forgot his remedy and deferred\\nfurther treatment till his return, several weeks later. On\\ngetting home he got the crystal of sal ammoniac to com-\\nmence the treatment again, but could not find the wart.\\nThis treatment is painless, and should have a thorough\\ntrial before using severer remedies. A treatment that never\\nfails to destroy any wart, if applied for a sufficient number\\nof times, is chromic acid, as strong as it can be made.\\nThe solution is prepared by putting a drachm of the crys-\\ntals in the least amount of water that will dissolve them,\\nwhich is probably about the weight of the crystals. The\\napplication of the drug turns the wart black, hard, and dry,\\nand it finally falls off, leaving an inflamed surface that soon", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0361.jp2"}, "354": {"fulltext": "346 DISEASES OF THE SKIN.\\nheals. There are a great many curious remedies for warts\\nthat nobody can explain nor have any idea of the manner\\nin which they operate. For example Some persons are\\nespecially gifted as wart doctors, and by wetting their finger\\nwith saliva and touching the wart, always cause it to dis-\\nappear. When the author was a boy, he knew a man who\\nhad this peculiar faculty, and gratuitously removed warts\\nfrom the hands of all the boys and girls in the neighborhood\\nby simply wetting the wart with saliva, and repeating\\nsome meaningless rigmarole of words. Another plan\\nvery popular in the country is to go to an old hollow\\n.stump partially filled with stagnant water, and wash the\\nhands covered with warts every morning for a week, walk-\\ning round the stump three times each morning. It seems\\nthis is usually successful. It is probable that the curative\\nvalue of all such methods, including wetting the warts\\nwith saliva, depends upon the influence that the treatment\\nhas upon the mind of the patient.\\nVerruca filiformis is the long, slender character of warts\\nfound on the face, eyelids, neck, and inside of the thighs.\\nThese warts are from the eighth to a quarter of an inch\\nlong, and are easily removed by tying a thread around\\nthem, making the knot double so it will not slip. The\\nwart turns black and drops off in forty-eight hours, the\\ntreatment being almost wholly unattended with pain.\\nCORNS.\\nAnother name is clavus.\\nUnfortunately, almost every one who has worn shoes is\\nkeenly aware of the character and sensitive nature of a\\ncorn, and therefore a description of the horny and painful\\nthing that afflicts so many people is unnecessary.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0362.jp2"}, "355": {"fulltext": "corns. 347\\nCauses. Corns are always caused either by pressure or\\nfriction, and in almost all cases by pressure from tight\\nshoes or boots.\\nTreatment. As the principal cause is a tight-fitting\\nboot it must be changed for one that is soft and easy.\\nSomething depends upon the character of the leather as\\nwell as the fitting. If this is coarse, heavy, and more or\\nless unyielding it may cause a corn, even if the shoe is\\nabundantly large. In order to remove a corn it is best to\\nsoak it for half an hour in hot water to which has been\\nadded a few ounces of hartshorn. After this most of the\\ncorn may be scraped off easily with a dull knife. If this\\nis followed up about twice a week for a couple of months\\nthe corn will almost entirely disappear. And during all\\nthe time of treatment it is well to wear a corn-plaster ring\\nto avoid pressure from the shoe. Where a corn is very\\nlarge and troublesome it is best to have a shoe made with\\nthe special object of protecting it from pressure. In such\\na case a shoemaker who understands his business will put\\na bunch upon his last, considerably larger than the corn,\\nand exactly corresponding to the location of the latter\\nupon the foot. In this way the leather never contracts\\nsufficiently to bear much if any upon the corn, which\\ngradually grows less.\\nSoft Corns. These occur between the toes, and the\\nbest way to get rid of them is to soak them for a long\\ntime in warm water in which a little caustic potash has\\nbeen dissolved. It should be as strong as can be borne\\nwithout smarting of the skin. After this the foot must be\\nthoroughly washed in soap and water, wiped dry, and the\\ncorn picked out with the point of a dull knife.\\nAll such corns, as well as hard corns that are painful", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0363.jp2"}, "356": {"fulltext": "348 DISEASES OF THE SKIN.\\nand tender, should be treated night and morning with the\\nfollowing liniment until the soreness disappears\\nStrong spirits of ammonia,\\nOlive oil,\\nSpirits of turpentine, of each, one ounce.\\nMix. Previous to applying this, every corn should be\\ndressed down as thin as possible with a sharp knife, care\\nbeing taken to avoid making it bleed.\\nINGROWN TOE-NAILS.\\nThis is a condition of the toe-nail in which the edges\\nhave grown down into the flesh. There are two main\\ncauses of the trouble One is narrow-toed or badly fitting\\nshoes that press upon the outside of the nail of the great\\ntoe, so as to change its direction and drive it down into the\\nflesh. The other cause, and a very frequent one too, arises\\nfrom the bad way in which the nail is trimmed. If this\\nis done with a knife, and part of the nail cut off of the\\nedge instead of the end, it destroys the shape of the nail,\\nand causes it to send its sharp and unnatural edge into the\\nflesh, causing great pain and soreness. This bad manage-\\nment in the matter of trimming increases the nail de-\\nformity until the person cannot get round without great\\ninconvenience.\\nTreatment. This is easy and simple, and yet it may\\ntake a few months of proper management to get the toe-\\nnail back to an easy, natural condition. In the first place,\\nin order to avoid running the knife too far up the edges\\nof the toe and in that way removing some of the nail from\\neach side, it is best not to use a knife at all in cutting the\\nnail. The main thing is to cut the nail square across or", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0364.jp2"}, "357": {"fulltext": "INGROWN TOE-NAILS. 349\\nnearly so, and if it is done with scissors it is almost impos-\\nsible to do it any other way, and if they are so trimmed\\nfor a number of months, the nails will become much less\\ninclined to turn down as the corners project, so as to rise\\nabove the flesh instead of going into it. Another impor-\\ntant treatment, however, must be conjoined with correct\\ntrimming in order to get the deformed nail in a natural\\ncondition. This consists in carefully scraping the horny\\nedge until it is quite thin so it will easily bend, then lifting\\nit with the point of a dull knife and pressing a small tuft\\nof cotton under it. This raises the edge of the nail and\\nchanges its direction so it grows over the flesh instead of\\ninto it. In such cases it is best to wear a tuft of cotton\\nunder the nail for several months, scraping the edge of\\nthe nail now and then if necessary. When the foot is\\nwashed the old tuft can be taken out, and a clean one in-\\nserted in its place. It is hard to imagine an ingrown toe-\\nnail so terribly distorted, horny, and refractory as to\\nrequire removal by the surgeon s knife, and yet the oper-\\nation is frequently performed, and, unhappily, without\\novercoming the difficulty. A ten-year old boy or girl, if\\nproperly instructed, can do all the surgery necessary to\\ncure an ingrown toe-nail, and all the instrument needed is\\na common pocket-knife to scrape the edges until they are\\nthin, so they can be raised sufficiently to admit a tuft of\\ncotton. The scraping should be commenced at least a\\nquarter of an inch from the side of the toe-nail, the point\\nof the knife being directed toward the flesh, the scraping\\nbeing deeper as the edge is approached. Meanwhile, the\\nnails must be trimmed with scissors instead of a knife.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0365.jp2"}, "358": {"fulltext": "350 poisons.\\nPOISONS.\\nFor the sake of convenience it is best to divide poisons\\ninto three principal classes, as follows\\nFirst. Corrosive poisons, or those that cause death by\\ntheir violent and destructive action upon the stomach.\\nThis class includes all the powerful acids, both mineral\\nand vegetable, and also strong alkaline salts such as caustic\\nsoda and caustic potash.\\nSecond. Poisons that act upon the brain and nervous\\nsystem. This class includes morphine, and opium in every\\nform, antipyrine and similar painkillers, the most deadly of\\nall being prussic acid.\\nThird. In this class are included drugs that have a\\ntendency to destroy life both by their corrosive action upon\\nthe stomach and their effects upon the nervous system.\\nThe well-known drug, carbolic acid, belongs to this class.\\nTreatment. For all poisons that are truly acid, such as\\nnitric acid, sulphuric acid, muriatic acid, and strong vinegar,\\ncommon baking soda must be given about as follows Put\\na heaping tablespoonful of the soda in a pint of water, and\\ngive a swallow of it every few minutes until gas ceases to\\ncome from the stomach, and then give three or four table-\\nspoonfuls of sweet oil.\\nWhen caustic soda or caustic potash or lye of any kind is\\nswallowed, give the following immediately\\nVinegar, one ounce,\\nWater, three ounces.\\nMix, and give a swallow every few minutes until gas\\nceases to rise from the stomach, then give three tablespoon-\\nfuls of sweet oil.\\nIf morphine, opium, or any other poison, except an acid", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0366.jp2"}, "359": {"fulltext": "POISONS. 351\\nor an alkali, is swallowed, its fatal effects may often be pre-\\nvented by giving three or four ounces of sweet oil or sev-\\neral raw eggs. The oil or the eggs get mixed up with the\\npoison so its absorption by the stomach is greatly delayed,\\nand the effects of the poison being much more gradual in\\ncoming on are much less dangerous. An immense quan-\\ntity of milk or melted butter is also good in such cases.\\nThe best antidote for morphine after its poisonous effects\\nhave set in, is the sulphate of strychnine to counteract the\\ntendency to profound and fatal slumber, and if the drug is\\ngiven until it causes jerking of the muscles, it will probably\\narouse the action of the brain so as gradually to restore the\\nnatural action of the heart, lungs, and other organs, and\\nsave the patient.\\nThe dose of the strychnine may be from the tenth to the\\nfourth of a grain, according to the extent of the poison\\nfrom morphine. It should be given until its characteristic\\neffects, which are jerking of the muscles, show themselves.\\nThe best remedy for strychnine poisoning is morphine,\\nand the dose may be a half grain to commence with.\\nIn addition to this, chloroform should be given by inhala-\\ntion until the muscles are perfectly relaxed, and the patient\\nshould be kept under the influence of chloroform or ether\\nsufficiently to prevent spasm of the muscles, until the effects\\nof the strychnine have worn away.\\nIn poisoning from arsenic, several raw eggs should be\\ngiven as soon as possible. The following drug is the best\\nantidote\\nHydrated oxide of iron, in the soft, pulpy form, the dose\\nbeing a tablespoonful as soon as possible and repeated\\nevery ten minutes until the dangerous symptoms are over.\\nThe dose for a child is a teaspoonful to a dessert-spoonful,\\naccording to age.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0367.jp2"}, "360": {"fulltext": "352 DISEASES OF THE RECTUM AND ANUS.\\nDISEASES OF THE RECTUM AND ANUS.\\nIn the great list of diseases that afflict civilized mankind\\nthere is no class of ailments so prevalent; none causing\\nmore intense suffering none that annoys and distresses\\nmore people in their daily vocations and none that causes\\na wider range of sympathetic affections, than diseases of\\nthe rectum and anus. While there is no part of the body\\nmore liable to painful and enduring diseases, there is no\\npart subject, either through carelessness or ignorance, to\\nsuch shameful neglect and mismanagement.\\nIt is thought that nearly one-half of the adult population\\nin civilized lands suffer more or less from either piles,\\nfistula, fissure, or some other form of rectal disease before\\nreaching the middle milepost of life s journey, and among\\nthem are millions whose physical anguish almost makes\\nlife a burden.\\nA careful inspection of Plate I will show the compara-\\ntive size, shape, length, and location of the rectum in the\\npelvis. The two muscles, A, A, running back from the\\nfront bones of the pelvis to the lowest point of the spine\\nare called the levator ani, which means lifter of the anus.\\nDuring the act of stooling these two muscles draw up\\nthe anus and close the neck of the bladder. For this\\nreason persons cannot pass their stools and their water at\\nthe same time.\\nWhen the rectum is distended with feces, the contents\\nof the bowels, it occupies a great deal of the pelvis.\\nFigure i shows the natural location and curve of the\\nrectum, its back surface being very close to the spine, and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0368.jp2"}, "361": {"fulltext": "Fig. i,\\nA. Complete Fistula.\\nB. Blind Internal Fistula.\\n353", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0369.jp2"}, "362": {"fulltext": "354\\nDISEASES OF THE RECTUM AND ANUS.\\nits curve corresponding mainly with that of the latter,\\nwhile its front surface is almost in contact with the womb.\\nThe dark line in front of the rectum going upward and\\nbending forward to the womb is the vagina.\\nIn this figure the lower part of the rectum is cut away\\nin order to show a complete fistula entering the bowel. It\\nis easy to see how distressingly crowded these organs\\nbecome during the early months of pregnancy, when the\\nconstantly growing womb is wedged in between the rectum\\nand bladder. The poor rectum, however, gets the worst of\\nit, as it is crowded back against the unyielding spine by\\nthe heavy and somewhat solid womb, and more or less\\nflattened, and in this way serious constipation often occurs.\\nThe obstruction thus produced offers a resistance to the\\nupward passage of the blood through the veins to the\\nheart causes enlargement of all the veins of the thighs,\\nlegs, and feet and favors the development of piles. At\\nlength, fortunately, the distended womb becomes too large\\nfor the pelvis and rises into the abdomen, and as it rises\\nout of the pelvis, the rectum and bladder are gradually\\nrelieved from uncomfortable pressure.\\nIt is the erect position that throws the weight of the\\nbowels and that of their contents more or less upon the\\norgans of the pelvis it is the erect posture that multiplies\\nthe afflictions of women during pregnancy it is the down-\\nward pressure of the abdominal organs that causes men\\nengaged in heavy work to have piles it is the weight and\\ndownward force of the intestines occasioned by our per-\\npendicular position that causes the rectum to protrude so\\nmany times through the anus and it is the upright\\nposture that renders both sexes liable to many painful\\naffections never found among dumb animals.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0370.jp2"}, "363": {"fulltext": "PLATE I.-LEVATORES ANI, SIDE VIEW.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0371.jp2"}, "364": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0372.jp2"}, "365": {"fulltext": "PROTRUSION OF THE BOWELS.\\n355\\nThis is what it costs in suffering to walk on two feet\\ninstead of four and yet none of us have any desire to be\\na man-monkey, an anthropoid ape, or a chimpanzee; and\\nsurely none of us would be willing to commence stubbing\\naround on our hands and feet in order to escape the pains\\nand infirmities of our civilization, distressing as they\\nfrequently are.\\nPROTRUSION OF THE BOWELS.\\nOther names prolapsus ani invagination of the rectum.\\nThis is a derangement in which the rectum, or part of it,\\nprotrudes through the anus and has to be pushed back\\nwith the fingers. There are three forms of the disease,\\nnamely\\nFirst. Protrusion in which a part of the mucous mem-\\nbrane comes down.\\nSecond. Protrusion in which part of the rectum, includ-\\ning its membranes and muscular coats, comes down and\\nin this variety the lower part of the rectum is turned inside-\\nout like a glove or stocking.\\nThird. Protrusion in which the upper part of the rectum\\nslips down through the lower part and protrudes several\\ninches. This is by far the most serious form and is\\naccurately shown in Plate II.\\nCauses. The disease is very frequent in childhood, and\\nin almost all cases it is brought on by diarrhoea or dysentery,\\nor by the injudicious use of physic.\\nSymptoms. After severe straining at stool, folds of the\\nbowel, large or small according to the severity of the case,\\nremain on the outside and have to be forced back with the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0373.jp2"}, "366": {"fulltext": "356\\nPROTRUSION OF THE BOWELS.\\nfingers.. In most cases the protrusion involves only a part\\nof the membrane or lining of the rectum and the bunch\\nis not larger than three or four grapes but in other and\\nseverer troubles of this nature, part of the bowel protrudes,\\nand the tumor is larger, and harder to work back.\\nIn still another form, and by far the worst form, too, the\\nentire upper part of the rectum falls down through the\\nlower part and protrudes two or three inches.\\nSometimes the tumor is of a very different shape from\\nthat shown in Plate II, and is nearly the form of a pine-\\napple, the large end being down. It is only in chronic\\ncases those that have been years in developing that\\nthe folds of the rectum have become so enlarged as to give\\nthe tumor the form of a pineapple.\\nTreatment. Two very important things are to be done\\nin every case of protrusion of the rectum.\\nFirst. The protruding parts must be treated so as to\\nreduce as much as possible the irritation and congestion;\\nand if this is properly done it will probably prevent further\\nprotrusions.\\nSecond. The protruding folds must be pushed back as\\nsoon as they have been properly treated.\\nAfter the tumor has been cleansed with a soft cloth the\\nfollowing should be applied freely\\nTannin, two drachms,\\nWater, four ounces.\\nMix and apply every time the bowel protrudes. In\\nstubborn cases an ounce of the same may be injected three\\ntimes per day. It will not cause much if any smarting,\\nbut the child will want to pass it of! immediately.\\nThe following is also very valuable in the treatment of\\nprotrusions occurring in children", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0374.jp2"}, "367": {"fulltext": "PLATE II: TYPICAL CASE OF PROCIDENTIA RECTI", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0375.jp2"}, "368": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0376.jp2"}, "369": {"fulltext": "PROTRUSION OF THE BOWELS. 357\\nPowdered alum, a heaping teaspoonful,\\nWater, a half pint\\nMix and apply freely to the protruding parts every time\\nthey come down.\\nAs soon as the tumor is treated in this way vaseline\\nshould be applied in order to make it slip back easily, and\\nthere is not a doctor in Christendom that can work back\\nthe wrinkled folds of the bowel any easier than the\\naverage mother.\\nIt is not an unusual thing for children with severe\\ndiarrhoea to have protrusion of the rectum; it is by no\\nmeans serious there is nothing to occasion fright or\\nanxiety but the quicker it is pushed back the better, and\\nthe less effort it will require to do it While the tumor is\\nbeing worked back the child should be pacified or amused\\nin some way, if possible, as struggling and screaming will\\nforce the parts downward and make the task of pushing\\nthem back more difficult\\nThe more the bowel comes down, the more congested,\\nthickened, and irritable it is liable to be and, consequently,\\nthe protrusions are apt to become more and more frequent,\\nwhile the protruding folds are equally apt to get a little\\nlarger; and for these reasons prompt and thorough treat-\\nment is always advisable.\\nThe cause of the trouble, whatever it is, should be removed\\nas soon as possible, as in every other disease. If it is from\\ndiarrhoea, and it almost always is, the treatment advised\\nfor cholera infantum, p. 44, should be followed until the\\nbowels are restored to their healthy and natural condition.\\nIn almost every case the patient is inclined to linger on\\nthe seat or vessel and strain a great deal after the stool has\\nall been expelled and it is usually the straining after", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0377.jp2"}, "370": {"fulltext": "358 PROTRUSION OF THE BOWELS.\\nstooling that forces the rectum, or part of it, out and it is\\ntherefore important to lift the child from the seat as soon\\nas the stool has been passed, even if he utters a very loud\\nprotest, as he usually does.\\nShould the case be so bad, on account of neglect or poor\\ntreatment, that all these measures fail, the next thing is to\\nadopt a more radical plan of treatment so as to prevent\\nthe protrusions entirely. This consists in constructing a\\ntemporary closet seat for the child, and making it so high\\nthat the little fellow stands almost straight up while the\\nbowels are moving. It may be best to commence with a\\nseat that will give a half-erect position, as such a seat will\\nbe less liable to displease the patient than a higher one\\nbut if it should fail, a higher one must be used, remember-\\ning that the nearer his position approaches the perpen-\\ndicular, the less will be the tendency of the bowel to\\nprotrude; and that the high seat alone will cure almost\\nevery case, if made so the child will be almost in a standing,\\ninstead of a sitting position. The writer has used the high-\\nseat treatment for twenty-eight years, including seven years\\nin the Boston Clinic, and has never known it to fail.\\nWhen the disease exists in adults it is usually from bad\\ntreatment in childhood, or from piles if from the latter,\\nthey should be cured as soon as possible and if the pro-\\ntrusions continue, the treatment should be the same as for\\nchildren, the seat being so high that the man has to stand\\nalmost erect.\\nThere is one particular difficulty attending all cases of\\nprotrusion of the rectum or its membranes one that is\\nterribly aggravating and it is this The patients when at\\nstool, like a great many ministers when preaching, are not\\nwilling to quit when they get through.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0378.jp2"}, "371": {"fulltext": "PROTRUSION OF THE BOWELS.\\n359\\nCase I. (Protrusion of the Rectum.)\\nBelle D., age 3, became a patient of mine in 1872. The\\nprotrusions in this case were bad, and included part of the\\nrectum in addition to the mucous membrane.\\nThe treatment for the diarrhoea that brought on the\\ntrouble was a success, but the protrusions continued for\\nweeks, at each movement of the bowels, until the high\\nseat was adopted. The position of the child, which was\\nalmost erect, prevented further protrusions complete\\nrecovery followed within a few weeks and there was no\\nmore use for a two-story seat.\\nCase II. (Protrusion of the Rectum.)\\nGeorge Parker, age 2 years and 8 months, was brought\\nto the Boston Clinic, in 1893, with protrusion of the rectum,\\nthe entire lower part coming down at every movement of\\nthe bowels. The case had been under treatment for about\\ntwo months and nothing had yielded much beneficial\\nresults. I immediately began bathing the protruding\\nparts with the following\\nTannin, two drachms,\\nWater, eight ounces.\\nMix and apply freely to the protruding membranes after\\neach movement of the bowels. This was kept up for\\nseveral days and prevented, to some extent, the protru-\\nsions, but the child was inclined to sit on the seat and strain\\nand strain after he was through stooling and his mother,\\nnotwithstanding my advice to the contrary, permitted him\\nto exercise his own sweet will; and in this way the\\ntreatment partially failed. A high seat was finally made\\nso the youngster was compelled to stand almost erect when\\nstooling, and in this position his bearing-down effort, though\\nlong and determined, could not force the bowel out. Com-", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0379.jp2"}, "372": {"fulltext": "3 5o FISTULA IN ANO.\\nplete recovery followed within a few weeks, and the high\\nseat was abandoned.\\nCase III. (Complete Protrusion of the Rectum.)\\nJohn McConnell, Revere, Mass., age 44, entered the\\nBoston Clinic in January, 1893, stating that he had piles\\nand falling of the rectum. I here copy from my clinic\\nRecord of Cases the following, word for word: This\\nis the worst case of prolapsus of the rectum that I have\\never seen. The protruding bowel is as large as an average\\npineapple and somewhat similar in shape. The trouble\\nbegan 12 years ago and has never yielded in the least to\\nany treatment.\\nIn this case there was no apparent cause for the protru-\\nsion except the existence of two or three small pile tumors\\nof a bluish color. Although it did not seem possible for\\nsuch insignificant tumors to cause the protrusion, I destroyed\\nall of them before he left the table, filling each pile sack,\\nas I always do, with phevAc-acid solution. I then had a\\ncloset seat made so high that he was virtually in a standing\\nposition during the movement of his bowels. The protru-\\nsion never occurred once after the use of the high seat was\\ncommenced the cure was permanent, the high seat being\\ndiscontinued after two or three months.\\nFISTULA IN ANO.\\nIn this chapter it is proposed to describe carefully, and\\naccurately, yet briefly, the six different forms of fistula that\\nare known to exist to show their most frequent causes\\nthe manner in which they usually come on the best means\\nfor arresting their formation and finally, the surest, easiest,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0380.jp2"}, "373": {"fulltext": "FISTULA IN ANO. 361\\nquickest, and least painful method for effecting a complete\\nand permanent cure.\\nThe word fistula is purely Latin, and means a pipe.\\nFistula in ano is a pipe, or artificial canal, one end of which\\nis usually within an inch of the anus, and called the external\\nopening, while the other end is either in the anus or rectum,\\nand called the i?itemal opening. It is customary to call all\\nfistulous openings occurring in this locality fistula in ano,\\nthough this is not strictly correct, for a fistula with its\\ninternal opening above the anus is in the rectum, and is\\nproperly fistula in recto instead of fistula in ano.\\nFrom the foregoing, it is obviously impossible for a man\\nto know what kind of a fistula he has, until an examination\\nis made and the internal opening located and it may be\\ninteresting for every one to know that the higher the\\ninternal opening, the more difficult and tedious the case,\\nand therefore, that fistula in recto is more to be deplored\\nthan fistula in ano.\\nCauses. The direct cause of almost every fistula is an\\nabscess in the vicinity of the anus, but as it is often impos-\\nsible to know the cause of the abscess, it is equally impos-\\nsible to tell the real cause of the fistula. It is very probable,\\nthat in most cases, the abscess arises from an imprisoned\\nclot of blood, known and described as a thrombotic pile\\ntumor, as this kind of a clot is really lifeless matter a\\nforeign body in the flesh and peculiarly liable, sooner\\nor later, to cause an inflammatory abscess and, finally, a\\nfistula.\\nTo avoid the danger of a fistula, with all its terrible pain\\nand uncleanliness, every thrombotic pile should be destroyed\\nas soon as it makes its appearance. Fruit seeds and small\\nfragments of bones, swallowed by rapid eaters, who do not", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0381.jp2"}, "374": {"fulltext": "362\\nFISTULA IN ANO.\\nproperly chew their food, often become lodged in the anus\\nor rectum so as to cause an abscess, and in nineteen cases\\nout of twenty, whatever causes an abscess in this region,\\nalso causes a fistula.\\nIn 1876, Mr. Alexander Adams, of Youngstown, Ohio,\\ncame to my office, with a bad fistula, from which he had\\nsuffered for several months, and on account of which, he\\nhad been attended by the best surgeons of that city. He\\nwas then in the flower of his age, a very active business\\nman, and a rapid eater. After finding that he had a com-\\nplete fistula, I inserted a rectal speculum and saw the end\\nof a bone projecting, the eighth of an inch above the in-\\nflamed flesh. I grasped it firmly with a pair of goose-teeth\\nforceps carefully worked it loose and extracted it, causing,\\nof course, some pain. The bone was a piece of a small\\nrib, probably a lamb s rib, and was an inch and a quarter\\nin length. It was broken almost in two in the middle, and\\nwas evidently covered with flesh when swallowed, as the\\ngentleman remembered having swallowed a piece of meat,\\nbone and all, a few months before.\\nHaving removed the bone, I operated upon the fistula\\nwith an elastic cord, and complete recovery followed within\\nthree weeks, the patient attending to his usual duties during\\nthe treatment.\\nThere are six kinds of fistula affecting the anus and\\nrectum, and about all of them have come under the writer s\\nobservation, though most of them are exceedingly rare.\\nThey are as follows\\nFirst. Complete fistula, in which there is one external,\\nand one internal opening, this form being by far the most\\nfrequent, and, happily, the easiest to operate upon, and\\nalso the easiest to cure.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0382.jp2"}, "375": {"fulltext": "Fig. 2.\\nA. Complete External Fistula,\\nB. Recto- Vaginal Fistula.\\n363", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0383.jp2"}, "376": {"fulltext": "364 FISTULA IN ANO.\\nSecond. Blind, internal fistula, in which there is but\\none opening, and that is within the anus or rectum. This\\nform is rare, except when found as the result of an un-\\nsuccessful operation upon a complete fistula; and unless\\nthe passage is carefully explored, by means of a good specu-\\nlum, illuminated with an electric lamp, it is liable to be\\noverlooked.\\nThird. Bliiid, external fistula, in which there is but one\\nopening, and that is on the outside. This is probably the\\nrarest of all the forms known to specialists, and yet, more\\nthan half the cases examined by doctors in general practice\\nare thought by them to belong to the blind external class,\\nsimply because they have not had enough experience to\\nknow how to trace the crooked canal into the rectum. It\\nis true that the internal opening may be closed for a few\\ndays, so as to render the passage of a probe into the\\nrectum impossible, but almost all fistulous openings observed\\non the outside connect with the rectum. It was said in\\nancient times that all roads led to Rome. With almost\\nequal truth, it may be said to-day, that all fistulous open-\\nings occurring about the anus lead, either directly or in-\\ndirectly, to the rectum.\\nFourth. Complete, internal fistula, in which there are\\ntwo openings, both being inside. This form is so rare that\\nit is seldom seen, even by a specialist\\nFifth. Complete, external fistula, in which there are two\\nopenings, both being on the outside, and connecting with\\neach other but not with the recttim. The writer has suc-\\ncessfully operated upon several cases of this kind, although\\nthey are comparatively rare.\\nSixth. Horseshoe fistula, in which there are several\\nopenings on the outside, some of which connect with the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0384.jp2"}, "377": {"fulltext": "PERSONS MOST LIABLE TO FISTULA. 365\\nrectum, and the various pipes circle around the anus, so as\\nto give the connected canals the appearance of a horse-\\nshoe. Figure 3 represents a horseshoe fistula and shows\\nthe direction of the pipes, their relation to each other, and\\nhow they connect with the rectum by a single canal. In\\norder to effect a perfect cure in such cases, a great deal of\\ntime, patience, and skill are necessar\u00c2\u00aby.\\nPERSONS MOST LIABLE TO FISTULA.\\nThe idea prevails extensively and a very erroneous\\nidea, too that persons with consumption or a strong\\nhereditary tendency to that disease, and also persons\\nsuffering with scrofula or inherited tendencies to that\\naffection, are peculiarly liable to fistula in ano and fistula\\nin recto.\\nThe facts are that any person, however strong and\\nvigorous, and however pure and healthful the blood, will\\nhave a fistula whenever the conditions are such as to\\ndevelop an abscess near the anus; and that fistula furnishes\\nno evidence whatever of a primary blood disease; and\\nfurther, that it is no disgrace to be afflicted with a fistula\\nbut it is a burning shame and disgrace to allow it to con-\\ntinue, because it is a distressing and loathsome disease at\\nbest, and in a great measure unfits its victim for the ordi-\\nnary duties and responsibilities of life.\\nAs piles, especially those of a thrombotic type, have\\nstrong tendencies to the formation of abscesses about the\\nanus, it is obvious that persons with piles are peculiarly\\nliable to have fistula.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0385.jp2"}, "378": {"fulltext": "366 PERSONS MOST LIABLE TO FISTULA.\\nA thorough study of fistula with its history and causes,\\nand an experience of more than a quarter of a century in\\nthe treatment of the disease, warrant this broad statement.\\nWith the exception of those afflicted with piles, one person\\nis about as liable to have fistula as another, those suffering\\nwith piles being, of course, the most liable. All classes\\nare equally liable to swallow stones of fruits, or fragments\\nof bones covered with flesh, and these may become se-\\ncreted in the folds of the rectum, causing an inflammatory\\nabscess and fistula.\\nSymptoms. The commencing symptoms of a fistula\\nare, pain, swelling, great tenderness, and, finally, redness\\nof the skin at the central part of the swelling which is\\nusually within an inch of the anus and on the right or left\\nside. As the swelling increases, the pain becomes more\\nand more intense there is loss of appetite considerable\\nfever and now and then a chilly feeling a soft, fluctuating\\ncondition is finally observed about the centre and highest\\npart of the swelling, and the fully formed abscess either\\nbreaks or is lanced, when a copious flow of pus affords\\ninstant relief.\\nFor weeks, if not months, there will be an abundant flow\\nfrom the abscess, as the cavity is large, and its pus-secret-\\ning capacity must be equally great.\\nAs the pond of a creek is wide and extensive during a\\nflood, so is the cavity of an abscess when it first opens as\\nthe pond after the flood usually becomes a very small, zig-\\nzag channel through a bed of sand, gravel, and clay, so the\\ncavity of the abscess, after the flood of pus, is made smaller\\nand smaller by the healing process until only a little pipe\\nnot larger than the lead in my pencil remains, and like the\\nchannel of the creek, is usually crooked. In forming the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0386.jp2"}, "379": {"fulltext": "Fig. 3.\\nShowing 5 Fistulas; how they communicate with each other and how one\\nenters the rectum.\\n367", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0387.jp2"}, "380": {"fulltext": "368\\nPERSONS MOST LIABLE TO FISTULA.\\nchannel of a creek the water takes the direction in which\\nthere is least resistance; the pus does the same thing, and\\ntherefore both stream and fistulous pipe are crooked.\\nBy the time the cavity of the abscess is filled up and the\\nartificial passage reduced to a small pipe, the discharge\\nbecomes thin and watery, the amount in twenty-four hours\\nbeing small, and yet large enough to soil the linen, irri-\\ntate and inflame the skin, and render frequent bathing\\nnecessary. This is frequently the settled condition of a\\nfistula within five or six months after it first makes its\\nappearance.\\nSometimes they have a small external opening that will\\nnot allow a free flow of matter, and such cases of fistula\\nare usually painful much of the time.\\nMany of them will close up for days or even weeks,\\ncausing the patient to flatter himself that he is cured,\\nespecially so if some foolish doctor has been trying the\\nworthless and pernicious plan of injecting caustic solutions\\ninto the pipe.\\nWhenever a fistula closes externally, from whatever\\ncause, it should be regarded as a smouldering volcano that\\nis liable to make serious trouble at any time, and it is im-\\nportant to know that anything causing the pipe to heal on\\nthe outside has a dangerous tendency to make it open in a\\nnew place, and as the old pipe usually opens again sooner\\nor later, a double fistula is the result\\nWhen the fistulous pipes are large, as they sometimes\\nare, offensive gases, and frequently feces also, are dis-\\ncharged through the opening but it is comforting to know\\nthat this miserable form of the disease is one of the easiest\\nto operate upon, and therefore one of the easiest to cure,\\nas- a general thing.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0388.jp2"}, "381": {"fulltext": "PERSONS MOST LIABLE TO FISTULA. 369\\nOther things being equal, a fistula with a pipe somewhat\\nlarge is much less painful than one with a small pipe the\\ndischarge, though a little greater, is more uniform, and the\\nfistula is much less liable to close, by healing at one or two\\npoints, so as to cause the confined matter to force its way\\nthrough sound flesh and make a crooked channel.\\nWhen a wound heals, all the parts involved in the scar\\nare hardened are more like cartilage or gristle than nat-\\nural flesh, and as pus, in forcing its way out of a cavity,\\nalways takes the direction in which there is the least resist-\\nance, it works round the scar tissue so as to pass through\\nsoft flesh, and it is through such unvarying principles that\\na fistulous canal changes its direction every time it heals\\nin any part of its course, and breaks out again.\\nEvery fistula is liable to become more and more crooked\\nevery year every new turn a pipe takes, the difficulties of\\ncuring the patient by an operation of any kind are in-\\ncreased, and when it gets very crooked a successful opera-\\ntion with the knife is almost impossible.\\nAlmost every disease is in its most simple and easiest\\nform when it first develops this is especially true of fis-\\ntula in ano and fistula in recto and, therefore, no fistulous\\npipe should be allowed to grow old and crooked.\\nAnother serious change that time and neglect are lia-\\nble to make upon fistula is, an increase in the number\\nof openings and in order to avoid crooked, distress-\\ning, and numerous pipes, every fistula should be cured as\\nsoon as possible by destroying the miserable, pus-secreting\\ncanals.\\nBy having a fistula properly treated before perplexing\\ncomplications arise, a whole life of suffering from a loath-\\nsome disease may be prevented.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0389.jp2"}, "382": {"fulltext": "370\\nPERSONS MOST LIABLE TO FISTULA.\\nTreatment. Seven or eight different methods for oper-\\nating upon fistula in ano and fistula in recto have been\\ndescribed by authors but as all of these are worthless\\nexcept the elastic cord and the knife operation^ it is not\\nproper to describe them here, as it would only confuse the\\nreader. There is one style of treatment, however, that has\\nbeen used a great deal by doctors in the general practice\\nthat has done a great deal of harm, and is liable to do\\nmore; that must be condemned. It is known as the\\ninjection method and consists in filling the pipe with an\\nastringent or caustic solution. A great many cases cured\\nat the Boston Clinic within the last seven years, had been\\ntreated for months or years by injections before coming\\nto the clinic some of them had paid out a great deal of\\nmoney none had been benefited in the least and half of\\nthem had been injured by having their fistulous openings\\nmultiplied. The fluid injected is intended to inflame the\\ncanal so as to make it heal and it often succeeds to the\\nextent of causing a great deal of trouble by healing\\nthe pipe in places and in doing this pockets of pus are\\nestablished between the points healed the imprisoned pus\\nis liable to become the source of several abscesses and in\\nthis way two or three new fistulas may be caused by one\\ninjection.\\nThe amount of harm that this pernicious treatment has\\ndone by partially healing the pipe and causing a number\\nof new openings is hard to estimate. Every effort should\\nbe made to keep the pipe open until it can be destroyed\\nin the proper way. There is no palliative treatment that\\namounts to much, and the quicker an operation is performed\\nfor thorough cure the better.\\nThe author s favorite method for curing fistula in ano", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0390.jp2"}, "383": {"fulltext": "PERSONS MOST LIABLE TO FISTULA. 37 1\\nand fistula i?i recto, and the one that he has employed\\nalmost wholly for over a quarter of a century, is to cut the\\nfistulous pipe out with an elastic cord and his success in\\noperating this way has been so favorable that the failures\\nin twenty-six years can be counted on the fingers of one\\nhand, with fingers to spare.\\nThe operation is as follows A soft silver probe having\\nan eye in one end large enough to carry the cord, is care-\\nfully passed into the fistula until it enters the anus or\\nrectum then the index finger of the other hand is passed\\ninto the anus and brought in contact with the end of the\\nprobe as this needle probe is very soft, it is easily bent by\\nthe tip of the finger and brought out at the anus, drawing\\none end of the elastic out with it, while the other end is left\\nhanging out through the external opening of the fistula.\\nOne end of the cord is then put through a hole in a rubber\\nbutton the other end is put through a different hole of\\nthe same button both ends are brought together and tied\\nin three hard knots. Within a week the cord makes con-\\nsiderable progress in cutting its way out through the flesh,\\nand in doing so becomes slack; it is tightened up so as\\nto cut again, as before, and so on every week until it is\\nentirely out.\\nThe elastic cord consists of a thread of Indian rubber\\ncovered with silk, and if the patient wishes to attend to\\nbusiness while the cord is doing its work, the smallest\\nelastic that is made is used instead of a larger one, and\\neven if it is tied as tightly as it will bear without the danger\\nof breaking, it causes but little if any pain.\\nIf, however, the patient wants to get through as soon as\\npossible, even if the treatment is more severe, a much\\nlarger and stronger cord may be used, and in that case the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0391.jp2"}, "384": {"fulltext": "372\\nADVANTAGES OF THE ELASTIC CORD IN FISTULA.\\nwork of cutting the fistula out will be accomplished in one-\\nthird of the time required for the small one, the cure being\\nequally thorough in each case.\\nAs this is a method that never fails when properly used,\\nit may be interesting for every one with a fistula to under-\\nstand the principles upon which its universal success de-\\npends.\\nIn the first place a soft probe is always used, one that\\nbends or doubles up readily when encountering an obstruc-\\ntion, and it is impossible for such a probe to enter the anus\\nor rectum without following the fistulous pipe, as it could\\nin no way be forced through the sound flesh. For this\\nreason the elastic seton comes in direct contact with every\\npart of the diseased and pus-secreting pipe, and in doing\\nso develops an inflammatory condition that destroys it.\\nIts destruction is accompanied and followed by the healing\\nprocess that is kept up until the seton is cut entirely out.\\nWhen the flesh and skin are divided in this way, there\\nis no gash or gaping wound left, as one might suppose,\\nbecause the healing follows up the cord so closely that by\\nthe time it has cut through all the structures the wound is\\nabout healed up, and the patient is practically well.\\nADVANTAGES OF THE ELASTIC CORD IN\\nFISTULA.\\nFirst. It always cures, when properly applied.\\nSecond. The relation of the different structures to each\\nother is not changed in consequence of being divided by\\nthe cord, because the healing and closing process keeps\\nup with the elastic cord in its passage through the flesh.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0392.jp2"}, "385": {"fulltext": "ADVANTAGES OF THE ELASTIC CORD IN FISTULA.\\n373\\nThird. After a person is cured by the cord the parts\\ninvolved are in their natural place, their condition is\\nnatural, and the feeling of the individual is as natural\\nas in childhood.\\nFourth. The application of the cord by an experienced\\nrectal surgeon causes but little if any pain, is completed\\nwithin two or three minutes usually, and the use of ether\\nis not necessary one time in a hundred.\\nFifth. The elastic-cord treatment is always bloodless,\\nis free from danger, doesn t confine a patient to his room,\\nallows him to attend to his business as a general thing, and\\nthe fistula never breaks out again because all the pipe is\\ndestroyed.\\nSixth. As the healing process caused by the cord\\nkeeps up until the wound is entirely healed, the patient is\\nnot left with a fissure of the anus, which is a very painful\\nand troublesome ulcer.\\nSeventh. The sphincter ani muscles the muscles that\\nclose the anus are not injured by the cord operation,\\nalthough these muscles may be completely severed, and a\\npatient will not lose control of his bowels even if a half\\ndozen fistulous pipes are destroyed in this way, one at a\\ntime.\\nEighth. With the cord, there is no blood-blinding opera-\\ntion, no fistulous canal to hunt in a sea of blood, no wound\\nto sew up, no deformity, no stricture of the anus, no im-\\npairment of the muscles that close the anus, and the sur-\\ngeon avoids the deplorable, and frequently hopeless, task\\nof passing a straight director through a crooked hole, as\\nthe pipe is almost always crooked.\\nNinth. As the probe used in putting in the cord is soft,\\nit will easily bend .so as to adapt its curves to the direction", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0393.jp2"}, "386": {"fulltext": "374 THE KNIFE OPERATION IN FISTULA.\\nof the pipe, and will reach the anus or rectum by following\\nthe winding road instead of going across lots, and in this\\nway no elbow of the pipe is cut off by forcing the needle\\nprobe through sound flesh, leaving a part of the pipe with\\na quantity of imprisoned pus to become the source of a\\nnew fistula.\\nTenth. One of the greatest blessings of the elastic-cord\\nmethod to the world is, that millions who would not submit\\nto the knife operation, are anxious to be cured by the cord\\nas soon as they learn how quickly and easily it is applied\\nthat the fistula is always cured, and that there is no danger\\nand but little if any suffering attending its use.\\nFor these reasons the first man into whose fertile brain\\nthe idea of curing fistula with a string gained admission\\nand who gave the plan to the world heaven bless his\\nname and ashes is worthy of a higher and grander\\nmonument than that of Bunker Hill.\\nTHE KNIFE OPERATION IN FISTULA.\\nAs previously stated, there are only two methods for\\nthe cure of fistula in ano waft, fistula in recto that are worth\\nconsidering. One, which has been fully described, consists\\nin dividing all the flesh and skin, between the pipe and the\\nanus, with an elastic cord the other consists in cutting\\nthrough the same structures with the scissors or knife, and\\nis known as the knife operation.\\nEverything that is uniformly successful in medicine or\\nsurgery rests upon some fixed and definite principle, or\\nprinciples, and it is interesting to observe that the two\\nrecognized methods for curing fistula depend upon a single", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0394.jp2"}, "387": {"fulltext": "THE KNIFE OPERATION IN FISTULA. 375\\nprinciple of vital importance the division of all the flesh\\nlying between the external opening of the fistula and anus.\\nThe knife operation is the one employed principally in\\nall the hospitals the one taught in the colleges the\\nmethod usually advocated by authors of medical and sur-\\ngical works but the rectal specialists in the various cities\\nalmost all prefer the clastic cord, and it is probable that four-\\nfifths of the cases that are cured at all, are cured in this\\nway.\\nPlate III shows the manner in which the knife operation\\nis performed. The patient is put under the influence of\\nether, and a silver director, with a groove running its whole\\nlength, is passed into the outer opening of the pipe when\\nit reaches the inner opening and enters the rectum, an\\nindex finger the one most convenient is passed into\\nthe bowel and crooked, so as to catch the end of the direc-\\ntor and bring it out at the anus. A suitable knife is then\\nplaced in the director with its edge turned towards the\\nflesh, and pushed along the groove until it cuts through all\\nthe structures lying above the instrument, including veins,\\narteries, nerves, muscles, and skin.\\nThe next step consists in spreading the lips of the wound\\napart and scraping out the pipe with a sharp instrument\\ncalled a curette, which is simply a scraper, the term\\ncuretting being a refined and dignified word for scrap-\\nie\\nmg.\\nThe wound is then packed full of antiseptic cotton, so\\nas to keep its sides separated and make it heal only from\\nthe bottom, and also to prevent blood poison. The manage-\\nment of the case after the operation is of the utmost im-\\nportance the opening has to be watched and dressed for\\nweeks the rectum must be washed out with injections of", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0395.jp2"}, "388": {"fulltext": "3;6\\nDISADVANTAGES OF THE KNIFE OPERATION.\\nwarm water after each movement of the bowels, so as to\\nkeep the wound clean a great deal of watchful care is\\nnecessary, to prevent the sides from uniting too soon, so\\nas to leave an opening at the bottom; the opportunities\\nfor making mistakes are numerous and failures are\\nfrequent.\\nIn justice to the knife operation, however, this may be\\nsaid If such operations were performed only by rectal\\nsurgeons by men of special ability and fondness for such\\nwork; who have devoted their professional lives to the\\nstudy and treatment of diseases of the rectum who are\\nskilled in operating and know the importance of all the\\ndetails involved in the after treatment failures would be\\ncomparatively few but, unfortunately, this is not the situa-\\ntion, as most of the cases in the hospitals are operated\\nupon by omnibus surgeons surgeons for everything\\nand everybody who have had but little experience in\\nrectal surgery, and therefore are not skilful operators.\\nFor these reasons, it is by no means strange that persons\\nundergoing operations for piles or fistula in the hospitals\\nare the most frequent victims of bad practice, often being\\nleft in a deplorable, if not hopeless condition.\\nTHE DISADVANTAGES OF THE KNIFE\\nOPERATION.\\nFirst. It fails in a multiplicity of cases where the elastic\\ncord would succeed.\\nSecond. It necessitates the use of ether or chloroform,\\nwhich some persons cannot take with safety.\\nThird. It is a severe operation at best, and is attended\\nwith more or less danger.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0396.jp2"}, "389": {"fulltext": "en\\nCD\\nCD\\nX\\nCD\\nCD\\nW\\nCD\\n(D-,", "height": "3781", "width": "2434", "jp2-path": "homepracticeofme00dail_0397.jp2"}, "390": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0398.jp2"}, "391": {"fulltext": "DISADVANTAGES OF THE KNIFE OPERATION. 377\\nFourth. As it is a mathematical impossibility to pass a\\nstraight director through a very crooked pipe, it is equally\\nimpossible to cure a fistula having such a pipe by the knife\\nop era ti on.\\nFifth. The knife cannot be used until a grooved director\\nis passed through the pipe into the rectum and, as such\\na director is too firm to bend and adapt its curves to the\\ndirection of the pipe, it is often impossible for it to enter\\nthe anus or rectum until it is forced through the sound\\nflesh and in such cases the operation always fails.\\nSixth. With the knife, the structures are all cut through\\nat once they are hard to keep in their natural relation to\\neach other while healing and the patient is often left with\\nan unnatural feeling and considerable deformity, even if\\nthe operation is otherwise successful.\\nSeventh. The knife operation confines a patient to his\\nroom for weeks, if not months his attendants have to be\\ncareful and especially skilful and the chances for serious\\nmistakes in the after treatment are so great that failures\\nare frequent, even if the operation is properly performed.\\nEighth. After the grooved director is passed through\\nthe pipe into the rectum, a butcher can do the cutting as well\\nas a surgeon it is therefore obvious, that all the skill re-\\nquired for either cord or knife operation, consists in following\\nthe meandering pipe into the anus or rectum and it is ten\\ntimes easier to do this with a flexible, snakelike probe, that\\nreadily turns when the pipe does, than it is to go through\\nsuch a canal with a stiff, unyielding director and therefore\\nthe knife operation is much more difficult than that of the\\ncord, and much less effective, as every difficulty that is\\nadded to any kind of an operation increases the chances\\nfor failure.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0399.jp2"}, "392": {"fulltext": "378 DISADVANTAGES OF THE KNIFE OPERATION.\\nNinth. In the knife operation the muscles that close the\\namis are often injured to such an extent that the patient\\ncannot control his bowels, and is therefore compelled to\\nwear a napkin as long as he lives. Such a deplorable con-\\ndition never follows operations with the elastic cord, even\\nif a half dozen fistulous pipes are destroyed, because the\\nstructures unite almost as fast as they are cut, the muscles\\nbeing left in a natural and perfect condition.\\nTenth. The after treatment in the knife operation is a\\nsource of anxious care for weeks, if not months, and some-\\ntimes the wound will not heal at all while there is no after\\ntreatment necessary when the elastic cord is used except to\\ntighten it up once per week there are no chances for a\\nfailure the patient avoids the expenses of a hospital has\\nno use for a nurse can attend to his business as a general\\nthing the structures unite almost as rapidly as they are\\ncut through their relation to each other is unchanged and\\nthe cure is perfect.\\nEleventh. One of the greatest objections to the use\\nof the knife in curing fistula is this It is regarded as a\\nbloody, a dangerous, and a dreadfid operation by the people\\nthey are constantly hearing of failures or deaths from\\nsuch operations in the hospitals; there is not one in a\\nhundred that will endure it; and the worst of it all is, they\\nhave become frightened are distrustful of all methods for\\ncuring the disease and ninety-five per cent of those with\\nfistula are jogging down life s road with their loathsome\\nafflictions, unaware that the elastic suing is an easy,\\nsimple, safe, sure, and bloodless remedy for fistula in ano\\nand fistula in recto.\\nCase IV. (Fistula in Ano.)\\nA. W. Fulton, merchant, Walpole, Mass., age 38, entered", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0400.jp2"}, "393": {"fulltext": "DISADVANTAGES OF THE KNIFE OPERATION. 379\\nthe Boston Clinic in January, 1893, with a fistula of the\\nanus from which he had suffered for years. He stated\\nthat it did not go into the rectum, that the pipe had been\\nexamined and probed by several distinguished surgeons,\\nand all of them said it did not enter the rectum. It took\\nme but two or three minutes to trace the pipe into the\\nrectum, and as soon as this was done I put in an elastic\\ncord secured it by three hard knots and he returned to his\\nduties in his boot and shoe business. The cord soon cut\\nits way out, the flesh healing behind it, so by the time it was\\nout the fistula was practically well. Mr. Fulton attended\\nto his store every day and was sound and well within a month.\\nCase V. (Fistula in Ano.)\\nMr. Newton M., a retired business man, age 63, came\\nto the Boston Clinic, May 29, 1893, stating that he had\\nbeen suffering from a serious bladder trouble for a number\\nof years; that he had been examined by several distin-\\nguished surgeons, and that they had all failed to discover\\nthe cause of his trouble. He had a constant desire to\\npass his water could not walk three blocks without want-\\ning to find a water closet; and had to get out of bed a\\ndozen times every night. As he never had had an abscess\\nand as no doctor had ever been able to find any trouble\\nwith his rectum, it seemed scarcely worth while to hunt\\nfor a fistula, and yet I looked for one and I found it. I\\nput in an elastic cord, secured it with three hard knots;\\nit cut out in ten or twelve days the cure was quick and\\nperfect, and the bladder trouble, strange as it may seem,\\nceased forever. There were many strange things con-\\nnected with this case.\\nFirst. The water trouble had existed for years and no\\none had been able to find its cause.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0401.jp2"}, "394": {"fulltext": "38o\\nDISADVANTAGES OF THE KNIFE OPERATION.\\nSecond. The fistula was an inch from the anus and on\\nthe opposite side from the bladder.\\nThird. There was no discharge of matter from the\\npipe; no red point indicating its opening; it seemed\\nnothing but a small, dry hole in the skin and there never\\nhad been an abscess.\\nFourth. The introduction of the cord relieved the\\nbladder irritation immediately, and it never returned.\\nCase VI. (Fistula in Ano.)\\nCharles L. Foss, electrician, Claremont, New Hampshire,\\nage 45, entered the Boston Clinic in 1893, with a fistula\\nthat had caused him much trouble and anxiety. As his\\nbusiness would only permit him to remain in the city a\\nshort time, he wanted to be cured as soon as possible.\\nFor this reason I put in the largest and strongest elastic\\ncord I had it cut out within five days he returned home\\non the day it came out, and he was well within two weeks.\\nHe travelled about the city and had a good time every day\\nwhile the cord was doing its work.\\nCase VII. (Fistula in Recto.)\\nBenjamin F. O Connor, 22 Morris St., Lynn, Mass.,\\ncame to the Boston Clinic in 1894, with a terribly bad\\nfistula in recto. He had suffered for several years, and\\nhad been punished a great deal by a doctor who had been\\ntrying to cure him by the injection method. The case was\\none of the most difficult, as the probe, when introduced\\ninto the pipe, entered the rectum so high that it was hard\\nto reach the point with the index finger and bring it out at\\nthe anus, but I succeeded in getting it out, and put in a\\nstrong elastic cord. It took it six weeks to cut out, but\\nthe healing process followed the cord so closely in its\\npassage through the flesh that the patient was practically", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0402.jp2"}, "395": {"fulltext": "DISADVANTAGES OF THE KNIFE OPERATION. 381\\nwell when the cutting was done. Mr. O Connor worked\\nat his trade most of the time while being cured.\\nCase VIII. (Horseshoe Fistula.)\\nMr. V. D., a fruit dealer, age 40, entered the Boston\\nClinic in 1894, with five fistulas, a form of the disease\\ntermed a horseshoe fistula. He had undergone the\\nknife operation three times at one of the leading hospitals\\nof the city, and every one of them failed. I operated on\\nall the fistulas, one at a time, the case being quite similar\\nto the one shown in Fig. 3.\\nEvery fistula was cut out with the elastic cord the\\nhealing was perfect; not one of the operations failed; he\\nattended to his fruit store during the six months he was\\nunder treatment; and is now entirely well. I saw a very\\nsimilar case in a London hospital in 1894 a case in\\nwhich the knife operations had also failed.\\nCase IX. (Double Fistula.)\\nJ. I. Nickerson, house builder, 592 Sixth St., South\\nBoston, age 56, entered the Boston Clinic in June, 1897,\\nwith a double fistula that had been making his life misera-\\nble for several years. One was treated immediately with\\nthe elastic cord it cut out within two or three weeks it\\nhealed almost as fast as it cut out and the second fistula\\nwas operated upon in the same way. Both healed promptly,\\nand he was entirely well within six weeks. He worked at\\nhis trade while being cured.\\nCase X. (Fistula in Ano.)\\nW. F. Sinclair, South Gardner, Mass., arrived at the\\nBoston Clinic in January, 1898, and was suffering with a\\npainful fistula. It only required two or three minutes to\\npass the soft probe into the rectum and put in the elastic\\ncord, the operation being almost painless. He came back", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0403.jp2"}, "396": {"fulltext": "382\\nDISADVANTAGES OF THE KNIFE OPERATION.\\nto the clinic twice to have the cord tightened it soon cut\\nout; and he was well within three weeks.\\nCase XL (Fistula in Recto. A terrible case.)\\nC. P. Stone, 45 Walton St., Fitchburg, Mass., age 52,\\ncame to the Boston Clinic in December 1898, with a very\\nbad fistula in recto, from which he had suffered for twenty-\\nsix years. He stated, that about 1872 he underwent an\\noperation for the fistula that it soon broke out again and\\nhad pained and annoyed him ever since. The pipe was\\ndesperately crooked was very hard to follow and entered\\nthe rectum so high that it was exceedingly difficult to reach\\nthe probe with the end of the front finger and bend it\\ndownward, so as to bring it out at the anus, but I finally\\nsucceeded, and in this way put an elastic cord through the\\nlong and crooked pipe. The previous operation, as un-\\nsuccessful knife operations always do, made this case tedi-\\nous and difficult, because the scar tissue, resulting from the\\ncutting done in 1872, was so hard, that it took ten weeks\\nfor the cord to pass through it. Every fibre of the external\\nand internal muscles of the anus was divided by the cord,\\nand if it had been done with a knife, a man s fist could\\nhave been passed into the rectum, but as the healing\\nalmost kept up with the cutting, his power to control the\\nbowels was not impaired. Mr. Stone is now well.\\nCase XII. (Fistula in Ano.)\\nJohn D. Turner, a commercial traveller, 350 Tremont St.,\\nBoston, entered the Boston Clinic in 1895, with a very dis-\\ntressing fistula, from which he had suffered for a long time.\\nIt took only two or three minutes to pass a probe through\\nthe pipe into the rectum, and put in the elastic cord and\\ntie it. It cut out in about two weeks, Mr. Turner attend-\\ning to his usual business in the meantime. By the time", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0404.jp2"}, "397": {"fulltext": "RECTO-VAGINAL FISTULA.\\n333\\nthe cord came out the healing was almost done, and he\\nwas well within three weeks from the time he first entered\\nthe clinic.\\nRECTO-VAGINAL FISTULA.\\nIn this form of fistula there is an opening between the\\nvagina and rectum. The opening may be merely in the\\nedge of the vagina, and may also be in the edge of\\nthe anus, and yet, where the two passages are connected\\nby a fistulous pipe, it is always called recto-vaginal fistula.\\nCauses. In almost all cases the disease is caused by an\\nabscess but instead of its breaking or being lanced on the\\noutside, it either breaks in the vagina or has to be lanced\\nwithin that cavity.\\nSymptoms. It commences as a swelling, between the\\nanus and vagina; is characterized by pain and tender-\\nness, both gradually increasing fever, redness of the skin,\\nand all the symptoms of an abscess, until a copious flow of\\npus and complete relief from pain announce that an open-\\ning has occurred within the vaginal walls. On the other\\nhand, the pain may be so great as to render lancing neces-\\nsary. Either one of the three following symptoms will\\nafford almost positive evidence of a recto-vaginal fistula\\nFirst. The presence of fecal matter in the vagina, as\\nsuch matter is sure to reach that passage if the opening\\nconnecting it with the rectum is large.\\nSecond. The escape of gases having a fecal odor from\\nthe vagina.\\nThird. A constant but moderate discharge of pus from\\nthe vagina, irritating that passage and inflaming the adja-\\ncent skin more or less.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0405.jp2"}, "398": {"fulltext": "384\\nRECTO-VAGINAL FISTULA.\\nTreatment. The best possible method of cure is to cut\\nthrough all the structures lying between the opening within\\nthe vagina and the anus, always using the elastic cord as\\nadvised in all other operations for fistula. The author has\\noften found it necessary to cut through almost the entire\\nperineum or bridge between anus and vagina, but if the\\ncord is not made very tight, the cutting will be so slow\\nthat the healing will keep up with the cord, and there will\\nbe little, if any wound, after the structures are all divided.\\nThere is one form of recto-vaginal fistula in which it will\\nnot do to divide the flesh and muscles between the two\\npassages either with the elastic cord or with the knife. In\\nsuch cases there is a mere window, as it were, between the\\nfront passage and the rectum the opening is often caused\\nby the difficulties of childbirth, especially from the use of\\ninstruments.\\nCase XIII. (Recto-Vaginal Fistula.)\\nMiss Annie E. Thompson, 36 First St., Lowell, Mass.,\\nage 34, applied for treatment at the Boston Clinic, May 5,\\n1897. She had undergone the knife operation seven years\\nbefore, the fistula breaking out again within a month or\\ntwo. An examination showed that the fistula opened in\\nthe rectum, above all the muscles of the anus, and that\\nalmost all the structures between the vagina and anus\\nwould have to be divided.\\nThe elastic cord was put in without much difficulty and\\nthe case treated exactly as if it had been fistula in ano.\\nAll of the sphincter ani muscles the ones that close the\\nanus were severed by the cord, but they united so com-\\npletely that there was no loss of power to control the\\nrectum. She was entirely well within a few months and\\nhas been dry and natural ever since.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0406.jp2"}, "399": {"fulltext": "FISSURE OF THE ANUS. 385\\nCase XIV. (Recto-Vaginal Fistula.)\\nMrs. F Concord, N. H., age 41, applied for treat-\\nment at the Boston Clinic, December, 1897, and was suffer-\\ning from three fistulas, one of them opening into the vagina.\\nI operated upon all three of them one at a time with\\nthe elastic cord, leaving the recto-vaginal operation till the\\nlast. Each operation was entirely successful, the recto-\\nvaginal fistula causing no extra trouble.\\nFISSURE OF THE ANUS.\\nOther names painful ulcer of the anus anal fissure\\nrectal ulcer.\\nThe word fissure means a cleft, crevice, rent, or crack\\nand a fissure of the anus is a crack in the skin, or mucous\\nmembrane, or in both and is usually about where the skin\\nand mucous membrane unite with each other, the lower and\\nouter part being in the skin and the upper and inner part\\nin the membrane.\\nCauses. It is very probable that ninety-nine out of one\\nhundred cases of fissure are caused by constipation in\\nwhich the stools are large, dry, and hard. Such a stool is\\nliable to tear the skin and mucous membrane in several\\nplaces at the same time and cause a number of fissures\\nsimilar to those shown in Plate IV.\\nSymptoms. The most prominent symptom is pain, which\\nis usually severe and out of all proportion to the size and\\nappearance of the fissu?-e; and the time at which the dis-\\ntress occurs, affords the patient the greatest evidence of\\nthe nature of his affliction. It commences during the act\\nof passing the stool may continue for a half hour, or a", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0407.jp2"}, "400": {"fulltext": "386\\nFISSURE OF THE ANUS.\\nhalf day after the movement of the bowels; there is fre-\\nquently intense agony, confining the patient to his room or\\nbed and the suffering is greatly aggravated and prolonged\\nby large, hard, and dry stools.\\nTreatment. If it were possible to cure a fissure caused\\nby constipation, attended with very large and firm stools,\\nit could do but little, if any good, as such stools would tear\\nthe skin and membranes again and cause new fissures.\\nWhen the patient adopts the treatment advised in the\\nchapter How to Prevent Piles, Fistula, and Fissures,\\nand follows it for a month or two, so as to cure himself of\\nconstipation, his fissure can also be cured, and the cure\\nwill be permanent.\\nThe palliative treatment of the disease is of great impor-\\ntance in reducing or preventing the suffering and if the\\npatient will follow the advice given in the chapter already\\nreferred to, the constipation will cease; the bowels will\\nmove every day without physic or injections; the stools\\nwill be soft and moist instead of dry and hard pain will\\nbe reduced greatly in severity and duration and most of\\nthe fissures, like those shown in Plate IV., will get well\\nwithout any operative measures whatever. In commenc-\\ning the palliative treatment of these painful ulcers of the\\namis and rectum, there is nothing so important as the avoid-\\nance of a hard stool, and, for this reason, the patient\\nshould take a free injection of warm water before each\\nmovement of the bowels, until the proper treatment of\\nconstipation renders such injections unnecessary.\\nWhen a patient realizes that eating meat causes consti-\\npation constipation causes hard stools hard stools cause\\nfissures and fissures cause enough pain and physical\\nanguish to destroy all the happiness and prospects of life", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0408.jp2"}, "401": {"fulltext": "en\\nZZ\\nen\\nen\\nCO\\nED\\nw", "height": "3824", "width": "2572", "jp2-path": "homepracticeofme00dail_0409.jp2"}, "402": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0410.jp2"}, "403": {"fulltext": "FISSURE OF THE ANUS. 387\\nhe is surely prepared to give up forever the pleasures of a\\nmeat diet. To hasten the healing process and close the\\nnumerous cracks that are often found in the skin and\\nmembranes of the amis, the following is of great service\\nZinc ointment, two ounces,\\nVenice turpentine, three drachms,\\nCarbolic acid, one drachm.\\nMix, and apply it with the front finger every night and\\nmorning.\\nThere are four operative methods in general use for the\\ncure of fissure of the anus.\\nFirst. Cauterizing it with a drug or red-hot iron.\\nSecond. Stretching the muscles of the anus with the\\nthumbs, as shown in Fig. 4, the patient being under the\\ninfluence of ether or chloroform.\\nThird. Cutting through the floor of the fissure from\\none end to another with a knife.\\nFourth. Making a cut the shape of a V the entire\\nlength of the fissure so as to remove a V-shaped piece\\nof flesh including it. This is certainly a very radical\\nmeasure, as the fissure is cut entirely out and thrown in\\nthe ash barrel.\\nAll of these methods are more or less successful, but\\nthe last three are very severe, and the cases that cannot\\nbe cured by milder and equally effective means are exceed-\\ningly rare.\\nIn the author s early experience with diseases of the\\nrectum he used the knife a great deal, but finally found it\\nwas unnecessary.\\nThe method that he has employed for seven years at\\nthe Boston Clinic is this\\nFirst. Remove the cause by curing the constipation.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0411.jp2"}, "404": {"fulltext": "388 FISSURE OF THE ANUS.\\nSecond. Make the fissure perfectly clean from end to\\nend by wiping it out with a tuft of cotton held by a pair of\\nforceps, being very careful not to make it bleed.\\nThird. Burn every part of it with the melted crystals\\nof phenic acid, which is a painless caustic. It is painless\\nbecause it destroys the sensation of the part touched for\\nfive or six hours.\\nWhen this acid is applied the entire floor and edges of\\nthe fissures are turned white it takes on a healthy action\\nand commences to heal, the lower and outside part heal-\\ning first. One thorough application of the phenic acid is\\nfrequently sufficient to cure a case, but occasionally it has\\nto be used three or four times.\\nAfter the constipation has been entirely overcome so as\\nto insure soft and easy stools, it is moonlight rambles to\\ncure the fissures with phenic acid, and the writer has never\\nhad a case in the Boston Clinic that he could not cure in\\nthis way.\\nCase XV. (Fissure of the Anus.)\\nCharles F. Tenney, East Mapleton, Mass., age 50, came\\nto the Boston Clinic in November, 1894, and was suffering\\nfrom a painful fissure of the anus. I cleaned the ulcer\\nthoroughly with a tuft of cotton so as to remove every\\ndrop of pus and mucus and leave it clean and dry, then\\nturned it as white as milk with the melted crystals of\\nphenic acid. The operation was repeated in one week,\\nthe application of the drug causing no pain, and the fissure\\nwas entirely healed and well within fourteen days.\\nComment. In all cases operated upon with the phenic\\nacid or any other caustic, it is of the utmost importance\\nto have every part of the ulcer thoroughly clean, as the\\npresence of pus, mucus, or any foreign matter is liable to", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0412.jp2"}, "405": {"fulltext": "Fig. 4.\\nShowing the Hospital Operations for Stretching and Enlarging the Anus in order\\nto cure a Fissure.\\n389", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0413.jp2"}, "406": {"fulltext": "390\\nFISSURE OF THE ANUS.\\nprevent the full action of the caustic. Should cleansing\\nthe ulcer start it to bleeding, it is useless to apply the\\ncaustic until the blood has ceased to flow and the ulcer\\nhas become perfectly dry. A failure to understand the\\nimportance of these little things, as they seem, has caused\\nnumerous failures in the caustic operations and afforded\\nexcuses for the terribly severe methods employed in most\\nof the hospitals.\\nCase XVI. (Painful Fissure of the Anus.)\\nDr. Cutler, 532 Tremont St., Boston, escorted a beauti-\\nful young lady, Miss M., to the Boston Clinic in 1898,\\nstating that she had a very painful fissure of the anus and\\nhad been advised to take ether and undergo the stretching\\noperation at the hospital an operation similar, to the one\\nshown in Fig. 4.\\nOf course I told her that such severe operative measures\\nwere unnecessary that she could be cured much easier\\nand quicker in another way; that she would not need\\nether; and would neither be confined to her bed nor room.\\nThe fissure was nearly an inch long the lower and outer\\nhalf being in the skin, and the upper and inner half in the\\nmucous membrane.\\nEvery part of it was wiped out with a tuft of cotton until\\nit was clean and dry then it was cauterized with the\\nmelted crystals of phenic acid until it was white a little\\nvaseline was rubbed over it to protect the adjacent parts;\\nand she was told to return in one week. At her second\\nvisit to the clinic the lower and outer part of the fissure\\nwas entirely healed, while the healing process had com-\\nmenced in the upper part. I applied the phenic acid\\nagain, and in another week she was entirely well. The\\noperations were painless.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0414.jp2"}, "407": {"fulltext": "PILES. 39!\\nPILES.\\nAnother name hemorrhoids.\\nThe medical term for this exceedingly common and dis-\\ntressing disease, is hemorrhoids, a Greek word meaning a\\nslow hemorrhage or bleeding.\\nPiles are small tumors varying in number from one or\\ntwo to a half dozen or more situated in the lower part\\nof the rectum, and consist of a network of enlarged and\\nmultiplied blood-vessels, covered by the mucous membrane\\nof the rectum.\\nThis membrane, in connection with the skin and other\\nparts, forms a sack that encloses the numerous veins,\\narteries, and smaller vessels of which a pile tumor is\\ncomposed, such a tumor being of a soft, pulpy nature, and\\nfull of blood.\\nCauses. The predisposing causes of piles are\\nFirst. Man s erect position that favors, through gravity,\\nthe downward pressure of the bowels upon the pelvis and\\nits organs so as to retard, more or less, the upward flow\\nof blood through the veins to the heart.\\nSecond. The absence of valves in the hemorrhoidal or\\npile veins, so as to prevent the blood on its way up the\\nbody to the heart from running back.\\nThird. Heredity.\\nThe predisposing causes of piles we cannot possibly\\navoid nor mitigate. We cannot walk, as the inferior\\nanimals do, with our bodies in a horizontal position; we\\ncannot supply our defective blood-vessels with valves and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0415.jp2"}, "408": {"fulltext": "3Q2 TILES.\\nwe cannot get rid of our inherited tendencies to the\\ndisease, if we have any.\\nThere is scarcely anything in connection with this sub-\\nject more important than a careful study of the exciting\\ncauses of piles, as they can usually be avoided or greatly\\nmodified.\\nThe exciting causes of the affection may be stated\\nbriefly as follows Pregnancy atonic dyspepsia defective\\ncirculation of the blood through the liver; constipation;\\nsevere purging, or what is quite as bad, the deplorable\\nhabit of taking physic for constipation sedentary habits,\\ngiving rise to indigestion, derangement of the liver, and\\nintestinal torpor over-eating the intemperate use of\\nalcoholic liquors irregular habits neglect to allow the\\nbowels to move at the proper time heavy work or lifting\\nin which the bowels are crowded downward and last but\\nnot least, over-work, mentally, through which so much\\nnerve force is consumed that there is not enough left to\\nstimulate sufficiently the many organs of the body, in\\nconsequence of which they fail more or less in the per-\\nformance of their different functions. Some writers claim\\nthat piles are almost as common among women as among\\nmen. This does not seem to be true, as the author, in\\ncounting a thousand cases of piles as they appeared in\\ntheir regular order in his case-books, found seven hundred\\nand twenty of them were men, and two hundred and\\neighty were women. His experience in Ohio and western\\nPennsylvania where he operated upon an immense number\\nof cases in the seventies was about the same as in the\\nBoston Clinic, showing that but little more than one-fourth\\nof all persons applying for treatment were females.\\nThe disease rarely occurs, if at all, during childhood,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0416.jp2"}, "409": {"fulltext": "EXTERNAL PILES.\\n393\\nand persons under twenty years old with fully developed\\npiles are so rare that even a specialist will see but few\\ncases in a lifetime.\\nIt has been the custom of writers for ages to divide\\npiles into two general classes, external and internal.\\nEXTERNAL PILES.\\nThese are small tumors situated near the anus, and are\\nof two varieties, namely\\ni. Thrombotic. 2. Cutaneous.\\nThrombotic Piles.\\nThis form consists of small, bluish tumors, usually\\nround or oval, near the anus; are always covered with\\nskin never go into the rectum, and each one consists of\\na clot of blood beneath the skin. The clot has a hard,\\nfirm feeling like a bullet it may be very near the surface,\\nor more deeply seated; may be tender and painful, or\\nalmost entirely free from pain and tenderness.\\nCauses. As thrombotic piles consist of blood clots,\\nthey are always the result of a hemorrhage in the tissues\\nbeneath the skin.\\nPlate V shows almost the exact appearance of a throm-\\nbotic pile.\\nSymptoms. Hard lumps, ranging in size from a small\\nbullet to that of a cherry, make their appearance suddenly\\nnear the anus, and are usually due to severe straining at stool\\nduring which blood-vessels are ruptured and hemorrhage\\noccurs beneath the skin. As blood soon fills the limited", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0417.jp2"}, "410": {"fulltext": "394\\nEXTERNAL PILES.\\nspace to which it is confined, it presses firmly upon the\\nmouth of the ruptured vessel and stops the bleeding the\\nclot, however, cannot get out, and a permanent thrombotic\\ntumor is the result. Tumors of this kind are especially\\nliable to take on an inflammatory action and develop an\\nabscess and as whatever causes an abscess near the anus\\nalmost always causes fistula in ano, or fistula in recto, the\\nimportance of getting rid of thrombotic piles as soon as\\npossible is very obvious.\\nTreatment. This is easy and painless, and always\\nsuccessful. An assistant directs a spray of chloride of\\nethyl upon the tumor for five or six seconds; it turns\\nwhite, the hoar-frost spreading all over it a small knife\\nwith a double edge is then passed through it in its longest\\ndirection, the cutting being painless the round and firm\\nclot bursts out quickly as a general thing, but if it does\\nnot it is scooped out with a small, spoonlike instrument\\ncalled a curette; and that is really the end of the trouble,\\nas the wound heals within a few days. There is no bleed-\\ning, and no after treatment is necessary, as the writer has\\nrarely known another clot to form in the sack after it has\\nbeen opened in this way.\\nCase XVII. (Thrombotic Piles.)\\nMrs. Emma Smith, Waltham, Mass., a lady whose\\ngeneral health was good, called at the Boston Clinic in\\nNovember, 1896, stating that she had protruding piles.\\nShe was having considerable pain, and was in mortal dread\\nof some terrible surgical operation. She was placed upon\\nthe table on her left side with her face to the wall, and\\ntwo large thrombotic tumors were found near the anus.\\nShe was frightened at the suggestion of a knife opera-\\ntion, as people usually are, but when assured that it would", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0418.jp2"}, "411": {"fulltext": "PLATE V.- THROMBOTIC .PILES", "height": "3944", "width": "2358", "jp2-path": "homepracticeofme00dail_0419.jp2"}, "412": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0420.jp2"}, "413": {"fulltext": "EXTERNAL PILES. 395\\nbe painless and almost bloodless, she decided to have the\\ntumors removed. A spray of the chloride of ethyl was\\nturned upon the largest one for a few seconds it turned\\nwhite a double-edged knife was passed through it the\\nclot popped out instantly was placed upon a sheet of\\nwhite paper and shown to the patient, who laughed, and\\nsaid the operation was simply fun. The other one was\\nremoved in the same way; the relief from suffering was\\ninstantaneous and the openings healed within two or\\nthree days.\\nCase XVIII. (Thrombotic Piles.)\\nSenator F of Maine, arrived at the Boston Clinic\\nin November, 1897, and was suffering with three throm-\\nbotic pile tumors, one of them being very large. Their\\ncause and nature were fully explained to him he was told\\nthat they were not really piles; but were clots of blood\\nunder the skin that their removal would be painless the\\nbleeding would be limited to a few drops and the cure\\nwould be perfect. A spray of the chloride of ethyl was\\nplayed upon the largest one it turned white in a few\\nseconds was opened in its longest direction with a double-\\nedged knife the clot, as large as a small cherry, was lifted\\nout with a curette, the operation from first to last being\\npainless. The others were removed in the same way\\nbefore he left the table, and he went home within a few\\ndays perfectly well.\\nCase XIX. (Thrombotic Piles.)\\nA. W. Fulton, merchant, Walpole, Mass., who had been\\ncured of a bad fistula in ano five years before at the Boston\\nClinic, applied to be examined again in the fall of 1897,\\nstating that he feared he had another fistula. An examina-\\ntion revealed a large thrombotic pile tumor that was tender", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0421.jp2"}, "414": {"fulltext": "39^\\nEXTERNAL PILES.\\nand somewhat inflamed. A spray of the chloride of ethyl\\nwas directed upon it for a few seconds it turned white\\nwas opened freely with the double-edged knife and the\\nclot was scooped out. He laughed over the painless opera-\\ntion and was well in forty-eight hours. It is more than\\nprobable that his fistula, causing him years of suffering,\\nstarted from a thrombotic pile very similar to this one.\\nCutaneous Piles.\\nThese are not piles at all, but are merely enlarged and\\nmultiplied folds of skin at the edge of the anus. To put\\nthe name in the plainest English, they are skin-piles. As\\na general thing they are not painful nor even tender, but\\nsometimes they become so. They are always a source of\\nuncleanliness, and, for this reason, if no other, are a con-\\nstant annoyance, and should be removed.\\nCauses. They are generally caused by severe constipa-\\ntion and frequent attacks of piles.\\nTreatment. It is best to avoid removing these skin-tumors\\nwhen they are inflamed and swollen, as it is hard, when they\\nare in such condition, to tell how much of each one should\\nbe taken off. The way in which the writer removes these\\nso-called tumors at the Boston Clinic is as follows An\\nassistant directs a spray of ethyl chloride upon the one to\\nbe removed it turns white with frost in from five to ten\\nseconds as soon as every part of it is whitened in this\\nway, the curved scissors are closed upon it, cutting it off.\\nThe scissors are not felt it only bleeds a few drops no\\nafter treatment is necessary; and the small wound soon heals.\\nIn order to avoid any smarting from the chloride of ethyl", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0422.jp2"}, "415": {"fulltext": "PLATEVL-SHOWING THE PATHOLOGY OF INTERNAL HEMORRHOIDS\\nA. Superior Hemorrhoidal Veins.\\nB. Middle\\nC. Inferior\\nD. Hemorrhoidal Plexus by removal of tlie Mucous Membrane.\\nE. Protruding Internal Hemorrhoids covered by the Mucous Mem brana.\\nURK S McFETBIDCE CD LITE PHIL A", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0423.jp2"}, "416": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0424.jp2"}, "417": {"fulltext": "INTERNAL PILES. 397\\nas it melts, the wound, in all cases, should be covered with\\ncarbolized vaseline as soon as possible after the cutting\\nis done, as this protects it from the drug, and is also a\\nvaluable antiseptic.\\nINTERNAL PILES.\\nThese are a hundred fold more serious and distressing\\nthan the external variety. They consist of a network of\\nenlarged and multiplied blood-vessels; are covered by\\nmucous membrane instead of skin are of a red, or bluish-\\nred color and from the time they first appear until they\\nare destroyed by the proper treatment, or until the patient\\ndies, from some cause, they generally maintain a steady\\ngrowth. Plate VI affords a beautiful view of the anus and\\nlower part of the rectum. In this drawing the muscles\\nthat close the anus are cut through the rectum is opened\\nfor a few inches; part of its mucous membrane is cut\\naway and the pile veins are uncovered. The dark part\\nat the lower border of the drawing represents the pile-\\nbearing inch, or inch and a half, and piles are never found\\nabove its upper margin. When the anus is closed the\\nnumerous pile tumors observed in the pil e-bearing inch and\\na half are crowded together they completely fill the pas-\\nsage and there is no chance for the stool to escape until\\nthey are all forced outside and become protruding piles.\\nSymptoms. In the majority of cases, the first symptom\\nof piles observed by the patient, is bleeding from the\\nbowels when he is at stool. This may occur occasionally,\\nfor two or three years, the bleeding gradually becoming\\nmore frequent and profuse: at first the piles are small;", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0425.jp2"}, "418": {"fulltext": "398\\nINTERNAL PILES.\\nprotrude but little and return without being pressed back\\nby the hand but as time goes on they become larger,\\ntheir growth being regular, like that of a young animal;\\nand finally they get so large, they have to be forced back\\nwith the fingers, after each movement of the bowels they\\nstill continue to enlarge bleeding may be more and more\\nprofuse heavy, agonizing pains are liable to be frequent\\nthere is often a burning sensation in the anus the patient\\nmay be so pale, weak, and emaciated from loss of blood,\\nas to be a complete invalid and meanwhile the piles get\\nlarger and larger, with greater and greater tendencies to\\nprotrude, until they come down a dozen, or even twenty\\ntimes per day.\\nPlate VII shows the exact appearance of an average\\ncase of protruding and bleeding piles. It is important for\\nevery one to know that internal piles, when once fairly\\nstarted, have a regular growth, like a tree or plant and\\nthat the increase in size and number of blood-vessels of a\\npile tumor is in direct proportion to its enlargement that\\nthe bleeding increases in severity and frequency with the\\nincreasing age of the piles and patient and that internal\\npiles, as a rule, never get their full growth, but keep get-\\nting larger and larger as long as a person lives. The\\nexperience of almost every one who has had piles for\\nthirty, forty, fifty, or sixty years, is about the same as that\\nof the German who said So much older I gets, so much\\nbigger grows, by Jesus Christ, my piles.\\nTreatment. The palliative treatment, so far as salves\\nand ointments are concerned, amounts to but little but as\\npiles are caused mainly by constipation or the abuse of\\nphysic, it is evident that any changed conditions in the life\\nand habits of the patient that will cause regular, easy, and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0426.jp2"}, "419": {"fulltext": "Xg,\\nPLATE VII. -PROTRUDED HEMORRHOIDS WITH PROLAPSED\\nMUCOUS MEMBRANE.", "height": "3875", "width": "2366", "jp2-path": "homepracticeofme00dail_0427.jp2"}, "420": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0428.jp2"}, "421": {"fulltext": "INTERNAL PILES.\\n399\\nnatural movements of the bowels will have a strong ten-\\ndency to retard the growth of the pile tumors. The pallia-\\ntive treatment, therefore, is entirely hygienic, and consists\\nin the absolute avoidance of physic leaving off meats of\\nevery kind living upon fruits and vegetables and always,\\nexcept when the stools are soft and the bowels move easily,\\nusing injections of warm water before going to the closet.\\nFor further information the reader is referred to the chap-\\nter How to Prevent Piles, Fistula, and Fissure, and\\nassured that the advice therein given, if carefully followed,\\nwill not only prevent those diseases, but will cure a great\\nmany cases of piles.\\nThere is scarcely anything easier and quicker than the\\ntotal destruction and permanent cure of piles and to re-\\nmove them with the knife, the clamp, and scissors, or\\nwith the ligature, is as cruel as it is unnecessary; and\\nis like using a sledge-hammer to drive a tack.\\nThe modern treatment for destroying protruding piles;\\nbleeding piles that never show themselves on the outside\\nand every form of the disease that can be called a pile\\ntumor, is the one discovered by the author away back in\\nthe seventies, and has been used by him in thousands of\\ncases. It consists in touching the pile structure with a\\ndrug that renders it insensible for a few minutes then\\npiercing it with a hypodermic needle, that is painless and\\ninjecting it, from bottom to top, with a solution that causes\\nno pain, and yet is strong enough to destroy the blood-\\nvessels of the tumor.\\nAs soon as a pile is treated in this way it begins to\\nperish, as the supply of blood necessary to its life and\\ngrowth is cut off. By the second day it has a dark,\\nmottled appearance; by the fourth it is black; and by", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0429.jp2"}, "422": {"fulltext": "400\\nINTERNAL PILES.\\nthe seventh or eighth day it has fallen off and disappeared\\nforever.\\nIt is the total destruction of the entire pile sack, with all\\nits enlarged and manifold blood-vessels, that makes the\\ninjection method, if properly used, absolutely perfect; and\\nnothing can be said truer than this is the 07ily treat-\\nment or operation that will destroy every part of a pile tumor\\nwithout including some of the adjacent parts it is the only\\nbloodless and painless method the only one that will permit\\npatients to work or atte?id to business while being cured it\\nis the only kind of treatment that is always successful the\\nonly kind that neither requires ether nor chloroform and\\nthe only kind that is always free from danger. The hypo-\\ndermic syringe is now used in ninety-five per cent of all\\nthe cases that are cured; the length of time required to\\neffect a perfect cure is from one to three weeks and the\\npatients only have to be treated once per week.\\nPlate VIII shows most beautifully and accurately the\\nkind of operations that are performed in almost all the\\nhospitals; and the kind that are still taught and advised\\nin most of the medical colleges but, fortunately for man-\\nkind, most of the rectal specialists have entirely abandoned\\nsuch torturing and dangerous methods. The facts favor-\\ning the universal employment of the hypodermic syringe\\ninstead of the clamp, scissors, and cautery, as shown in the\\nplate, are as follows\\nFirst. The treatment with the hypodermic is almost, if\\nnot entirely painless.\\nSecond. Neither ether nor chloroform is ever required.\\nThird. Patients are neither confined to bed nor room\\nduring treatment, but can work or attend to their usual\\nbusiness affairs.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0430.jp2"}, "423": {"fulltext": "PLATE VIII -CLAMP ADJUSTED AND SCISSORS\\nIN POSITION FOR EXCISION OF HEMORRHOIDS.", "height": "3935", "width": "2374", "jp2-path": "homepracticeofme00dail_0431.jp2"}, "424": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0432.jp2"}, "425": {"fulltext": "INTERNAL PILES. 401\\nFourth. The injection method never fails when properly\\nused, as an experienced surgeon always fills the entire pile\\nsack with the solution, and the whole of the diseased struc-\\nture is therefore destroyed.\\nFifth. While it destroys every part of a pile tumor, it\\nnever injures the adjacent flesh.\\nSixth. Internal piles are long, as shown in Fig. 6, and\\nit is only the lower portions of such piles that can be re-\\nmoved by the clamp and scissors, while the hypodermic\\nneedle is passed up far enough to fill the pile sack from\\nbottom to top and destroy it all, including the network of\\nenlarged blood-vessels.\\nSeventh. Piles cured in this way rarely, if ever, return,\\nas the whole of the tumors, and not merely the lower parts,\\nare destroyed.\\nEighth. The hypodermic method is always free from\\ndanger.\\nThe objections to the knife; to the ligature and to the\\nclamp and scissors, with the white-hot iron are as follows\\nFirst. All of these methods are intensely severe\\nthey cause a great deal of suffering; are more or less\\ndangerous and confine patients to bed for weeks.\\nSecond. In half the cases applying for treatment at\\nthe Boston Clinic, the piles don t come down at all,\\nbut have to be found and treated through the aid of\\nthe speculum illuminated with an electric lamp, and it is\\nimpossible for such piles to be reached and destroyed by\\nthe clamp and scissors or any similar methods.\\nThird. As piles are usually long, as shown in Fig. 6,\\nit is only their lower portions that can be brought down\\nlow enough to be grasped by the clamp and cut off with\\nthe scissors, and for this reason the cure is imperfect.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0433.jp2"}, "426": {"fulltext": "402\\nINTERNAL PILES.\\nFourth. The cutting methods are usually attempted\\nby omnibus surgeons surgeons for everything who\\nhave had but limited experience with diseases of the\\nrectum and their operations often fail, rendering other\\noperative measures, with consequent suffering and loss\\nof time, necessary.\\nFifth. Stricture of the anus, causing the movements\\nof the bowels to be painful and difficult; injuries to the\\nmuscles through which the patient loses the power to\\ncontrol his bowels, and is forced to wear a napkin and\\ntraumatic fissures painful ulcers more distressing than\\npiles themselves are some of the deplorable misfortunes\\nresulting from the clamp and scissors.\\nSixth. The greatest and most important objection to the\\nknife, ligature, or scissors, is that people will not submit to\\nsuch methods that ninety-nine per cent of the human\\nrace will carry their afflictions with them to the grave\\nin preference to undergoing such frightful operations,\\nwith all the pain, confinement, and dangers they involve.\\nIt is a knowledge of these horrible and difficult plans of\\ntreating diseases that can be cured by mild and painless\\nmeasures, that has intimidated the people and causes them\\nto regard with mortal dread any means whatever for the\\ncure of piles, fistula, or fissure and it is the accounts of\\nthe bloody and unfortunate operations reaching the eyes\\nand ears of the people through the various hospital reports\\nthat cause them to be seized with fear when considering\\nany treatment for diseases of the rectum. For these\\nreasons it has been a hard and time-consuming task to\\nteach thousands upon thousands who are suffering with\\nsuch diseases that scientific unfoldments have given the\\nworld painless remedies, and painless appliances for the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0434.jp2"}, "427": {"fulltext": "Fig. 5.\\nShowing Protruding Piles and their High Attachment.\\n403", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0435.jp2"}, "428": {"fulltext": "404\\nITCHING PILES.\\ncure of piles of every variety and that the progressive\\nphysicians and surgeons of the day are using them.\\nITCHING PILES.\\nOther names pruritus ani itching of the anus ec-\\nzema of the anus.\\nThis is the most aggravating; the most sleep-disturbing;\\nthe most rest-preventing and the most profanity-excusing\\naffliction that mankind has ever known and unless its\\ncauses are understood it is almost impossible to cure it.\\nCauses. The predisposing cause is heredity; and any\\none with an inherited tendency to eczema, tetter, salt-rheum,\\nor scall all different names for the same disease is\\nespecially liable to have itching piles and it is doubtful\\nif piles would cause itching at all among those in whom\\nno such hereditary tendencies exist.\\nThe exciting causes of the disease are, piles salt-rheum;\\nconstipation and straining at stool alcoholic liquors the\\nexcessive use of tea and coffee and pinworms.\\nMany cases are found in which there is no appearance\\nof piles cases in which the lighted speculum, when\\ninserted into the bowel, reveals nothing like them yet\\nin the vast majority of patients that have been treated\\nat the Boston Clinic, piles were found and in many\\ninstances the itching ceased forever when the pile tumors\\nwere destroyed.\\nSymptoms. The disease comes on gradually, as a\\ngeneral thing the itching usually begins at night soon\\nafter the person is warm in bed may only be felt\\noccasionally for months; but its tendency, as time goes", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0436.jp2"}, "429": {"fulltext": "ITCHING PILES.\\n405\\non, is to become more frequent, and also more severe;\\nand, sooner or later, the itching gets to be an every-night\\naffliction as it gets worse and worse the patient often\\nbecomes worn out for want of rest, and in a half-awake\\nand half-asleep condition spends the whole night in\\nscratching and breaking one of the commandments.\\nTreatment. Piles of every kind should be destroyed as\\nsoon as possible, if they exist, and no one can be cured\\nuntil this is done. If the skin around the anus is whiter\\nthan that of other parts, and has the appearance of being\\nbleached by a poultice, it shows that it is bathed and\\nmacerated in a self-secreting moisture and that the moist\\ndischarge from the skin is caused by salt-rheum. The best\\ntreatment in such a case and the one that will always\\ncure the salt-rheum and stop the itching if properly carried\\nout, is the following\\nCorrosive sublimate, six grains,\\nWater, one pint.\\nMix and take a teaspoonful before each meal.\\nAt the same time the following should be used every\\nnight externally\\nCorrosive sublimate, eight grains,\\nBrandy, eight ounces.\\nMix and apply every night to the parts affected, using\\na small sponge for the purpose. In order to hasten the\\ncure it is sometimes desirable to use the wash in the\\nmorning also. The skin around the amis should be kept\\nperfectly clean with warm water and soap and as the\\ndisease is very chronic and stubborn in its nature, the\\ntreatment, both internally and externally, should be con-\\ntinued for several months.\\nThe disease that always causes the moist discharge;", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0437.jp2"}, "430": {"fulltext": "406\\nITCHING PILES.\\nthat is the main cause of the terrible itching and that is\\nknown, unfortunately, by four names instead of one is\\nalways cured, finally, by this treatment; but it must be\\nremembered that all kinds of intoxicating liquors aggra-\\nvate the itching, and also aggravate the doctor who is\\ntreating the case and that it is next to impossible to cure\\na bad case if the patient is determined to drink whiskey,\\nbrandy, wine, gin, rum, beer, or intoxicants of any kind.\\nIf the trouble is caused by threadworms the itching is\\ngenerally in the anus or very near it, rarely extending to\\nadjacent parts as it does in other cases.\\nFor this variety take the following\\nSantonine, fifteen grains,\\nCalomel, five grains.\\nMix and divide into five powders and take a powder\\nevery three hours, commencing early in the morning.\\nWhen all are taken they should be worked off with\\na full dose of castor oil. This treatment is calculated\\nto get rid of all the worms, but fearing some might be\\nsecreted in the folds of the rectum it is well to inject\\nthe following\\nCarbolic acid, three drachms,\\nWater, one pint.\\nMix and inject it all into the rectum at once, if it will\\nhold that much, and after two or three minutes it should\\nbe forced out, and about a pint of warm water injected\\nto rinse out the lower bowel and get rid of all the drug.\\nThe worms, if any, will be killed.\\nThere is a form of this disease that has a very obvious\\ncause, when properly understood, but the real cause is\\nvery liable to be overlooked. In this variety there is\\nno appearance of salt-rheum none whatever and the", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0438.jp2"}, "431": {"fulltext": "Fig. 6.\\nShowing the Hospital Methods of Burning the Stump with a Hot Iron after\\nPiles are removed with Scissors.\\n407", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0439.jp2"}, "432": {"fulltext": "408 ITCHING PILES.\\nlighted speculum when introduced so as to explore every\\nside of the rectum, reveals no piles, and yet there are piles,\\nand they cause the itching. Very small, bluish tumors,\\nnot larger than a pea, are found in the edge of the anus,\\nand their covering is so thin and delicate that it is hard to\\ntell whether it is skin or mucous membrane. As soon as\\nthey are destroyed the itching entirely ceases.\\nCase XX. (Itching Piles.)\\nMr. D. applied for treatment at the Boston Clinic in\\nJanuary, 1893, and had been terribly distressed with the\\nitching for ten years had tried a multiplicity of remedies\\nand had been treated by half a dozen doctors, including\\nseveral rectal specialists and had received no permanent\\nbenefit. There was no evidence of salt-rheum nothing to\\nindicate the flow of moisture characteristic of that disease\\nand there seemed to be no piles. At his second visit, how-\\never, I discovered the little blue lumps that were less than\\nan average pea, and as I could find nothing else to account\\nfor the terrible and long-continued itching, I determined\\nto destroy them.\\nThey were too small and undefined to be treated by the\\nhypodermic injections, and I therefore treated them with\\na paste made of fresh lime, one ounce caustic potash, one\\nhalf ounce absolute alcohol, a sufficient quantity to make\\na paste as soft as vaseline. In order to avoid the terrible\\npain that this paste causes, the tumors were touched with\\nthe strongest carbolic acid turned perfectly white and\\nthen the paste was applied. Each tumor turned black as\\nsoon as touched by the paste the latter was wiped off\\ninstantly with a soft cloth, and olive oil put on to stop the\\neffect of the paste. Some four or five of the little tumors\\nwere treated in this way, and the itching never occurred", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0440.jp2"}, "433": {"fulltext": "ITCHING PILES.\\n409\\nagain. The cure was perfect. The destruction was very\\nlimited, being confined to a network of small vessels just\\nbeneath the thin skin in the edge of the anus, and the\\npatient was well within ten days.\\nIf the carbolic acid as here directed is applied freely;\\nthe paste rubbed off in two seconds and the olive oil put\\non immediately there will be no pain to amount to any-\\nthing.\\nCase XXI. (Itching Piles.)\\nDr. J. E. Patrick, 74 Boylston St., Boston, applied for\\ntreatment at the Boston Clinic in January, 1893, and was\\nterribly afflicted with itching piles. There were five or six\\npile tumors of considerable size and all inclined to protrude.\\nI operated upon three of them on Friday morning, using\\nthe hypodermic syringe and on the following Monday I\\noperated on two or three more, destroying all of them\\nwithin three days. The itching that had lasted for years\\nentirely ceased after the second operation, and he has been\\nfree from trouble ever since.\\nCase XXII. (Itching Piles.)\\nMr. H., aged 40 fair complexion with beautiful skin\\napplied for treatment at the Boston Clinic June, 1897. He\\nstated that he had had itching piles for several years that\\nevery effort to get any permanent benefit had been a\\nfailure and that the trouble had increased until life had\\nbecome a burden. An examination with the lighted rectal\\nspeculum revealed no piles whatever the skin was broken\\nout with an eruption extending several inches in every\\ndirection from the anus there was a bleached appearance\\nof the skin surrounding the anal orifice, due to a gradual\\nflow of moisture and the poor fellow had almost torn the\\nskin to pieces with his finger nails. This was a pure and", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0441.jp2"}, "434": {"fulltext": "4io\\nITCHING PILES.\\nsimple case of salt-rheum except that it had been aggra-\\nvated by intoxicating liquors. The following was given\\ninternally for two months\\nCorrosive sublimate, six grains,\\nWater, one pint.\\nMix and take a teaspoonful before each meal. At the\\nsame time the following mixture was applied externally\\nCorrosive sublimate, eight grains,\\nBrandy, one half pint.\\nMix and apply night and morning with a small sponge,\\nrefraining from the use of ointments of every kind and\\nkeeping the parts clean with soap and water. Within five\\nor six weeks he was entirely well, the skin being free from\\neruption, and also free from itching.\\nCase XXIII. (Internal and Itching Piles.)\\nMrs. Emma H. Arnold, music teacher, Linden, Mass.,\\nentered the Boston Clinic for treatment in January, 1893.\\nShe had been suffering for years from internal piles, and\\nalso from terrible itching. The Daily rectal speculum,\\ncarrying a small electric lamp in its wall, was introduced.\\nWhen the piles were found they were destroyed by filling\\neach pile sack with a solution of phenic acid, a hypodermic\\nsyringe with a very long needle being used for the purpose.\\nThe operations with the syringe were painless, as they\\nusually are, and the piles were all destroyed in two or\\nthree weeks.\\nTo get rid of the eczema around the anus the following\\nwas given\\nCorrosive sublimate, six grains,\\nWater, one pint.\\nMix and take a teaspoonful before each meal. At the\\nsame time the following was used externally", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0442.jp2"}, "435": {"fulltext": "ITCHING PILES. 411\\nCorrosive sublimate, eight grains,\\nBrandy, eight ounces.\\nMix and apply night and morning to the parts affected,\\nusing a small sponge for the purpose. She was entirely\\nwell within a month and has had no return of the piles nor\\nthe itching.\\nCase XXIV. (Internal Piles.)\\nGeorge E. Messer, 73 Haverhill St., Boston, age 56,\\nentered the Boston Clinic January, 1893, with internal piles\\nfrom which he had suffered for many years. The pile\\ntumors were easily found by means of the author s speculum,\\nwhich is always lighted with a tiny electric lamp a hypo-\\ndermic syringe having a long needle was used a pile sack\\nwas filled with a solution of pJienic acid, the operation being\\npainless two other tumors were treated in the same way\\non the corresponding day of the following week, and so on\\nuntil all were destroyed. He was entirely cured in three\\nweeks and attended to his usual business during the treat-\\nment.\\nCase XXV. (Protruding Piles. A terribly bad case.)\\nAlba Woods, engineer, North Lunbridge, Vt, age 49,\\nentered the Boston Clinic as a patient in January, 1893,\\nand was suffering from the worst form of protruding piles\\nimaginable. The tumors were extremely large, and in\\norder to keep them from coming down he was compelled\\nto wear a pile truss that was held in position by straps over\\neach shoulder, like suspenders. I used a hypodermic\\nsyringe and commenced the treatment by filling one of the\\nlarge tumors with a solution of phenic acid y the operation\\nbeing painless; and on the corresponding day of the\\nfollowing week two other tumors were treated in exactly\\nthe same way, and so on until all were destroyed, the cure", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0443.jp2"}, "436": {"fulltext": "4 I2 ITCHING PILES.\\nbeing completed within three or four weeks. He attended\\nto his usual business while being cured.\\nCase XXVI. (Protruding and Bleeding Piles.)\\nCharles F. Tenney, night watchman at the State House,\\nBoston, age 50, entered the Boston Clinic as a patient in\\nApril, 1893. He had large protruding piles from which he\\nhad suffered for fifteen years or more. I used a hypodermic\\nsyringe and filled two of the pile sacks with a solution of\\nphenic acid which caused their total destruction. On the\\nsame day of the following week I treated two other tumors\\nin the same way he was entirely cured within two or\\nthree weeks, all the operations being painless, and he\\nattended to his usual duties.\\nCase XXVII. (Protruding Piles.)\\nSamuel Vaughan, letter carrier, 2 161 Washington St.,\\nBoston, age 56, entered the Boston Clinic in April, 1893,\\nwith very bad protruding piles from which he had suffered\\nfor twenty-five years. Although they were exceedingly\\nlarge, I destroyed them all in two or three treatments, and\\nhe has been free from the disease ever since. A hypoder-\\nmic was used two pile sacks were filled with a solution of\\nphenic acid, which was painless and on the same day of\\nthe next week two other piles were treated in the same\\nway, and so on until all were destroyed. He attended to\\nhis business during the treatment.\\nCase XXVIII. (Protruding Piles.)\\nProfessor Alex. Mirault, 486 Fletcher St., Lowell, Mass.\\nage 49, entered the Boston Clinic in May, 1893, with large,\\nprotruding piles, from which he had suffered for more than\\ntwenty years. I used a hypodermic syringe and filled two\\nof the pile tumors with a solution of phenic acid, the opera-\\ntion being painless. In one week from that day I treated", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0444.jp2"}, "437": {"fulltext": "ITCHING PILES. 413\\nthe rest of the tumors the same way, and he was well\\nwithin two weeks from the time he first entered the clinic.\\nCase XXIX. (Protruding Piles.)\\nMrs. Helen Broughton, 103 Trenton St., East Boston,\\nbecame a patient in the Boston Clinic in June, 1893, and\\nhad suffered with protruding and bleeding piles for more\\nthan twenty years. The tumors were large and numerous.\\nI used a hypodermic syringe and filled one of the pile\\nsacks with a solution of phenic acid, the operation being\\npainless, as usual and on the same day of the next week\\nI treated another, and so on until all were destroyed. She\\nattended to her usual duties all the time and has been free\\nfrom the trouble ever since.\\nCase XXX. (Bleeding Piles. A terrible case.)\\nH. C. Thrasher, chairmaker, Erving, Mass., age 50,\\ncame to the Boston Clinic in October, 1894, and was the\\nworst case of bleeding piles I had ever seen. Though in\\ngood flesh, he was pale as a spook from loss of blood, and\\nwas very weak. The piles were of immense size, and\\nblood spurted in several directions from one of the large\\ntumors. As I wished to stop the terrible flow of blood\\nI injected six drops of solution of subsulpliate of iron into\\nthe tumor that was spurting blood all over the table. It\\nstopped the bleeding instantly and destroyed the entire\\ntumor within a week. On the same day of the following\\nweek I destroyed two large tumors by filling the pile sacks\\nwith p/ie fiic acid solution, using a hypodermic syringe, and\\nthe patient was entirely cured within three or four weeks.\\nThe operations were all painless except when the solution\\nof iron was injected.\\nCase XXXI. (Protruding Piles. A very bad case.)\\nRobert Buttervvorth, 11 South Whipple St., Lowell,", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0445.jp2"}, "438": {"fulltext": "414\\nITCHING PILES.\\nMass., entered the Boston Clinic in November, 1894, and\\nwas suffering with protruding and bleeding piles of the\\nworst form. The tumors had been growing for twenty-\\nfive years, and were of immense size. I operated upon\\ntwo of them immediately with a hypodermic syringe,\\nfilling the pile sacks with a solution of phenic acid. They\\nwere entirely destroyed within a week others were treated\\nin the same way on the corresponding day of the next\\nweek, and so on until all were destroyed. He was cured\\nwithin three weeks all the operations were painless he\\nattended to business while being cured and is now free\\nfrom the disease.\\nCase XXXII. (Internal Piles with Bleeding.)\\nFrank P. Piper, Laconia, N. H., came to the Boston\\nClinic in 1895, with a number of painful pile tumors that\\nhad troubled him for several years. I used the hypoder-\\nmic syringe and filled two of the pile sacks with a solution\\nof phenic acid the operations were painless and the\\ntumors were destroyed within a week. The others were\\ntreated in the same way, two tumors being destroyed each\\nweek; and he was thoroughly cured in three weeks,\\nattending to his usual business while being cured.\\nCase XXXIII. (Protruding Piles. Very bad.)\\nMrs. Emma F. Hill, 30 Church St., Watertown, Mass.,\\ncame to the Boston Clinic in January, 1897, with protrud-\\ning and bleeding piles in an aggravated form, the tumors\\nbeing very large. I used a hypodermic syringe and filled\\none of the pile sacks with the solution of phenic acid, the\\noperation being painless. The other pile tumors were\\ndestroyed in the same way, two being treated each week\\nuntil all were destroyed. She attended to her usual duties\\nduring the treatment and is now free from the disease.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0446.jp2"}, "439": {"fulltext": "PAINLESS TREATMENT HOW DISCOVERED.\\n415\\nCase XXXIV. (Protruding Piles.)\\nMrs. D. C. Elliott, Penacook, N. H., came to the Boston\\nClinic in April, 1897, w i tn protruding piles of many years\\nduration. She was in a hurry to return home, and I\\ntreated all the piles she had before she left the table.\\nI used a hypodermic, filling every pile sack with a solution\\nof phenic acid the operations were almost painless and\\nshe was entirely well within ten days.\\nCase XXXV. (Protruding Piles.)\\nEdward Griffith, banker, 35 Mount Vernon St., Boston,\\nMass., age 49, entered the Boston Clinic in July, 1898.\\nHe had been suffering for many years with protruding\\npiles, the tumors being large and very much inclined to\\nprotrude. Sometimes they would come down a dozen\\ntimes per day and have to be pushed back. I immediately\\ntreated two of them with a hypodermic syringe, filling\\neach pile sack with a solution of phenic acid, the opera-\\ntions being painless. The other tumors were treated in\\nthe same way, two being destroyed each week, and he was\\npermanently cured within three weeks. He attended to\\nbusiness while being cured.\\nHOW THE PAINLESS TREATMENT WAS\\nDISCOVERED.\\nIn the early seventies I was practising medicine and\\nsurgery in Salina, Kansas. A child was brought to my\\noffice with a purple tumor upon its right cheek, and the\\nparents wanted it removed, if possible, without leaving\\nany scar. I knew of no way in which to get rid of it\\nexcept to cut it out with the knife, and although it was", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0447.jp2"}, "440": {"fulltext": "41 6 PAINLESS TREATMENT HOW DISCOVERED.\\nnot larger than a small cherry, I knew the knife operation,\\nat best, would leave a scar. I consulted a new work on\\nsurgery by S. D. Gross, and found a beautiful description\\nof the tumor that was disfiguring the cheek. Professor\\nGross advised the removal of all such tumors by injecting\\ninto them a few drops of subsulpJiate of iron, known as\\nMonsel s solution. I was assured by Gross that such\\ntreatment was free from danger; and that the tumors\\nwould be destroyed within a week, leaving but little, if any\\nscar. This was called a venous tumor by Gross looked like\\na venus-pile tumor and like a pile, consisted of a network\\nof blood-vessels. I pushed a hypodermic needle into the\\ncentre of the tumor and forced out about four drops of the\\niron solution. The structure immediately increased in size\\na little; became harder; and I feared I had injected too\\nmuch of the drug but after the patient recovered from\\nthe chloroform there was no distress to speak of. The\\ntumor was entirely gone within a week; the sound flesh\\nwas uninjured and the little girl s face was not disfigured\\nat all by the operation. Every trace of the tumor was\\nremoved.\\nThis experience led me to think seriously of trying\\nthe same treatment upon a case of piles, my principal\\nencouragement being the similarity of the two in appear-\\nance and structure. A few months later a man came into\\nthe office with a protruding pile tumor that had been\\ncoming down frequently and causing him a great deal\\nof annoyance.\\nOf course I felt that I was going upon untrodden and some-\\nwhat dangerous ground, but all the reason I could exercise\\nfavored the idea of injecting into the pile tumor the same\\nkind of solution that had given such perfect satisfaction in", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0448.jp2"}, "441": {"fulltext": "PAINLESS TREATMENT HOW DISCOVERED. 4x7\\ndestroying the tumor upon the face, and I decided to try-\\nit. I injected six drops of the iron solution into the large\\npile tumor, and it caused severe smarting pain for about\\nfifteen minutes. When the smarting ceased there was but\\nlittle if any pain left, and the patient attended to his usual\\nbusiness on the following day. The pile was entirely de-\\nstroyed within a week. I saw at once that the success of\\nthe treatment depended upon a beautiful principle, namely\\nThe coagulation of the blood and destruction of every\\nblood-vessel in the pile sack, and felt sure that it would\\nalways succeed. ahvays lias. I realized that I had\\nmade a great and valuable discovery that millions would\\nrejoice to learn of such a quick and bloodless way in which\\nto get rid of their afflictions and that the old torturing\\nmethods would be abandoned forever. A great many other\\ncases were cured by injecting the iron solution into the pile\\ntumors. My brother, Dr. S. J. Daily, who was practising\\nwith me, operated upon many cases the treatment was\\nalways a perfect success and it was through this discovery\\nthat he and I both became specialists in Diseases of the\\nRectum. He established himself in Kansas City, and the\\nGovernor of Kansas was one of his distinguished patients to\\nbe cured by the new method. I opened offices in Cincinnati.\\nThere never has been, and there never can be, a more\\nthorough treatment for piles than spurting a few drops of\\nsubsiilphate of iron into the pile sack, as a pile cannot live\\na minute after it is treated in this way. When, in 1872, I\\nwas told by S. D. Gross, in his voluminous work on surgery,\\nto destroy the unsightly tumor upon the child s cheek by\\ninjecting it with the iron solution, a soul-thrilling thought\\nentered my brain, and I exclaimed Great heavens That\\ntreatment will cure every case of piles on earth.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0449.jp2"}, "442": {"fulltext": "4i8\\nPAINLESS TREATMENT HOW DISCOVERED.\\nAfter an experience of a few months, in which I used\\nthe iron treatment about twenty times, I found I could\\navoid almost all the smarting pain the iron solution gave\\nif I injected a third of a grain of morphine into the arm\\na few minutes before each operation.\\nThe iron solution is superior in some respects to every\\nother method of treatment, the only objection to its use\\nbeing the smarting pain that lasts for fifteen minutes after\\neach operation. Its advantages over other methods by\\ninjection are as follows\\nFirst. If a pile tumor is spurting blood in every direc-\\ntion, it stops the bleeding instantly and forever.\\nSecond. The solution destroys all the blood-vessels from\\nthe bottom to the top of the pile tumor, but not being a\\ncaustic, it only destroys enough of the pile sack to allow\\nits contents to escape, the opening in the mucous mem-\\nbrane being comparatively small.\\nThird. Nothing can be more thorough than its action\\nin destroying the pile veins and preventing a return of the\\ndisease.\\nI found in practice, however, that the fifteen minutes of\\npain that always followed each operation was a serious\\nobjection to the iron treatment; that many persons were\\nopposed to the use of morphine in any way; that some\\nwere frightened when told it was necessary and that the\\npain was a constant source of trouble and anxiety. This\\nled me once more into the realm of investigation and dis-\\ncovery and after a year or more of study, research, and\\nexperimenting, I worked out and perfected the painless\\ntreatment that I have used ever since, and that I have\\nemployed almost wholly since opening the Boston Clinic\\nin 1892.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0450.jp2"}, "443": {"fulltext": "HOW TO PREVENT PILES, FISTULA, AND FISSURE. 4I g\\nDr. Milton W. Mitchell, of Jacksonville, 111., also\\ncommenced using the hypodermic syringe in the early\\nseventies, and made a business of curing piles in that way,\\nbut what drug or solution he injected I do not know, as his\\nmethod has never been published that I am aware of.\\nFrom 1875 to 1879 I did an immense business in rectal\\nsurgery at Youngstown, Ohio, and had a clinic there in\\nwhich I taught a great many doctors the new and painless\\nmethods of operating upon hemorrhoids and it was prob-\\nably in this way that a man by the name of BrinkerhofT,\\nlearned the method as I used it at that time. He travelled\\nover the United States and sold the discovery to a great\\nmany doctors, and the formula that he gave them is known\\nto-day as the BrinkerhofT treatment. It is quite severe\\nas compared with my present treatment.\\nHOW TO PREVENT PILES, FISTULA, AND\\nFISSURE.\\nIt is highly probable that ninety per cent of all the cases\\nof piles a very large per cent of the cases of fistula in ano\\nand fistula iit recto and at least ninety-nine per cent of\\nthe cases of anal fissures are caused by constipation and\\nsevere straining at stool and therefore, any person suffer-\\ning from constipation in an aggravated form is warranted\\nin making many sacrifices in order to get rid of it, as it is\\nalmost sure, sooner or later, to develop piles and other\\ntroubles.\\nThe causes of constipation are very obvious and unless\\nthey are studied and avoided by the patient no treatment\\ncan be successful. The disease, if it is a disease, is caused", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0451.jp2"}, "444": {"fulltext": "420\\nCONSTIPATION.\\nin almost all cases by the use of food that is so highly-\\nnutritious that but little of it is necessary to nourish the\\nbody and as such food only occupies a very small part of\\nthe intestinal canal frequently not more than one-tenth\\nof it the bowels have scarcely anything to act upon.\\nThe intestines being from twenty-five to thirty feet long,\\nare capable, when the stomach is included, of holding\\nmany pounds of food and liquid; and if the amount\\nhabitually taken by a person is sparingly nutritious he is\\ncompelled to eat enough of it during the three meals\\nper day to keep his bowels pretty well filled; and when\\nstimulated throughout their entire course by the presence\\nof fruits and vegetables in abundance articles of great\\nvolume and little nutrition they are kept normally\\nenergetic in their muscular action; their secretions are\\ncorrespondingly healthy and abundant, and the bowels\\nfeel, as it were, that they have something to do and when\\na diet of fruits and vegetables is substituted for one with\\nmeats, they awake from months or years of torpor their\\nbountiful secretions are mixed with the fully digested\\nfood the whole mass of refuse, soft as soft dough, easily\\nslips by the numerous curves in its downward course to\\nthe rectum arrives every morning at that discharging\\ndepot; and as the stools are always soft and wet instead\\nof dry and hard; large and dough-like instead of small\\nand lumpy the bowels always move easily and there is\\nscarcely anything to occasion diseases of the rectum.\\nCONSTIPATION.\\nWhen a person is always quarrelling with his bowels\\nfor being constipated always coaxing them with physic", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0452.jp2"}, "445": {"fulltext": "CONSTIPATION. 4 2 1\\nalways hunting for something that no one has ever found,\\nand no one ever will find a medicine that will cure con-\\nstipation he is always a meat-eater.\\nThe way in which meat causes constipation is this\\nEvery person needs a certain amount of nutrition to\\nnourish the body; and as soon as that amount is taken\\ninto the stomach in the form of food the appetite is satis-\\nfied. Meat is ten times more nutritious than an equal\\namount of fruits and vegetables and when it is a part of\\nthe meal, as it usually is, it is the first thing eaten it\\nstops the hunger but little, if any vegetables or fruits\\nare desired and the volume of the food eaten is so deplor-\\nably small that there is scarcely anything to stimulate\\nthe bowels and cause the digested food to be mixed with\\nenough intestinal secretions to make its winding passage\\nto the rectum easy.\\nMan is not a carnivorous animal, and therefore, is not\\ncompelled to eat meat his weight, health, and vigor of\\nbody can be maintained, and his appetite for food satisfied\\nas well without meat as with it but in changing from a\\nmeat diet to one of fruits and vegetables there may be\\na craving for meat until a person adapts himself to the\\nchange, and learns the importance of eating a great deal\\nmore food. Meat is all right for persons not subject to\\nconstipation, but it aggravates and multiplies the afflictions\\nof those who are.\\nA positive cure for constipation can be given in seven\\nwords, and here it is Eat no meat, eggs, cheese, nor fish.\\nIt is unnecessary to urge people to eat a great deal of\\nfruits and vegetables, as this becomes a necessity as soon\\nas they cease to eat meat, eggs, cheese, and fish.\\nMillions of people are as constipated as an Indian-tobacco", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0453.jp2"}, "446": {"fulltext": "422\\nCONSTIPATION.\\nsign unless they take physic they have been eating physic\\nfor years and their bowels will not move without it. Even\\nsuch desperate persons can all be cured when they fully\\nrealize that it is the great volume of food and drink they\\nneed, and not food that is rich in nutritive properties and\\nalthough they must have a given amount of nutrition, the\\nmore it is mixed up and diluted with materials that are not\\nnutritious, the greater will be the amount of refuse to go\\nthrough the bowels the greater will be their muscular\\nactivity; the greater will be their secretions; the better\\nwill be the action of the liver and all other organs the\\nsofter and more frequent will be the stools the more\\nhealthful and less stupid will become the individual and\\nphysic will never be needed.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0454.jp2"}, "447": {"fulltext": "RUPTURE. 423\\nRUPTURE.\\nOther names hernia a breach.\\nThis is a disease in which the muscles stretch or spread\\napart so as to allow some of the contents of the abdomen\\nto be forced out through the abdominal wall.\\nThe protruding parts are called a tumor usually include\\nan elbow of a small intestine are enclosed by a sack con-\\nsisting of the membranous lining of the abdominal cavity\\nand the point at which the tumor is found determines the\\nname of the hernia.\\nIt is customary to divide hernia in two distinct ways\\nFirst, in regard to location, as inguinal, femoral, and um-\\nbilical; and second, according to the condition of the pro-\\ntruding parts, as reducible, irreducible, and strangulated.\\nWhen proper pressure and manipulation with the fingers\\ncause the tumor to disappear entirely it is called reducible\\nwhen every possible effort to push the protruding parts\\nback into the abdomen fails it is called irreducible and\\nwhen the intestine and other folds are embraced so firmly\\nby the abdominal ring through which they have slipped as\\nto obstruct the bowels and arrest the circulation in the pro-\\ntruding parts it is called strangulated.\\nCauses. The predisposing cause is man s erect position,\\nthrough which the weight of the stomach and bowels is\\nthrown upon the lower part of the abdomen.\\nThe exciting causes are pregnancy hard and prolonged\\nlabor in childbirth straining at stool wrestling heavy\\nlifting violent physical efforts of any kind playing on\\nwind instruments and glass-blowing.\\nSymptoms. A tumor, usually small at first, appears in", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0455.jp2"}, "448": {"fulltext": "424 RUPTURE.\\nthe region of the right or left groin, or the navel; is\\nattended with more or less pain the discomfort and size\\nof the tumor are increased by coughing, sneezing, singing,\\nblowing, or lifting and in most cases the protruding parts\\nyield to moderate pressure by the fingers and return to the\\ncavity of the abdomen.\\nTreatment. The palliative treatment of hernia consists\\nin pushing back the protruding parts closing the opening\\nwith a suitable truss wearing it constantly except when\\nthe patient is in bed avoiding all physical exertions cal-\\nculated to aggravate the trouble and, if possible, prevent-\\ning the bowel from protruding again.\\nWhen pushing back the tumor it is best to have the\\npatient on his back, and it is often of the greatest impor-\\ntance to elevate the hips by placing two or three pillows\\nunder them. Children must be amused or quieted so as to\\nprevent the screams and struggles that have a provoking\\ntendency to force the bowel out and it may be necessary\\nto give ether.\\nBy keeping a child in a warm bath for fifteen or twenty\\nminutes, the muscles often become so relaxed that the\\ntumor easily disappears under pressure with the fingers.\\nThe Knife Operation.\\nIn strangulated hernia, and in cases attended with ad-\\nhesions so the protruding structures cannot be pushed\\nback, there is no remedy except the knife operation but,\\nfortunately, those requiring the knife are comparatively\\nfew a very large majority of cases are reducible the\\nbowel can be held back by a suitable truss and most per-\\nsons are curable without cutting, with but little if any pain,\\nand without loss of time from business.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0456.jp2"}, "449": {"fulltext": "RUPTURE. 425\\nThe Injection Method.\\nThe cure of rupture without a knife operation is one of\\nthe most beautiful and beneficent discoveries of this age,\\nand consists in using a hypodermic syringe in such a way\\nas to force a few drops of liquid into the muscular tissues\\nsurrounding the rupture wearing a truss so as to prevent\\nprotrusion again and repeating the injections once per\\nweek until the patient is entirely cured.\\nNothing can be more rational and scientific than the\\nprinciples involved in curing hernia by injections. The\\nsolution injected irritates the flesh surrounding the open-\\ning nature sends an extra amount of blood there to repair\\nthe injury; the elements of repair carried by the blood to\\nthe seat of the rupture are the same as those that cause\\na wound to heal and all the flesh in the locality of the\\nopening becomes hard and firm, somewhat like the scar\\ntissue resulting from a wound and as such fibrous tissue\\nis unyielding, protrusion is impossible, and the patient is\\ncured.\\nThis is the way in which ruptures are cured at the Boston\\nClinic, and the author feels fully warranted in saying this\\nAll cases in which the protruding parts can be held back by\\na truss can be thoroughly cured by injections, and the treat-\\nment is free from danger.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0457.jp2"}, "450": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0458.jp2"}, "451": {"fulltext": "INDEX\\nAppendicitis, suppurative, 66.\\nAscites, 76.\\n*Ague, 93.\\nAsthma, 163.\\nbronchial, 163.\\nspasmodic, 163.\\nhay, no.\\nApoplexy, 188.\\nA stroke, 188.\\nAngina pectoris, 197.\\nAcute coryza, 224.\\n*A girdle, 266.\\nAmenorrhcea, 273.\\n*Acne, 316.\\nsebacea, 313.\\n*vulgaris, 316.\\npunctata Nigra, 339.\\nAnthrax, 340.\\nBlack vomit, 1 14.\\nBronchitis, chronic, 15 1.\\nsecondary, 151.\\nBrain, hemorrhage of, 188.\\ncongestion of, 195.\\nBleeding from a cut, 206.\\n*fro?n pulling a tooth, 206.\\n*from nose, 207.\\nfrom lungs, 166.\\nBloody flux, 51.\\n*Bronchocele, 212.\\nBright s disease, acute, 246.\\nBiliary calculi, 245.\\nBlack-headed worms, 339.\\nClothing, 22.\\nConstipation, 37.\\nCholera, 55.\\nepidemic, 55.\\nautumnal, no.\\nAsiatic, 55.\\nspasmodic, 55.\\nmalignant, 55.\\n^infantum, 43.\\n*morbus, 58.\\nbilious, 58.\\nEnglish, 58.\\n^sporadic, 58.\\nColitis, 51.\\nulcerative, 51.\\nCatarrh, 214.\\nchronic nasal, 214.\\nof bile ducts, 223.\\nacute nasal, 224.\\nof the mouth, 150.\\ncontagious, 153.\\nacute gastric, 83.\\nintestinal, 62.\\nchronic gastric, 78.\\nCatarrhal enteritis, 62.\\nnephritis, 241.\\nstomatitis, 150.\\n*Cardialgia, 72.\\nChills and fever, 93.\\nCerebro-spinal meningitis, 106.\\nfever, 106.\\ntyphus, 106.\\nChicken-pox, 142.\\n431", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0459.jp2"}, "452": {"fulltext": "432\\nINDEX.\\nCancer, gastric, 75.\\nof the stomach, 75.\\nwater, 146.\\nCancrum oris, 146.\\nCroup, membranous, 169.\\n*true, 169.\\nspasmodic, 181.\\nfalse, 181.\\nCroupous Laryngitis, 1 69.\\nChild-crowing, 1 81.\\nCerebral congestion, 195.\\nhyperemia, 195.\\nColic, intestinal, 61.\\ninfantile, 205.\\ncramp, 210.\\nhepatic, 245.\\nConstipation, 37, 420.\\nCoryza, chronic, 214.\\nacute, 224.\\nCephalodynia, 221.\\nCold in the head, 224.\\nCoup de soleil, 261.\\nChorea, 265.\\nConception, when most liable, 310.\\nCaked breasts and sore nipples,\\n3\\nCongestion of the skin, 321.\\nChalk-like deposits of the skin, 336.\\nComedo, 339.\\nCarbuncle, 340.\\nChafing, 343.\\nClavus, 346.\\nConsumption of throat, 174.\\nof lungs, 174.\\nCorns, 346.\\nDiet, 20.\\nDyspepsia, 31.\\natonic, 31.\\nintestinal, 47.\\ndrunkard s, 64.\\n*chronic, 78.\\n\u00e2\u0096\u00a0Diarrhoea, acute, 62.\\nDysentery, acute, 5 1.\\nDropsy, abdominal, 76.\\nperitoneal, 76.\\nDiphtheria, 184.\\nDiabetes insipidus, 242.\\nmellitus, 243.\\nDysmenorrhoea, 275.\\nDandruff, 313.\\nDiseases of rectum and anus, 352.\\nExercise, 25.\\nErysipelas, 136.\\nErysipelatous dermatitis, 1 36.\\nEpistaxis, 207.\\nEpilepsy, 250.\\nEncysted tumors, 318.\\nExcessive sweating, 319.\\nErythema simplex, 321.\\nEczema, 325.\\nchronic, 330.\\nErythema intertrigo, 343.\\nFevers, 89.\\ngeneral management of, 91.\\n^intermittent, 93.\\nswamp, 93.\\nmalarial, 93.\\nremittent, 97.\\ntypho-malarial, 97.\\nbilious, 97.\\nbilious remittent, 97.\\nmarsh, 97.\\ntyphoid, 101.\\nenteric, 101.\\ngastric, 8^, 101.\\nnervous, 101.\\nabdominal typhus, IOI.\\nautumnal, 101.\\nsimple, continued, 109.\\nirritative, 109.\\nephemeral, 109.\\nbilious typhoid, 112.\\nrelapsing, 112.\\nfamine, 112.\\nship, 113.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0460.jp2"}, "453": {"fulltext": "INDEX.\\n433\\nFevers, contagious, 113.\\njail, 113.\\npetechial, 1 1 3.\\ntyphus, 113.\\nspotted, 113.\\nexanthematic typhus, 113.\\nlung, 176.\\nhay, no.\\nrose, no.\\nyellow, 114.\\nbilious malignant, 114.\\nMediterranean, 114.\\ncerebro-spinal, 106.\\ncerebro-spinal typhus, 106.\\nsailor s, 114.\\npernicious, 1 1 7.\\ncongestive, 1 17.\\nmalignant remittent, 1 17.\\nmalignant intermittent, 1 1 7.\\nscarlet, 121.\\nrheumatic, 217.\\nthermic, 261.\\nwinter, 176.\\nFebris recurrens, 1 12.\\nFebricula, 109.\\nFavus, 323.\\nFreckles, 335.\\nFlesh-worm disease, 342.\\n*Fistula, in ano, 360.\\nrecto, 360.\\ncauses of, 361, 365.\\nhow to prevent it, 419.\\n^complete, 362.\\n*blind, internal, 364.\\n*blind, external, 364.\\n^complete, internal, 364.\\n^complete, external, 364.\\n*horseshoe, 364.\\npersons most liable to, 365.\\ntreatment of, 370.\\nthe elastic cord in, 371.\\nadvantages of cord in, 372.\\nthe knife operation in, 374.\\nfailures of knife in, 376.\\nFistula, cases in, 378-382.\\n*recto-vaginal, 383.\\ncases in, 384.\\nFissure of the anus, 385.\\ncauses of, 385.\\nhow to prevent it, 419.\\ntreatment of, 386.\\ncases of, 3S8.\\nGastric carcinoma, 75.\\n*Gastralgia, 72.\\nGastrodynia, 72.\\nGastritis, acute, 86.\\nchronic, 78.\\ntoxic, 87.\\nGlossitis, 148.\\nGrip, 153.\\nGoitre, 212.\\nGin liver, 226.\\nGout, 227.\\nGall stones, 245.\\nHygiene, II.\\nHaemoptysis, 166.\\nHemorrhage, pulmonary, 166.\\n*Hemicrania, 191.\\nHeadache, sick, 191.\\nblind, 191.\\nbilious, 191.\\ncommon, 201.\\nHeart, palpitation of, 202.\\nirritable, 202.\\n^fluttering, 202.\\nHeartburn, 31.\\nHeredity, 229.\\nHereditary influences, 229.\\nHepatic calculi, 245.\\nHysteria, 258.\\nHysterics, 258.\\nHeat stroke, 261.\\nHeat exhaustion, 261.\\n*Herpes, Zoster, 266.\\nHooping cough, 161.\\nHydrosis, 319.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0461.jp2"}, "454": {"fulltext": "434\\nINDEX.\\nHyperidrosis, 319.\\n*Herpes circinatus, 322.\\nHives, 337.\\nHemorrhoids, 39 1.\\n*Hemia, 423.\\nIndigestion, 31.\\nacute, 83.\\n^intestinal, 47.\\nInfluenza, 153.\\nIntellect, inheritable, 236.\\nIntestinal parasites, 68.\\nInsolation, 261.\\nInsanity of muscles, 265.\\n*Itch, 333.\\n*barber s, 344.\\nIngrown toenails, 348.\\nJaundice, 223.\\ncatarrhal, 223.\\nKidneys, congestion of,\\ninflammation of tubes of, 246.\\nLa Grippe, 153.\\nLaryngitis, acute catarrhal, 172.\\ncatarrhal, 172.\\n^spasmodic, 181.\\nLarynx, tuberculous inflammation of,\\nLaryngeal phthisis, 174.\\nLumbago, 221.\\nLumbodynia, 221.\\nLeucorrhoea, 279.\\nLabor, chloroform and ether in,\\nLentigo, 335.\\nMind, effects of, on body, 27.\\nMeasles, 125.\\nGerman, 141.\\nFrench, 141.\\nfalse, 141.\\n^Migraine, 191.\\nMumps, 167.\\nMelancholy, dyspeptic, 196.\\n[174.\\n308.\\nMental characteristics, 235.\\nMenstruation, 267.\\nsuppression of, 273.\\nexcessive, 271.\\npainful, 275.\\nMenorrhagia, 271.\\nMother s mind, effects on unborn, 289.\\n^Morning sickness, 299.\\nNeuralgia, 253.\\nof the face, 253.\\nof the head and neck, 253.\\nof the neck and arm, 253.\\nbetween the ribs, 253.\\n^intercostal, 253.\\n*of stomach, 72.\\nof hip {sciatica), 254.\\nNoma, 146.\\n*A T ervous exhaustion, 263.\\nNeurasthenia, 263.\\nNervous prostration, 263.\\nNettle-rash, 337.\\nProctitis, 82.\\nPleurisy, 156.\\nPleuritis, 156.\\nPertussis, 161.\\nParotiditis, 167.\\nPneumonia, 176.\\n*pleuro, 176.\\nPneumonitis, 176.\\nPutrid sore throat, 184.\\nPulmonary hemorrhage, 166.\\nPleurodynia, 221.\\nPolyuria, 242.\\nPerityphlitis, 66.\\nPolydipsia, 242.\\nPregnancy, 284.\\nsigns of, 285.\\nmanagement of, 288.\\nhygiene of, 289.\\nconstipation in, 302.\\npiles in, 303.\\nenlarged veins, 303.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0462.jp2"}, "455": {"fulltext": "INDEX.\\n435\\nPregnancy, duration of, 306.\\nsleep in, 304.\\nclothing in, 304.\\ncoition in, 305.\\nmorning sickness, 299.\\nnursing, sore mouth in, 305.\\nsex of offspring, 307.\\nsigns of labor in, 307.\\nPityriasis, 313.\\nPyrosis, 31.\\nPorrigo favosa, 323.\\nPork worm, 342.\\nPoisons, 350.\\nPiles, 391.\\ncauses of, 391.\\nhow to prevent them, 419.\\nexternal, 393.\\n*thrombotic, 393.\\ncases in, 394.\\ncutaneous, 393.\\n^internal, 397.\\ncases in, 410.\\n*bleeding, 397.\\n^protruding, 397.\\ntreatment of, 398.\\nthe hypodermic in, 399.\\nobjections to cutting in, 401.\\nitching, 404.\\ntreatment of, 405.\\ncases in, 407.\\npainless treatment in, 414.\\nProtrusion of the bowels, 355.\\n^Prolapsus ani, 355.\\nPruritus ani, 404.\\nQuinsy, 159.\\n^malignant, 184.\\nRound worms, 71.\\nRectum, inflammation of, 82.\\nRectitis, 82.\\nRectum, catarrh of, 82.\\nRubeola, 125.\\nRoseola, epidemic, 141.\\nRheumatism, acute articular, 2 1 7.\\n*inflammatory, 217.\\nmuscular, 221.\\nRenal hyperemia, 241.\\n*Ringworm, 323.\\nof the body, 322.\\ncrusted, 323.\\nRectum, protrusion of, 355.\\nRupture, 423.\\n*Summer complaint, 42.\\nStimulants, effects of, 16.\\nSmoking, 18.\\nStomach colic, 72.\\nStomach, cramp or spasm of, 72.\\nSpotted fever, 106.\\nSynocha, 109.\\nScarlatina, 121.\\nScarlatto, 121.\\nSmall-pox, 129.\\nSaint Anthony s fire, 136.\\nStomatitis, aphthous, 143.\\ncroupous, 143.\\nfollicular, 143.\\nvesicular, 143.\\ndiphtheritic, 147.\\nulcerative, 147.\\nparasitic, 145.\\ngangrenous, 146.\\ncatarrhal, 150.\\nsimple, 150.\\nStitch in the side, 156.\\nSnake-bite, 199.\\nSkin, congestion of, 321.\\n^chalk-like deposits in, 336.\\nSpitting of blood, 166.\\nSore throat, 172.\\n*Sore lips, 209.\\nSunstroke, 261.\\nSpinal irritation, 263.\\nShingles, 266.\\nSaint Vitus s dance, 265.\\nSuppression of menses, 273.\\nSeborrhcea, 313.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0463.jp2"}, "456": {"fulltext": "/VK.\\n436 INDEX.\\nSebaceous tumors, 318.\\nSalt-rheum, 325.\\nSpirituality inheritable, 236.\\nSex of offspring, 307.\\n^Scald-head, 325.\\n*Scabies, m.\\nThe skin, 23.\\nTea and coffee, 13.\\nTobacco, 17.\\nTapeworm, 68.\\nTo prevent pitting in small-pox, 134.\\nTuberculous inflammation of larynx,\\nThe rose, 136. [174.\\nThrush, 145.\\nTonsilitis, acute, 159.\\nTonsils, enlarged, 214.\\nThick neck, 212.\\nThroat, ulceration in, 2 1 3.\\nTorticollis, 221.\\nThe whites, 279.\\nThroat, consumption of, 174.\\nTic-douloureux, 253.\\nTinea circinata, 322.\\n*favosa, 323.\\nTetter, 325.\\nTrichinae, 342.\\nspiralis, 342.\\nX^^u\\n13\\nTongue, inflammation of, 148.\\nUlcer, gastric, 86.\\nperforating, 86.\\npeptic, 86.\\nchronic gastric, 86.\\nUrine, 248.\\nUrticaria, 337.\\nVaccination, 127.\\nVariola, 129.\\nVaricella, 142^\\nVarus, 316.\\nVerruca, 345.\\nWhite mouth, 145.\\nWhooping cough, 161.\\nWater cancer, 146.\\nWinter cough, 151.\\nWry neck, 221.\\nWomb, displacements of, 282.\\n*Wens, 318.\\nWarts, 345.\\nYellow Jack, 114.\\n*Zono, 266.", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0464.jp2"}, "457": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0465.jp2"}, "458": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0466.jp2"}, "459": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0467.jp2"}, "460": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0468.jp2"}, "461": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0469.jp2"}, "462": {"fulltext": "", "height": "3764", "width": "2246", "jp2-path": "homepracticeofme00dail_0470.jp2"}, "463": {"fulltext": "", "height": "3764", "width": "2246", "jp2-path": "homepracticeofme00dail_0471.jp2"}, "464": {"fulltext": "", "height": "3764", "width": "2366", "jp2-path": "homepracticeofme00dail_0472.jp2"}}