Remarks, Historical and Practical, on Diseases of Infancy
Remarks, Historical and Practical, on Diseases of Infancy
复制标题
关于婴儿期疾病的历史和实践评论
DOI：
10.1136/bmj.s1-13.3.71
复制
发表时间：
1849
期刊：
影响因子：
--
通讯作者：
E. Copeman
中科院分区：
文献类型：
--
作者：
E. Copeman
早上吃点合适的泻药。当一粒等量的泻药在上午对肠道的作用不足两三分钟时，可以给一粒半，并可以逐渐增加到任意数量，只要它在早上被泻药带走，并且牙龈不受影响——除非在某些情况下，这种情况是要小心避免的。用这种方法，可以给它加一点硝酸钾，或者加一点或不加一点密德勒斯的灵。在女性中，有时甘汞不能生育，在这种情况下，可以使用蓝色药丸，剂量从三到五粒。当压痛消除后，每隔七、八小时服用一剂甘汞或蓝色药片。这种滋补剂量包括一粒甘汞，或十粒蓝色药丸，制成二十粒，与甘草和姜的提取物，或任何其他伴随症状可能需要的药物。随此变化的附加使用手段，可给予一些胃药，一天两次。有时，可能需要抗刺激；但在什么情况下，如果需要更全面的信息，我请参考菲利普博士的著作。在某些情况下，这种处理被认为是完全不可接受的，因为这是一种特殊的白痴。任何一剂汞制剂一经服用，立即使人流涎的体质紊乱。另一种情况是，一个人的消化道粘膜受到汞制剂的严重刺激，坚持下去只会使病人病情恶化而不是好转。同样，子宫分泌物过多的倾向折磨着许多女性，这也常常给医生带来很多尴尬。有时，神经系统的状态是这样的，在一个长期不健康的器官中，环境对恢复健康活动并维持一段时间所必需的耐力和毅力是如此不利，以至于试图治疗只会遇到失望。
some suitable laxative in the morning. When a grain of ealoulel with tbe ihorning laxative is insufficient to act two or three th1ies on the bowels in the forenoon, a grain and a half may be given, and it may be gradually increased to anv quantity, so long as it is carried off by the laxative in the morning, and the gums remain unaffected-an object to be, except in certain cases, scrupulously avoided. With this treatmeilt may be given some nitrate of potash, or Mindererus' spirit, with or without ipecacuanha. In females, sometimes calomel cannot be borne, in wbich case, blue pill, in doses of from three to five grains can be used. When the ,tenderness has been removed, the exhibition of a tonic -dose of calomel or blue pill is to be given every seven -or eight hours. This tonic dose consists of a grain of calomel, or ten grains of blue pill, made into twenty pills, with extract of liquorice and ginger, or with any other medicine which accompanying symptoms may require. With this change in the additional use of means, may be given some stomachic tincture twice in a day. Occasionally, counter-irritation may be required; but in what cases, and for any fuller information which may be wished, I beg to refer to the writings of Dr. Philip. There are certain cases in which this treatment is found wholly inadmissible, as that peculiar idio. syncrasy of constitution, which at once, from a single dose of any mercurial preparation, is thoroughly salivated. Another case is that of an individual in wbom the mucous membrane of the alimentary canal is so irritated by a mercurial preparation, that to persevere would be to make the patient worse instead of better. Again, the disposition to profuse uterine discharge which afflicts many females, often proves a source of much embarrassment to the practitioner. And sometimes the state of the nervous svstem is sucb, ,and the circumstances are altogether so unfavourable for the endurance and perseverance necessary to restore healthy action, and to maintain it for a certain time, in an organ which has been for a long time out of health, that to attempt the cure would only be to encounter disappointment.