Friday, May 13, 2016

The treatment must be energetic

The treatment must be energetic

The treatment must be energetic



The treatment must be energetic. The sharp, short cries, characteristic of enteritis, as pointed out in the preceding description of colic, will be sufficient warning of the danger, and ample intimation that there is no time to be lost. A turpentine enema should be injected. The treatment ought always to begin with this, for to unload the rectum is of all importance. Afterwards, from one to four grains of calomel, with from half a grain to two grains of opium, should be shaken upon the tongue; and when ten minutes have elapsed, a draught of ether and laudanum and water, with an injection of the same composition, ought to be exhibited. While the cries last, the ether may be continued, and when the strength appears to fail, it may also be employed. Two hours subsequent to the calomel being given, from half an ounce to three ounces of castor-oil, diluted with half the quantity of olive-oil, should be used as a drench; and thrice during the day the following may be administered either as a pill or draught, in thick gruel, soup, or mucilage, at the option of the practitioner; who will, of course, be guided by the disposition of the patient, which in every particular must be considered:

Grey powderFive grains to a scruple.
Powdered ipecacuanhaHalf a grain to four grains.
Extract of hyoscyamusOne to eight grains.

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