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Updated: May 6, 2025
It is your business now to keep yourself well by scrupulously following Dr. Middleton's directions. He seems to be a rational and knowing man. Soap and steel are, unquestionably, the proper medicines for your case; but as they are alteratives, you must take them for a very long time, six months at least; and then drink chalybeate waters.
Slowly amending; the whining has ceased, and the animal seldom scratches. Continue the lotion, alteratives, and purgatives. 10th Oct. Slowly improving. Continue the treatment. 17th. One ear well, the other nearly so. 24th. Both ears were apparently well. Omit the lotion. 28th. One ear was again ulcerated. Applied the aerugo aeris. 31st.
The discharge considerably lessened from one ear, but that from the other has increased. Continue the lotion and apply a seton. 22d. The dog, probably neglected at home, was sent to me. Both ears were as bad as ever. 25th. The dog is perfectly unmanageable when the lotion is poured into the ear, but submits when an ointment is applied. Continue the alteratives. 30th.
In the treatment of chorea there must be no bleeding, no excessive purgation, but aperients or alteratives, merely sufficient to keep the faeces in a pultaceous state, so as to carry off any source of irritation to the intestinal canal, and particularly some species of worms, too frequent sources of irritation there.
"We have taken a chill, and our mind is a little unhinged," said the skillful practitioner: "careful diet, complete repose, a warm surrounding atmosphere, absence of undue excitement, and, above all, a course of my gentle alteratives regularly administered these are the very simple means to restore our beloved patient.
Mercury, iodine and all other alteratives, by suppression of external elimination, create internal chronic diseases of the most dreadful types, such as locomotor ataxy, paresis, etc. So the recital might be continued all through orthodox materia medica.
It is your business now to keep yourself well by scrupulously following Dr. Middleton's directions. He seems to be a rational and knowing man. Soap and steel are, unquestionably, the proper medicines for your case; but as they are alteratives, you must take them for a very long time, six months at least; and then drink chalybeate waters.
Emetics and cathartics I shall not administer, because I am sure you do not want them; but for alteratives you must expect a great many; and I can tell you that I have a number of NOSTRUMS, which I shall communicate to nobody but yourself. To speak without a metaphor, I shall endeavor to assist your youth with all the experience that I have purchased, at the price of seven and fifty years.
Emetics and cathartics I shall not administer, because I am sure you do not want them; but for alteratives you must expect a great many; and I can tell you that I have a number of NOSTRUMS, which I shall communicate to nobody but yourself. To speak without a metaphor, I shall endeavor to assist your youth with all the experience that I have purchased, at the price of seven and fifty years.
The child may not appreciate what is done for him, may not be particularly grateful, may have disagreeable faults, and continue to have them after much pains on your part to eradicate them, and yet it is a fact, that to redeem one human being from destitution and ruin, even in some homely every-day course of ministrations, is one of the best possible tonics and alteratives to a sick and wounded spirit.
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