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In a patient in whom we are trying to cause nervous and muscular rest, strychnin is certainly contraindicated. On the other hand, if the heart is acting sluggishly, the peripheral circulation is imperfect, and atropin is not acting well, it is advisable to give strychnin in a dose not too large and not too frequently repeated.
Whether digitalis shall be given at all, or how large the dose shall be depends on whether or not the patient has been taking digitalis in large quantities. He may already be overpowered with digitalis. In that case it would be contraindicated. Stroplianthin, especially when given intravenously, has been found to be a quickly acting circulatory stimulant.
Needless to say, hypnosis is contraindicated in many emotional problems because of the very nature of the problem itself. Some emotional difficulties must first be worked out on a conscious level. After this, hypnosis can be instrumental in achieving the final goal. Dr.
Median neurectomy is of service in many instances where lameness is not completely relieved by the use of the actual cautery and no bad results attend the performance of this operation even though no benefit is derived thereby. Plantar neurectomy is contraindicated in all cases where there exists much lameness.
If general arteriosclerosis is present, that condition should be treated. Digitalis would seem almost invariably contraindicated, although it is of value in extrasystoles without heartblock, or in conditions which are not Stokes-Adams disease; but if this disease was considered present, digitalis would probably do harm. Sometimes strychnin is of benefit.
One can never be sure that the heart muscle is so thoroughly degenerated that no part of it would be benefited by digitalis when compensation is lost; therefore, many times, especially if other drugs have failed, small doses of digitalis should be tried, to see if the heart will respond. Large doses or frequent doses would be contraindicated.
Cathartics with their harsh action on the delicate membranes are contraindicated. The mother's first milk is cathartic enough to stimulate the bowels to act, but it is nature's cathartic and does no harm. As a rule the baby is fed too often and too much from the time of birth.
But the drug is contraindicated in cases associated with cerebral hyperaemia, in atheromatous conditions of the arteries, and in the so-called plethoric state Beta's Memoabilien, March 24, 1881. By ALFRED STILLE, M.D. The treatment of simple acute articular rheumatism may be abandoned to palliatives and nature.
It should be urged, however, that too free catharsis in cardiac weakness is to be avoided, and the prolonged use of salines, and sometimes even one administration is contraindicated.
No trial was made in cases of angio paralytic hemicrania, since in this affection the drug would be physiologically contraindicated. Practically it was found to be of much value in attacks of dizziness and faintness occurring in anaemic individuals, as also in a fainting-fit from renal colic, and in several cases of collapse during anaesthesia by chloroform.
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