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Updated: June 5, 2025
If constipation attended with colic be the character of the affection, small quantities of oil and turpentine in connexion with warm enemata will be the proper remedies. If paralysis should occur, it will be found very difficult to overcome, but must be treated, after the reduction of inflammation, upon principles laid down under the head of this latter affection.
The bleeding should be repeated, if little or unsatisfactory relief is obtained; and the examination of the rectum with the finger, and the removal of any hardened faeces that may have accumulated there, and the cautious use of enemata, neither too stimulating nor too forcibly injected, should be resorted to. No medicine should be employed until the most urgent symptoms are abated.
Abstinence, or rather anorexia, is naturally associated with numerous diseases, particularly of the febrile type; but in all of these the patient is maintained by the use of nutrient enemata or by other means, and the abstinence is never complete. A peculiar type of anorexia is that striking and remarkable digestive disturbance of hysteria which Sir William Gull has called anorexia nervosa.
Even this must not be given in too large quantities, and the effect must be assisted by a repetition of the enemata every fifth or sixth hour.
I introduced my finger into the rectum, but could not discover any hardened faeces. Enemata, composed of mag. sulphas and warm water, were frequently thrown into the intestines; as soon as one came away another was thrown up. The fomentations to be continued, and the abdomen rubbed with a lin. terebinthinae.
Brittleness in the bones of graminivorous animals is clearly owing to a weakness in those parts of the organism whose function it is to convert the constituents of the blood into cellular tissue and membrane; and if we can trust to the reports of physicians who have resided in the East, the Turkish women, in their diet of rice, and in the frequent use of enemata of strong soup, have united the conditions necessary for the formation both of cellular tissue and of fat.
Castor oil and turpentine is a good purge: where the malady depends upon costiveness, purges of aloes should be administered in connexion with warm enemata, stimulating frictions along the spine, and hot baths.
He was led to suspect that the contagion might have been carried in the gloves which he had worn in attendance upon the previous cases. Two months or more after this he had two other cases. He could find nothing to account for these, unless it were the instruments for giving enemata, which had been used in two of the former cases, and were employed by these patients.
The symptom of cerebral congestion a chronic sense of fullness in the head is often very simply alleviated by placing the patient in "a sitz" or hip-bath, with the water varying from 70 to 90 F, Enemata will constantly be found of service where the torpidity of the bowels is extreme.
An active purgative should be given at once and in the ordinary case, stimulants are indicated. If marked distress is present, morphin is given and where there is much rise of temperature, cold drinking water is offered in abundance and catharsis is enhanced by enemata. Locally, hot applications are of benefit.
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