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Updated: May 18, 2025
If it seems advisable in the beginning of the treatment to give a calomel purge, it should be done, but such purging should ordinarily not be repeated, although occasionally a grain or two of calomel, combined with the vegetable laxatives needed, may act perfectly and without causing depression. Saline purgatives, or even laxatives, are generally not good treatment when there is cardiac weakness.
LAXATIVES. The best laxatives are caster oil, salad oil, compound rhubarb pills, honey, stewed prunes, stewed rhubarb, Muscatel raisins, figs, grapes, roasted apples, baked pears, stewed Normandy pippins, coffee, brown-bread and treacle. Scotch oatmeal made with new milk or water, or with equal parts of milk and water.
Before cardiac failure has occurred in this disease, once a week a dose of calomel or a brisk saline purge is advisable, and is good treatment; but when cardiac weakness has developed, free catharsis is rarely indicated, although the bowels should be daily moved, and vegetable laxatives are the best treatment.
One by one Mr. Adams tells about these medical fakes: habit-forming laxatives, head-ache powders full of acetanilid, soothing-syrups and catarrh-cures full of opium and cocaine, cock-tails subtly disguised as "bitters", "sarsaparillas", and "tonics". He shows how the fake testimonials are made up and exploited; how the confidential letters, telling the secret troubles of men and women, are collected by tens and hundreds of thousands and advertised and sold so that the victim, as he begins to lose faith in one fake, finds another at hand, fully informed as to his weakness.
The treatment of such a patient requires the best of judgment as to the amount of food and liquid that should be given, the regulation of the administration of laxatives, the sponging of the body, the means of producing sleep if there is insomnia, how much reading, conversation or amusements should be allowed, how much stimulation by stryclmin or other stimulating drug should be given, and whether or not very small doses of digitalis should he tried.
On the other hand, we do not use any drugs or medicines which tend to hinder, check or suppress Nature's cleansing and regenerating processes. We never give anything in the least degree poisonous. We avoid all anodynes, hypnotics, sedatives, antipyretics, laxatives, cathartics, etc.
Toward the end of the second week, however, mild laxatives generally prove effective, and it is important to select one the dose of which may be gradually decreased. Six or eight of them may be needed at first, but the number may be gradually reduced, until finally none are necessary. Cleanliness.
Where constipation exists, and the woman is full-blooded, with a tendency to a rush of blood to the head, saline laxatives are indicated. But if the woman is constipated and anemic, cascara sagrada is a better laxative; while cod-liver oil acts as a laxative and at the same time improves the quality of the blood. Stimulants.
Laxatives and cathartics, by irritating the digestive tract, may cause a forced evacuation of the contents of the intestinal canal, but they do not eliminate the poisons which clog cells and tissues.
Brimstone is not a remedy fit for a child's stomach. The principal use and value of brimstone is as an external application in itch, and as an internal remedy, mixed with other laxatives, in piles piles being a complaint of adults. In olden times poor unfortunate children were dosed, every spring and fall, with brimstone and treacle to sweeten their blood!
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