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Updated: June 27, 2025
His treatment consists in venesection, purgatives, and, when pus is formed, local incision. He recommends the laying on of sponges dipped in warm water, and the internal use of honey lemonade. Opium should not be used unless the patient suffers from sleeplessness. Some of the general principles of therapeutics that Alexander lays down are very interesting, even from our modern standpoint.
For example, a child of two or three years of age may be brought to the doctor with the complaint that defæcation is painful, and that there has existed for some time a most distressing constipation which has resisted a large number of purgatives of increasing strength.
Shortness of breath, headache, drowsiness. Later, skin irritation, gastritis, jaundice, blood degeneration. Treatment. Remove from work, rest in bed, diuretics, purgatives, alkalies. Alcohol, ether, and chloroform, induce general anæsthesia, often preceded by delirious excitement, and followed by nausea and vomiting.
All unguents were thrown away here. Lotions of corrosive sublimate, decoction of bark, infusion of digitalis or tobacco, effected some little good; but the persevering use of the iodine of potassium, purgatives, and the abstraction of blood very generally succeeded.
There is no evidence of which I am cognizant in favor of purgatives. There are very good reasons indeed why they should not be used: Because they cannot possibly cure; because they oblige the patient to make painful movements; and because they expose him to the dangers of cold. A celebrated London physician had all his patients packed in blankets, and did not allow them to move a finger.
Equipped with a "pill-kit," an abundance of blisters and bandages and some "potent purgatives," I had prepared myself to render first and last aid to the hurt in my own party. In taking instructions from our family physician, I had learned the value of a profound air of great gravity, a noble reticence, and a total absence of doubt, when I did speak.
He expressed a strong desire to have a little, especially of the purgatives, and there being no objection on the part of the Landers, they supplied him with a good strong dose of jalap, which had the same affect as it had had upon the sultan of Yaoorie and family.
But if a poor devil came along in the horrors, with every inch of him jumping, and snakes, and green-eyed yahoos, and flaming-nosed bunyips chasing him, we'd take him in and give him soothing draughts, and nurse him, and watch him, and clear him out with purgatives, and keep giving him nips of good whisky, and, above all, we'd sympathize with him, and tell him that we were worse than he was many a time.
In this country the old-fashioned plan of treatment was wont to be the usual rough remedies emetics, purgatives, the seton, and the lancet. Failing in this, specifics of all sorts were eagerly sought for and tried, and are unfortunately still believed in to a very great extent.
To increase the activity of the liver, salicylate of soda may often be advantageously administered for its cholagogue effect; or resort may be had to saline purgatives such as are afforded by the springs of Marienbad, Kissengen, Homburg, Carlsbad, Brides, Hunyadi, or Chatel-Guyon; and it is somewhat remarkable that while undergoing a course of these waters, there is often no appreciable change in weight or obesity, though the decrease becomes most marked almost immediately upon cessation of treatment.
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