International Clinics, 1906, Vol. 3

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Excerpt from International Clinics, 1906, Vol. 3: A Quarterly of Illustrated Clinical Lectures and Especially Prepared Original Articles on Treatment, Medicine, Surgery, Neurology, Pediatrics, Obstetrics, Gynecology, Orthopedics, Pathology, DermatologyNo matter how mild the attack of pleurisy, rigid hygienic treat ment must be insisted on from the beginning. The patient should go to bed and remain there until the fever has entirely disappeared and the exudate shows signs of receding. The sick-room should be well ventilated but free from drafts, and the atmosphere kept at an even temperature of from 65° to 68° F. The food should be nu tritious and easily digestible, but preferably dry, especially after the development of the effusion.The first indication for special treatment is usually to relieve the pain in the side. Morphin hypodermically is useful, but its effect, even in large doses, is temporary. A far more reliable remedy is the application of a few wet cups or leeches. This measure, the value of which is well recognized but too often forgotten, affords immedi ate and permanent relief in the vast majority of cases without the aid of opium. Dry cupping is not nearly so effective. After the local bleeding thin poultices may be applied to the chest if necessary I have not been very favorably impressed with the heavy, unwieldy cataplasms of fuller's earth' and glycerine which lately have been so much vaunted for their supposed depleting effects, and cannot regard them as a satisfactory substitute for the time-honored poul tices of ¿axseed meal. Some practitioners prefer ice-bags to poul tices, but in my experience cold applications have not often been tolerated in simple pleurisy. Strapping the affected side from mid spine to mid-sternum with broad strips of adhesive plaster, as orig inally suggested by Frederick T. Roberts, is very helpful in the mild attacks of pleurisy that so frequently develop in the course of ordinary phthisis, but I have rarely found them sufficient to relieve pain when it is severe.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.