Aids to rational therapeutics : with U. S. A. pharmacopoeia equivalents / by Ralph Winnington Leftwich.

  • Leftwich, Ralph Winnington, 1849-1919
Date:
1918
Catalogue details

Licence: In copyright

Credit: Aids to rational therapeutics : with U. S. A. pharmacopoeia equivalents / by Ralph Winnington Leftwich. Source: Wellcome Collection.

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    This includes Anaemia, Addison’s Disease, Aortic Insufficience, Diabetes, Dilatation of the Heart, Mitral Insufficience, Haemorrhage, Syncope, Shock, and all asthenic conditions. The group treatment consists in raising the arterial tension. The general conditions to be adopted for this purpose are a nitrogenous diet with abundant liquid, and a cool atmosphere and clothing. The drugs which have this effect are ergot, adrenalin, caffeine, camphor, pituitrin, barium chloride, digitalis, and strychnine. As in the previous group, care and judgment must be exercised before interfering with the tension. For instance, haemorrhage would certainly increase if the pressure were raised; and dilatation of the heart would become worse unless the drug employed concurrently strengthened the ventricular contrac¬ tions, as does digitalis. Addison’s Disease. The most useful drugs here are strychnine and digitalis; arsenic is dangerous and adrenalin inert. Indeed, the failure of adrenalin to raise the blood- pressure is made use of in diagnosis, and is known as Griinbaum’s test. It must be confessed, however, that no satisfactory treatment has yet been devised. The diet must be nourishing and stimulating, the clothing of wool, and recumbency must be enjoined for a great part of the 195