Chloride of ammonium : a specific therapeutic agent in the treatment of hepatitis and abscess of the liver, with illustrative cases / by William Stewart.

  • Stewart, William (Surgeon)
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: Chloride of ammonium : a specific therapeutic agent in the treatment of hepatitis and abscess of the liver, with illustrative cases / by William Stewart. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    for the most part i^radiially disappear, and tiie pa- tient be restored to health. It is found liowever in actual practice, that in consequence of bad dia- thesis, advanced stage, or other cause, recovery by resolution does not take place, suppuration oc- curs, and hepatic abscess is formed. It is of im- portance to detect this event promptly and with- out hesitation, and to mark its progress, because it calls for a line of treatment different from that suitable to the antecedent stages.In the earlier stages, the antiphlogistic regimen and treatment are indicated according to the acuteness and se- verity of the symptoms, local and general, and the constitution of the patient. Should there be no accompanying dysentery, a mild purgative may be administered at the commencement, with a view of clearing out the primse viase and relieving conges- tion of the portal circulation; afterwards saline diaphoretics and diuretics, in frequently repeated small doses, should be administered; till their ac- tion is well established, after which, they may be given in larger doses, and at longer intervals. I have found a mixture containing Liquor Ammonioe acct: drs. ii. with Tinct: Hyoscyami m. v. in each dose, administered every half hour or hour, to give most relief, allaying the feverish symptoms and calm- ing the nervous system : while the administration of from Dr. ss. to Dr. 1. of the latter (Tinct: Hyoscyami) at bed time, after the repeated small doses during the day, will often have the effect of inducing a a little refreshing sleep, a point of great import- ance in this disease. The local application of ice, for a considerable period, watching well its effects, or fomentations, or bran poultices to the seat of pain in the right hypochondrium, will also act as ♦ See Moi'ehead's Risearches.