Graves's disease, Raynaud's disease, and some of the allied forms of vasomotor disorder (vasomotor ataxia) / by Solomon Solis Cohen.

  • Solomon Solis-Cohen
Date:
[1909?]
Catalogue details

Licence: In copyright

Credit: Graves's disease, Raynaud's disease, and some of the allied forms of vasomotor disorder (vasomotor ataxia) / by Solomon Solis Cohen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    a last resort. In the various conditions of vasomotor disorder, the internal secretions aa represented by thyroid, parathyroid, thymus, adrenal, and ovarian preparations—aided by some such drugs as the calcium salts, the barium salts, picrotoxin, ergot, digitalis, strophanthus, cactus, aconite, veratrum, the nitrites, hyo- scine, atropine, asafoetida, musk, sumbul, valerian, camphor, and strontium bromide—are to be used, choice being made among these various agents according to the particular group of symptoms that is to’be dealt with. Sodium sulphocyanide is sometimes useful— a suggestion I owe to Paulli’s studies of ionic pharmacology; and I have lately used with apparent good result in cases marked by a tendency to hypertension, a preparation modeled upon thiosinamin, but with the addition of bismuth to render it more acceptable to the stomach, which Dr. Frederic S. Mason, who has prepared it for me, characterizes as allyl-sulph-carbamide-bisrauth-diiodide. Diet is to be carefully regulated; and, as it is quite possible that absorption of toxins from the intestine may precipitate the crises or maintain the established disorder, digestive ferments, lavage, purgatives, intestinal antiseptics, find place. In some cases rest, in others reg-ulated exercise, is indicated. Perhaps the most important of all measures in mild and early cases is the education of the vascular responses by mild thermic stimulation—some appropriate form of “ water-treatment ”—as the alternating hot and cold douche, or simple sponging with hot water followed by a brisk rub with cold water. The details must be carefully prescribed and modified according to the conditions and the result in the individual case. But I cannot elaborate further. I have chiefiy wished to impress upon you the import- ance of systematic interrogation of the vasomotor system as well as of the other organs and systems before formulating a diagnosis in any case. The examination of the chest or the eyes or the urine does not imply that the individual patient has thoracic, ophthalmic, or renal abnormity; yet such examinations are always necessary, if only for exclusion. So with the vasomotor system, now neglected unless it obtrudes itself. Its disorders, when systematically sought for, will prove to be more common than is supposed, and their develop- ment into distressing and often fatal disorders will be prevented by timely discovery and appropriate treatment.
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