Pathology and treatment of the infectious diseases / by Karl Liebermeister ; translated by E.P. Hurd, with notes and appendices.

Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Pathology and treatment of the infectious diseases / by Karl Liebermeister ; translated by E.P. Hurd, with notes and appendices. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    and is accompanied by manifest departures from what is usual, and the complications indicate special severity of the attack, or march of the affection. The cases of typhoid fever which he has treated during several years past, have been, as a rule, of moderate severity. Diarrhoea has not been very frequent, temperature rarely going beyond 104° at any time, and then only during brief periods, heart complications have been occasional, pneumonia rare, and nervous symptoms showing either ataxia, or great adynamia, in relatively few instances; he recalls not more than three or four cases of intestinal hemorrhage. In the incipient stage of typhoid fever, a mild saline cathartic preceded by one or two grains of calomel, or double that quantity of blue mass, is prescribed. Later, and so long as the development of typhoid fever appears doubtful, small doses of aconite, ammonia, and spirits of Mindererus, or neutral mixture, are the means he employs to subdue febrile excitement. If fever still continues, with marked elevation of temperature in the afternoon, after a few days, and other symptoms point more surely toward the typhoid state, these agents are abandoned for tonic doses of quinine, milk diet, which is insisted upon, and occasional tepid sponging of the trunk and limbs with lukewarm water and vinegar. Complica- tions are treated as they arise, bronchitis or pneumonia with tincture of iodine, turpentine stupes, or Corson’s paint, to the chest walls; chloride of ammonium, moderate doses of digi- talis, and moderate stimulation with whisky internally. If the heart becomes irregular or notably weak and frequent, or a blowing murmur shows itself it the apex, he now orders tinc- ture of strophanthus in five-drop doses every six hours, besides using mustard poultices or dry cups to the chest, and begin- ning, continuing, or increasing the alcoholic stimulant. Ner- vous derangements are influenced favorably by ether in the form of pearls, by musk, or by a mixture of lavender, chloTo