Treatment Of Scarlet fever
-
3 Treatment Of Torpid Forms Of Scarlatina Difference In The
TREATMENT POINTED OUT. When the _reaction_ is _torpid_, the pulse small, weak, quick, the skin dry, the rash slow to appear, and when it appears in small, pale, livid spots, instead of bright scarlet patches (16-25); the treatment ought to be calcu... Ablutions And Rubbing With Iced Water Or Snow
In a few very obstinate cases, when no rash would appear after two or three long packs, I have succeeded by washing the patient with ice-water or snow, rubbing him dry with my bare hands, and then packing him in a dry blanket. After staying there fo... Acetic Acid
Brown recommends diluted _Acetic Acid_ as a specific against all forms of scarlatina. Experience, however, has not supported his confidence in the infallibility of his remedy. ... Action Of The Pack And Bath Rationale
The action of the wet-sheet pack is thus easily accounted for: According to a well-known physical law, any cold body, whether dead or alive, placed in close contact with a warm body, will abstract from the latter as much heat as necessary to equal... Action Of The Sitz-bath Explained
The _sitz-bath_ acts in a direct manner upon the abdominal organs and the spine, and through the latter on the brain. Indirectly, it helps in removing the inflammatory and congestive symptoms in the throat and head, by cooling the blood, which circu... Before Perspiration Comes On There Is A Little More Excitement For
a few minutes (41), which must not induce the friends of the patient to take him out of the pack; only when it continues to increase, instead of the perspiration breaking out and relieving the patient, it will be necessary to change the sheet, another... Belladonna
The remedy which has attracted and still attracts in a very high degree the attention of physicians and parents, is _Belladonna_. This remedy was first introduced as a specific and prophylactic by Hahnemann, and soon recommended not only by his own ... Cases
During an epidemic of scarlatina in 1836 two of my children were attacked by the disease, a boy of about eight, and another of five years, the younger one two days after the older one. I ordered them to be packed, and all seemed to go well, when, du... Caution
After the bath, the patient is rubbed dry, and either taken to his bed, or, if he feels well enough, dressed and induced to walk about the room, or placed in a snug corner (not near the fire, however), till he feels tired and wishes to go to bed. Du... Chloride Of Lime
About the same opinion may be given on _Chloride of Lime_. As a gargle, and taken internally, the aqua-chlorina has done good service in malignant scarlatina, especially in putrid cases. ... Cold Affusions And Rubbing
After the pack, the patient is placed in an empty bathing or wash-tub, and cold water (of 65 deg.-60 deg. Fahr., only with very young and delicate children a little higher, with adults rather lower) is thrown over him in quick succession by means of... Continuation Of Packs Convalescence
Whether the eruption appear or not, the packs should be continued during the whole course of the disorder, and as long as the throat continues troublesome; and one pack and bath a day should be given during some ten or twelve days, after every sympt... Diet
I have little to say with regard to _diet_, at least to physicians. During great heat and high fever, the patient should eat little or nothing; but he should drink a good deal. Substantial food must be avoided entirely. When the fever abates, he can... During And After Desquamation The Treatment Should Be Continued As
indicated in milder cases, except the throat continue troublesome, when more packs should be used. If the throat is well, the patient may leave his room by the sixteenth day, under the precautions given above. ... Frictions With Lard
were used already by Caelius Aurelianus, and recently re-introduced into practice, by Drs. Daene and Schneemann, in Germany, and by Dr. Lindsley, in America. Even hydriatic physicians have tried them with some success. However, notwithstanding the s... Highly Inflamed Throat Croup
If the _throat_ is in a highly inflamed condition, repeated packing is the surest means of allaying the inflammation and preventing _croup_. Although I have had very bad cases under my hands, I never saw a case of scarlet-croup under water-treatment... Ice-water And Snow-bath In Malignant Cases
If no rash appear during the first pack, which will scarcely fail, the proceeding should be repeated, and the patient stay longer in the pack than the first time. In very bad cases, when the patient fails at once under the action of the poison (mali... Impossibility Of Answering For The Issue Of Every Typhoid Case
Although a _typhoid character_ of scarlatina will rarely set in, when the patient has been subject to the packs from the beginning of the disease, there will be cases when water-treatment can neither prevent such an event or even save the life of th... In Excessive Heat And Continuous Delirium A Half-bath May Be Given
also, every time the packing sheet is changed. The rule is that _we_ ought not to yield, but the _symptoms must_; and they will, if the treatment is persevered in. Only go at it with courage and confidence. There is nothing to be apprehended from the ... Length Of Bath
Although the temperature, in sthenic cases, should be a little lower than in erethic cases, it is not advisable to use the water very cold, as this would cause too strong a reaction, and consequently new excitement. The safer way is to let the tempe... Length Of Pack
Usually it is time for the patient to come out from his pack, when the pulse becomes fuller and stronger, the face begins to flush and the head to be affected. Frequently he sleeps till awakened by the increasing heat. A drink of cold water will qui... Length Of Pack Perspiration
To make quite sure of the reaction, the single sheet may be tried first, except in exceedingly violent cases, and the double sheet may be resorted to, if the single sheet prove inefficient. Or, should there be any doubt, the double sheet may be dipp... Mineral Acids In Case Of Severe Sore-throat
In case the throat be very troublesome, there cannot be any objection to using the mineral acid, as I have indicated above (35), except homoeopathic remedies should be thought preferable and found to afford sufficient relief. Some good may, and no h... Mineral Acids Muriatic Acid Prescriptions
have also been used with good effect in some epidemics. _Muriatic acid_ I have frequently used myself for inflammation of the throat, in connection with hydriatic treatment, and it has almost always contributed to relieve the symptoms materially. ... Necessity Of Allaying The Heat
The packs and baths should be continued, even when the patient cannot be prevailed upon to stay long enough in the packs to perspire. The heat of the skin and the general inflammatory condition of the whole organism _must_ be allayed, especially, wh... Necessity Of Ventilation Means Of Heating The Sick-room Relative Merits Of Open Fires Stoves And Furnaces
Next to its intrinsic value, our method gives the patient the great advantage of enjoying _pure fresh air_, either in or out of bed, as it keeps the skin and the whole system in such order as to resist the effects of atmospheric influences better th... No Cutting Short Of The Process Of Scarlatina The Morbid Poison Must Be Drawn To The Skin As Soon As Possible
Scarlet-fever is a disease, which cannot be cut short. Any attempt to stop the process of incubation, after the contagion has once been received within the body, or to prevent its being thrown out upon the surface, would destroy the patient's life: ... Priessnitz's Method The Wet-sheet-pack
a remedy which, alone, is worth the whole antiphlogistic, diaphoretic, and, indeed, the whole curative apparatus of the profession, in ancient and modern times, for any kind of fevers, and especially for eruptive diseases. Nor did the physicians bef... Putrid Symptoms Gargle Solution Of Chloride Of Soda Drink: Chlorate Of Potass Liquor Calcii-chloridi
Should _putrid symptoms_ make their appearance (21), I would strongly advise the acid in full and repeated doses, as well as the frequent repetition of the packs. In putrid cases, not only the syrup, but also the gargle will do good service. Garglin... Relaxation Of Treatment Towards The End Of The Third Period Continuation Of Packs During And After Desquamation
When the patient is through the first part of the period of efflorescence the symptoms decrease, and he will be easier. Under the treatment prescribed, the time when the excitement is highest, is much abridged, and usually the treatment can be relax... Rules For The Application Of Water In Typhoid Cases
As a general rule, in typhoid cases, bathing should form one of the principal features of the treatment; i. e. the patient should have more baths than packs in proportion to the treatment of other cases. The temperature of the baths should be in... Sitz-bath Anchor Of Safety
If there be much delirium, the sitz-bath may be required longer, and the pack shorter, as indicated above (81). In all such cases the packs and sitz-baths, alternately, ought to be continued, till the nervous symptoms disappear altogether, and shoul... Technicalities Of The Pack And Bath
Let me give you its technicalities, and the rationale of its action: A linen sheet, (linen is a better conductor than cotton,) large enough to wrap the whole person of the patient in it (not too large, however; if there is no sheet of proper size,... Temperature Of The Sick-room
The _temperature of the sick-room_ should not be much above 65 deg. Fahrenheit; in no case should it rise above 70, whilst I do not see the necessity of keeping it below 60, as some hydriatic physicians advise. The patient, in the heat of fever, wil... Temperature Of The Water Double Sheet Changing Sheet
The water for the wet-sheet pack, in this violent form, ought to be cold; in summer it should be iced down to 46-48 deg. Fahr. The sheet ought to be coarse or doubled, in order that it should retain more water, and it should not be wrung out very ti... The Ammonium Carbonicum
recommended by Peart, has been considered by many as a specific capable of neutralizing the scarlatinous poison, whilst others have used it only as a powerful tonic in torpid cases. Experience has shown that it is not a specific, and that its use as... The Anti-gastric Method
consisting in the free use of emetics or purgatives, has been recommended by some eminent practitioners. Withering, Tissot, Kennedy and others are in favor of the former, and find fault with the latter, whilst Hamilton, Willard, Abernethy, Gregory, ... The Expletive Method Blood-letting
has been advocated by some of the best authorities, and there cannot be a doubt but that it must have rendered good service in cases of violent reaction, or else men like de Haen, Wendt, Willan, Morton, Alcock, Dewees, Dawson, Dewar, Hammond, &c., w... The Half-bath The Sitz- Or Hip-bath
Should the half-bath or shallow-bath (which are technical terms for the bath described above), not be sufficient to relieve the head, the patient must be placed in a _sitz-_ or _hip-bath_ of 65 deg. to 70 deg. and stay there, with his body covered b... The Sitz-bath May Be Taken In A Small Wash-tub If There Is No
proper sitz-bath-tub at hand. It should be large enough to allow the water to come up to the navel of the patient, and to permit rubbing. Too large a tub would not allow the patient to sit in it comfortably. If there is no tub to fit, a common bathing... The Throat Should Be Covered With A Wet Compress I E A Piece Of
linen four to eightfold, according to its original thickness, dipped in cold water (60 deg.-50 deg.), well wrung out and changed as often as it grows hot. It should be well covered to exclude the air. This compress should be large enough to cover the ... The Wet Compress
In bed, a wet compress is put on the throat, and another on the stomach, which, beside the direct influence it has on that organ, acts as a derivative upon the throat and head, and as a diaphoretic upon the skin, assisting in allaying the fever and ... There Is Neither A Specific Nor A Prophylactic To Be Relied On
All these different methods and remedies, and many others, have been and are still used with more or less effect. But where there are three physicians to recommend one of them, there will always be four to contradict them. They may all do some good ... Towards The End Of The Period Of Efflorescence When The Rash
declines, fades, disappears, and the skin begins to peal off, an ablution in the morning of cool water, with which some vinegar _may_ be mixed, and a pack and bath in the afternoon, are quite sufficient, except the throat continue troublesome, when a ... Treatment Of Affections Of The Nervous Centres
In affections of the nervous centres, the _brain_, the _cerebellum_, and the _spine_ (see 17-19), the danger which threatens the patient's life is principally averted by the sitz-bath. The nervous system needs support, and the circulation must be re... Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever
In _scarlatina anginosa_, or _sore-throat scarlet-fever_, which is the most common form of the disease (1-7) we have to discriminate, whether 1) the _reaction is mild_, the heat of the body not being much above 100 deg. Fahr. and the pulse full, b... Treatment Of Scarlatina Simplex Or Simple Scarlet-fever
_Scarlatina simplex_, or _simple scarlet-fever_ (9), without inflammation of the throat, is generally so mild in its course, that it requires little or no treatment. However, I would not have parents look upon it as "scarcely a disease," as neglect ... Treatment Of The Mild Or Erethic Form Of Scarlatina Anginosa
The _mild_ or _erethic form_ of scarlatina anginosa requires about the same treatment as scarlatina simplex. I would, however, for the sake of safety, advise a pack and bath per day, through the whole course of the disease, in the afternoon, when th... Treatment Of The Violent Or Sthenic Form Of Scarlatina Anginosa
The _violent_, or _sthenic form_ of scarlatina anginosa becomes dangerous only through the excess of reaction, when the heat is extreme (upwards of 105 deg. Fahrenheit, sometimes 112 to 114), the pulse can scarcely be counted, as it hammers away ful... Unfavorable Symptoms
are: A fetid breath, with ulceration and sloughing of the throat and glands; a smarting and weakening diarrhoea; involuntary evacuations of the bowels; dizziness, deafness, coma, grinding of the teeth; retention of urine; petechiae; a rapid decline ... Ventilation All-important
If the circulation of air is necessary in any other form of scarlet-fever, it is all-important in torpid reaction, especially when it inclines to a typhoid type. We should never forget that it is the oxygen of the air that nourishes the process of c... Water-drinking
As the patient should have a constant supply of pure air for his lungs, so he should also have _plenty of pure cold water_ for his stomach, to allay his thirst and assist in diminishing the heat of fever, and in eliminating the morbid poison from hi... Water-treatment As Used By Currie Reuss Hesse Schoenlein &c
Beside the above modes of treatment _cold_ and _tepid Water_ has been extensively used and recommended by reliable authorities. Currie, Pierce, Gregory, Bateman, von Wedekind, Kolbany, Torrence, Reuss, von Froehlichsthal, and others, have treated th... Wet Compress
The wet compress on the throat in torpid cases should not be changed often, but left till it becomes almost dry. Should the feet of the patient be cold, a bottle filled with hot water and wrapped in a piece of blanket or a sheet should be placed nea... What Effect Could Be Expected From A Warm Wet-sheet?
The first impression of the wet-sheet is, as I stated before, a _disagreeable_ one. If it were _agreeable_--as a warm sheet, for instance, would be, which has been occasionally tried, of course without doing any good--_it would not produce a reactio... Wine And Water If No Reaction Can Be Obtained
Should the patient remain cold in his pack for longer than an hour,--a case, which will seldom occur,--a little wine and water may be given him to assist the organism in producing a reaction; and, in case of need, the dose may be repeated once or tw... 1 Is Water Applicable In All Typhoid Cases?
The question has been raised, whether in typhoid cases, and in cases of torpid reaction in general, water is at all applicable? I can answer the question only in the affirmative; but I must add, that the treatment of such cases requires more than co...