, 1875-06-02

leeches and as many blood cups. In this, how
ever, all authors, German and French, seem to
agree, that general drawing of blood (from the
arm is of no use, nay, they even declare it
detrimental. One author writes: "The Go-
acknowledgement of the uselessness, nay injury, Of
bleeding is a progress made" If even such
q condemnation must appear rather severe, it
is certain that opinion IS against opening of the
veins, and this is based on reasons which it
would be too lengthy here to give, but which
seem TO be correct. Notwithstanding this it
cannot perhaps be denied that, in quite ercep-
tiona1 cases, bleeding in the i~noipient stage of
the disease in the case Of an extraordinarily
robust individuaFmay be beneficial, but as a
rule it is hardly correct, and at any rate a very
dangerous experiment.
The case is different with local discharges of
blood in the way of leeches on the temples or be-
hind the ears, or as UO0dcuPs on the neck APP
piled as quickly as possible. These remedies
have proved useful on very many occasions, and
often mitigate the symptoms, principally at the
commencement of the disease. Also the open
ing Of the temporal artery-as has been done
in a case here-has been practiced, and its eff
feet is nearest to that of Ieeches. These
dies must therefore undtr certain circumstances
be recommended.
90 Applications Of cold tcater or zee on the
forehead, pouring Of cold vater on the head and
back is the next remedy. The two first lin SO
far as ice can be had) have a good effect, the
pouring of cold water is sometimes painful to the
patient, and shouid only be resorted to when
the patient shows signs of dulness AID drowsi-
ness.
50 Strong hot baths mired ac1th ashes and
mustard applied to the feet ard legs, are a good
remedy. The water must be as warm as can be
borno anI eOrco4iunac - M bn rrorar Sinul
taneously to pour cold water along the spine
principally under the aforementioned circum-
stances.
40 4 strong derivation to the intestinal canal
is known to have q good effect in cases of con-
%gestinus to the head, so much the more as the
patient is generally c%ostive Any purgative
may be used, provided the fleet be prompt and
sure. Calomel has, of course, been used, and
there is nothing against its Use, only no more
must be expected from it than from any other
powerful purgative it ought per haps alwaysto
be given together with ialap tI2-I5 grains Of
CalomeI and 20-3O grains Of jalap). If it 10
rot to hand, a strong dose Of epson salts will
have the same effect.
50 Lodjde and Bromide 0f Potash have also
been used and seem to merit confidence in
case Of a slow course of the disease and in
case of a transition to chronic diseases of the
brain.
GO Lyritauts giAe skin have been much
used, from mustard plasters to red-hot iron.
6 blisterS have been applied at the same time,
aud the back has been burned with the iron.
These remedies are recommended by some
in al cases and by others only in case Of sopOr
and depression. The principal objection,
agains. fly blisters more especia y, is that
the effect is rather slow | would prefer mus
tard ~plasters, as mentioned below.
70 Opium and Morpdine have been very
much used, in France principally, later also
in Germany, os a relief for the headache.
It appears strange that the opiates, whose
physiological effects are CONCESSIONS to tho
brain, have nevertheless been used, and ayo
still commonly administered, and that too in
very great doses (4-6 grains Of opium in "a
hours) and, as it would appear, successfully.
We possess, however, another remedy. chLo-
raj, the effect of which is perhaps even mole
sure in alleviatiDg headache, sleeplessness,
delirium commissions and tetanic spasms, and
which has also been used with good effect
(also here). tits given after the purgatives,
in a good, fair dose (1-2 scruples-l dram).
80 We have yet to mention quinine, but
only in order to state that it has proved alto
gether useless.
90 When strength fails, it isa matter of
course that recourse is had to the so-cailed
stimulants, such as brandy, wine, carbonate
ofamonia, camphor, musk, etc., but, asa mat
ter of course, their effect is not always sure,
if the disease is so far advanced.
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