The weekly clarion. [volume] (Jackson, Miss.) 1863-1882, 1878-10-23
DIR. Nn1tcheII ON yellow Fever.
PUBLISHED FOR THE BENEFIT OF COUNTRY
PHYSICIANS.


PHYSICIANS.
The following letter is published, with
DIR. MitchelPS consent, for the benefit of
physicians in the country who have now
for the first time to deal with yellow fever !:
MEMPHIS, October 10, 1873.
DIR. n. G.. Knox, Courtland, Miss:
DEAR DoCToR-Ln relation to my mode OF
treating a yellow fever patient / submit
the following: Empty the stomach of the
patient, if d meal has been taken within the
four hours before the Invasion Ofthe disease.
Commence treatment by giving ten or
twelve grains of calOmel, followed in six
hours atJerward by dose OF oil; reaction
is established by a mustard foot-bath; per-
spiration is to be kept up for twelve or six
teen hours. II the temperature ranges
above one hundred and two, sponge with
cold water and whisky equal partS) frem
head TO foot tor forty minutes; then rest
| thirty minutes. This should be kept up
until the temperature is brought down to
one hundred and one, and If the patient is
restless, Keep up the spOnging with tepid
water and whisky after the fever has en-
| tirely subsidized. This, in my opinion, is
| the only measure to secure quiet, rest and
sleep. Give two ten-grain doses of quinine
within the first twenty -four hours. AS a
diaphoretic and diuretic use bicarbonate OF
potash, chlorate of potash and sweet spirits
| OF nitre. .... SID. t.
| For the first forty eight hours use tincture
| OF 0eiSeul luW. II dileF Gue &uUSlu6Lc0 Oh
| the fever there should be rise of tenn pera-
ture at night, give quinine freely the day
| following. Repeat this each day as long as
the temperature rises at night.
After the ffrsttwenty -four hours ofillnesS
there must be absolute quiet of body an j
! mind for the next five days. l do not permit
any one to go in the sick-room but myself
| and nurse; in fact, the world closes on the
| patient until turn him loose h e sees moth
| ing, hears nothing, and remains perfectly
| quiet in bed. 4t stt -..l
| The use of the bed-pan is essential to re-
! cOVery. When the fever subsidies give the
| blandest articles of diet, such as milk. and
| Underwater, and rice water, followed by
| chicken broth; no solid food TO be taken for
ten days. .7
| do not permit my patient to sit up in
| bed until the ninth or tenth day.
Give small quantities of ice and draughts
of ice water. or any cold tie as at short inter
| Sals and in small quantities.
I-ritabiiity of stomach that comes on with
the invasion of the disease will usually sub
side within twelve or eighteen hours, with
! out any treatment addressed TO that partic-
| ular symptom. II it appears later, use
sinapixms or bistering ointment to slight
! vesication. Creosote, in small doses, use
sometimes with decided advantage.
After the subsidepce of the fever, and
during the stage OF prostration. use slim
ulants very cautiously and prefer milk
punch ia small quantities. During the
sixth, seventh and eighth days, or during
convalescence, l prefer the malt liquors
such as ale and porter.
| Champagne never use. My experience
is that it is decidedly Injurious to the pa
tient. Very truly yours, taiEs 3.
r. w. MITCHELL, NJ. ID.