The Pulaski citizen. [volume] (Pulaski, Tenn.) 1866-current, 1878-10-03
Yellow Fever Treatment.

On admission the patient is given
hot mustard foot-bath, and, if the
skin is hot and dry, is sponged of
with tepid water, to which a few
ounces of alcohol or whisky has
been added; he is covered with one
or two blankets, sufficient to pre-
vent checking of the perspiration.
Profuse and indiscriminate sweat
ing by means of blankets or other
wise is injurious. Whenever the
skin becomes hot and dry sponging
with tepid water is repeated.
Cracked ice and ice water in small
quantities at a time are given od
Libitun. If the bowels are costive,
half an ounce of castor oil with fif-
teen or twenty drops of turpentine
is given. If the tongue continues
coated, with bad taste in the mouth,
one grain doses of calomel with
three or four grains of blcarbonate
of soda are given every hour until
four doses are taken. If the tongue
becomes very dry or cracked and
red like raw beef,a dessert-spoonful
doses of turpentine emulsion icon
tanning twenty per cent. turpentine J
are given every three or four hours.
In all cases five grain doses of qui-
nine are given every two or three
hours, and pushed until the ears
ring, and a sufficient amount is Civ
en- daily to keep up the ringing in
the ears. In some cases where the
pulse becomes weak and the stom
ach is irritable, thirty grains of quiz
nine in an ounce of brandy is gwen
by enema every five or six hours.
If there is nausea and retching, a
pint of tepid water, to which des-
sert-spoonful of mustard and salt
has been added, is given to empty
the stomach. A pinch of salt
placed on the tongue will frequent
ly relieve hIccough. Lime-water
and hismuth, creosote or chloro-
form in small doses are useful in
some cases in quoting the stomach
and relieving nausea. If there is
much pain over the bowels, blister
six by six inches will do much
good. In milder cases a mustard
plaster or Curpentine stripes are
very good. In stout, plethoric
persons, six or eight leeches over
the bowels are very beneficial. The
leeches will generally die from the
bad blood. If the urine is not free,
a wineglass of the infusion OF digi
tails, with ten grains of acetate
potash, is given every two or three
hours. This has proved a most
remedy; so far it has failed
only in two cases. In suppression
of urine in addition to the digitalis
mixture mustard plaster cupping
over the loins, &c, are called for.
For nervousness and sleeplessness
choral hydrate is the best remedy.
Give twenty grains by the mouth,
if the stomach will retain it; if not,
give thirty grains each of choral
hydrate and bromide potash in one
or two ounces of warm milk, by
enema. This remedy has a most
happy sedative effect; it also lowers
the temperature. No opium or
should be given. Patients
are remarkably susceptible to its
effects. Very small doses, either by
the mouth or rectum, may prove ia
tai. Stimulants are required in all
cases. Port wine has been most
acceptable and beneficial to all the
patients. Acid wines and cham
payne have disagreed in every case.
Complaints of their bad effects have
been so general that they are not
used any longer. Brandy and
ahlsky are given when agreeable to
the patient. During convalescence
ale and beer are generally relished
by the patients and are freely given.
During sickness only liquid food is
given. Milk chicken broth, beef es-
seDce, &c, according TO the desire
Of the patient, are given in small
quantities every hour. AS conva
escence sets in, oyster soup, soft
boiled eggs, with crackers and
Toast, are given in moderate quaint
". Great care is required to pre-
vent the patients from over eating.
Not single relapse has occurred
n this hospital, which is largely at
10 the great caution ex-
,rcised in regulating the diet
IF the patients.
l am under great Obligations to
Dr.. +. o. Brown, physician in
charge, who has allowed me every
AGILITY for making accurate obser
rations in this dreaded disease.
!. b. MARVIN. Resident Physician.
Fellow fever Hospital. Sept. %, rs.