Staunton spectator. [volume] (Staunton, Va.) 1849-1896, 1890-01-22
Treatm emit of La Grippe.

An exhaustive article On Ia grippe appears
in last weeks number of the Medical News of
Philadelphia from the pen of Prof. J. M. Da
Costa, of jefferson Medical College. It con-
cludes with the following as to the treatment
OF the disease:
1.-The treatment must. of course, be the ordi-
nary treatment of catarrhal affections. For
the relaxed and irritated throat have found
nothing so serviceable as gargle of salicyiate
of sod iup, giycerine and wafer For the nasal
catarrh, which at times Is very unpleasant, L
have found that two per cent. solution OF CO.
caine does the most good. The bronchial ca
tarrh should be treated as any other bronchial
catarrh, according to the exact seat and the
number of rales good deal of the paroxysm-
al cough is laryngeai, and you will find that
small doses of opiu N al night, or bromide and
opium, or what have employed in number
of cases, broken doses of Dover's powder, will
give good results. One fourth of grain of Coz
define, repeated according to the circumstances
OF the case, is often useful it allays the cough.
induces sleep and does not cause much sweat
ing. Let me say here, that while the routine
practice of using diaphoretics in these cases is
useful, yet such drugs must be used with judg-
ment, In some cases there is great tendency
to sweating and you do not want TO Increase
it. as 1t rather adds to The debility. The di.
aphoretic must be adapted to the individual
case, not employed too actively. and not at all
where sweatingis prominent sy mptom.
The debility must be borne in mind. and 1t
is good practice tG give sulphate Of cinchOni-
dine or Quinine, ten or Twelve grains daily -
Nourisn ment should be kept up and the &C.
ton of the bowels looked after. me patient
should not be overpurged, for in some 1nstan-
ces t1arrhea ia associated with the maady.
For the headache and the pain in the bones
have found two remedies of especial advan-
tage. One Is antipyrin in five grain doses.
with grain or two of quinipe to prevent de-
preston, repeated every two or three hours
until the headacne is relieved; the other is
phenacetin in five grain doses. In one in
stance where these two drugs failed to relieve
the headache found eelsemium to answer"
The general strength aud the circulation
must be look ed after and especially during
convaescence the patient must receive nutrt-
tious food, alcohol, small doses Of stry chnine,
and. later, iron.
sshal not speak of the treatment of the
complication pneumonia. but let me point
out, In concluding these remarks, that you
should keep your patients for a long time on
tonics which may prevent relapse. and, In
deed, it may be question whether it would
not be advisable when the disease makes Its
appearance in a household to place the whole
ia nily on the use of tones. such as cinchon
idine or quinine. as a preventive. My expert
encs Ia that Will this will not ward off the
disease 1t renders Inc attack less severe.
To prevent relapse great care is necessary in
not going back to work too sonn, aud not ex-
posing ones self to wet aud cold and with this
there should be q judicious use of tonics, and
even of stimulantS."