The citizen. (Frederick City, Md.) 1895-1923, 1895-08-30

OF Une thyroid body, "'unds
If the carotids are woundo,
will probably ensue RAPIDLY NS, Death
is said to have remarked tho, ;eelalton
four minutes for man +" ~ ~ takes
death from the carotid, wbile tn uleed to
utes are sufficient to tie II wv ivy. min.
the large veins are dangerous Uuaus Of
ply from the loss of blood hrt r y. SIM
mission of air. Bleeding bsr . tlie ad.
orally favored by free anastomosis gen.
seen in time, compression can ais II
always be successfully applied " u
bleeding wound of the neck and 20
may be continued until mean au mus
hand for operative relief. In css are at
pertorating wound into the larvnSe VI
tients may suffocate by the entr.A, pa.
blood into the air passages RoS ce OF
bullets, foreign bodies like arrow Issues
or splinters of wood are Sometimes neads
bedded into the structures of tho sem en-
Such wounds as are not ouicklv sos
are usually recovered from. Ia ,a.al
comes rather fiom complications tbaa
the injury itself. In case of d sau
wound, it would be better to cIoaep
by two or more tiers of sutures If
essary for complete approximation "eG :.
the oesophagus be opened, it nav Il
sutured if conveniently situated vi, Ie
erwise it will be better to leave v WI
ton of the wound open and nao Ro !.
with gauZe. Untoward results Of sn.I
wounds differ in no wise from thosoV !.
injuries generally and are to be de.i.
with as they arise. '''
Enaphephema.f In deep wounds,,
the neck perforation Of the air passan.l
is probable. If it be practically
close the tracheal opening of ap am
phepematous wound, it should =
done, but the external wound shms
not be closed or sealed.
.Asphyxia means without pulsation"
fEmphepema means air escaped into IL,
connective tissue. Ae
CHRONIC CONSTIPATION.
am not so presuming as to hone fl
say anything which would be edifyin%U
to the veteran practitioner: bnt -
the young, who, like the writer. INNS,
yet win his laurels if any he shoud
wear, | address my few remarks. W.
frequently meet with patients wbo
have blotched, greasy, sallow com.
pleXiOn, with pains about their shonI.
ders aud various other parts of thei,
bodies. and of course, are in state
malaise. Such patients "wonder whv
1t is they are never WELL" but freouent.
ly attribute their condition to "dvs.
pepsia." Ask such patients if thew are
constipated, and nine out of ten will
answer "yes."
Then, what has produced this state
of affairs? A study of such cases will
in nearly every instance, show that i
has been caused by simply lack oi
regular habits in eating, sleeping,
drinking and attending to the calls IF
nature. l have recently treated mum.
beers of cases of constipation, several of
which were of very long standing
having resisted nearly all other treat.
ment, as follows:
R.-Pulv. Jalapae Co. ...........I ounce
Pot. Bitart. ......................2 draChms.
Pulv. acknowledgements. 10 grains
NJ. ct # chart. ......................NO S.
Sis: One powder at night.
l divide this powder into 8 parts
and give them about an hour and a
half apart. If this does not act well
by morning, give EPSON Salts. Then
| order:
Rhine. Belladonnae. ......5 drachms
Tinct, Nucis Vom. 5 drachms
Ext. Cascara Sagrada A.. IL ounce:
Glycerni q. s. ad................4 ounces
NJ. Sig. One Tablespoonful at nigh
and IN the morning to keep the bowels
open.
This latter should be kept up at in
tervals, as indicated, until the cure /
complete. l insisted in each case OF
regular habits and an endeavor on til,
part of the patient to procure an actor
from the bowles each morning. Did
not "diet" patients to any great extent
and in each case achieved most excel.
lent results, not having single failure
and no return of the trouble.
L never use the syringe in cases Of
constipation, since it does harm and
can rarely do any permanent good.
find, however, that if, with the finger,
firm upward pressure, alternating With
sudden removal of the pressure be
kept up, with moderate rapidly for
some time at a point just below The tip
of the coccyx, it will nearly alwaysin.
duce an action, and l believe without
any injurious results of any kind.
Those who suffer from constipation
should practice this each morning,
and if persisted in, in conjunction with
regular habits, there would be but few
cases for the physician to treat.
L have given more OF the fluid ex'
tract of carcara sagrada than of all 9th.
er purgatives combined, and have not
yet seen the diuretic action which is
attributed to this drug by some recent
observers, not, however, denying its
power to produce such an effect. |
have not observed it in'this respect as
l might have done. l have, however,
seen case of metrorrhagia, which had
persisted for several days, cease after
the administration of eascara in the
above formula. If it has any duretc
action, was this case one of Slmitid
sinitibus curdnt,tr? No, l think not
The flow of urine ceases because the
intestines under the effect of the ca
thartic, assumed the action of the url-
nary organs, or else the cause of the ex'
cesslve flow was removed.