Herald and tribune. [volume] (Jonesborough, Tenn.) 1869-current, 1895-05-29
NoN-ALcoHoLIc TREATMENT OF TYPHOID
FEVER,


NoN-ALCoHoLIC TREATMENT OF TYPHOID
FEVER.
Typhoid %fever,a disease of the glands
in the small intestines, originates from
a poison often found In wells, rivers
and reservoirs; u~nsanitary environ.
ment of exposed persons helps it along.
Discharges from the bowels of typhoid
fever patients is also means of spread
ing the disease.
Between twelve and thirty years Of
age is the most susceptible period, chill
dren under twelve years come next and
elderly people are rarely attacked.
The fever comes on gradually, at.
tains its maximum in ten to fourteen
days and then decreases; Of course,
there are many variations. When fe-
yer is 1O9 or over, ice bags should be
kept on throat and forehead and re.
moved when ear 101. Temperature
OF every hour or oftener; hot water
may be used if cold is objected to; the
body should be kept moist after spong-
ing. Cold or hot packs can also be
used.
When temperature remains above 1903
in spite of ice bags and persistent
Sponging for three hours, give acetan.
lid or phenacetine, three grains, and
repeat in two hours if necessary. Medi-
cines to reduce fever should be used
only N emergency, and this will often.
est be at onset. Antipyretic medicines
weaken the heart.
AS there is great exhaustion during
the disease, stimulation is necessary.
Early commence with strychnia sui.
phate, n sixtieth grain every four
hours, should it become extreme, in.
crease the dose to one fortieth of a
grain for a time.
The greatest depression is between
two and seven O'Clock AM, during
which time give two ounces of hot cof-
fee every two hours, and if at any time
additional stimulation is needed, give
ten drops of aromatic spirits of ammo.
MIA in water often as necessary. The
%strychnia and ammonia may be given
hypodermically when quick result is
wanted. Digitalis fluid extract in
doses two to five drops can also be used
as an efficient stimulant. Following
the use of alcohol as q stimulant there
is more or less cardiac depression, but
the most positive tonic results follow
the use of strychnia, ammonia, digitals
and coffee.
In cases where the heart becomes
very feeble and beating 1876 to 14O per
minute, fluid extract veratrum viride
/ n one drop doses in va ter every hour
may be given to the exclusion of all
othersmedicines except strychnia, the
result being a slowing up of the heart
and an increase in its volume. Nausea
is an indication for stopping this drug.
When fever has not begun to abate
by the eighteenth to twenty first day
hemorrhage from the bowels may be
expected, symptoms Of which are great
restlessness, sudden paleness, exhaus
tion and q temperature below normal,
Elevate the foot of bed at once, put
light ice bag to abdomen, give powder.
ed opium one grain and lead acetah
or. ! every hour until bowels are quiet.
ed. Keep them 30 by the careful use
of opium for three days, stimulate very
gently with medicine already mention
ed as an extraordinary stimulation
may start the bleeding afresh. Three
days after ,hemorrhage irrigate the
bowels to remove all old blood.
Accumulation of gas in bowels il
dangerous and can be reduced by hoi
applications to abdomen and careful
daily enemata of glycerine and water
T~urpentine. ten dropsin emulsion every
four hours, is also very eficacious.
Daily, during the disease, the bowel
should be evacuated by using glycer
inc two ounces and water sufficient t
make a pint. Salol in two grain dose
should be given every four hours Will,
fever is high, decrease to one grail
every eight hours as it abates. Thi
drug is a good ~disinfectant, changing
into carbolic acid in the intestines.
When fever is high there is DANCE
of pneumonia, and in order to proven
this complication patient should b
turned from side to side every hour o
two thus preventing the accumulation
of fluid in the lower portions Of tn
lungs.
When the disease is violent, for tn
first three days none, or very little food
should be given. A cupful of he
water every two hours is very benef
cial. Water should be given freel
during the disease.
Peptonized milk, four ounces ever
three hours, for food, as long as accept
able to patient. Strained gruels, bee
tea, soups, broths and fruit juices ma
be substituted for the milk, and occS
sionally given in addition.
Acids should be given at differeu
time than milk.
Four days after all fever has gone b,