Excerpt from Delaware State Medical Journal, Vol. 3: December, 1912
Now comes the most important part of these cases, the treatment. In the first place, of the greatest importance is to recognize the case in its early stages, before it starts, as it were, in the synovial membrane, for, if it affects the peri articular tissues, it will later on, of course, produce a dis eased condition of the joints. There will be induration, fib rous and bony ankylosis. After that has taken place, of course, you have a good deal of trouble to contend with. You must be careful in not injuring the joints, in using too much force in breaking up the adhesions. If you take the case in its early stages, I venture to say that most of these cases are curable. In the case of the little girl I started to treat the gastro-intestinal trouble. You find in every one of these cases that they suffer from achylia or absence of hydro chloric acid. Digestion is very imperfect. You have putre faction and decomposition of the proteid matters and by ah sorption you increase the toxemia in the system. You might as well not start at all, unless you take care of the gastro intestinal tract. You will find that true in the various types of arthritis deformans. In this case I started before I paid any attention at all to the joints, except slight passive mo tions. I got her digestion in fair condition and then went on to treat the joints. I started to make an application to each joint of a paste, containing.
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