Jama; The Journal of the American Medical Association Volume 34
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1900 edition. Excerpt: ...larger doses are required, and its effects are not confined to producing sleep. One effect of all drugs is that they diminish the resistance and impair the manhood. The patient will not endure a deprivation of sleep which he formerly considered trivial, with fortitude. The author finds the effects of sul phonal and trional even worse than opium, and remarks that the introduction of syrups and tabloids containing them is very unfortunate. The essential preliminary in the treatment of sleeplessness is the recognition of its cause. Individuals vary greatly in their habits in this respect. Some are naturally bad sleepers, and such are greatly to be pitied. He would hesitate to give drugs, except an occasional dose to parry the effect of any unusual excitement or fatigue. If the pulse tension were high, chloral would be indicated, if it were low, paraldehyde or bromid. If sleep is unrefreshing, he would use bromids if possible, as they can be taken indefinitely without serious injury. He next notices the conditions of the circulation which interfere with sleep. Some patients suffer from cold feet, and rubbing is an excellent expedient for such. This may be due, however, to an exactly oppositive.subjective feeling. Other conditions of the circulation causing sleeplessness are high arterial tension keeping up the cortical circulation, or low arterial tension, which maymake sleep in a horizontal position difficult or impossible. The treatment here must be tonic. The most common cause of sleeplessness, however, is indigestion in its various forms and he notices the special treatment of dyspeptic insomnia' One of the simplest methods for relief is to drink a tumbler of hot water at bedtime, but he would not even advise this as a routine practice....
- 189 x 246 x 53mm | 1,855g
- 13 May 2014
- United States
- black & white illustrations