A Manual of Medical Treatment Volume 1

A Manual of Medical Treatment Volume 1

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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. 1893 edition. Excerpt: ...small and irregular and the urine scanty. It is now generally admitted that this drug rarely acts well in cases of uncomplicated mitral stenosis. Some importance must be attached to the choice of a suitable preparation of the drug and to its administration in suitable doses. The preparations usually employed are the powdered leaves, the tincture, and the infusion, and also the glucoside digitaline. The powder is especially prone to cause gastro-intestinal irritation, and should be avoided. Pilules of digitaline will be found useful and convenient in the slighter functional cardiac disturbances, but the glucoside has not the diuretic action of digitalis leaves. There remain the tincture and the infusion; the former is a handy and useful preparation, but a great many physicians prefer, and, we think, with good reason, the freshly-prepared infusion. Then as to the best dose. In cases where it is important to establish the diuretic action of the drug as quickly as possible, we should begin with full doses, which we can diminish when full diuresis has been established. Half an ounce to an ounce of the infusion, or 15 to 20 minims of the tincture, combined with a dram of the spirit of juniper, may be given every six hours until the diuretic action of the drug has been produced. In cases where there is no dropsy, smaller doses, which may be continued for a considerable period, act better, and we frequently give doses of 5 minims only of the tincture and a dram or two of the infusion three times a day. If there is any tendency to gastric irritation, it is as well to combine with these small doses 20 or 30 minims of the aromatic spirits of ammonia and some aromatic water. Digitalis has also been applied in the form of poultice to the abdominal...show more

Product details

  • Paperback | 184 pages
  • 189 x 246 x 10mm | 340g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236860659
  • 9781236860651