Excerpt from The Medical Brief, Vol. 15: A Monthly Journal of Practical Medicine; November, 1887
Such is a Very brief summary of symptoms; now let us pass to a brief schedule of treatment.
The physician should first consider that he is now about to measure swords with no contemptible foe; no petty sneaking intermittent, but a Goliath of strength, and happy will he be if he comes off a David from the trying conﬂict. When Greek meets Greek then comes the tug of war, and now, my brother, you have no time to lose by palliatives or untried remedies; the chill has sounded the tocsin of war, and you have only to buckle on your armor of skill and prepare for a hard fought battle.
The first indication is to relieve the bowels and system as speedily as you can by free purgation, and for this purpose I prefer calomel from its alterative and relaxing efi'ect, and give it in five grain doses combined with chlor. Potass. And repeat every four hours, but as to size of dose, the practitioner should be governed by his knowledge or conjecture of the susceptibility of his patient and the obstinate constipation he has to com bat. In addition to medicines per orem, we have a valuable adjunct in enemas, often repeated, and which should never be omitted. This done, let ice be procured as soon as possi ble and have it pounded up fine and put in a plate near the patient to be eaten freely. This will allay the per sistent irritability of the stomach and break up any incipient congestion.
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