Carbonate of Soda 6 drams
Tincture Arnica 10 ounces
Glycerin 2 ounces
Water 9 ounces
4. Oil of Wintergreen 1 ounce
Compound Soap Liniment 8 ounces
Mix.
Rub the affected parts with oil of wintergreen and then wrap the parts in
cotton wool and soak with the solution.
5. "A layer or two of gauze saturated with methyl-salicylate is wrapped
around the painful joints and covered with paraffin paper, or other
impervious dressing, held in place by a bandage. This is renewed once or
twice daily until the pain in all the joints is relieved."
6. Internal.--Sodium salicylate or aspirin given until the pain and
temperature are relieved; usually five to ten grains of sodium salicylate
every three hours for an adult; or five grains of the aspirin every three
hours.
7. Dr. Hare recommends for the beginning in a strong, healthy individual,
ten drops of the tincture of aconite at once in a little water, and follow
it by a teaspoonful of a mixture containing fifteen drops of tincture of
aconite and two ounces of water everyone-half hour, until perspiration on
the skin betokens the circulatory depression through the action of the
drug. I use aconite in this disease very often, but not in such doses as
the first one. It seems to me that it is uselessly large. I use about
one-tenth of a drop at a dose everyone to two hours during the first
twenty-four hours.
[CONSTITUTIONAL DISEASES 321]
Nursing.--The nurse must have the patience of Job to attend a patient sick
with this disease; but you must remember the suffering is awful. The
patient may be very restless and the pillows may need rearranging every
few minutes. Also be careful how you handle the patient. It hurts terribly
to be even touched. A rough, hearty person has no business to care for
such a patient. I allow patients to say anything they wish, for this is a
painful disease. They may swear at me if they wish. I know how it is, for
I was there twice, the last time for six long weeks. Have patience and
courage and cheer your patient. Do not look cross or scold.
Diet.--Milk mainly, broths, gruels, albumen water, oyster or clam broth,
milk toast, buttermilk, kumiss. Do not give solid food. Water, lemonade,
vichy or carbonated water.
CHRONIC RHEUMATISM.--Causes.--Heredity may predispose to it. It is most
common in those who are exposed to hard labor in the cold and wet;
especially in women about middle age. It occasionally follows sub-acute,
but rarely acute rheumatism.
Symptoms.--Many large joints are usually affected; sometimes it may be
only one joint; at times, the small joints only are affected. It may be
only on the one side. It usually persists in the joints involved, but may
attack others. The chief symptoms are stiffness of the joints, especially
after a rest and this diminishes after some motion, also pain, which grows
worse in damp weather. The joints may be tender to the touch, slightly
swollen, rarely red. They may in time become entirely stiff and deformed.
The general health may be good or there may be anemia, dyspepsia and
valvular disease due to sclerosis,--hardening of the valves of the heart.
Prognosis.--This is good as to life, but the disease is often progressive.
Treatment. Preventive.--A warm, dry, unchangeable climate, good
surroundings, good food; keep the stomach and bowels and kidneys in good
condition, avoid taking cold. Do not sit down in a draft to "cool off." Do
not go into a cool room in summer when you are warm or sweated. Do not
sleep in a bed that has not been used for months and kept for "company."
Do not dry your clothes in the kitchen and in that way make the whole
house steamy and damp. Do not sleep under unaired damp covers or in a damp
night dress. Always air and dry your bedding and night dress before using.
Do not take a hot bath and go into a cool room to cool off, but wrap
yourself up so as to be warm and cool off gradually. Any additional cold
will cause more rheumatism.
[322 MOTHERS' REMEDIES]
Sleeping rooms on the first floor are an abomination for rheumatic
persons. Do not sit down in wet clothes, stockings or shoes. Take them off
immediately on getting home, wipe yourself dry and put on dry garments.
Care in such little seemingly foolish things will do wonderful things for
a rheumatic person. I had two rheumatic attacks in my first year of
practice. Since then I have learned caution and through a hard and busy
life I have kept myself reasonably well by looking after such little aids
and cautions as, the above. I never sit down for any length of time in
damp or wet clothes, and if I can do that, persons that are not driven
like doctors can do the same. These cautions apply to not only this kind
of rheumatism, but to all kinds of rheumatism, neuralgias, and to
inflammatory diseases, such as neuritis, tonsilitis, pneumonia, pleurisy,
etc. Hot air baths, Hot Springs, massage will be more effectual in this
disease than in the former. Iodide of potash also is very useful. Flannel
underwear, heavy and light weight, is very beneficial in rheumatism. Great
benefit can be derived at home by wrapping the affected joints in cold
cloths, covering with a thin layer of flannel and protected by oiled silk.
A great many cases are helped by using hot fomentations of hops, wormwood,
smartweed, etc. Turpentine applied locally to the joints is effective, but
it is very likely to injure the kidneys when used freely and in these days
when there are so many diseases of the kidneys one must be careful or they
will produce an incurable and serious disease in the place of one that is
painful, but not necessarily dangerous. Many of the simple remedies have a
good effect on the rheumatic troubles.
PHYSICIANS' TREATMENT for Rheumatism.--Dr. Hare gives the following to
rub on large joints:
1. Ichthyol 1/2 to 1 ounce
Lard 1 ounce
2. Tincture of Aconite 6 drams
Tincture Arnica 1 ounce
Oil of Turpentine l ounce (l or 2)
Soap Liniment enough for 8 ounces
Use as a liniment three times a day. This can be used for some weeks.
3. Strong Water of Ammonia 6 drams
Oil of Cajeput 1 dram
Tincture of Belladonna 1 to 2 ounces
Camphor Liniment enough for 8 ounces
Use as a liniment.
4. Tincture of Aconite 1 ounce
Tincture Belladonna 2 drams
Strong Ammonia Water 4 drams
Chloroform Liniment 6 drams
Used as a liniment on chronic or inflamed muscles or joints.
5. Iodide of Potash 1/2 ounce
Compound Syrup of Sarsaparilla 3 ounces
Distilled Water 3 ounces
Mix and take a dessertspoonful in a glass of water two hours after meals
for chronic rheumatism.
[Illustration: Muscular System.]
[CONSTITUTIONAL DISEASES 323]