An index of diseases and their treatment / by Thomas Hawkes Tanner.

  • Thomas Hawkes Tanner
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: An index of diseases and their treatment / by Thomas Hawkes Tanner. Source: Wellcome Collection.

    192/540 (page 154)
    164 INTERCOSTAL NEUEALGIA. of brain. Mind, not developed: ideas simple or few. Manners foolish; transient gusts of passion. Head small or missliaptn. Countenance vacant. Articulation and gait oi'ten imperfect, and perhaps saliva dribbling. Occasionally, the idiot is a blind deaf- mute. Treatmest. Proiihjlatic:—Eest of mind, or change of occupa- tion : proper amount of sleep. Attention to functions of sexual system, skin, liver, kidneys, alimentary canal. Eemoval of any bodily disorder.—Henbane. Stramonium. Indian hemp. Digitalis. Morphia, or opium. Bromide of potassium. Chloroform. Quinine and steel. Synip of phosphate of iron. Phosphate of zinc. Bark. Cod liver oil. Nourishing food: milk: stimulants with discretion. Change of air and scene. Curative:—All antiphlogistic remedies badly borne. Eemoval of other disorders, —skin diseases, uterine dislurbano^s, syphilitic taints, gastric and intestinal disturbances, &c. Then, in onlinai-y forms of insanity, a nutritious diet; warm clothing; out-door occupations and .imusements ; cheerful recreation. Sleep at night to be procured by sedatives. Healthy evacuations to be obtained from bowels by vege- table alteratives, and mild aperients. General strength to be im- proved by tonics. All bad habits, as onanism, to be prevented. Gentle and slow attempts to revive afiections, and strengthen be- wildered intellect. Baths often useful,—douche, shower, warm, or Turkish. Where food is refused, any derangement of stomach or bowels to be removed, and healthy evacuations procured; this I'ailing, forced alimentation, with stomach pump, will be required. All harsh- ness and mechanical restraint to be avoided. Unfortunate patient's confidence to be obtained ; every promise that is made must be kept; as much indulgence as possible to be allowed. Restraint in a well-managed asylum, often necessary to enable treatment to be effectually carried out; imperativel}' called for, when patient has suicidal or homicidal tendencies. INTERCOSTAL NEUEALGIA. — Neuralgia Qsevpov, a nerve; &\yo%, pain) may affect the intercostal, as it does the other nerves of body. Chlorotic and hysterical women most liable to it. Sometimes occurs in Briglit's disease, phthisis, &c., after herpes zo.ster. JIust not be confounded with neuritis, or with pleurisj. SvMrTOMs. Pain of a dull and continued aching character, or sharp and paroxysmal. Sometimes lasts for weeks. 3Iost frequently located in isixth, seventh, eighth, or ninth nerves of left side. Follows course of nerves (anterior ])rimary branches of dorsal), extending from anterior part of thoracic wall directly backwards to vertcbr.T. One 01' two painful spots Komotime.s detected on pressure. Occasionally cutaneous liy])oriesthesia of whole mammary or infra-mammary icgion. Debility. No febrile symptoms. In women, calamenia maj- be irre- gular: leucorrlia'a. TitEATMK.NT. Quiuiuc and aconite, 379. Quinine and steel, 380. Steel and arsenic, 399. Cod liver oil. Belladonna and aconite lini- ment, 281. Strips of belladonna plaster completely round thorax.