DOI Seite / Zitierlink:
https://doi.org/10.11588/diglit.65890#0289
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at once; the former is sometimes so violent as to
affect the sight: I have seen it produce hemeralopia,
in two instances. The affection of vision is sym-
pathetic, and its cause, as well as that of the head-
ach, mostly referrible to foulness of stomach. A smart
emetic is here the most useful remedy, although
during its operation the pain of head be sometimes
aggravated by it; when, a blister applied to the nape
of the neck will remove the pain altogether in many
cases: a powder of twenty grains of ipecacuanha and
one grain of tartar emetic, repeated in a quarter of an
hour, if the first powder fail, generally succeeds
in evacuating a quantity of green bile, which will
also pass off sometimes by stool. This usually re-
lieves the head after one or two hours, and procures
comfortable sleep, particularly when given in the
evening*. The same effect however often follows,
although not a particle of bile be dislodged, simply
from the shock of the emetic upon the system f.
The emetic should be followed up by a purgative,
when necessary, the bolus of calomel and jalap,
succeeded by a dose of neutral salts, is perhaps
the best. A combination of calomel and antimonial
* Travellers in Greece should always provide themselves with
a number of emetic powders as well as bark and purgative medi-
cines ; by the former, they may often cut short a fever in a few
hours ; by the latter, they can remove one of its exciting causes,
and with bark they may support their constitution under its forma-
tion.
f The great danger dreaded from emetics is the effect of determi-
nation to the head : I have given at least two hundred emetics in the
severest head-achs in fever, and never witnessed that effect.
at once; the former is sometimes so violent as to
affect the sight: I have seen it produce hemeralopia,
in two instances. The affection of vision is sym-
pathetic, and its cause, as well as that of the head-
ach, mostly referrible to foulness of stomach. A smart
emetic is here the most useful remedy, although
during its operation the pain of head be sometimes
aggravated by it; when, a blister applied to the nape
of the neck will remove the pain altogether in many
cases: a powder of twenty grains of ipecacuanha and
one grain of tartar emetic, repeated in a quarter of an
hour, if the first powder fail, generally succeeds
in evacuating a quantity of green bile, which will
also pass off sometimes by stool. This usually re-
lieves the head after one or two hours, and procures
comfortable sleep, particularly when given in the
evening*. The same effect however often follows,
although not a particle of bile be dislodged, simply
from the shock of the emetic upon the system f.
The emetic should be followed up by a purgative,
when necessary, the bolus of calomel and jalap,
succeeded by a dose of neutral salts, is perhaps
the best. A combination of calomel and antimonial
* Travellers in Greece should always provide themselves with
a number of emetic powders as well as bark and purgative medi-
cines ; by the former, they may often cut short a fever in a few
hours ; by the latter, they can remove one of its exciting causes,
and with bark they may support their constitution under its forma-
tion.
f The great danger dreaded from emetics is the effect of determi-
nation to the head : I have given at least two hundred emetics in the
severest head-achs in fever, and never witnessed that effect.