In this country it is seldom necessary to give the quinine"
in so large or so continued doses as in some tropical climates,
where it is essential not only as a curative, but also as a pre-
ventive means. Two, three, or five grains, taken every morn-
ing, has been found of the greatest service in keeping Europeans
free, not only from ague, but also from other endemic fevers
of the African continent.
In the ordinary treatment of ague in temperate climates it
is usual to give two or three grains of quinine three times, or
one large dose of five to ten grains given as nearly as possible
before the expected access of the paroxysm. This will often
anticipate or cut short the paroxysm.
The quinine may be given simply mixed in water, or added
to a glass of sherry wine. It is usual, but entirely superflous,
to render the sulphate of quinine solvent by the addition of a
few drops of diluted sulphuric acid.
Apoplexy. — Symptoms. — The Greek etymology of this word,
— viz.: to strike or knock down with violence — expresses the
leading symptoms of the attack. In the severest form of the
disease, the patient is suddenly struck down, deprived of volun-
tary motion, sensation, and intellect, it may be, with convul-
sions of one side of the body, and lies as one in deep sleep
from which he caouot be roused, with snoring, pufiing breath-
SM MEDiCiNAL.
ing, dilated pupils, a flushed face, and full, slow pulse, and,
possibly, with vomiting.
In another class of cases, the patient does not, perhaps,
fall suddenly to the ground, but turns pale, and feels faint, or
experiences an attack of giddiness or headache, with sickness
or vomiting, and occasionally with slight convulsive movements,
the pupils natural, or but slightly dilated, the pulse weak and
irregular. The pain in the head may be attended with loss of
memory, loss of power in the limbs, passing into entire apoplexy
or paralysis. The symptoms will vary in their intensity, and
in their duration — the attack may last for a few minutes only,
or be extended over several days, and at last the patient sinks
into a state of coma, or profound stupor, from which he never
recovers.
Treatment. — At the time of the fit the first thing to be
done is to loosen all articles of clothing about the neck and
chest, so as to favor the return of the blood from the head — to
place the patient in a reclining posture, not flat 4own. If the
pulse be feeble or irregular, a small quantity of brandy and
water may be given; cautiously, on account of difficulty of
swallowing. Mustard plasters, or rags soaked in turpentine,
should be applied to the calves o+' the legs. If the person be
of a full habit, and have a strong, slow pulse, a strong purge
should be given as soon as possible. One drop of croton oil
placed on the tongue, is at once convenient to give and effec-
tive in action. Should this fail to act, in two or three hours a
clyster of castor oil and turpentine should be administered.
Page 206
Presented as published in 1883. Historical recipes may not meet modern food-safety standards. Cook from the modern interpretation, not the original instructions.
AI-modernized reading of the original text
In this country it is seldom necessary to give the quinine" in so large or so continued doses as in some tropical climates, where it is essential not only as a curative, but also as a preventive means. Two, three, or five grains, taken every morning, has been found of the greatest service in keeping Europeans free, not only from ague, but also from other endemic fevers of the African continent.
In the ordinary treatment of ague in temperate climates it is usual to give two or three grains of quinine three times, or one large dose of five to ten grains given as nearly as possible before the expected access of the paroxysm. This will often anticipate or cut short the paroxysm.
The quinine may be given simply mixed in water, or added to a glass of sherry wine. It is usual, but entirely superflous, to render the sulphate of quinine solvent by the addition of a few drops of diluted sulphuric acid.
Apoplexy. — Symptoms. — The Greek etymology of this word, — viz.: to strike or knock down with violence — expresses the leading symptoms of the attack. In the severest form of the disease, the patient is suddenly struck down, deprived of voluntary motion, sensation, and intellect, it may be, with convulsions of one side of the body, and lies as one in deep sleep from which he cannot be roused, with snoring, puffing breath-
ing, dilated pupils, a flushed face, and full, slow pulse, and, possibly, with vomiting.
In another class of cases, the patient does not, perhaps, fall suddenly to the ground, but turns pale, and feels faint, or experiences an attack of giddiness or headache, with sickness or vomiting, and occasionally with slight convulsive movements, the pupils natural, or but slightly dilated, the pulse weak and irregular. The pain in the head may be attended with loss of memory, loss of power in the limbs, passing into entire apoplexy or paralysis. The symptoms will vary in their intensity, and in their duration — the attack may last for a few minutes only, or be extended over several days, and at last the patient sinks into a state of coma, or profound stupor, from which he never recovers.
Treatment. — At the time of the fit the first thing to be done is to loosen all articles of clothing about the neck and chest, so as to favor the return of the blood from the head — to place the patient in a reclining posture, not flat 4own. If the pulse be feeble or irregular, a small quantity of brandy and water may be given; cautiously, on account of difficulty of swallowing. Mustard plasters, or rags soaked in turpentine, should be applied to the calves o+' the legs. If the person be of a full habit, and have a strong, slow pulse, a strong purge should be given as soon as possible. One drop of croton oil placed on the tongue, is at once convenient to give and effective in action. Should this fail to act, in two or three hours a clyster of castor oil and turpentine should be administered.