Purpura. — (The Purples.) — Symptoms. — Patches or spots
of a purple color, resembling bruises, their colors also going
through the various shades shown in bruises. They are some-
times accompanied by a tendency to bleeding at the nose.
There may be some felarile disturbance, but usually the general
health shows no sign of derangement.
Treatment. — Tonics are required in this disorder. The
muriated tincture of iron, with the addition of quinine, forms
a very useful medicine. If the bowels be confined, sulphate
of magnesia should also be added. For children, steel wine
will generally be sufficient, together with a careful nutritious
diet of beef tea, meat, etc.
Remittent Fever. — Endemic Fever. — This fever is not
infectious, and it differs from ague in there being no distinct
intermissions, but frequently recurring attacks, generally taking
place in the morning.
Symptoms. — The face is flushed, there is" headache, and
occasionally delirium; there is great tenderness in the stomach,
accompanied with vomiting of a bilious nature; the bowels are
confined, and the urine is scanty. If the bowels are relieved,
the motions are of a dark, greenish color, and very offensive.
The skin is hot, the pulse rapid, the tongue has a brownish fur.
The fever becomes less as the skin becomes moist, and as the
patient goes into a sweat, the remission occurs. The remission
generally lasts from one to three hours, when the fever again
comes on, and gradually increases in severity till it attains the
intensity of the former attack, and perhaps . exceeds it.
During the remissions of the attacks, the patient remains in a
state of mild fever, accompanied by giddiness or lassitude. The
fever may last from five days to five weeks. A patient may be
said to have the fever in a favorable manner as the remissions
are more distinct.
Treatment. — If the bowels are constipated, the following
aperient mixture should be taken: Epsom salts, one-half ounce;'
tincture of rhubarb, i drachm; water to make one and a half
ounces. Mix. When the remissions have clearly set in, the
patient should take the following draught three times a day;
Sulphate of quinine, 3 grains; syrup of orange peel, *i drachm;
dilute sulphuric acid, 10 minims; water, i ounce. Mix. Qui-
nine is not only of value as a curative agent in the endemic
fever, but it is also a preventive. Travelers in the low and
marshy districts of tropical climates do well to take two or
three grains of quinine every morning.
'MEDICINAL. 359
Eheumatisni — Is an inflammation or febrile affection that
attacks the joints and muscles, or their coverings and sheaths,
in various parts of the body. When the large joints are
the seat of the disease, in its most active form, it is known as
rheumatic fever, on account of the feverish condition that
accompanies it. It is often, however, met with in a less active
form, as subacute, chronic, or neuralgic rheumatism.
Page 261
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
Purpura. — (The Purples.) — Symptoms. — Patches or spots of a purple color, resembling bruises, their colors also going through the various shades shown in bruises. They are sometimes accompanied by a tendency to bleeding at the nose. There may be some febrile disturbance, but usually the general health shows no sign of derangement.
Treatment. — Tonics are required in this disorder. The muriated tincture of iron, with the addition of quinine, forms a very useful medicine. If the bowels be confined, sulphate of magnesia should also be added. For children, steel wine will generally be sufficient, together with a careful nutritious diet of beef tea, meat, etc.
Remittent Fever. — Endemic Fever. — This fever is not infectious, and it differs from ague in there being no distinct intermissions, but frequently recurring attacks, generally taking place in the morning.
Symptoms. — The face is flushed, there is headache, and occasionally delirium; there is great tenderness in the stomach, accompanied with vomiting of a bilious nature; the bowels are confined, and the urine is scanty. If the bowels are relieved, the motions are of a dark, greenish color, and very offensive. The skin is hot, the pulse rapid, the tongue has a brownish fur. The fever becomes less as the skin becomes moist, and as the patient goes into a sweat, the remission occurs. The remission generally lasts from one to three hours, when the fever again comes on, and gradually increases in severity till it attains the intensity of the former attack, and perhaps . exceeds it. During the remissions of the attacks, the patient remains in a state of mild fever, accompanied by giddiness or lassitude. The fever may last from five days to five weeks. A patient may be said to have the fever in a favorable manner as the remissions are more distinct.
Treatment. — If the bowels are constipated, the following aperient mixture should be taken: Epsom salts, one-half ounce;' tincture of rhubarb, i drachm; water to make one and a half ounces. Mix. When the remissions have clearly set in, the patient should take the following draught three times a day; Sulphate of quinine, 3 grains; syrup of orange peel, *i drachm; dilute sulphuric acid, 10 minims; water, i ounce. Mix. Quinine is not only of value as a curative agent in the endemic fever, but it is also a preventive. Travelers in the low and marshy districts of tropical climates do well to take two or three grains of quinine every morning.
Rheumatism — Is an inflammation or febrile affection that attacks the joints and muscles, or their coverings and sheaths, in various parts of the body. When the large joints are the seat of the disease, in its most active form, it is known as rheumatic fever, on account of the feverish condition that accompanies it. It is often, however, met with in a less active form, as subacute, chronic, or neuralgic rheumatism.