Bilharziosis / by Frank Cole Madden.

  • Madden, Frank Cole.
Date:
1907
Catalogue details

Licence: Public Domain Mark

Credit: Bilharziosis / by Frank Cole Madden. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    out, very little benefit is likely to result. As the disease progresses and cystitis sets in (in hospital practice one rarely sees a case before this has hap- pened), considerable, if only temporary, benefit may result from strict anti-cystitic treatment. The diet consists of milk and milky foods generally, vegetable soups and farinaceous food of all kinds, meat being avoided. The best diluent and cleanser is plain water, which may be given in large quantity. Bar- ley water and Vichy water (Source Celestins) are also largely used and, medicinally, the changes must be rung on salol, urotropine, benzoic acid and the ben- zoates and boracic acid, in appropriate doses. Better than any of these, however, is the time-honoured buchu and hyoscyamus mixture, usually made up with bicarbonate or acetate of potassium, fifteen grains (1.0); tincture of hyoscyamus, half-a-drachm or more (2.5); glycerine or syrup of orange, half-a- drachm (2.5) ; and infusion of buchu to the fluid ounce (25.0). This mixture is given four times a day for an extended period. Except to give a certain amount of relief, by clearing the bladder of accumulated debris and de- composing urine, washing-out the bladder accom- plishes little; and, even in the earliest stages, it cannot be looked upon as exerting any local curative or inhibitory effect on the disease. For this mechan- ical washing out of the viscus, plain sterilised water, or boracic or quinine solution, may be used. From this stage onwards, treatment must be