When the disease has become established but little can be
accomplished. In such cases the treatment refers to the palliation of
symptoms and the maintenance of nutrition. Pain, when present, must be
relieved—if necessary by anodynes, either given internally or applied
in the form of cataplasms. Most often it is due to the coexisting
disease of the intestinal mucous membrane or to the ingestion of
unsuitable foods. The diet should be regulated and limited to
nutritious and easily-digested articles. Sometimes, even in cases of
advanced degeneration of the glands, great benefit may be temporarily
obtained by attention to the diet. Diarrhoea should be controlled, but
when dependent upon tuberculous ulcerations of the intestinal mucous
membrane but little can be done toward delaying the fatal termination.
When a large number of glands are affected, it will be necessary to
limit the diet to such nutrient fluids as may be absorbed from the stomach.
The medical treatment is confined to a few remedies. Faulty nutrition
is the predominant factor, and the drugs employed should be directed
to the improvement of the assimilative functions. The lacto-phosphate
of iron in the form of syrup, or the phosphates in the form of the
compound syrup, sometimes prove valuable tonics. The lacto-phosphate
may be given in combination with cod-liver oil. This latter, either
internally or by inunction, is the most valuable and universally
applicable of all remedies. The mistake is very frequently made of
giving too large quantities. Few children can digest as much as a
drachm administered three times a day. In Washington it is usually
given in the form of the phosphatic emulsion, and has proved in the
service of the Children's Hospital a valuable and effective remedy in
the nutritional disorders of children. Of the chalybeates, the syrup
of the iodide of iron is by far the most valuable; this may be given
alone or in combination with cod-liver oil. It is specially indicated
when anæmia is a marked characteristic. Some recent reports favor the
employment of pancreatized foods. The ointment of the iodide of lead
has been highly extolled as a local application to the belly. The
nature of the disease should be constantly borne in mind, and all
depressing agencies should be sedulously avoided.
INDEX TO VOLUME II.
A.
Abdomen, enlargement of, in rachitis,
state of, in ascites,
in cancerous peritonitis,
in cirrhosis of liver,
in cholera morbus,
in chronic peritonitis,
in dysentery,
,
in enteralgia,
in intestinal catarrh,
,
,
in tabes mesenterica,
in tape-worm,
tetanic spasm of, in dilatation of stomach,
tenderness of, in tubercular peritonitis,
,
Abdominal bandage, use of, in dilatation of stomach,
belt, use of, in constipation,
distension, in acute peritonitis,
glands, disease of,
swelling, in intestinal indigestion,
tenderness, in intussusception,
veins, abnormal anastomoses of, in thrombosis and embolism of portal vein,
prominence of, in ascites,
Abortions, frequent, significance, in diagnosis of hereditary syphilis,
Abortive treatment of acute gout,
Abscess in acute pancreatitis,
in local peritonitis,
,
of joints in gout,
of liver,
discharge of, into neighboring organs,
influence on causation of acute peritonitis,
in dysentery,
of rectum, a cause of fistula in ano,
of tonsils,
peri-anal and peri-rectal,
,
Abscesses, number, in suppurative hepatitis,
peritoneal, in perforation of simple ulcer of stomach,
seat of, in acute peritonitis,
in typhlitis and perityphlitis,
Acanthocephali, the,
Acaris autumnalis of anus,
Acetate of lead, use of, in hemorrhage from bowels,
in purpura,
in simple ulcer of stomach,
Acetonæmia in diabetes mellitus,
,
Acetone and alcohol in diabetic urine,
Acid, lactic, theory of origin of acute rheumatism,
nitrate of mercury, use of, in anal fissure and ulcer of rectum,
in cancrum oris,
salicylic, use of, in acute rheumatism,
uric, theory of origin of gout from,
,
Acini of pancreas, anatomy,
Acne complicating gout,
Aconite, use of, in acute intestinal catarrh,
in acute pharyngitis,
,
in acute rheumatism,
in parenchymatous glossitis,
in tonsillitis,
Actual cautery, use of, in cancrum oris,
Acupuncture in hydatids of liver,
Acute yellow atrophy of liver,
Addison's disease, influence on causation of chronic intestinal catarrh,
Adenomata of stomach,
Adhesions, formation of, in abscess of liver,
in gastric cancers,
peritoneal, in chronic intestinal catarrh,
Age, influence of, on causation of abscess of liver,
of acute yellow atrophy of liver,
of amyloid liver,
of ascites,
of biliary calculi,
of cancrum oris,
of carcinoma of liver,
of catarrhal stomatitis,
of cholera morbus,
of cirrhosis of liver,
of cirrhosis of stomach,
of constipation,
of diabetes mellitus,
of dilatation of stomach,
of functional dyspepsia,
,
of entero-colitis,
of fatty liver,
of fistula in ano,