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TREATMENT OF ULCER AND CANCER IN THE STOMACH, 13$ *Karell, "On the Milk Treatment," Arch, gen de Med., 1866. he has to'get his cupful down by slow sips. Karell* counsels skim milk ; for my part I prefer the milk fresh from the cow. You can add lime-water to it or alkalies. Luca, of Naples, pretends that lime-water is the unique remedy in ulcer of the stomach. These sub^tances have no great efficacy ; they simply favor the regular and speedy digestion of the milk. It is necessary to be very careful in the return to solid food, and this transition will be facilitated by the use of the alimentary powders. What we must avoid, I have said, is to impose too arduous a task on the stomach, and we can accomplish our end by employing the meat powniers, by reason of their rapid peptonization. Then when, as a result of your endeavors, the mucous membrane of the stomach shall have succeeded in easily digesting these alimentary powders incorporated in beef tea, you will be able to return gradually to ordinary fare, beginning, of course, with articles of food most easy of digestion, and you will do well to take as your guide the directions which I have given you in previous chapters on the diet in dyspepsias, having due regard to the likes and dislikes of your patient. There is a last point on which Brinton insists, which is to recommend rest and to forbid violent exercise. You understand well the value of this prohibition ; its object is to avoid perforation of the stomach, and to favor the protecting adhesions which prevent such perforation from opening into the peritoneal cavity. The same reason should make us careful about examining the region of the stomach in persons affected with ulcer, for under the influence of pressure the adhesions may give way and grave haemorrhage or fatal peritonitis result. Treatment of Hoematemesis,�These hpematemeses, which are one of the characteristics of simple ulcer of the stomach, merit a particular treatment. When they are not very abundant, ice, perchloride of iron, and especially subcutaneous injections of ergotine (cr ergotinine in the dose of 1-120 to 1 60 of a grain) suffice to arrest them. In other cases, on the contrary, the haemorrhage takes on an alarming character ; sometimes it is so copious as to cause the death of the patient ; sometimes it is so often repeated that death supervenes as the result of gradual and increasing exhaustion. In the
Object Description
Rating | |
Fixed Title * | NCHH-19: North Carolina Medical Journal [1878-1899] |
Document Title | North Carolina Medical Journal [1878-1899] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Wilmington; Charlotte : The Journal?, 1878-1899. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1886 |
Identifier | NCHH-19-017 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 17 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-19/nchh-19-017.pdf |
Document Sort | all; group-e; nchh-19 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-19-017 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-19 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1318861 |
Revision History | done |
Description
Fixed Title * | Page 135 |
Document Title | North Carolina Medical Journal [1878-1899] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Publisher | Wilmington; Charlotte : The Journal?, 1878-1899. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1886 |
Identifier | NCHH-19-017-0143 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed171886jack_0143.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 17 |
Issue Number | 3 |
Page Number | 135 |
Health Discipline | Medicine |
Full Text | TREATMENT OF ULCER AND CANCER IN THE STOMACH, 13$ *Karell, "On the Milk Treatment" Arch, gen de Med., 1866. he has to'get his cupful down by slow sips. Karell* counsels skim milk ; for my part I prefer the milk fresh from the cow. You can add lime-water to it or alkalies. Luca, of Naples, pretends that lime-water is the unique remedy in ulcer of the stomach. These sub^tances have no great efficacy ; they simply favor the regular and speedy digestion of the milk. It is necessary to be very careful in the return to solid food, and this transition will be facilitated by the use of the alimentary powders. What we must avoid, I have said, is to impose too arduous a task on the stomach, and we can accomplish our end by employing the meat powniers, by reason of their rapid peptonization. Then when, as a result of your endeavors, the mucous membrane of the stomach shall have succeeded in easily digesting these alimentary powders incorporated in beef tea, you will be able to return gradually to ordinary fare, beginning, of course, with articles of food most easy of digestion, and you will do well to take as your guide the directions which I have given you in previous chapters on the diet in dyspepsias, having due regard to the likes and dislikes of your patient. There is a last point on which Brinton insists, which is to recommend rest and to forbid violent exercise. You understand well the value of this prohibition ; its object is to avoid perforation of the stomach, and to favor the protecting adhesions which prevent such perforation from opening into the peritoneal cavity. The same reason should make us careful about examining the region of the stomach in persons affected with ulcer, for under the influence of pressure the adhesions may give way and grave haemorrhage or fatal peritonitis result. Treatment of Hoematemesis,�These hpematemeses, which are one of the characteristics of simple ulcer of the stomach, merit a particular treatment. When they are not very abundant, ice, perchloride of iron, and especially subcutaneous injections of ergotine (cr ergotinine in the dose of 1-120 to 1 60 of a grain) suffice to arrest them. In other cases, on the contrary, the haemorrhage takes on an alarming character ; sometimes it is so copious as to cause the death of the patient ; sometimes it is so often repeated that death supervenes as the result of gradual and increasing exhaustion. In the |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-19/nchh-19-017.pdf |
Document Sort | all; group-e; nchh-19 |
Article Title | The Treatment of Ulcer and Cancer of the Stomach |
Article Author | Dujardin-Beaumetz |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-19-017 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-19 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1318861 |
Revision History | done |
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