As regards the dose, Kurz's experience demonstrates that we need not
restrict ourselves to a few drops. The quantity may be increased, if
necessary, until symptoms of cerebral congestion show themselves, when
the drug should be momentarily or permanently discontinued. Usually from
three to five or ten drops are sufficient, sometimes even less. Kurz has
met with no unpleasant consequences, much less serious complications,
from the application of nitrite of amyl. But the drug is contraindicated
in cases associated with cerebral hyperaemia, in atheromatous conditions
of the arteries, and in the so-called plethoric state--_Beta's
Memoabilien, March 24, 1881_.
* * * * *
THE TREATMENT OF ACUTE RHEUMATISM.
By ALFRED STILLE, M.D.
The treatment of simple acute articular rheumatism may be abandoned to
palliatives and nature. Apart from complications, such cases nearly
always recover under rest and careful nursing. Try and disabuse
yourselves of the idea that their cure is dependent upon medicines
alone; to help nature is often the best we can do. No treatment was ever
invented which stopped a case of acute articular rheumatism. It cannot
be stopped by bleeding, or sweating, or purging, by niter, by tartar
emetic, by guaiacum, by alkalies, by salines, by salicylic acid, or by
anything else.
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