They do effect a cessation of the
local symptoms, render the urine alkaline, and diminish the amount of
fibrin in the blood.
This brings us to a consideration of the use of alkalies. Alkalies
neutralize the acids, act as diuretics, and eliminate the _materies
morbi_. Alone, and in small doses, they are unable to influence the
course of the disease; but when given in very large doses their effects
are marvelous; the pulse falls, the urine is increased in quantity and
becomes alkaline, and the inflammation subsides. The symptoms of the
disease are moderated, the duration of the attack is shortened, and the
cardiac complications are prevented. The dose of the alkalies must
be increased until the acid secretions are neutralized. A very good
combination of these remedies is the following:
Rx. Sodae bicarb 3 iss.
Potas. acet 3 ss.
Acid. cit f. 3 ss.
Aquae f. 3 ij. [1]
[Transcribers note 1: Could also be '2/3 ij.']
S. This dose should be repeated every three or four hours, until the
urine becomes alkaline. On the subsidence of the active symptoms two
grains of quinine may be added with advantage to each dose. The alkalies
must be gradually discontinued, but the quinia continued. The diet
should consist of beef tea or broth, with bread and milk; no solid food
should be allowed.
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