Henry Baird Favill, AB, MD, LL.D., 1860-1916, a ... - University Library

MEDICINE AND PUBLIC HEALTH 139
statistic presentation of the case, which is not only discordant,
but presents upon each side variations of a small
percentage, I am not at all disposed to be guided by. Able
men declare that the heart development is less likely under
the salicylates. As able men also declare the alkalies have
the same protective power.
Logically, if the rheumatic poison, no matter what its
source, is at all antagonized by either of these plans, the
endocarditis and pericarditis, which are not complications,
but coordinate developments of the disease, will be influenced
by either in proportion to its efficacy. Personally,
I
believe:
1. That the selection of remedies should not be by
routine, but according to the type presented.
other
2. That the cases will be appropriate for one or the
treatment.
3. That the cases with pain are best started upon the
salicyl treatment.
4. That most cases are better, after the subsidence of
pain, upon an alkaline treatment.
5. That the usual plan, recognizing the value of both
salicin and alkali, of combining them in treatment, has
the disadvantage of exhausting one's resources, as neither
should be continued indefinitely.
When the heart complications do occur, the plan of procedure
is not usually materially modified. The indication
constitute our indication.
Morphia and aconite are the best and safest cardiac
is for quiet. Bodily quiet, cardiac sedatives, vascular relaxation,
sedatives. Veratrin is very valuable, but very potent.
These, when exhibited, usually provide all the vascular
relaxation necessary. However, at times more is needed.
Carbonate of ammonium, iodid of potassium, nitroglycerin,
are all of great service in reducing blood pressure, and
hence their favorable effect
regarded as heart stimulation.
upon the circulation, too often