,,"m1 ,,nurse ,,& ,,infant3 ,a ,,manual ,,especially ,,adapt$ ,,= ,,! ,,guidance ,,( ,,mo!rs ,,& ,,mon?ly ,,nurses1 ,,compris+ ,,full ,,in/ruction ,,9 ,,reg>d ,,to ,pregnancy1 ,prep>ation = ,*ild-,bir?1 ,,& ,! ,c>e ( ,"m & ,*ild1 ,,& ,,design$ ,,to ,,imp>t ,,s ,,mu* ,,k ,,( ,,anatomy1 ,,physiology1 ,,midwif]y1 ,,& ,,! ,,prop] ,,use ,,( ,,m$ic9es ,,z ,,w ,,s]ve ,,intellig5tly ,,to ,,direct ,,! ,,wife1 ,,"m ,,& ,,nurse ,,9 ,,all ,,em]g5cies4 ,,by ,s4 ,p4 ,,sackett1 ,m4 ,d4 ,,new ,,york3 ,h4 ,,campbell ,,co41 ,,publi%]s #adj-adb ,,nassau ,,/4 #ahhi4 ,,copyright$1 #ahhi1 --,,by-- ,s4 ,p4 ,,sackett4 ,all rights res]v$4 ,,press ,,( ,e4 ,d4 ,,norton1 ,,i?aca1 ,n4 ,y4 ---------------------------------------- -------------------------------- ,,preface4 ,! object ( ! au?or 9 writ+ ?is volume is to (f] to nurses1 & especially to ^? wom5 :o desire to make 8mon?ly nurs+0 a vocation1 ! in/ruction :i* !y ne$ = t purpose1 suffici5tly illu/rat$ & at a mod]ate price4 ,! book is writt5 "u a firm conviction 9 ! m9d ( ! au?or t a "w ( ?is "* is ne$$ at ! pres5t "t--a "w t comb9es "s in=mation to ! mon?ly nurse 9 reg>d to h] peculi> duties ) consid]able in/ruction 9 midwif]y4 ,he has _m times he>d inquiries made = a book ( ?is k9d & has n be5 able to po9t to "o ( ! "* desir$4 ,he has le>n$ dur+ ! =ty-five ye>s t he has practic$ m$ic9e 9 a small city & its vic9ity1 t "m & nurse are (t5 comb9$ 9 ! same p]son4 ,! important duty ( nurs+ ! sick is s g5]ally p]=m$ by mo!rs1 t !y also1 z a class1 require "s sci5tific k to be acquir$ by means ( pla91 practical in/ruction4 ,&1 9 fact1 ?r\gh\t our c\ntry1 e "m is liable1 9 an em]g5cy1 to be call$ ^u to fill ! (fice ( an acc\*eur4 ,= ! pr(essional nurse1 su* te*nical & accurate k %\ld be consid]$ indisp5sable4 ,! tra9+ s*ools = nurses 9 "s ( our l>ge/ cities are do+ a noble "w1 & are elevat+ ! /&>d ( requirem5ts = ^? :o seek ?is field ( true womanly labor4 ,b comp>atively few ( ! _m ?\s&s :o foll[ ?is vocation are able to att5d su* s*ools2 yet !y are will+ & desir\s to le>n4 ,wom5 seem in/9ctively to desire su* k4 ,a prop] ef=t to place )9 _! rea* ! means ( obta9+ ! necess>y te*nical k = _! "w1 & especially = ! "w ( ! nurse :o att5ds ^u ! "m 9 *ildbir?1 w n1 ! au?or tru/s1 be deem$ presumptu\s4 ,!re are _m excell5t nurses1 :o h become s )\t ! aid ( tra9+ s*ool or su* a book z ?is1 b x is hop$ t ?is volume may make ! acquirem5t ( ! necess>y k m easy & furni% ready in=mation ( value to ^? nurses :o are mo/ ?or\ghly p]fect$ 9 _! "w4 ,physicians1 !y w f9d1 /& ready to aid !m4 ,! att5d+ physician1 z a rule1 may be dep5d$ ^u to give su* help z may be necess>y to ! und]/&+ ( ! in/ructions "h pres5t$1 & ?r\gh _! coop]ation ! numb] ( e>ne/ /ud5ts 9 ?is dep>tm5t ( womanly labor may be multipli$4 ,! au?or1 dur+ ! prep>ation ( x1 consult$ _m writ]s ^u ob/etrics1 m$ic9e & nurs+2 & x is only because x w\ld n be compatible ) ! size ( ?is volume1 t he has n made frequ5t ref]5ces to ^! excell5t works4 ,b all t he has writt5 has be5 f\nd$ on 8 own k1 exp]i5ce1 & obs]vation1 :ile x co9cides ) ! express$ op9ions ( o!rs :o may be consid]$ good au?ority4 ,9 only two or ?ree ?+s has ! au?or v5tur$ to advance beyond o!rs4 ,s4 ,p4 ,s4 ,,i?aca1 ,m>*1 #ahhi4 ,,cont5ts4 ,introduction #i ,,"p ,i4 ,,pregnancy ,,& ,,conf9em5t4 ,,*apt] ,i4 ,conduct ( ! ,"m be=e & aft] ,m>riage #ac ,,*apt] ,,ii4 ,conduct ( ! ,"m dur+ ,pregnancy #ah ,,*apt] ,,iii4 ,diseases ( ,pregnancy #bb ,,*apt] ,,iv4 ,in/ructions to a ,woman dur+ ! la/ /ages ( ,ge/ation #bf ,,*apt] ,v4 ,directions to ! ,mon?ly ,nurse #cc ,,*apt] ,,vi4 ,c>e ( ! ,"m dur+ ,labor & ,conf9em5t #cf ,,*apt] ,,vii4 ,directions to ! ,nurse dur+ ! mon? #dc ,,"p ,,ii4 ,,anatomy ,,& ,,physiology ,,( ,,! ,,female ,,organs--,f,,tal ,,developm5t4 ,,*apt] ,i4 ,( ! ,pelvis #ee ,,*apt] ,,ii4 ,p>ts conta9$ 9 ! ,pelvis #fd ,,*apt] ,,iii4 ,physiology ( ! ,ut]us & ,ov>ies #gj ,,*apt] ,,iv4 ,displacem5ts ( ! ,ut]us #gf ,,*apt] ,v4 ,mism5/ruation #hg ,,*apt] ,,vi4 ,g5]ation #ic ,,*apt] ,,vii4 ,! ,ovum & its developm5t #ih ,,*apt] ,,viii4 ,! ,ftus #ajc ,,"p ,,iii4 ,,pregnancy ,,& ,,p>turition4 ,,*apt] ,i4 ,diagnosis ( ,pregnancy #aac ,,*apt] ,,ii4 ,abortion #aai ,,*apt] ,,iii4 ,p>turition #abc ,,*apt] ,,iv4 ,me*anical ,ph5om5a ( ,labor #acb ,,*apt] ,v4 ,diagnosis ( ,artificial ,labor #ach ,,"p ,,iv4 ,,skill$ ,,nurs+ ,,& ,,midwif]y4 ,,*apt] ,i4 ,prelim9>y in/ruction to ! ,nurse ,midwife #ade ,,*apt] ,,ii4 ,! ,natural ,labor #adi ,,*apt] ,,iii4 ,convalesc5ce #afc ,,*apt] ,,iv4 ,c>e ( ,infants #agj ,,*apt] ,v4 ,cases ( ,difficult ,labor #agg ,,*apt] ,,vi4 ,conclud+ in/ructions 9 ,midwif]y #aib ,,"p ,v4 ,,tiology--,,symptomotology--,,m$ication --,,nurs+4 ,,*apt] ,i4 ,causes ( ,disease #aif ,,*apt] ,,ii4 ,symptoms ( ,disease #bjc ,,*apt] ,,iii4 ,diagnosis ( ,diseases ( ,*ildr5 #bag ,,*apt] ,,iv4 ,treatm5t ( ,inflammation 9 its initial /ages #bbc ,,*apt] ,v4 ,v>i\s circum/ances1 ,contagion1 ,dea?1 c4 #bcg ,,*apt] ,,vi4 ,surgical ,nurs+ #bea ,,"p ,,vi4 ,,rem$ies ,,& ,,regim54 ,,*apt] ,i4 ,h9ts 9 reg>d to ! treatm5t ( ,common ,diseases #bfb ,,*apt] ,,ii4 ,em]g5cies1 ,accid5ts1 ,sudd5 ,sickness #bgi ,,*apt] ,,iii4 ,slight ,hurts & ,ailm5ts #bie ,,*apt] ,,iv4 ,dietetics1 ,food = ,*ildr5 #cjg ,,*apt] ,v4 ,prescrib+ & ,prescriptions #cbg ,,*apt] ,,vi4 ,m$ical ,=mul>y #ccc ,gloss>y #cfd ,index #cgi ,,introduction4 ,f ! nature ( ! subjects treat$ 9 ?is "w1 ! in=mation giv5 becomes ( int]e/ to e woman1 & is n int5d$ = ! nurse ( ly+-9 wom5 only4 ,x is believ$ t _m "y wom5 w /udy x c>efully1 t !y may be prep>$ = all ! duties & responsibilities ( life2 "s1 p]haps1 t !y may be fitt$ = a vocation "u c]ta9 cont+5cies4 ,b _m ( ! in/ructions are address$ p>ticul>ly to mo!rs1 because !y especially w be able to make a practical application ( ! k receiv$4 ,h5ce consid]able matt] is ins]t$ :i* is design$ to be us$ by mo!rs 9 _! daily life1 & hav+ only a slight be>+ on mon?ly nurs+4 ,necess>ily1 z ! two objects are comb9$ to suit ! wants bo? ( ! "m & nurse1 !re is n z mu* ord] & sy/em 9 ! topics pres5t$ z w\ld o!rwise be desirable4 ,i seek only to h my in/ructions 9 ! =m t w be mo/ useful1 & ,i believe t if mo!rs at ! pres5t "t are suffici5tly taught !re w be no lack1 a few ye>s h5ce1 ( nurses :o are fully compet5t to c>e = ! sick1 "u ! direction ( compet5t physician4 ,h5ce ,i address myself1 fir/1 ,,to ,,! ,,"m4 ,to ^? :o are mo!rs1 e "p ( ?is small book is especially comm5d$4 ,^u ! k & skill & "r action ( ^? :o h ! c>e ( *ildr5 & ( ! h\sehold1 x w dep5d t ! "r ?+ %all be done 9 su* em]g5cies z are liable to occur4 ,y mu/ necess>ily c>e = y\r *ildr51 bo? to gu>d !m f sickness & to relieve _! ailm5ts4 ,y mu/ "k ! symptoms1 at lea/1 h[ to obs]ve ! symptoms ( diseases2 & y may be call$ ^u1 9 ! abs5ce ( ! physician1 to act z midwife4 ,be especially c>eful to le>n ! in/ructions 9 reg>d to em]g5cies1 because ^u y\r k & prompt action ! lives ( y\r de> ones may dep5d4 ,,to ,,! ,,pr(essional ,,nurse4 ,?is "w is writt5 = y1 & to y is especially comm5d$ ! modicum ( m$ical k h]e9 conta9$4 ,x is bett] = y to le>n well :at y read ?an x is to read v ext5sively4 ,y w f9d suffici5t 9 ?is small volume to dem& y\r "t & /udy = mon?s1 & ev5 = ye>s1 9 connection ) y\r nurs+4 ,x is n expect$ t y w le>n all ! =mul & prescriptions giv54 ,^! are ins]t$ p>tly t y may le>n to read prescriptions 9 ! v>i\s =ms 9 :i* !y are writt51 & p>tly t y may occasionally use "o1 aft] consult+ ) y\r physician4 ,sometimes y may copy "o ( !m accurately & use x at ! drug /ore1 consult+ only ) ! apo!c>y4 ,b x w be ( importance to y to obta9 z mu* m$ical k z is h]e9 conta9$1 ?\gh x is n design$ to make y physicians4 ,d n act ! "p ( a doctor until y und]/& e ?+ p]ta9+ to ,anatomy & ,physiology1 & ! nature & prop]ties ( e m$ic9e employ$ 9 ! cure ( disease4 ,( all sci5ces ! m$ical %\ld embrace ! wide/ doma9 ( k1 because ignorance "h is fatal4 ,b ignorance & ?\ghtlessness1 & want ( skill & adaptation1 may be fatal 9 y\r p>ticul> prov9ce4 ,! physician w g5]ally tell y t ! recov]y ( 8 pati5t dep5ds z mu* ^u fai?fulness & skill & c>e on y\r "p z ^u 8 own m$ic9es4 ,seek always to aid him1 nev] to sup]c$e him4 ,if y le>n midwif]y1 x %\ld be ) ! design ( co-op]at+ ) ! doctor1 & assi/+ him4 ,y %\ld be s educat$ t ! physician w feel will+ to leave a case ( t$i\s labor 9 y\r c>e1 in/ead ( wait+ at ! b$side ( ! pati5t "o or two days1 & neglect+ 8 o!r pati5ts4 ,y\r educat$ s]vice w be appreciat$ at su* times by ! doctor1 z well z by ! pati5t & h] fri5ds4 ,y w d ! duties ( nurs+ well1 & take ^u y\rself t "p ( ! practice ( a physician :i* he does n desire1 & :i* y c d equally well4 ,y\r "p w be an important "o1 & second only to t ( ! physician4 ,i expect1 z ! result ( ! /udy ( ?is book1 n t y w assume to be physicians to any great] ext5t ?an y o!rwise w\ld1 b t y w act wisely & intellig5tly in/ead ( confus$ly1 or bl9dly1 9 ! em]g5cies 9 :i* y w be call$ ^u to act1--t y w be1 n m]ely att5dants at ! b$side ( ! sick1 b1 t be/ aid to ! physician1 ! true nurse4 ,d n claim to be doctor or midwife1 or any?+ :atev] t y are n4 ,if a smatt]+ ( k causes any affectation1 x w only degrade y4 ,/udy physiology 9 ! books commonly us$2 /ore y\r m9ds ) ! facts & in/ructions 9 ?is book2 obta9 additional k 9 e way t is practicable4 ,z y h opportunity1 make practical application ( ! k receiv$1 & y w comm5d y\rself m & m to y\r sick or suff]+ fri5ds4 ,,"p ,i4 ,,pregnancy ,,& ,,conf9em5t4 ,,*apt] ,i4 ,,conduct ,,( ,,! ,,"m ,,be=e ,,& ,,aft] ,,m>riage4 ,! physical treatm5t ( *ildr5 %\ld beg91 z f> z may be practicable1 ) ! e>lie/ =mation ( ! embryo4 ,x w involve ! conduct ( ! female ev5 be=e h] m>riage1 z well z dur+ h] pregnancy--! v>i\s cont+5cies :i* effect h] 9 heal? z well z 9 disease4 ,v mu* dep5ds on h] to insure = h] *ild a vigor\s con/itution1 or to prev5t a feeble frame 9 ! *ild4 ,%e %\ld n ent] into ! holy /ate ( m>riage ) he$less ha/e2 if %e does1 %e w dis*>ge its duties ) inexcusable neglect4 ,to con/itute a "m1 9 ! be/ s5se ( ! t]m1 requires a pati5t endurance ( fatigue1 & anxi\s solicitude1 :i* w sorely tax ! "m's /r5g?4 ,i w\ld1 if possible1 dim9i% ! toil & dang] ( *ildbir?1 & relieve ! fatigue & anxiety ( nurs+4 ,& let me1 9 "o p>agraph1 give a h9t to ! husb&3 t ! responsibility & c>e ( ! *ildr5 is too mu* laid on ! "m2 %e is ov]burd5$4 ,let ! fa!r p>take 9 ! ardu\s & responsible duty ( _! education4 ,& let me h9t1 also1 t ! heal? & /r5g? ( ! *ild dep5ds ^u ! fa!r z well z ! "m4 ,,m>riage ,,%\ld ,,n ,,be ,,at ,,too ,,e>ly ,a ,,p]iod ,,( ,,life4--,i am n dispos$ to disc\rage e>ly m>riage1 b ,i am decid$ly oppos$ to a premature "o4 ,m>riage %\ld n take place until ! body is heal?ily & completely develop$2 to be> (fspr+ prematurely endang]s n only ! "m's heal?1 b x mat]ially influ5ces ! heal? & well-be+ ( ! *ild4 ,we _c fix rigor\sly ! age at :i* ! body becomes fully exp&$4 ,i am incl9$ to say x is at #bj 9 ! female1 & at #bd 9 ! male2 b orig9al /am9a1 education1 climate1 mode ( life1 etc41 h _! influ5ce1 & may make an e>li] or a lat] m>riage prop]4 ,! evil consequ5ces result+ f precoci\s unions 9 ?is c\ntry are3 dim9i%$ vigor & %ort5$ life 9 ! husb&2 fad$ beauty1 bla/$ heal?1 & premature old age 9 ! "m1 & a dim9utive /ature1 debility ( body & imbecility ( m9d1 p]haps a /rong pr$isposition to consumption1 rickets1 scr(ula1 etc41 9 ! *ildr54 ,,m>riage ,,%\ld ,,be ,,:5 ,,! ,,p>ties ,,are ,,9 ,,heal?4--,i d n say t e ailm5t %\ld be a b> to m>riage or *ild-be>+4 ,x is possible t prolapsis ut]i may be b5efit$ by a pregnancy & p>turition4 ,b if a woman has prolapsis ut]i1 or o!r ailm5t1 x is a poor prep>ation = ! burd5s ( ge/ation1 & good heal? is an important qualification = ! responsibilities ( m>ri$ life4 ,no le>n+ c be ( m importance to a "y lady ?an to "k h[ to pres]ve heal?1 & h[ to re/ore x :5 lo/1 = we _c reasonably expect heal?y *ildr5 f unheal?y p>5ts4 ,!re are num]\s o!r compla9ts besides scr(ula & insanity1 inh]it$ by *ildr54 ,if a wife is to be heal?y & /rong1 %e mu/ use means2 heal? w n come by wi%+ = x m]ely1 & :e!r pleasant at fir/ or n1 habit w make e>ly ris+1 temp]ate liv+1 tak+ ex]cise1 ?or\gh ablution ( ! :ole body1 etc41 easy4 ,t /ate ( vigor\s heal? & /r5g? :i* prep>es a woman to be> /rong & vigor\s *ildr51 is atta9$ n by idl5ess & luxury1 & neglect ( p]sonal cleanl9ess1 nor by tight lac+1 ! use ( /imulants1 nor by irregul> modes ( sleep+1 etc41 b by ris+ e>ly1 & tak+ e>ly walks 9 ! op5 air1 & engag+ 9 h\sehold labor1 or o!r ex]cise dur+ ! day1 go+ to b$ betimes1 liv+ on an abundance ( good1 :olesome food1 by daily ablutions1 foll[$ by rubb+ ! sk9 ?or\ghly1 & 9 g5]al by obs]v+ ! laws ( heal?4 ,if a woman :o has ?us pres]v$ h] heal?1 m>ry a man :o has be5 equally c>eful to obs]ve ! laws ( cont95ce & hygi5e1 %e may hope to be ! "m ( a heal?y *ild1 & a bless+ to all4 ,,! ,,con/itution ,,( ,,bo? ,,! ,,male ,,& ,,female %\ld be good & /rong4 ,x is n en\gh t ! body be well develop$1 if !re is at ! same "t a v feeble con/itution4 ,ev5 if ! *ildr5 ( su* p>5ts seem to be hale look+ & robu/1 !y d n atta9 old age--are v liable to die "y4 ,if !re is only a pr$isposition to disease1 su* z is (t5 inh]it$1 x may be v d\btful :e!r ! p>ties ought to m>ry4 ,if !re is only a disposition to habits ( intoxication or dissipation1 or to g\t1 madness1 scr(ula1 consumption1 etc41 9 ! man1 we may advise ! woman n to unite h]self to him1 = ^! diseases d n %[ !mselves until call$ into action by "s excit+ cause4 ,b we advise ! woman1 if !re is any physical disability :i* r5d]s h] ineligible to ! m>ri$ /ate1 t %e %\ld n pass x ov] lightly1 or conceal x1 & we w\ld recomm5d to a woman :o may h de=m$ pelvis1 t %e ab/a9 f m>riage1 z %e 8may pur*ase ! title ( wife at too de> a price40 ,,temp]am5t is a matt] ( less importance 9 *oos+ a husb&4 ,x is said to be ! case t 9 *oos+ a mate1 a p]son incl9es /rongly to "o unlike !mselves4 ,if x be true t a p]son ( a n]v\s temp]am5t has a pref]5ce = ! sympa!tic1 ! sangu9e = ! bili\s1 etc41 x is probably nature imp>ts ! lik+ t ! (fspr+ may comb9e ! excell5ce ( bo?1 ! defects ( nei!r4 ,,blood ,,relation%ip is n necess>ily a b> to union4 ,c\s9s may m>ry :5 ! family has traits ( m5tal & physical excell5ce z a means ( p]petuat+ !m1 b x is n be/ to develop1 by repeat$ unions1 a lurk+ disposition to disease1 :i* may exi/ 9 any family4 ,,moral ,,& ,,m5tal ,,"* is ( ! greate/ importance4 ,x is n true t 8! re=m$ rake makes ! be/ husb&40 ,if he is n ! prey ( loa?some diseases1 ! results ( a vici\s life1 8 con/itution is probably impair$1 s t he _c be ! fa!r ( good1 /rong *ildr54 ,! only way t wom5 c gu>d _! own heal?1 & pres]ve f deg5]acy _! (fspr+1 is by hav+ husb&s ( a diff]5t "* f t ( ! debau*$ rake4 ,,conduct ,,( ,,! ,,"m ,,aft] ,,m>riage4 ,! "m is acc\ntable = ! heal? & intellig5ce ( h] fir/ *ild2 %e mu/ be c>eful ( h] own heal? be=e m>riage & at ! "t ( m>riage1 z well z = ! succe$+ "t4 ,i w "h /ate a few ?+s :i* seem unimportant1 & yet are ( "s little consequ5ce4 ,i consid] t ! great object ( conjugal union is ! transmission ( life1 & ,i _c believe t any?+ is unnecess>y or unimportant t has a t5d5cy t[>ds ! p]fect heal? or well-be+ ( ! *ild t is yet to be born4 ,,dur+ ,,! ,,fir/ ,,few ,,mon?s ,,aft] ,,m>riage ! wife %\ld seek to h bodily quiet1 & m5tal calmness & s]5ity4 ,! cu/om ( hurry+ ! bride f place to place may prop]ly be condemn$4 ,s we w\ld h h] avoid go+ into a :irl ( excitem5t & pleasure--into a r\nd ( visit+ & late h\rs--into close1 heat$ rooms--into fa%ionable amusem5ts--ri* liv+ & a want ( re/--sitt+ 9 ill-v5tilat$ ap>tm5ts--quickly bolt+ unquiet meals--dr9k+ w9e1 be]1 or br&y1 or o!r alcoholic /imulants--late ris+ 9 ! morn+--sleep+ 9 close1 badly-v5tilat$ rooms--liv+ 9 rooms t are kept d>k--tight lac+--we>+ ?9 clo?+--worry+1 & indulg+ 9 ill-temp]4 ,%e %\ld avoid ^! at all times1 b h] future heal? & happ9ess dep5d s mu* ^u h] prud5ce & c>e dur+ ! fir/ ye> ( m>ri$ life1 t we may prop]ly give ^! h9ts & cautions 9 reg>d to ?is p>ticul> "t4 ,,*apt] ,,ii4 ,,conduct ,,( ,,! ,,"m ,,dur+ ,,pregnancy4 ,!re are no signs ( a fruitful conjugation1 :i* 9 all cases indicate to ! woman t %e is pregnant4 ,"s few seem to "k ! exact "t2 9 "s in/ances !re is fa9tness1 or v]tigo1 t 9 ^! p>ticul> cases impress ! fact ^u ! m9d ( ! woman4 ,b usually1 )9 a mon?1 ! po9t is tol]ably c]ta91 %e be+ assur$ by su* signs z w be "h po9t$ out4 ,x n[ becomes h] duty to be especially c>eful1 n only = h]self1 b also = h] (fspr+4 ,abortions frequ5tly occur1 especially 9 ! fir/ & la/ pregnancies1 & 9 ! fir/ mon?s ( pregnancy1 ^! %\ld be avoid$ if possible4 ,! tra9 ( evils :i* foll[ :5 ! habit ( abortion is e/abli%$1 z well z ! moral obligation %e is "u to pres]ve ! life committ$ to h]1 %\ld make h] will+ to endure ! few privations & con=mities :i* h] situation imposes on h]4 ,%e mu/ avoid undue ex]cise ( ! muscles1 su* z long walks1 danc+ 9 hot wea!r1 ha/ily runn+ up /airs1 lift+ heavy weights2 %e mu/ avoid ?+s t inord9ately hurry ! circulation1 su* z heat$ rooms1 /imulat+ liquors1 etc42 %e mu/ n ov]load ! /oma*1 or eat late supp]s2 %e mu/ n take dra/ic purgatives2 mu/ n con/ipate h] b[els by tak+ laudanum1 etc42 mu/ n compress ! *e/ by tight lac+2 mu/ n use /rong tea or n>cotics2 mu/ n lie long 9 w>m fea!r b$s1 & mu/ n engage 9 sev]e /udy1 night wat*+1 etc4 ,! pregnant woman ne$ n indulge 9 a wayw>d or voraci\s appetite1 &1 al?\gh !re is a t5d5cy to fullness & fev]1 %e ne$ n necess>ily be bl$4 ,! pregnant woman ne$s fully z mu* food z usual1 b %e mu/ avoid excess 9 eat+ & dr9k+4 ,ripe fruits1 lamb1 veal1 fre% fi%1 milk1 c(fee1 &1 9 g5]al1 e ?+ :i* agrees ) ! /oma* may be eat52 ! ta/e1 z a rule1 is a safe guide1 & may be reasonably indulg$4 ,aft] ! six? mon?1 %e may prop]ly eat f\r or five meals a day4 ,! be/ plan ( treatm5t = "o to adopt :o has long+s is n to give way to !m1 unless ! long+s be ( a h>mless1 simple nature4 ,! ,,clo?+ ( ! pregnant woman %\ld be suit$ to ! season2 b z ! vicissitudes ( ! wea!r affect h] m ?an !y previ\sly did1 %e %\ld be dress$ r w>m4 ,9 g5]al1 %e %\ld we> flannel draw]s1 especially dur+ advanc$ pregnancy4 ,_m wom5 h done !mselves an injury by lac+ tight to conceal _! pregnancy4 ,! dress %\ld be loose & com=table1 n[h]e press+ tightly or unequally4 ,/ays or corsets may be us$1 9 a prop] mann]1 dur+ ! fir/ five or six mon?s2 !y %\ld be m\ld$ to ! %ape ( ! *ang+ figure1 & mu/ n depress ! nipple or ! enl>g+ brea/s4 ,! g>t]s ought to be worn slack2 tight g>t]s are v injuri\s1 & if ! ve9s are enl>g$ or v>icose1 x w be necess>y = h] to we> an ela/ic silk /ock+4 ,mod]ate ex]cise 9 ! op5 air is prop] dur+ ! p]iod ( pregnancy1 & walk+ is a good k9d ( ex]cise2 b v long walks1 & danc+1 ought n to be indulg$ 94 ,rid+ 9 a wagon ov] r\gh roads1 & railway travel+1 are objectionable4 ,,ba?+ %\ld be practic$ ) great c>e4 ,a w>m ba? is too relax+2 a tepid ba? once a week is b5eficial4 ,spong+ ! body e morn+ ) lukew>m wat] may be practic$1 & ! sk9 %\ld be quickly dri$ ) a co>se t[el4 ,! temp]ature ( ! wat] may be r$uc$ gradually until x is q cold4 ,a sitz ba? may be us$ e morn+1 al?\gh x is be/ to sit 9 x b a few seconds4 ,if x gives a slight %ock1 x w be imm$iately foll[$ by an agreeable gl[4 ,put a little w>m wat] ) ! cold at fir/4 ,v5tilation is ( ! utmo/ importance4 ,dur+ ! day "t1 ! w9d[s 9 e unoccupi$ room 9 ! h\se ought to be ?r[n op54 ,att5tion %\ld be direct$ to keep+ ! atmosph]e 9 ! sitt+ & sleep+ rooms ( ! h\se fre%4 ,_m poor p sleep 9 a v small1 close b$room1 & brea! an air t is really poison\s4 ,! lady %\ld see also t ! h\se is kept light1 t ! dra9s are 9 good & p]fect ord]2 t ! privies are frequ5tly empti$ ( _! cont5ts1 & t ! dr9k+ wat] supply be n contam9at$4 ,,sleep1 by its s$ative influ5ce1 & by ! calmness ( all ! functions t att5d x1 has a favorable influ5ce ^u ! di/urb$ n]v\s sy/em ( ! "m1 & ^u ! gr[? ( ! ftus4 ,h] b$room ought to be l>ge & airy1 & %e %\ld n h curta9s closely drawn ab\t h] b$4 ,! w9d[s ( ! room %\ld be op5$ dur+ ! day2 ! b$clo!s %\ld be ?r[n back1 & ev]y?+ v5tilat$2 ! b$ mu/ n be load$ ) clo!s1 & ! b$room at night %\ld be d>k1 & z f> z possible f noise4 ,^! ?+s w t5d to secure sleep2 b if ! pregnant woman %\ld /ill be re/less1 & feel+ oppress$ & hot1 %e %\ld p]haps admit m air into ! room4 ,let h] also att5d e day to h] b[els1 t !y be n all[$ to become co/ive2 p]haps eat cool+ fruits1 live on an ab/emi\s diet1 & if !re is a feel+ ( fa9tness :5 %e attempts to lie d[n1 %e %\ld h a b$ s arrang$ t h] %\ld]s & head are elevat$4 ,! pregnant woman ought to retire e>ly to re/1 & ,i w\ld advise h] to lie ab$ 9 ! morn+ z long z %e c sleep well4 ,if %e _c sleep well1 let h] get up 9 good "t 9 ! morn+1 take a ba?1 or ?or\gh ablution1 a /roll 9 ! g>d51 an e>ly breakfa/1 & !n p]haps a %ort walk1 :ile ! air is cool & exhil>at+4 ,a nap ( an h\r or two aft] t1 ^u a s(a or l\nge1 w prove v refre%+4 ,a ,,tranquil ,,m9d is ( ! greate/ importance4 ,=ebod+s ( a gloomy nature %\ld n be enc\rag$1 z !y (t5 are1 by relat+ dismal /ories1 etc4 ,unnecess>y fe> ^u ! "p ( ! "m may h a bad effect ^u ! *ild1 z may also ! indulg5ce 9 unbridl$ ang]1 or yield+ to temp]1--p]haps may cause convulsions or hemorrhage1 or ev5 abortion4 ,!re is reason to believe t ! imag9ation ( ! "m has an influ5ce on ! beauty ( ! *ild2 & x is q c]ta9 t *e]fulness & equanimity ( m9d contributes to ! future good heal? ( ! *ild1 & may ev5 affect its disposition & m5tal traits4 ,,*apt] ,,iii4 ,,diseases ,,( ,,pregnancy4 ,pregnancy is n a disease4 ,_m wom5 enjoy bett] heal? dur+ its cont9uance ?an any o!r "t1 & 9 g5]al ! pregnant woman is n q z mu* expos$ to contagi\s & o!r diseases4 ,b !re are c]ta9 disord]s incid5t to pregnancy1 ( :i* x is necess>y to speak4 ,,morn+ ,,sickness1 :5 x is only tr\blesome dur+ ! e>ly "p ( ! day1 is g5]ally borne )\t mu* compla9t1 or mu* m$ical c>e4 ,be=e tak+ any m$ic9e = x1 ,i advise t ! lady try su* simple means z ! foll[+3 ,let h] take a cup ( c(fee or milk1 & eat a few crack]s or a biscuit1 aft] wa%+ h] h&s & face1 & be=e ris+ 9 ! morn+2 !n let h] rema9 9 b$ = ab\t fifte5 m9utes1 !n dress quickly & take a %ort walk4 ,if ! sickness cont9ues1 let h] eat freely ( pop corn1 & %e may eat ( ?is occasionally dur+ ! day1 or :5ev] %e is suff]+ f sickness1 & let h] p>take ( o!r food also dur+ ! day4 ,p]si/5t sickness & vomit+ indicates a disord]$ condition ( ! dige/ive app>atus1 & requires appropriate rem$ies4 ,use successively ! foll[+3 ,=mula #he1 #ajd1 #ha1 #ajg4 ,,vomit+ is sometimes s p]si/5t & sev]e t ! /oma* c reta9 no?+1 or b v little food4 ,( c\rse1 su* cases dem& ! aid ( a physician1 & 8 ef=ts to give relief may be effectual1 :5 ! m$ic9e "h direct$ fails4 ,,co/iv5ess is ano!r compla9t to :i* pregnant wom5 are liable4 ,?is is hurtful 9 its consequ5ces1 be+ n uncommonly ! cause ( fev]1 t5esmus1 pa9 9 ! b[els1 & abortion4 ,c>e mu/ be tak5 to obviate co/iv5ess by ! use ( su* food z w h a laxative effect4 ,! use ( graham bread1 oatmeal gruel1 rais9s1 figs1 grapes1 roa/$ apples1 bak$ pe>s1 br[n bread1 crack$ :eat1 /ew$ prunes1 & o!r v>ieties ( f>9ace\s food & fruit1 may obviate ! necessity ( tak+ op5+ m$ic9es 7,f4 #ajh1 or milk ( magnesia47 ,an enema is an excell5t rem$y1 & e lady %\ld h a good enema app>atus1 by :i* %e c adm9i/] an injection to h]self1 & if %e suff] f con/ipation1 %e %\ld take an enema twice or ?ree times a week1 & ! e>ly morn+ is ! be/ "t4 ,! cly/] may be w>m wat]1 or ca/ile soap & wat]1 ( ! temp]ature ( new milk4 ,x may be well to give occasionally an ap]i5t to insure a ?or\gh cle>ance ( ! :ole b[els1 & ca/or oil1 salad oil1 citrate ( magnesia1 seidlitz p[d]1 /ew$ rhub>b1 or an electu>y ( figs may be giv54 ,i sometimes direct t ! woman %\ld take e day a small dose ( oil1 9 a cup ( wat] gruel or oatmeal gruel4 ,,sev]e ,,pa9 9 ! b[els & rectum is sometimes caus$ by a column ( h>d & indurat$ feces1 :i* rema9 = a numb] ( days 9 ! rectum & colon4 ,n only pa9 b inflammation1 & o!r s]i\s ills1 may result if su* a condition is neglect$4 ,if tak+ injections does n suffice to give relief1 manual assi/ance is necess>y4 ,! nurse %\ld le>n ! art ( remov+ !m if necess>y2 %e %\ld use a conv5i5t in/rum5t1 c>efully conduct+ x into ! anus1 or %e may ?ru/ h] f+] into ! vag9a to break ! h>d mass1 & assi/ 9 its expulsion1 !n %e %\ld wa% x out ) repeat$ cly/]s4 ,,= ,,abdom9al ,,pa9s t are caus$ by its di/5tion1 & by ! weight ( ! enl>g$ ut]us1 ! woman %\ld we> a b&age1 or an abdom9al support]1 adju/$ to fit ! abdom51 & made ) prop] /raps & buckles to accommodate ! increas+ size ( ! abdom54 ,to relieve ! pa91 ! abdom9al walls may be rubb$ ) equal p>ts ( sweet oil & laudanum4 ,tr\blesome ,,hemorrhoids may be caus$ by con/ipation1 & also by ! conge/ion 9 ! p>ts1 & by ! pressure made on ! vessels ( ! "p by ! enl>g$ ut]us4 ,x is prop] sometimes to use emolli5t fom5tations & cataplasms4 ,relief may (t5 be giv5 by mak+ firm & g5tle pressure betwe5 ! f+] & ?umb ( ea* di/9ct tumor1 till !y are all compress$ & return$ )9 ! anus4 ,9 cases ( ,,ble$+ ,,piles1 blood comes away ea* "t ! pati5t has a /ool4 ,! pati5t ought to be z quick z possible 9 reliev+ ! b[els1 & %\ld n at su* times sit "o mom5t long] ?an is absolutely necess>y4 ,if ! piles are inflam$ & pa9ful1 fom5t !m ?ree times a day1 & = half an h\r ea* "t1 ) hot wat] conta9+ a little c>bolic acid--a "o p] c5t4 solution4 ,apply x by means ( a sponge4 ,extract wit* hazel may be us$ also1 & relief may (t5 be obta9$ by sitt+ ov] ! /eam ( hot wat] = fifte5 or tw5ty m9utes4 ,simply put hot wat] 9 a close vessel1 & sit ov] x4 ,sometimes ! woman _c sit 9 an ord9>y *air1 & %e %\ld sit ei!r on an air cu%ion1 or a wat] cu%ion half fill$ ) wat]1 plac$ on ! *air4 7,f4 #ajg47 ,,di>rh,a is a less frequ5t att5dant ( pregnancy ?an con/ipation1 & ! latt] is sometimes ! cause ( ! =m]2 9 su* cases an ap]i5t is requir$4 7,f4 #aji47 ,%\ld ! compla9t rema9 aft] ! op]ation ( ! laxative1 opiates are prop]1 mix$ ) "s mild a/r+5t m$ic9e1 aromatics1 antacids1 etc4 7,f4 #fi1 #gd1 #gi1 #hj1 #ie47 ,,t5esmus1 & also di>rha1 are common att5dants on abortion1 ( :i* !y are1 inde$1 sometimes ! cause4 ,ipecac 9 half gra9 doses1 ) p[d]$ opium1 & giv5 e six h\rs2 or frequ5tly repeat$ doses ( opium may be ne$$4 7,f4 #ia1 #ib47 ,a flannel bag fill$ ) hot table salt1 & appli$ ne> ! "p affect$1 may give great relief to pa94 ,,he>tburn is a common & (t5 a di/ress+ symptom ( pregnancy4 ,i w\ld prescribe 9 su* cases an ab/emi\s diet1 peps91 +luv91 & o!r m$ic9e to help dige/ion2 antacids & laxatives4 7,f4 #ga1 #gb1 #gd47 ,calc9$ magnesia is good2 prep>$ *alk is h>mful4 ,x is n necess>y = me to dwell ^u ! few ailm5ts t occasionally afflict pregnant wom5 t ,i h n yet ref]r$ to1--a few words mu/ suffice4 ,if a woman :o is pregnant is apt to be ,,fa9t1 or to ,,fa9t ,,away1 ,i advise t %e be laid d[n--t %e lie flat on h] back1 ) a pill[ "u h] head--t tight articles ( dress be loos5$--w9d[s rais$--wat] %\ld be spr9kl$ on h] face1 a few drops ( aromatic ammonia may be adm9i/]$1 & p]haps smell+ salts or h>t%orn held to ! nose4 ,if x is simply fa9t+1 x is n dang]\s4 ,a n]v\s pregnant woman is sometimes subject to ,,palpitation ,,( ,,! ,,he>t1 especially :5 ly+ d[n4 ,a small dose ( aromatic ammonia w g5]ally give relief4 ,if ,,cramps ( ! legs or ?ighs are tr\blesome1 take ,f4 #ib1 & tie a h&k]*ief ar\nd ! limb1 above ! "p affect$1 & let x rema9 a few m9utes1 & use friction4 ,if cramp attacks ! b[els or back1 a hot bag ( salt1 or a /one bottle fill$ ) hot wat] & wrapp$ 9 flannel1 may be press$ aga9/ ! "p1 & some?+ simil> %\ld be plac$ to ! sole ( ! feet4 ,if ,,pruritis ,,pud5di--irritation & it*+ ( ! ext]nal p>ts--are tr\blesome1 use ,f4 #aie1 #bag1 #bbj1 & take frequ5tly a tepid salt & wat] sitz ba?1 rema9+ b a %ort "t 9 ! ba?4 ,if ! p>ts are hot & inflam$1 & cov]$ ) an eruption1 use ei!r ( ! foll[+ lotions3 ,f4 #bag1 #aie4 ,,*apt] ,,iv4 ,,in/ructions ,,to ,a ,,woman ,,dur+ ,,! ,,la/ ,,mon? ,,( ,,pregnancy4 #a4 ,,d ,,n ,,take ,,too ,,mu* ,,ex]cise4--,y may get relief f "s ( y\r ailm5ts by ly+ d[n consid]ably dur+ ! day4 ,if !re is leucorrha 7:ites71 /rangury 7a frequ5t incl9ation to void ! ur9e71 incont95ce 7an inability to hold ! wat]71 pa9 9 ! hips ) numbness ( ! inf]ior 7l[]7 extremities--if ! ve9s ( ! leg become v>icose--if !re are anas>c\s swell+s ( ! inf]ior extremities--if !re is a p5dul\s belly1 ! woman ought n to s ex]cise z to produce fatigue4 ,%e may get "s relief by sitt+ or recl9+ 9 ! way t is mo/ agreeable4 #b4 ,,use ,,means ,,to ,,h>d5 ,,! ,,nipples4--,^? wom5 :o h nev] _h *ildr5 ought to obs]ve1 be=e labor1 :e!r !re is a depress$ condition ( ! nipples2 :e!r !y contract z ! brea/s increase 9 size4 ,if !y d1 ! condition c be correct$ by we>+ nipple %ields on !m4 ,& to h>d5 ! nipples3 ,= at lea/ a mon? be=e labor1 two or ?ree times a day1 rub !m betwe5 ! ?umb & f+]1 & ba! !m 9 t9cture ( myrrh or cologne wat]1 9 :i* a little alum has be5 dissolv$4 ,?is w r5d] ! sk9 less s5sitive1 & av]t ! di/ress occasion$ by ! t5d]ness ( ! nipples4 ,if !re is especial reason to appreh5d excoriat$ nipples1 z !re is :5 !y are r\gh & nodulat$ l a /rawb]ry or raspb]ry1 make a solution ( sulphate ( z9c1 "o gra9 to ! ounce ( rosewat]1 9 a wide-m\? bottle1 & tilt ! bottle ^u ! nipple1 & all[ x to rema9 !re = a few m9utes1 sev]al times e day 7,f4 #aih1 #bag47 ,x is necess>y also to protect ! "p f ! pressure ( /ays & ! friction ( ! flannel ve/4 ,! /ays may be remov$ entirely1 or ! nipple may be protect$ by lay+ a s(t l95 rag1 wet ) wat] & cologne1 ar\nd x s t ! pressure w n be directly on ! nipple4 ,if ! brea/s are swoll5 or pa9ful1 ! sor5ess w subside ( itself be=e ! comm5cem5t ( labor4 ,x may be well1 h[ev]1 to fom5t !m ) flannel wrung out ( hot wat]1 & support !m z 9 a sl+ by a broad h&k]*ief1 pass+ ov] ! opposite %\ld]4 #c4 ,,pay ,,no ,,att5tion ,,to ,,! ,,*ill+ ,,& 8,,horrify+ ,,tales ,,( ,,gossip+ ,,beldames40--,a *e]ful fl[ ( spirits :i* arises f ! hope ( a happy ev5t1 inspires a woman ) activity & resolution1 & is ! be/ prep>ation = ! pa9s ( labor4 ,d n give way to gloomy & melan*oly =ebod+s or indulge 9 idle rev]ies4 ,any p]son is y\r enemy :o w\ld exagg]ate to y ! dang]s ( labor2 & let me "h say to y1 t if y read 9 ?is book ( c]ta9 unfavorable cont+5cies1 d n let y\r m9d dwell ^u !m2 !y occur v r>ely inde$1 & ,i hope ,i h giv5 su* advice & in/ruction1 & t y h be5 s cauti\s & c>eful t y\r *ance is unusually favorable4 #d4 ,,d ,,n ,,expose ,,y\rself ,,at ,,?is ,,"t ,,to ,,wet ,,& ,,cold4--,d n g out 9 bad wea!r1 & d n g to !atres & o!r cr[d$ places at all4 ,y are especially liable at ?is "t to r5al difficulties1 & if y take cold1 x w cause conge/ion ( ! kidneys1 & m or less ur9>y difficulty4 ,x is easi] to prev5t su* compla9ts ?an to cure !m4 #e4 ,,take ,,b ,,little ,,m$ic9e4--,9 g5]al y may re/ 9 ! hope t all y\r tr\bles w vani% aft] y\r conf9em5t1 & y c h>dly hope to cure !m soon]4 ,b keep y\r b[els loose4 ,if y _c h daily passages by eat+ fruits1 bread made f unbolt$ fl\r1 or o!r laxative diet1 take sal9e wat]s1 comp\nd licorice p[d]1 etc41 7,f4 #ajh47 ,if y\r b[els are con/ipat$ at ! "t t labor comm5ces1 take at t "t an active ca?>tic 7,f4 #aji74 #f4 ,,seek ,,& ,,engage ,,! ,,be/ ,,possible ,,physician4--,i d n "k b ! educat$ mon?ly nurse ( ! future may be well qualifi$ to d all t is necess>y 9 an ord9>y natural p>turition4 ,b h]et(ore v few nurses tra9$ 9 ?is c\ntry are ?us prep>$2 p]haps ! popul> s5tim5t is aga9/ su* an education4 ,b y mu/ always select a physician t y c confide 9 & tru/ if an op]ation is necess>y1 or !re is unusual difficulty4 #g4 ,,x ,,is ,,g5]ally ,,well ,,to ,,h ,,y\r ,,physician ,,see ,,y ,a ,,mon? ,,be=e ,,! ,,"t ,,t ,,y ,,expect ,,to ,,be ,,conf9$4--,inde$1 ,i w\ld h y consult ) y\r physician dur+ ! :ole p]iod ( y\r pregnancy4 ,y may get v full directions f ?is book1 b /ill1 :]e x is practicable1 ,i advise t y consult ) "s skill$ m$ical fri5d1 :o kn[s y\r idiosyncracies1 & c sugge/ modifications ( ! directions z y\r own case dem&s4 ,specim5s ( y\r wat] %\ld be analyz$ ea* week dur+ ! la/ mon?1 if !re are any signs ( album9>ia1 etc41 7especially if ! face & ankles are bloat$47 ,if !re is inability to pass ! wat]1 x may be necess>y to draw x ) a ca!t]4 #h4 ,,submit ,,y\rself ,,entirely ,,to ,,! ,,direction ,,( ,,y\r ,,physician4--,d n indulge 9 any op9ion t may cla% ) 81 ev5 if t op9ion is f\nd$ ^u :at is "h writt52 y _c expect to "k m ?an he4 ,x may be t he w wi% to exam9e y by palpation1 etc41 to "k if ! ftus lies z x %\ld d1 z some?+ may be done to correct a malposition by ext]nal manipulation if ! ef=t is made e>ly4 ,no good physician w p]mit t y\r s5sibilities %\ld be %ock$ by an unreasonable dem&4 ,if y h /udi$ ?is book dilig5tly y w be prep>$ to conv]se intellig5tly ) y\r physician1 & y w und]/& & appreciate any directions t he may give4 ,if y h tak5 any m$ic9e prep>$ f =mula h]e9 ins]t$1 y "k1 & c in=m him :at ! m$ic9e is2 ?is is bett] ?an x w\ld be if y _h tak5 pat5t m$ic9e1 ( ! +r$i5ts ( :i* y are ignorant4 ,consult ) y\r physician 9 reg>d to ! *oice ( a nurse1 z he w be likely to "k ^? t und]/& _! bus9ess1 & t are 9 ! habit ( foll[+ ! doctor's directions1 or he may "k :e!r ! "o y select$ is n[ att5d+ a woman t has contagi\s disease4 #i4 ,,*oose ,a ,,good ,,nurse4--,y %\ld h ! be/ possible aid t ! nature ( circum/ances w p]mit4 ,d n get a f9e lady nurse t requires to be con/antly wait$ on by a s]vant1 & d n get a croak] t disc\rses ( ! sad & dreadful cases t h occurr$ 9 h] exp]i5ce4 ,d n get any "o t is addict$ to intemp]ance1 or a pott]] t is devoid ( me?od & effici5cy2 t does ! wrong ?+ 9 ! wrong way1 & t is always out ( h] prop] place4 ,get a nurse t w n dose & m$icate ei!r ! "m or *ild :5 !y are "u ! c>e ( a physician1 or assume any duty or responsibility t belongs to him2 t admits t ! doctor is ! "o to give ord]s4 ,get "o t nev] reveals ! private conc]ns ( h] =m] employ]s2 "o t is n a mis*ief-mak]1 caus+ diss5tion & disagreem5t 9 ! h\sehold4 ,d n get "o t is "y1 if %e is giddy & ?\ghtless & inexp]i5c$1 nor "o t is old1 if %e is deaf & /upid4 ,get1 pref]ably1 a m>ri$ woman or a wid[2 "o t has at "s "t _h ! c>e ( infants2 "o t has a pleasant c\nt5ance1 & is naturally *e]ful2 "o t has calmness & self possession1 & firmness1 & at ! same "t is g5tle1 k9d1 good-temp]$ & oblig+2 %e %\ld h a light /ep1 a pleasant voice1 a *e]+ smile1 a dextr\s h&1 a g5tle t\*1 & be gift$ 9 cook+ = ! sick4 ,by pref]5ce1 engage a mon?ly nurse2 %e w n be s likely to come to y f a case ( sc>let fev] or erysipelas1 or o!r contagi\s disease4 ,if y c f9d a nurse ( ! k9d describ$ above1 & if %e be prop]ly in/ruct$ & educat$1 %e w be invaluable to y1 & if %e devotes h] tal5ts & h] be/ en]gies to y & y\r infant1 %e %\ld be lib]ally paid4 ,b !re are _m su* wom5 all ov] ! c\ntry1 or w be :5 we c induce !m to qualify !mselves by /udy & special ef=t4 ,b1 z really good nurses are full ( engagem5ts1 x may be necess>y = y to engage h] 9 ! e>ly mon?s ( y\r pregnancy2 only /ipulate 9 ! />t t y w be oblig$ to disp5se ) h] s]vices1 if x happ5s t imm$iately prec$+ y\r conf9em5t %e _h be5 att5d+ a woman t _h pu]p]al fev]4 ,i d n say t y %\ld necess>ily engage a nurse t is educat$ z a midwife4 ,b su* a "o is to be pref]r$ ev5 if y h a physician1 & !n ! latt] ne$ n be deta9$ f 8 pati5ts = s long a p]iod ( "t2 & if ! la/ /age ( ! labor is s rapid t ! *ild is born be=e ! doctor arrives1 !re ne$ be no trepidation2 %e w "k well :at to d4 ,?\s&s are born 9 ?is c\ntry )\t ! slighte/ assi/ance f a doctor1 he n be+ at h& nor n be+ 9 "t1 & yet bo? ! "m & babe d well almo/ inv>iably4 ,z a rule ! nurse t has /udi$ & le>n$ ! mo/ is ! be/ prep>$ to dis*>ge ! duties re/+ ^u h]4 ,a ,,nurse ,,may ,,prop]ly ,,be ,,9 ,,att5dance ,a ,,week ,,or ,,m ,,be=e ,,! ,,t]m9ation ,,( ,,pregnancy1 if circum/ances p]mit or require x4 ,if pres5t %e w att5d to ! foll[+ ?+s3 ,*oose a good airy room = ! ly+-9 *amb]--"o t c be well v5tilat$1 :]e ! temp]ature c be kept at f #fj to #fe2 "o t is remov$ z mu* z possible f noise & di/urbance1 & :]e ! pati5t ne$ n be expos$ to draughts4 ,provide ne$$ articles ( clo?+ = "m & *ild1 & dress+s = ! b$2 %ort g[ns to we> ov] ! *emise or ord9>y night g[n2 a prop] b&age ( heavy musl91 z mu* z "o & a qu>t] y>ds 9 l5g? & f\rte5 in*es 9 wid?4 ,i pref] to h x ( sev]al ?icknesses1 & if x is q long s t ! ends meet to be fold$ x keeps 9 place bett]1 & if x is gor$ x %\ld be 9 su* a mann] t x is n>r[] at ! l[] edge ?an x is two in*es above1 s z to prev5t x :5 adju/$ f slid+ upw>ds2 ! *ild's b9d]1 pref]ably "s wool5 mat]ial ab\t five in*es 9 wid? & f\rte5 in*es 9 l5g?2 ! *ild's %irt 7wool5 or cotton1 n />*$72 bo? a long & a %ort petticoat2 a frock or slip2 a %awl or flannel blanket2 napk9s & musl9 diap]s2 also pieces ( old musl9 to be us$ to absorb blood & wat]4 ,provide also = dress+ ! b$1 a piece ( imp]vi\s oil$ clo?1 oil$ silk1 or rubb] clo?2 old %eets & com=tables2 a piece ( c>pet2 h 9 read9ess a pair ( %e>s or scissors1 a small box ( prep>$ l>d or vasel9e or a flask ( salad oil1 a package ( p9s "o & a half in*es 9 l5g?1 besides ord9>y p9s2 tape1 bobb9 or wrapp+ tw9e2 f9e toilet soap2 f9e sponge = wa%+ ! *ild2 s(t l95 or c>bolat$ cotton = dress+ ! naval2 a box ( unirritat+ p[d]2 a pile ( t[els1 & a little aromatic ammonia or br&y to be us$ 9 an em]g5cy4 ,let e ?+ be plac$ 9 su* ord] t ei!r may be f\nd )\t hurry or bu/le at a mom5t's notice4 ,hot & cold wat] %\ld always be 9 read9ess4 ,,*apt] ,v4 ,,directions ,,to ,,! ,,mon?ly ,,nurse4 ,if y att5d a woman to :om ! physician has already be5 call$1 y w !reaft] be subject entirely to 8 ord]s4 ,:atev] y\r op9ion is1 not)/&+ y h ?is book or any good au?ority = y\r op9ion1 if x seems to conflict ) 8 directions1 obey him2 on him re/s ! responsibility & he is presum$ to "k :at is be/4 ,b x is be/ t y %\ld confide 9 ea* o!r--be on su* relations t y c communicate to him any?+ y h le>n$ ab\t ! case2 be free to ask ( him explicit directions & in/ructions4 ,b y\r duties may prec$e 8 z well z accompany !m1 & ,i wi% n[ to give special directions 9 reg>d to ?+s t fir/ dem& y\r att5tion4 #a4 ,a nurse may prop]ly provide a s(t rubb] ca!t] & also a syr+e2 ?is %\ld be con/ruct$ s t x acts z an enema app>atus :5 "o pipe is us$1 & z a vag9al syr+e :5 ! o!r pipe is appli$4 ,! holes 9 ?is pipe %\ld be made s t ! fluid inject$ is ?r[n backw>d4 ,x is important t ?is la/ direction be obs]v$4 ,i "k ( "o in/ance :]e ! vag9al pipe ( a ,davidson syr+e 0 us$1 yet ! fluid inject$ pass$ ?r\gh ! cavity ( ! ut]us & ?r\gh ! ,fallopian tube & ent]$ ! cavity ( ! p]itoneum1 caus+ sev]e pa9 & inflammation4 ,besides ! ?+s already m5tion$1 ,i advise t !re be furni%$ = use if ne$$ a small blanket to receive ! baby1 a little ba? tub1 two *amb] vessels1 a b$ pan1 c>bolic acid1 fluid extract ( ergot1 & *lor(orm4 #b4 ,be+ employ$ z a mon?ly nurse1 d n 7except v r>ely inde$ 9 an em]g5cy7 give any m$ic9e at all or any /imulant t has n be5 ord]$ by ! att5d+ physician4 ,_m wom5 d n consid] t labor is a natural process2 x is pa9ful inde$1 & (t5 l+]+ & t$i\s1 b w g to a safe t]m9ation ord9>ily )\t int]f]5ce2 any m$ic9e giv51 unless v wisely adm9i/]$1 is mu* m likely to d h>m ?an good4 #c4 ,be /ill & noiseless z possible 9 do+ necess>y duties :5 y\r pati5t is try+ to sleep1 or :5 %e is 9 special ne$ ( sleep4 ,sleep may be ( great importance to h]1 & x may be put to flight by a little c>elessness 9 r5ew+ ! fire1 or 9 walk+ if y we> heavy & creak+ %oes4 ,nurses at ^! times %\ld we> slipp]s & n %oes4 #d4 ,if y att5d ! lady = a week or m be=e ! doctor is call$1 !re may be diff]5t ailm5ts :i* y ought to note1 at lea/ en\gh to "k _! true significance4 ,p]haps %e has false pa9s1 & suff]s s mu* t %e believes t labor has comm5c$4 ,y w decide p>tly f ! "* ( ! pa9s4 ,false pa9s are colicky1 ?\gh !y may %ift occasionally f ! b[els to ! back & lo9s & may ext5d to ! hips & ?ighs4 ,!y come at irregul> int]vals1 are sometimes viol5t & sometimes feeble1 & !y are p>ticul>ly tr\blesome at night4 ,spuri\s pa9s are (t5 caus$ by disord]$ /oma* & may be some:at reliev$ by att5tion to ! diet & by mild ap]i5ts 7,f4 #ajh1 #aji71 or by apply+ a flannel bag ( hot salt4 ,if q sev]e s5d = ! doctor2 d n give /imulants4 #e4 ,y may b5efit ! pati5t at ?is p>ticul> "t :5 labor is approa*+1 p]haps )\t giv+ h] m$ic9e4 ,possibly %e may feel v well = a day or two1 & y w ne$ to direct h] ex]cise s t %e does n d too mu*4 ,y may keep f h] unpleasant sights & seem+ dang]s2 keep h] room f be+ ov]heat$2 see t %e does n h late supp]s1 too great a quantity ( food1 or any?+ t w produce a co/ive /ate ( ! b[els4 ,see t h] clo?+ is n too light1 t %e does n h /rong tea or c(fee1 & t %e does n lie too mu* 9 ! b$4 ,secure z mu* z possible tranquility & equanimity1 by gu>d+ aga9/ gu/s ( passion1 by keep+ f h] tales ( horror & disa/] :i* h happ5$ to ! pregnant1 by tea*+ h] t %e has no?+ to fe> 9 reg>d to h] *ild f ! simple fact t "s long+ has be5 ungratifi$ or t %e 0 appall$ at "s frightful object1 z su* fe>s are seldom if ev] realiz$2 relieve h] if possible ( gloomy =ebod+s by in=m+ h] h[ r>ely dea? happ5s aft] a well conduct$ labor4 #f4 ,if y give any m$ic9e at ?is "t give only t :i* is unirritat+ & mild4 #g4 ,notice all ! indications ( approa*+ labor1 ! s9k+ d[n ( ! ut]us 9 ! pelvis1 ! contractions ( ! womb t come on )\t pa91 or ) slight pa91 ! *ange 9 ! m9d & temp] ( ! lady1 ! augm5t$ muc\s secretion1 c4 #h4 ,al?\gh !re is usually a s5sation ( buoyancy & lightness accompany+ or prec$+ ! sett+ 9 ( labor1 !re may be on ! o!r h& a feel+ ( anxiety & depression ( spirits4 ,be v c>eful t y are n betray$ into any manife/ations ( impati5ce2 no words b ^? ( g5tl5ess & enc\ragem5t & hope %\ld fall ^u h] e>4 ,,*apt] ,,vi4 ,,c>e ,,( ,,! ,,"m ,,dur+ ,,labor ,,& ,,conf9em5t4 ,,true ,,labor ,,pa9s are di/+ui%$ f ! false by ! fact t !y are felt consid]ably 9 ! back1 pass+ d[n to ! ?ighs1 & by _! com+ on at regul> int]vals4 ,at fir/ !y recur ne>ly e two h\rs1 & !y /eadily increase 9 numb] & frequ5cy1 & are gr9d+ 9 _! "*4 ,!re are o!r signs :i* d5ote ! actual comm5cem5t ( labor2 !re is usually a frequ5t desire to empty ! b[els & bladd]1 p]haps %iv]+s or rigors unatt5d$ ) a s5sation ( cold1 sometimes a sev]e rigor1 & ^! signs are prec$$ or accompani$ or foll[$ by a dis*>ge ( mucus & blood1 call$ ! %[4 ,x is well n[ to s5d = ! m$ical man1 ?\gh if he lives ne> by x is only necess>y to let him "k t 8 s]vices may %ortly be requir$4 ,if ! pati5t suff]s f nausea1 vomit+1 or *ills & %iv]+s1 let h] "k t !y are only incid5ts ( h] labor & n unfavorable4 ,d n let h] increase ! pa9s or attempt to increase !m 9 any way2 x is mu* bett] t ! labor %\ld progress 9 a natural mann]1 ev5 if x is v sl[4 ,,! ,,prep>ation ,,( ,,! ,,b$ = ! occupancy ( ! "m is n[ to be att5d$ to4 ,cov] ! "r side ( ! b$ 7z ! pati5t w probably lie on h] left side7 ) a piece ( wat]-pro( clo? or oil clo?2 ^u ! top ( ?is a %eet is to be plac$ & fa/5$ ) safety p9s4 ,ov] ?is p]man5t dress+ 7on ! top ( ! b$ %eet7 a neatly fold$ draw %eet is adju/$ 7& a second rubb] & draw %eet is desirable71 :i*1 aft] ! labor1 c be remov$1 leav+ ! fir/ clean & dry4 ,?is second draw %eet & rubb]1 & also a fold$ com=table c be plac$ a little ne>] ! foot ( ! b$ ?an ! o!r1 & aft] ! lady's conf9em5t %e c be drawn up on ! p]man5t dress+1 & ! tempor>y dress+ c be easily remov$4 ,! o!r b$clo!s may be adju/$ 9 ! usual mann]4 ,a piece ( c>pet c be ?r[n on ! floor by ! side ( ! b$1 & x is well to h a hassock to put betwe5 ! pati5t's feet & ! foot-bo>d or b$-po/4 ,,to ,,dress ,,= ,,! ,,occasion1 a fold$ %eet %\ld be adju/$ ar\nd ! wai/ 7or1 in/ead ( ?is1 or above ?is1 a petticoat71 to ext5d f ! wai/ to ! feet4 7,^! w be remov$ aft] ! deliv]y47 ,!n a *emise %\ld be put on 9 ! usual mann]1 & drawn up & fold$ high "u ! arms4 ,%e %\ld !n h on a clean nightg[n1 & ov] x a w>m wrapp]2 ?is c easily be slipp$ (f :5 %e is ab\t to g to b$1 & ! night-dress1 if x is a long "o1 c be fold$ up "u h] arms1 s t x w n be soil$4 ,! ,,/ays mu/ n be worn1 z t prev5ts ! free action ( ! muscles ( ! *e/ & abdom54 ,! pati5t1 dur+ ! fir/ /age ( labor1 may walk ab\t or sit d[n1 & ne$ n conf9e h]self to ! b$4 ,%e may be all[$ su* food z %e c eat1 b %\ld n be urg$ to take food4 ,,! ,,be/ ,,bev]age = h] is ei!r a cup ( w>m tea1 or ( gruel or arr[root4 ,cold wat] w n hurt h] if %e desires x4 ,a pati5t ought1 dur+ labor1 frequ5tly to pass wat]4 ,"s wom51 f false delicacy1 d n att5d to x1 & suff] sev]ely = x4 ,,! ,,doctor ,,ought ,,to ,,h ,,"s ,,room to retire to t ! pati5t may be left v mu* to h]self1 & t %e may h opportunity :5ev] %e desires to ( ?or\ghly empty+ ei!r ! bladd] or b[els4 ,x is bett] t n m ?an two wom5 be pres5t ) h]1 & ev5 "o ( ^! c be disp5s$ ) if necess>y4 ,,! ,,room ,,%\ld ,,be ,,kept ,,quiet4--,let ! att5dants be quiet & self-possess$1 & let !re be no noise1 or excitem5t1 or :isp]+4 ,!re may be ord9>y *e]ful conv]sation1 b :5 ! pa9s become v frequ5t & sev]e1 x is be/ t ?is %\ld be hu%$ en\gh to h ! pati5t feel t ! att5dants are n neglectful ( h]1 or c>eless ab\t h]4 ,*e]ful words spok5 to ! pati5t ( ! bless$ relief t w come aft] endur+ s mu* pa9 w d good4 ,:5 ! membranes are ruptur$ & ! wat]s dis*>g$1 ! doctor %\ld be call$ 9 imm$iately4 ,:5 he is pres5t y w be subject entirely to 8 direction4 ,if ! m$ical man _c be pres5t pretty soon1 ,i advise any nurse :o has dilig5tly /udi$ ?is book to make a digital exam9ation1 & asc]ta9 if !re is a head pres5tation2 if !re is1 !re ne$ n be any anxiety ab\t gett+ a doctor4 ,if ! *ild is born be=e ! doctor has "t to rea* ! h\se1 let ! pati5t be made to und]/& t !re is n ! slighte/ dang]2 &1 = y\rself1 obs]ve ! foll[+ directions3 ,asc]ta9 if a coil ( naval /r+ be ab\t ! neck ( ! infant2 if !re is1 remove x imm$iately4 ,see t x has room to brea!2 t !re is n a membrane ov] its m\?1 & t its face is n buri$ 9 ! clo!s or ! dis*>ges4 ,if ! *ild cries1 give a m9ute's att5tion to ! "m1 to see t %e is 9 an easy position1 & = a few m9utes make pressure ) "o h& ov] h] abdom54 ,if ! *ild does n cry ! mom5t x is born1 give x a sm>t bl[ on ! back1 spr9kle a little cold wat] ^u x1 & put y\r f+] 9 its m\? to remove any mucus t may int]f]e ) respiration4 ,aft] ! *ild cries1 & :5 no pulsation c be felt 9 ! cord1 tie & cut x4 ,tie ) a /rong & n too f9e a /r+1 ab\t "o & a half in*es f ! *ild's body1 & cut s z to leave t portion ( ! cord atta*$ to ! *ild's body ab\t two & a half in*es long4 ,cut f> en\gh f ! ligature s t x w n be liable to slip (f4 ,! ligature %\ld be drawn tight :5 appli$1 & x ought to be exam9$ aft]w>ds to "k t x does n cont9ue to ble$4 ,i %all "h summ>ize1 9 a v brief way1 :at y are to d 9 ! abs5ce ( ! doctor3 ,aft] ! *ild is brea?+ prop]ly & ! cord is cut1 ! "m may receive y\r att5tion4 ,if ! plac5ta is n expell$ spontane\sly1 place "o or bo? y\r h&s ov] ! ut]us1 & by friction1 squeez+ & pressure !re1 y w probably cause en\gh contraction ( ! womb to />t ! plac5ta f its atta*m5ts4 ,y may !n make slight traction on ! cord1 pull+ only g5tly1 & x w probably come d[n2 z x em]ges f ! vag9a g5tly twi/ or turn ov] ! aft]bir?1 & y w secure ! removal ( ! membranes4 ,! soil$ articles are n[ to be remov$1 a b9d] appli$1 ! pati5t plac$ nicely 9 b$ & kept quiet2 no talk+1 no visit+1 no excitem5t all[$4 ,! baby may n[ be att5d$ to--be wa%$ & dress$4 ,h at h& a b[l ( w>m wat]1 a small quantity ( l>d or oil1 soap1 f9e sponge1 & ! articles ( clo?+1 includ+ a b9d]1 & by pref]5ce a piece ( flannel = wa%+4 ,x is well also to h a small tub l>ge en\gh to dip ! *ild 94 ,if ! *ild is mu* cov]$ ) ! 8v]nix caseosa10 rub x ov] ) "s unctu\s sub/ance1 & !n wipe x (f ) ! flannel or "s s(t clo?1 be+ c>eful at ! same "t t no?+ gets into ! eyes ( ! *ild1 & be+ c>eful to remove all ! *eesy matt] f ! angles ( ! jo9ts1 & f beh9d ! e>s4 ,h ! wat] = ! ba? w>m1 b n hot2 take hold ( ! feet ( ! *ild ) y\r "r h& & putt+ ! left "u its back & %\ld]s1 l[] x into ! wat]1 support+ its head by y\r arm4 ,:ile support+ its head ) y\r left h&1 wa% x all ov]1 us+ toilet soap & 7if y h x7 a f9e1 clean sponge2 !n lift x out into a w>m t[el & dry x ?or\ghly4 ,du/ ) f9e />* p[d]1 made ( :eat5 fl\r1 "u ! arms & betwe5 ! legs1 & dress ! naval by us+ a s(t piece ( l95 dipp$ 9 vasel9e & hav+ a hole 9 ! c5t]4 ,x is well to put ano!r piece ( l95 ar\nd ! cord1 :i* may !n be turn$ upw>d or to ! left side1 & ! b9d] appli$4 ,"s pref] to put absorbant cotton ar\nd ! cord4 ,! b9d] or belly-b& %\ld be made ( flannel1 & %\ld be cut bias4 ,c>e %\ld be tak5 to apply x tight en\gh n to slip1 b too tight an application %\ld be p>ticul>ly avoid$4 ,all ! g>m5ts ( ! *ild %\ld be made subs]vi5t to com=t & n to %[2 %\ld be w>m & n too small2 %\ld consi/ 9 "p ( flannel dur+ cool wea!r4 ,:5 dress+ ! *ild put "o g>m5t inside ! o!r1 & put ! :ole on ov] ! feet4 ,b few p9s ne$ to be us$ if ! clo!s be prop]ly arrang$2 ?ree p9s are suffici5t = ! b9d]4 ,! wa%+ or dress+ ( ! *ild %\ld be done quickly2 a little cold wat] %\ld be giv5 x2 x %\ld be all ! "t 9 a w>m room1 & may be laid :]e x is q w>m4 ,! "m may dem& a little m att5tion be=e ! *ild is appli$ to ! brea/4 ,a fold$ napk9 %\ld at fir/ h be5 appli$ to ! vulva4 ,look to x & see if x is mu* soil$ ) blood4 ,:5 x is1 apply a clean "o1 & obs]ve p>ticul>ly t "o is plac$ s t x is p>tly "u h]2 obs]ve if h] b&age is well reta9$ 9 its place1 & if x presses well on ! l[] portion ( ! b[els4 ,if ! b9d] is kept well adju/$ x does good2 x is ( no use if x is all[$ to slip up f its place4 ,a t[el fold$ & laid ov] ! l[] portion ( ! b[els1 "u ! b&age1 is useful z a compress1 & helps to keep ! b9d] 9 place4 ,ev]y?+ %\ld be arrang$ s t ! pati5t c h re/ & quietness2 b be=e %e goes to sleep put ! *ild to ! brea/4 ,if ! nipple is retract$1 an ord9>y tobacco pipe may be us$ to draw x out s t ! *ild c get hold ( x4 ,if ! *ild draws on ! brea/1 ! milk :i* x obta9s w s]ve to physic x1 & x %\ld be appli$ to ! brea/ e f\r or five h\rs2 no?+ else ne$ be giv5 x1 except p]haps a little sug> & wat]4 ,if necess>y to induce ! *ild to take ! brea/1 a little sweet5$ wat] or sweet5$ milk may be appli$ to ! nipple4 ,:ile ! *ild is nurs+ ! "m may lay ^u h] side1 & receive ! *ild ^u ! arm ( t side ^u :i* %e is ly+4 ,p]haps1 9 ord] to draw out ! nipple s t ! *ild c grasp x 9 its m\?1 x may be necess>y to use "s bottle ) a flat1 smoo? m\?2 fill ! bottle ) hot wat]2 aft] a m9ute1 empty x & place ! m\? ( ! bottle imm$iately ov] ! nipple2 z ! bottle cools !re w be suffici5t suction to elevate ! sunk5 nipple4 ,soon aft] ! t]m9ation ( ! labor ! woman may p>take ( "s light food--tea & toa/1 panada1 or any?+ ( a light1 unirritat+ "*4 ,f ! v fir/1 "u ord9>y circum/ances1 ! woman may be p]mitt$ to *ange h] position z %e may desire1 f side to side1 or to be propp$ up 9 b$4 ,be=e go+ to sleep %e ought to ur9ate--9 a ly+ position1 if s incl9$1 or %e c be rais$ up & support$ 9 a sitt+ position = a few m9utes1 if %e desires to be4 ,! pati5t mu/ n be all[$ to ex]t h]self1 or rema9 too long 9 a sitt+ po/ure4 ,b ,i h nev] kn[n a woman to be h>m$ by be+ rais$ up & sitt+ = a m9ute at ?is p>ticul> "t4 ,unless !re is unusual suff]+ f aft]pa9s or hemorrhage1 or some?+ t requires ! att5tion ( ! physician1 ! pati5t w n[ be desir+ & seek+ sleep1 & ev]y?+ %\ld be arrang$ = ?is object4 ,,*apt] ,,vii4 ,,directions ,,to ,,! ,,nurse ,,dur+ ,,! ,,mon?4 ,! nurse w receive f ! m$ical man su* directions z ! peculi>ities ( ! case seem to dem&1 b ,i deem x prop] "h to give "s g5]al in/ructions4 ,fir/1 9 reg>d to ,,c>e ,,( ,,! ,,"m4 ,,re/ is ess5tial to ! "m dur+ ! mon?4 ,%e %\ld rema9 9 b$ ne>ly all ! "t = at lea/ two weeks1 & %\ld n return to h] h\sehold duties "u a mon?4 ,p]fect tranquility is ess5tial1 t ! womb may resume its =m] size & situation1 & t inflammation1 ulc]ation1 prolong$ debility1 pa9 & excessive dis*>ges be avoid$1 & t a good =m be pres]v$4 ,z a means ( prev5t+ a flabby1 p5dul\s belly1 %e may also1 :5 %e does walk ar\nd1 we> a ut]o-abdom9al support] or a well-fitt+ b&age4 ,if a b&age is worn x %\ld be made ( /rong l951 cut bias1 sett+ snugly to ! =m1 b n ex]t+ unpleasant pressure4 ,its bread? %\ld be f twelve to eighte5 in*es4 ,! diet ( a nurs+ woman %\ld be bo? light & n\ri%+4 ,i w\ld sugge/ = ! fir/ day well-boil$ gruel1 bread & milk1 panada1 tea1 dry toa/ & butt]1 or bread & butt]4 ,= ! second day1 beef tea may be add$ 7,f4 #eh71 & %e %\ld be s]v$ ) food f\r times2 ! ?ird day %e may eat a little *ick5 or game1 & ma%$ potatoes or rice pudd+1 & on ! f\r? day %e c p>take once ( mutton or beef4 ,arr[ root 7,f4 #dd71 ) ^! articles m5tion$1 may =m "p ( h] diet !reaft]1 b %e may p>take ( su* articles ( h] =m] diet z are :olesome & n\ri%+4 ,! woman mu/ n be />v$2 %e dem&s food t w all[ h] to recup]ate h] /r5g?4 ,give h] z nutriti\s food z %e has appetite =1 & c easily dige/ & assimilate4 7,f4 #eh47 ,= a ,,bev]age give toa/ wat]1 b>ley wat]1 & milk ) ! *ill tak5 (f & a little salt add$1 tea1 cocoa1 or *ocolate made ) "o-half milk1 new milk & wat]1 cacao & broma1 made ) a l>ge proportion ( milk4 ,ei!r ( ^! may be freely us$ z a dr9k4 ,i h always all[$ my pati5ts to dr9k freely ( wat] f ! fir/1 & an occasional cup ( c(fee is n h>mful4 ,:5 ! "m exp]i5ces any inconv5i5ce f any articles ( diet or dr9k1 %e %\ld n hesitate to ab&on !m1 = if !y disagree ) h] !y w also disagree ) ! *ild4 7,f4 #aj1 #af1 #ah1 #ai1 #bj1 #bc1 #be1 #bh47 ,! ,,lo*ial ,,dis*>ge1 :i* occurs directly aft] a ly+-91 is at fir/ ( a r$di% color1 & gradually *anges to a br[ni% hue1 & aft]w>ds to a gre5i% %ade4 ,x is necess>y t !re %\ld be "s dis*>ge to cont9ue = a week1 & x (t5 cont9ues = ?ree weeks m4 ,9 "s cases x has a disagreeable odor4 ,,ablutions & cleans+s are v necess>y at ?is "t4 ,! p>ts %\ld be c>efully cleans$ e day1 & x is nev] amiss to use = ?is purpose a weak solution ( *lor9at$ soda1 or c>bolic acid1 or p]mang5ate ( potassa1 etc41 7,f4 #aec47 ,!y may be us$ q weak at fir/1 & aft]w>ds ( great] /r5g?1 if !y d n cause sm>t+4 ,t> wat] is excell5t = an injection4 ,! woman %\ld daily assume a position t w facilitate ! dis*>ge ( ! lo*ia2 sometimes get on h] knees1 or %e may occasionally lie on h] face & /oma*4 ,!re %\ld be no b&ages appli$ s z to conf9e ! secretions4 ,a s(t sponge & w>m wat] may be us$ = ablutions at fir/1 or ! p>ts may be ba!d ) w>m wat] & oat meal gruel2 aft] ba?+ !y %\ld be dri$ ) w>m1 dry t[els2 !y may !n1 by means ( a piece ( l95 rag1 be ano9t$ ) salad oil or vasel9e1 or o!r bl& oil4 ,once or twice a day ! vag9a %\ld be syr+$ out ) "s injection4 7,f4 #aec1 #aee47 ,,to ,,wa% ,,or ,,cleanse ! pati5t s t ! pores ( ! sk9 9 e "p are free & unob/ruct$1 a s(t napk9 wet ) w>m soap & wat]1 %\ld be pass$ und]nea? ! b$clo?+1 & %e %\ld be rubb$ all ov] )\t any exposure to a draught ( air4 ,9 "s way %e %\ld take a sponge ba? e day4 ,! ,,clo?+ :i* a pati5t w we> imm$iately aft] a labor has be5 already1 indicat$4 ,z "s g>m5ts worn dur+ labor are n necess>ily soil$1 !y may be worn until ! ?ird or f\r? day1 :5 ! dress %\ld be *ang$4 ,?is may be done )\t tir+ or expos+ ! pati5t4 ,)\t rais+ h] up y c pull ! b$g[n d[n f ov] ea* arm1 & aft] remov+ x f "u ! body1 y c draw d[n ! *emise & remove x f bel[4 ,y c place h] arms 9 ! sleeves ( ! clean *emise1 ?r[ x ov] h] head & pull x d[n2 & put on a clean b$g[n 9 a simil> mann]1 or bo? may be put on at once4 ,! ,,b$ ,,clo?+ z well z ! body l95 %\ld be *ang$ frequ5tly4 ,9 *ang+ ! upp] %eet x %\ld be pull$ (f f bel[1 & ! clean "o c be c>ri$ d[n 9 its place )\t remov+ ! o!r b$clo!s1 by plait+ ! l[] half ( x4 ,to put on a clean "u-%eet1 plait "o side ( x1 & place t "u ! pati5t :ile %e lies on h] side1 !n let h] turn on h] back or o!r side onto x1 & draw out ! plait$ "p4 ,c>e ( ?is k9d is necess>y until %e is able to sit4 ,h ! %eets well air$1 & h a prop] temp]ature 9 ! room4 ,,! ,,ly+-,,9 ,,room %\ld always be kept well v5tilat$ & r cool2 x is injuri\s to ! pati5t to h ! room kept at a high temp]ature4 ,p]haps ! v5tilation c be secur$ by hav+ a little fire 9 ! room1 & by occasionally leav+ ! door ( ! ap>tm5t aj>1 at ! same "t be+ c>eful to gu>d aga9/ draughts4 ,b visitors rema9+ 9 ! room1 or any additional numb] ( p]sons1 s]ve to vitiate ! air1 z well z to prev5t ! necess>y repose ( ! pati5t4 ,a s5sation ( *ill9ess may be felt by ! woman aft] deliv]y1 & h] feet may be cold2 if !y are1 some?+ w>m %\ld be appli$ to !m1 & suffici5t clo?+ %\ld be on ! b$2 b aft]w>ds be c>eful n to ov]load h] ) clo!s1 z well z to avoid hav+ ! room ov]heat$4 ,,too ,,mu* ,,light 9 ! room may be injuri\s to ! eyes ( ! "m or *ild1 & x is (t5 necess>y to d>k5 ! room some:at = a few days4 ,! ly+-9 woman w usually be conf9$ to h] room = two weeks4 ,aft] ! fir/ fifte5 days %e may v prop]ly remove to ano!r room adjo9+1 or ne> at h&1 & dur+ h] abs5ce h] room & b$ may be v5tilat$ by ?r[+ ! w9d[s wide op5 & ?r[+ ! b$clo!s back4 ,ord9>ily %e may1 at ! end ( ?ree weeks1 take h] meals ) ! family1 b %e ought /ill to lie d[n occasionally to re/ h] back4 ,at ab\t ?is "t %e may take an air+ 9 a c>riage1 if ! wea!r be f9e4 ,all ly+-9 wom5 ought n to be treat$ alike 9 reg>d to ,,diet1 etc4 ,:ile a light1 un/imulat+ diet is be/ at fir/ 9 ord9>y cases1 ! weak & delicate require good1 n\ri%+ food f ! comm5cem5t1 su* z beef tea1 *ick5 bro?1 mutton *ops1 eggs1 etc41 7,f4 #eg1 #eh1 #ei47 ,oatmeal gruel increases ! secretion ( milk1 is n\ri%+ & easily dige/$1 at ! same "t x is simple & bl&1 & prop] = ^? t are corpul5t1 or /rong & robu/1 & ! same may be said ( good c['s milk4 ,b1 z ! heal?y "m furni%es daily f a qu>t to a qu>t & a half1 %e ne$s "s meat to keep up h] /r5g?4 ,nev] give /imulants to increase ! woman's /r5g?1 or to increase ! quantity ( milk4 ,9 "s cases1 aft] a sev]e & l+]+ labor1 !re is ,,ret5tion ,,( ,,ur9e4 ,if ! bladd] _c o!rwise be empti$1 ! ca!t] mu/ be us$ e six or eight h\rs4 ,! b[els are usually co/ive aft] a conf9em5t1 & ,i pref] to give a dose ( ca/or oil ! ?ird day4 ,if ?is or "s o!r ap]i5t is n giv51 enemas %\ld be adm9i/]$ suffici5t to cause evacuations4 ,! c>e ( ! ,,"m',s ,,brea/s is important4 ,be=e ! milk is abundantly secret$1 %e %\ld n be frett$ by v frequ5t ineffectual attempts at nurs+1 ?\gh x may be necess>y to draw out ! nipple by means ( a brea/ pump4 ,! milk %\ld be drawn out :5 ! brea/s become full & di/5d$1 & !y %\ld n be all[$ to rema9 h>d & sore4 ,apply fom5tations2 cabbage leaves1 wilt$ 9 hot v9eg> & wat]1 or w>m solution ( c>bolic acid1 "o "p to eighty4 ,if !y cont9ue to be swell$ & pa9ful use ,f4 #bba1 #bbc4 ,x may be necess>y to make g5tle pressure ^u !m by means ( /rips ( adhesive pla/]1 or by a sort ( jacket or b&age1 t %\ld be prep>$ especially = ! purpose4 ,:5 ! brea/s are closely b&ag$ !y %\ld be support$ on ea* side by pads ( cotton1 s t ! pressure w be made equally ^u !m4 ,delay 9 apply+ ! *ild to ! brea/s is (t5 a cause ( swell$ brea/s4 ,aft] x has be5 f$ = a few days x may refuse to nurse1 & if x does nurse ! nipple may be q t5d]4 ,b1 unless = "s cause ! secretion is to be *eck$1 ! ef=t %\ld be made e two h\rs to induce ! *ild to draw4 ,y w be m successful 9 ^! ef=ts if y c r$uce ! heat & swell+4 ,rub ! brea/s e f\r h\rs ) good1 w>m olive oil1 vasel9e1 or camphorat$ oil1 & keep ! excoriat$ nipple ?ickly coat$ ) sub-nitrate ( bismu?4 ,! brea/ %\ld be rubb$1 & ! *ild %\ld be nurs$ regul>ly1 al?\gh ,i d n advise t ! *ild or ! "m %\ld be r\s$ f _! slumb]s2 x is bett] to delay = a:ile ! usual ef=t4 ,b1 ev5 at fir/1 a *ild c be nurs$ ) consid]able regul>ity e h\r & a half dur+ ! day1 & twice dur+ ! night2 & x %\ld be appli$ alt]nately to ei!r brea/1 ev5 if x seems to pref] "o to ! o!r4 ,x is (t5 necess>y to wa% ! brea/ & nipple ) w>m wat]1 & dry x ) a s(t napk91 be=e apply+ ! babe4 ,dur+ all ! "t t ! "m nurses ! *ild1 ! ,,m9d ,,( ,,! ,,"m ex]ts an influ5ce on ! latt] ?r\gh h] milk4 ,if ! "m's m9d is v mu* di/urb$ by any appreh5sions1 fe>s or anxieties1 ^! p]turbations w n only be likely to *eck ! fl[ ( milk1 b w alt] its quality1 & p]haps r5d] x hurtful & dang]\s to ! infant4 ,! nurse %\ld gu>d ! pati5t z mu* z possible f any?+ caus+ n]v\s agitation1 frett+1 ang]1 grief1 fe>1 sudd5 t]ror1 or great anxiety1 z ^! are injuri\s to ! "m1 & may be h>mful & fatal to ! *ild4 ,equanimity & *e]fulness ( m9d on ! "p ( ! "m are important at any p]iod ( h] pregnancy or nurs+4 ,i w n[ give m p>ticul> directions 9 reg>d to ,,! ,,c>e ,,( ,,! ,,*ild4 ,,! ,,food ,,( ,,! ,,*ild1 if x is necess>y to fe$ x at fir/1 may be "o-?ird ( new milk & two-?irds ( w>m wat]1 slightly sweet5$4 ,x is n necess>y t x %\ld be f$ = at lea/ eight h\rs aft] bir?1 & at fir/ ! quantity f$ x mu/ be small4 ,except 9 r>e cases ! milk furni%$ by ! "m w come soon en\gh1 & 9 suffici5t quantity to supply ! wants ( ! *ild1 & x is be/ = bo? t ! *ild %\ld draw x :5 secret$4 ,= ! in/ruction ( ! "m1 z well z ! nurse1 ,i "h quote a p>agraph ^u ! n\ri%m5t & fe$+ ( ! *ild1 n only ( ! new-born1 b also ( ! subsequ5t mon?s3 8,no =m ( artificial n\ri%m5t c comp>e ) t furni%$ by ! "m4 ,wom5 %\ld "k & consid] ! probability ( disease & dea? occurr+ f any o!r mode1 & ! difficulties & annoyances to be enc\nt]$ 9 ! use ( artificial food4 ,z a fur!r inducem5t to h] to nurse h] own *ild1 %e %\ld "k t h] (fspr+ is sure to imbibe ) its milk1 deep1 e>ne/ affection4 ,! "m :o c nurse h] own (fspr+ %\ld comm5ce )9 eight h\rs aft] deliv]y1 & 9 ! mean "t no tra% %\ld be put 9 its m\? to /ill its cries1 or = any o!r reason2 if x has n be5 surfeit$1 x w be dispos$ to take ! brea/4 ,x %\ld be plac$ to ! brea/ be=e !y are gorg$ ) milk1 = at t lat] "t ! fl[ is less easy1 ! p>ts are m irritable1 & ! *ild suck+ ) great] p[]1 we are m likely to h1 z ! result1 irritat$ nipples4 ,nature prompts all animals to suck _! "m soon aft] !y are born2 we are less liable to h sore1 irritat$1 crack$ nipples1 & !re is less liability to infantile colics1 etc41 if we foll[ ! guidance ( nature & in/9ct40 ,z soon z possible accu/om ! *ild to ! habit ( nurs+ e two h\rs4 ,if !re is a prop] int]val betwe5 ! times ( nurs+1 ! *ild draws ) m avidity1 actually empties ! brea/1 & obta9s t "p t conta9s ! mo/ cream4 ,endeavor also to h ! int]vals long] at night1 s t1 f #aj ,p4 ,m4 to #f ,a4 ,m41 x nurses b once or twice4 ,/ill1 if x wakes e two or ?ree h\rs1 dem&s its supply ( n\ri%m5t1 & y _c o!rwise quiet ! *ild1 y mu/ indulge x4 ,d n accu/om ! *ild to sleep+ on ! "m's brea/4 ,if x sleep 9 its own crib or b$1 prop]ly clo!d & protect$1 x is less liable to h its re/ di/urb$4 ,avoid ! cu/om ( hav+ a "y *ild sleep ) old & sickly p]sons1 & also ( hav+ !m sleep 9 ill-v5tilat$ rooms1 & ( cov]+ ! *ild's face z x sleeps4 ,!re is dang] t a *ild may die f want ( pure fre% air1 f hav+ its face press$ tightly 9 ! embrace ( ! p]son ) :om x sleeps1 f ! multiplicity ( its clo!s1 & f ! mass ( b$clo?+ us$ by ! "m1 z well z f improp] food4 ,a *ild %\ld nev] be cov]$ to sweat by reason ( ! w>m? ( its clo?+1 or ( t ( ! ap>tm5t4 ,if ! "m does n enjoy good heal?1 x may be bett] = h] n to nurse ! *ild at night1 b to h x f$ once or twice ) a little dilut$ c['s milk at night1 & to nurse x dur+ ! day4 ,! foll[+ h be5 nam$ z ,,causes ,,:y ,,! ,,"m ,,_c ,,prop]ly ,,nurse ,,! ,,*ild3 #a4 ,:5 %e _c h a suffici5t quantity ( milk4 #b4 ,:5 ! supply falls (f f "s defect :i* is n rem$iable4 #c4 ,:5 !re is a /rong v5]eal or scr(ul\s ta9t 9 ! con/itution4 #d4 ,:5 suckl+ produces an active or pa9ful disease 9 ! "m1 z colic1 etc4 #e4 ,:5 ! "m is subject to great n]v\s debility2 possesses an irascible temp]am5t1 & _c avoid grief & sorr[2 & also :5 %e is suff]+ f c]ta9 h]$it>y *ronic diseases4 ,,:5 ,a ,,"m ,,_c ,,suckle ,,h] ,,*ild1 if circum/ances w all[1 a heal?y wet-nurse %\ld be procur$4 ,*oose "o t is ( a heal?y family2 asc]ta9 t !re are no eruptions on h] sk91 or if !re be o!r disease2 if %e h a pl5tiful brea/ ( milk1 & if x be ( a good quality2 if %e has good nipples1 & if h] *ild is born ne> ! "t t ! "o 0 t %e is to nurse4 ,d n get a nurse t m5/ruates dur+ suckl+1 nor "o t has a *ild :i* is unheal?y1 or has a sore m\? or blot*es ^u ! sk94 ,v feeble new-born babes _c take ! brea/ sometimes4 ,9 su* cases c['s milk1 wat] & sug> 7,f4 #a7 may be giv5 9 small quantities at a "t1 b frequ5tly repeat$4 ,if x takes only a teaspoonful at a "t x %\ld be repeat$ e half h\r4 ,_m mo!rs are unable to obta9 ! s]vices ( a wet-nurse4 ,! milk ( a c[ is ! be/ sub/itute1 & :5 ?is is ( ord9>y ri*ness1 x may be dilut$ ) an equal quantity ( wat]1 or ?9 b>ley wat]4 ,! foll[+ are lead+ pr9ciples to guide 9 giv+ infant food3 #a4 ,alim5t %\ld always be pres5t$ to ! infant /oma* 9 a fluid =m4 #b4 ,bread & o!r f>9ace\s sub/ances are g5]ally indige/ible 9 ! infant /oma*1 & may bett] be exclud$ f infant fe$+4 #c4 ,c['s or goat's milk1 :5 pure & modifi$ s z to resemble z mu* z possible human milk1 w g5]ally be f\nd suffici5t )\t any o!r help to n\ri% ! new-born infant4 #d4 ,if c['s milk is us$ at fir/1 dilut$ ) twice z mu* wat] & slightly sweet5$1 ! proportion ( wat] mu/ be gradually less5$1 until aft] six mon?s ! milk may be giv5 undilut$4 #e4 ,:5 good milk f "o c[ _c be obta9$1 & ! *ild does n ?rive ^u ! milk us$1 cond5s$ milk may prop]ly be sub/itut$4 #f4 ,!re are v>i\s =ms ( infant food ref]r$ to 9 ,f4 #a1 #b1 #c1 #d1 #aa1 #bh1 #de1 #di1 & if "o ( ^! is tri$ & proves satisfactory1 x w n be advisable to try new k9ds ( infant food :i* are at ! pres5t "t (f]$ = sale4 ,milk %\ld be ! basis ( all infantile food2 nei!r />*1 dextr9e or glucose suffici5tly n\ri%es )\t x2 b we may use "o ( ^! foods )\t milk = "o or two days1 9 unsettl$ /ate ( ! /oma*1 ) good results4 7,f4 #fa47 ,,?or\ghly ,,wa% ,,! ,,babe ,,e ,,morn+ f head to foot1 us+ a l>ge wa% b[l or nurs+ bas91 half fill$ ) wat]4 ,fir/ wet ! head1 !n imm$iately put ! body 9 ! ba?1 & ) a sponge or piece ( flannel1 cleanse ! :ole body1 p>ticul>ly ! armpits1 gro9s1 & betwe5 ! ?ighs4 ,! sk91 aft] be+ ?us cleans$1 mu/ be quickly & ?or\ghly dri$ ) s(t t[els1 & ! p>ts liable to become sore1 p[d]$2 !n all p>ts ( ! body & limbs %\ld be g5tly rubb$4 ,dur+ all ! "t1 :5 ! *ild is b a few days old1 x %\ld n be expos$ at all to ! cold4 ,! wat] = its ba? %\ld be slightly w>m] ?an new milk1 & ! "t occupi$ 9 ! ba?+ %\ld be %ort4 ,ea* "t1 aft] a passage f ! b[els1 ! p>ts %\ld be wa%$ ) w>m wat]1 & if !re is any *af+ ! calam9e p[d] %\ld be appli$4 ,,! ,,naval ,,/r+ %\ld receive ! att5tion ( ! nurse2 )9 an h\r ( ! "t x is at fir/ ti$1 %e %\ld exam9e ! dress+ to see if !re has be5 any ble$+4 ,if x ble$s1 & ! doctor is n at h&1 retie ) a /\t cord1 draw+ x q tight4 ,ea* morn+1 :5 ! *ild is ba!d1 lift up ! naval /r+ ) ! rag dress+ & ins]t a little nice fre% tall[ "u x4 ,:5 x is loose remove x1 b use no means to cause ! sep>ation4 ,! naval is sometimes a little sore1 b seldom ne$s any dress+ m ?an simply vasel9e or tall[4 ,,at ,,night a *ild %\ld be entirely undress$1 & its clo?+ replac$ by o!r g>m5ts1 ^? t are loose1 light1 & suffici5tly w>m = x :ile x is "u ! b$clo!s4 ,= a v "y *ild ! prop] night-dress is a loose slip2 :5 old]1 a pair ( draw]s1 fitt+ up well ar\nd ! neck & cov]+ ! body & limbs1 is a good article4 ,! clo?+ worn dur+ ! day %\ld n be worn at night1 & ! clo?+ :5 soil$ %\ld be imm$iately *ang$4 ,:5ev] ! *ild seems dispos$ to sleep1 ?is %\ld be enc\rag$4 ,nev] ar\se a *ild sudd5ly f its sleep4 ,be c>eful t !re is no unnecess>y noises to di/urb its sleep+4 ,"t ! ba?+ & dress+ s t ! little "o may n be unnecess>ily di/urb$4 ,b nev] give soo?+ syrups1 anodynes = infants1 or o!r no/rums to induce !m to sleep4 ,if ! *ild is re/less1 endeavor to asc]ta9 if !re is n "s cause t c be remov$1 su* z tight clo?+1 etc4 ,,premature ,,infants may1 "u favorable circum/ances & assidu\s c>e1 live & ?rive4 ,imm$iately aft] bir? ! *ild %\ld be plac$ 9 a w>m ba?1 & !n wrapp$ 9 cotton4 ,! ba?s %\ld be w>m] ?an usual1 & mu/ be frequ5tly repeat$4 ,awak5 ! *ild e "o or two h\rs to fe$ x4 ,milk 7woman's milk is ! be/7 mu/ be giv5 x by a teaspoon4 ,) a view to ! bett] developm5t ( ! lungs1 x may be excit$ to cry by a slight irritation4 ,d n br+ su* *ildr5 into ! op5 air = sev]al mon?s aft] ! bir?1 z _! passages are readily affect$4 ,,"p ,,ii4 ,,anatomy ,,& ,,physiology ,,( ,,! ,,female ,,organs ,,& ,f,,tal ,,developm5t4 ,,*apt] ,i4 ,,( ,,! ,,pelvis4 ,! =mative organs ( g5]ation are situat$ )9 a l>ge cavity1 call$ ! cavity ( ! pelvis1 ! walls ( :i* are compos$ ( bones & s(t p>ts4 ,?is bas9 79 ,lat91 pelvis7 is an irregul>1 long cavity1 situat$ at ! base ( ! sp9al column1 & above ! inf]ior extremities4 ,9 ! adult ! bony pelvis may be divid$ into f\r p>ts or bones1 viz3 ! os sacrum1 two ossa innom9ata1 & ! os coccygis1 b 9 e>ly life !y are m m9utely divisible4 ,,! ,,sacrum4 ,! sacrum 7,fig4 #a7 t]m9ates ! v]tebral column1 & is p]haps ! mo/ important bone 9 ! pelvis1 ob/etrically consid]$1 z x ent]s l>gely into ! v>i\s de=mities ( ! pelvis4 ,9 ! adult x is ( a triangul> %ape1 ! base ( ! triangle be+ above & incl9+ =w>ds1 ! apex bel[ & some:at backw>ds2 its l5g? is f f\r to f\r & a half in*es2 its bread? ab\t f\r in*es1 & ! greate/ ?ickness1 two & a half in*es4 ,! int]nal surface is concave to ! am\nt ( half an in*1 cross$ by f\r transv]se l9es1 m>k+ ! =m] division by c>tilage2 "h are f\r pair ( holes1 ?r\gh :i* pass num]\s n]v\s filam5ts1 :i* aft]w>ds =m "p ( ! great sciatic n]ve4 ,illu/ration ,fig4 #a- ,a repres5ts ! int]nal or ant]ior surface ( ! sacrum4 ,b ,b repres5ts ! articul> processes4 ,c ,c repres5ts ! ant]ior sacral =am54 ,d repres5ts ! articulat+ surface4 ,x is plac$ at ! po/]ior "p ( ! pelvis1 :]e x appe>s l a w$ge =c$ 9 betwe5 ! ossa innom9ata1 imm$iately bel[ ! v]tebral column & directly above ! coccyx4 ,,! ,,ossa ,,innom9ata4 ,! os innom9ata 7nameless bone1 ,fig4 #b7 is ( a v irregul> figure1 & ! pair occupy ! lat]al & ant]ior p>ts ( ! pelvis4 ,! ext]nal or femoral surface is turn$ backw>ds & d[nw>ds1 z well z outw>d2 at its sup]ior "p1 inf]iorly x looks d[nw>ds4 ,t[>ds ! front1 ! ext]nal face pres5ts ! cotyloid cavity1 or ! acetabulum2 a little m 9 advance & bel[ is ! subpubic or obturator =am51 :i* is ne>ly clos$ by ! obturator ligam5t4 ,illu/ration3 ,fig4 #b4 ,"r os innom9atum1 ext]nal surface4 ,fig4 #b--,repres5ts ! ext]nal surface ( ! "r os innom9atum4 ,a4 ,! ext]nal iliac fossa2 ,b1 cre/ ( ! ilium2 ,c1 ant]ior sup]ior sp9e ( ! ilium2 ,d1 ant]ior inf]ior sp9e ( ! ilium2 ,e1 horizontal bran* ( ! pubis2 ,f1 po/]ior sup]ior sp9e ( ! ilium2 ,g1 po/]ior inf]ior sp9e ( ! ilium2 ,h1 acetabulum2 ,i1 is*ium2 ,k1 obturator =am54 ,at bir? ! haun* bone1 or os innom9ata1 is compos$ ( ?ree bones connect$ by c>tilage4 ,fig4 #c4 ,! sup]ior portion ( ! bone is *>act]iz$ on its abdom9al or int]nal face by a l>ge excavation call$ ! int]nal iliac fossa 7,fig4 #d47 ,?is portion is t]m9at$ bel[ by a l>ge r\nd$ & concave l9e4 ,! inf]ior 7l[]7 portion pres5ts beh9d a ne>ly triangul> plane surface2 ne> ! middle ( ?is is ! obturator =am51 & 9 front is ! int]nal face ( ! os pubis4 ,illu/ration3 ,fig4 #c4 ,left os innom9atum1 ext]nal surface1 etc4 ,fig4 #c--,left os innom9atum1 p>tly ossifi$4 ,! haun* bone z x exi/s 9 ! *ild4 ,a1 pubis2 ,b1 ilium2 ,c1 is*ium4 ,illu/ration3 ,fig4 #d4 ,"r os innom9atum1 int]nal surface4 ,fig4 #d--,"r os innom9atum1 int]nal surface4 ,a1 int]nal iliac fossa2 ,b1 ant]ior sup]ior sp9\s process ( ! ilium2 ,c1 cre/ ( ! ilium2 ,d1 po/]ior sup]ior sp9\s process ( ! ilium2 ,e1 po/]ior inf]ior sp9\s process ( ! ilium2 ,f1 articul> surface2 ,g1 sp9e ( ! is*ium2 ,h1 tub]osity ( ! is*ium2 ,i1 obturator =am52 ,k1 is*ia pubic ramus2 ,l1 cre/ ( ! pubis2 ,m1 ! pect9eal em95ce4 ,,! ,,os ,,coccygis4 ,illu/ration3 ,fig4 #e4 ,! os coccygis4 ,! ,,os ,,coccygis 7,fig4 #e7 is ?ree or f\r little bones unit$ toge!r on ! m$ian l9e ( ! body1 & atta*$ to ! os sacrum4 ,ea* little bone is tipp$ ) c>tilage1 & !y are s unit$ z to be movable4 ,! entire bones =m a pyramid1 ! apex ( :i* is bel[4 ,! int]nal surface is smoo?1 l t ( ! sacrum1 t]m9at+ ! plane ( ! sacrum & b\nd+ x ant]iorly4 ,illu/ration3 ,fig4 #f4 ,v]tical section ( ! pelvis4 ,fig4 #f--;,inlet1 outlet1 & axis ( ! pelvis4 a1 b1 plan ( inlet--sup]ior /rait2 c1 d1 plan ( outlet1 or inf]ior /rait2 e1 f1 axis ( cavity2 g1 ! coccyx ext5d$ z x is 9 labor4 ,( ! ,,jo9ts ,,( ,,! ,,pelvis x is only necess>y "h to say t !re is no motion 9 !m to facilitate labor1 except t ! sacro-coccygeal jo9t is ( ! k9d call$ g+lymoid1 admitt+ ( ext5sive motion1 especially backw>d1 s z to p]mit ! enl>gem5t ( ! l[] outlet an in* or m4 7,fig4 #f47 ,,( ,,! ,,pelvis ,,9 ,,g5]al4 ,we w n[ consid] ! pelvis collectively or z a :ole2 its relation to ! re/ ( ! body2 its magnitude1 axis1 etc4 ,x is connect$ ) ! trunk by ! articulation ( ! sacrum ) ! la/ lumb] v]tebra1 effect$ 9 ! same mann] z ! junction ( ! v]tebra ) ea* o!r2 ) ! l[] extremities x is connect$ by means ( ! hip jo9ts4 ,:5 ! pelvis is 9 situ1 ! brim is nei!r horizontal nor p]p5dicul>4 ,x repres5ts a cone1 slightly flatt5$ f be=e backw>ds1 ! base ( :i* be+ above1 :ile ! apex is direct$ d[nw>ds4 ,:5 ! body is erect ! upp] "p ( ! sacrum & ! acetabula are ne>ly on ! same desc5d+ l9e1 ! po9t ( ! os coccygis be+ a little above ! ar* ( ! pubis1 & ! sacro-v]tebral angle ?ree in*es & n9e l9es high] ?an ! pubis4 ,7 x n = ! obliquity ow+ to ! upright position ( ! human female1 ! womb w\ld gravitate l[ 9 ! pelvis1 & produce mo/ injuri\s pressure on ! conta9$ visc]a4 ,! l[] or true pelvis is ! "p involv$ 9 p>turition1 & its size & %ape dem&s our att5tion4 ,,! ,,brim ,,( ,,! ,,pelvis4 ,?is is def9$ by ! ,,l9eo ,,ilio ,,pect9ea1 :i* m>ks ! b\nd>y ( ! true & false pelvis1 & ?is sup]ior /rait is ! entrance ( ! less] pelvis4 ,its =m has be5 v>i\sly describ$ z be+ oval1 he>t-%ap$1 & triangul>4 ,if we call x 8triangul> ) angles r\nd$ (f10 ! base ( ! triangle is beh9d & ! apex 9 front4 ,x w\ld be ne>ly oval 7 n ! oval =m brok5 by ! promontory ( ! sacrum4 ,?is brim is ! fir/ solid resi/ance ! head ( ! ftus meets 9 its desc5t ?r\gh ! pelvis4 ,,diamet] ,,( ,,! ,,pelvis4 ,diff]5t e/imates are made by diff]5t anatomi/s ( ! measurem5ts ( ! brim ( ! pelvis4 ,! foll[+ is ne>ly ! correct size ( ! ord9>y female pelvis3 ,illu/ration3 ,fig4 #g4 ,! bony pelvis4 ,fig4 #g--,! pelvis se5 f above4 a a1 ,! ant]o-po/]ior or sacro-pubic diamet]2 b b1 ! transv]se diamet]2 c c1 ! two oblique diamet]s4 ,! circumf]5ce v>ies f ?irte5 to fifte5 in*es2 ! ant]o-po/]ior diamet]1 i4 e41 f ! prom95ce ( ! sacrum to ! upp] edge ( ! symphasis pubis1 7,fig4 #f71 is ab\t f\r & a qu>t] in*es2 ! transv]se across ! wide/ "p ( ! brim1 at "r angles to ! ant]o-po/]ior1 is five & a qu>t] in*es1 & ! oblique f ! sacro-iliac syn*ondrosis ( "o side to ! opposite ( ! brim1 j above ! acetabulum1 is five in*es4 7,fig4 #g74 ,,! ,,cavity ,,( ,,! ,,pelvis1 ( :i* ! fix$ b\nd>ies are ! sacrum & ! pubis1 is ( unequal dep?4 ,! height 9 front is "o & a half in*es2 ^u ! sides1 ?ree & ?ree-qu>t] in*es1 & x is f\r & a qu>t] in*es if a /raight l9e be drawn f ! sacro-v]tebral angle to ! po9t ( ! coccyx1 five & a qu>t] in*es foll[+ ! curve ( ! sacrum1 & six in*es if ! coccyx be ext5d$4 7,fig4 #f74 ,! ant]o-po/]ior diamet] ( ! outlet f ! ar* ( ! pubis to ! po9t ( ! coccyx is usually f\r & a qu>t] in*es1 b may increase to five in*es dur+ labor by ! retrocession ( ! coccyx 7,fig4 #h72 ! transv]se f "o tub] is*ii to ano!r is f\r & a qu>t] in*es1 & ! oblique ab\t f\r & ?ree-qu>t] in*es4 ,illu/ration3 ,fig4 #h--,position ( ! pelvis & ! axis at ! t]m9ation ( labor4 ,fig4 #h--;a b1 ,total axis ( ! excavation2 c1 ! axis ( ! sup]ior /rait2 d e1 p]9eum z di/5d$ at ! mom5t ( ! passage ( ! head4 ,x is important to notice t ! diamet]s are entirely *ang$ betwe5 ! rim & ! outlet1 & t ! *ange is effect$ gradually4 ,! axes ( ! inlet & outlet =m an obtuse angle ) ea* o!r 7?is is illu/rat$ 9 ,figs4 #f & #h47 ,! ?ree diamet]s tak5 at ! c5t] ( ! pelvis are v ne>ly equal--ab\t f\r & ?ree-qu>t] in*es4 ,,diff]5ces ,,( ,,! ,,pelves4 ,!re is consid]able diff]5ce betwe5 ! male & female pelvis1 9 %ape & size4 ,! pelvis 9 ! male is small] b deep]2 ! bones are ?ick] & ! brim is m circul>1 ! dep? ( ! symphasis pubis is great]1 ! sacrum is m p]p5dicul>1 ! ar* ( ! pubis is n>r[]1 ! tub] is*ii are ne>] ea* o!r1 & ! coccyx less movable4 ,9 ! female ! iliac foss are l>g]1 ! int]val sep>at+ ! angle ( ! pubis f ! acetabulum is great]1 caus+ ! prom95ce ( ! hips & wid] sep>ation ( ! ?ighs1 ! sup]ior /raight is l>g] & m elliptical1 ! curve ( ! sacrum deep] & m regul>1 ! tub]osities ( ! is*ii are fur!r ap>t1 & ! ar* ( ! pubis broad]4 ,f ! great] wid? ( ! female pelvis1 & f ! upp] end ( ! ?igh bones be+ f>!r ap>t ?an 9 ! male1 ! ?igh bones approa* ea* o!r 9 _! desc5t1 giv+ a peculi>ity to ! movem5ts ( ! female 9 walk+4 ,! s(t p>ts l9+ ! pelvis & cov]+ x ext]nally modify ! diamet]s ( ! pelvis1 b ! effect ( ^! additions 9 dim9i%+ ! int]nal diamet] is n v great4 ,! diamet] ( ! cavity is less5$ !reby f "o-f\r? to "o-half an in*4 ,,uses ,,( ,,! ,,pelvis4 ,"o function ( ! pelvis is to inclose & protect ! bladd]1 rectum & sem9al vesicles ( ! male1 ! ut]us1 ,fallopian tubes & ov>ies1 z well z ! bladd] & rectum 9 ! female4 ,dur+ labor x af=ds a passage = ! *ild4 ,,t]m9al ,,outlet ,,( ,,! ,,pelvic ,,canal4 ,?is is n at ! coccyx1 b r at ! ant]ior commissure ( ! p]9eum4 ,?is is s greatly di/5d$ at ! la/ mom5t ( labor z to mu* prolong ! po/]ior wall ( ! pelvic excavation & ! canal to be trav]s$ by ! ftus4 7,fig4 #h74 ,illu/ration3 ,fig4 #i--,section ( sacrum & pubis4 ,measur+ sup]ior /rait4 ,illu/ration3 ,fig4 #aj4 ,measur+ inf]ior /rait4 ,,*apt] ,,ii4 ,,p>ts ,,conta9$ ,,9 ,,! ,,pelvis4 ,! int]nal organs ( g5]ation are ! vag9a & ut]us ) its app5dages2 b ,i w fir/ describe ! ure?ra & ! p]9eum4 ,! ,,ure?ra is a membran\s dilatable canal ab\t an in* & a half 9 l5g?1 & direct$ obliquely f be=e backw>ds1 & f bel[ upw>ds1 runn+ "u & beh9d ! symphasis pubis1 f :i* x is sep>at$ by loose celul> tissue4 ,its inf]ior portion is intimately unit$ to ! vag9al walls4 ,its meatus1 ! outlet = ! ur9e1 is situat$ ab\t an in* f ! clitoris1 & imm$iately above ! prom95t enl>gem5t ( ! ant]ior "p ( ! vag9a4 ,int]nally ! ure?ra op5s into ! bladd]4 ,its direction is subject to v>iation dur+ pregnancy1 ! bladd] be+ c>ri$ upw>ds ) ! ut]us1 ! ure?ra curves "u ! pubic ar*1 & !n asc5ds p]p5dicul>ly4 ,! same *ange occurs :5 ! ut]us is enl>g$ f o!r causes4 ,9 prolapse ( ! pelvic visc]a ! c\rse is rev]s$4 ,! ,,p]9eum is ! portion betwe5 ! rectum & ! vag9a4 ,,! ,,ut]us4 ,! ut]us is ! organ provid$ = ! reception1 gr[?1 & ultimately = ! expulsion ( ! ftus4 ,9 ! virg9 normal /ate x is pe>-%ap$1 flatt5$ f be=e backw>ds2 is situat$ 9 ! cavity ( ! pelvis1 betwe5 ! bladd] & ! rectum1 & projects into ! upp] end ( ! vag9a bel[4 ,its upp] end or base is direct$ upw>ds & =w>ds1 s t its axis corresponds v ne>ly ) t ( ! sup]ior /rait1 & =ms an angle ) ! vag9a4 ,! ut]us measures ab\t ?ree in*es 9 l5g?1 at its upp] "p two 9 bread?1 an in* 9 ?ickness1 & x weighs f "o ounce to an ounce & a half4 ,! fundus is ! upp] broad extremity ( ! organ2 x is convex1 cov]$ by p]itoneum1 & plac$ 9 a l9e bel[ ! level ( ! brim ( ! pelvis4 ,! body gradually n>r[s f ! fundus to ! neck4 ,its ant]ior surface is flatt5$1 cov]$ by p]itoneum 9 ! upp] ?ree-f\r?s ( its ext5t1 & sep>at$ f ! bladd] by "s convolutions ( ! small inte/9es2 ! l[] f\r? is connect$ ) ! bladd]4 ,its po/]ior surface is convex1 cov]$ by p]itoneum ?r\gh\t1 & sep>at$ f ! rectum by "s convolutions ( ! inte/9es4 ,! lat]al m>g9s are concave1 & give atta*m5t to ! ,fallopian tubes above or sup]iorly1 & ! r\nd ligam5ts bel[2 & beh9d ^!1 & also bel[ ! ligam5t ( ! ov>y4 ,! c]vix is ! l[] & con/rict$ portion ( ! ut]us2 ar\nd its circumf]5ce is atta*$ ! upp] end ( ! vag9a1 & ?is ext5ds upw>ds a great] di/ance beh9d ?an 9 front4 ,at ! vag9al extremity ( ! ut]us is a transv]se ap]ture1 ! ,,os ,,ut]i1 b\nd$ by two lips1 an ant]ior "o :i* is ?ick1 & a po/]ior "o1 n>r[ & long4 ,! os ut]i1 or os t9c1 is g5]ally ab\t ! size ( a small goose-quill4 ,! canal ( ! c]vix is f half to ?ree-qu>t]s ( an in* long2 lead+ f ! os ut]i x fir/ wid5s & !n contracts aga9 :]e x ent]s ! body ( ! ut]us4 ,! surface ( ! canal exhibits a v>iable numb] ( follicles or vesicles call$ ! gl&ula nabo?i1 :i* secrete a ?ick mucus2 ?is blocks ! canal aft] impregnation4 ,! cavity ( ! body & neck has a longitud9al ext5t ( ab\t two & a half in*es2 9 virg9s x is mu* less4 7,fig4 #ab74 ,illu/ration3 ,fig4 #aa ,ut]us1 bladd]1 etc41 %[+ relative position4 ,fig4 #aa--,section ( pelvis4 a1 section ( pubis2 b1 bladd] di/5d$2 c1 ! ut]us 9 normal position2 e1 sacrum2 f1 ure?ra2 g1 vag9a2 h1 hym52 i1 ! os ut]i2 j1 meatus ( ure?ra2 k1 vag9a4 ,,/ructure ,,( ,,! ,,ut]us4 ,! prop] tissue ( ! womb is compos$ ( fibres1 & is prov$ to be muscul>4 ,9 ! unimpregnat$ /ate x is d5se1 firm1 & ( a grayi% color4 ,! neck appe>s less firm ?an ! body4 ,! int]nal or muc\s membrane is ?91 smoo?1 & closely adh]5t to ! subjac5t tissue4 ,x is a qu>t] ( an in* ?ick at ! middle ( ! body ( ! ut]us2 9 ! neck x does n exce$ "o-tw5ty-f\r? "p ( an in* 9 ?ickness4 ,x is cont9u\s ?r\gh ! fimbriat$ extremity ( ! ,fallopian tubes ) ! p]itoneum1 & ?r\gh ! os ut]i ) ! muc\s membrane ( ! vag9a4 ,,! ,,fallopian ,,tubes4 ,! ut]9e or ,fallopian tubes are two canals1 ab\t f\r in*es long1 plac$ 9 ! sup]ior bord] ( ! broad ligam5ts ( ! ut]us4 ,!y ext5d = ab\t ?ree in*es & a half1 :5 !y exp& & t]m9ate ) a fr+$ process call$ ! fimbria1 :i* is appli$ to ! ov>y aft] impregnation4 ,! ,fallopian tubes s]ve ! d\ble purpose ( a canal = transmitt+ ! fecundat+ pr9ciple ( ! male & = c>ry+ ! g]m furni%$ by ! female to ! ut]us--9 fact !y are excretory ducts ( ! ov>y4 ,injections into ! ut]us may pass into ! p]itoneal cavity1 ?r\gh ! ,fallopian tubes1 & cause p]itonitis4 ,at ea* m5/rual p]iod an ovula passes along ) ! s]um curr5t 9 ! ,fallopian tubes to ! ut]us4 ,,! ,,ov>ies4 ,! ov>ies 9 ! female are said to be ! analogues ( ! te/icles 9 ! male2 !y bo? secrete a fluid t is ess5tial to impregnation4 ,!y are situat$ on ei!r side ( ! ut]us1 & are atta*$ to ei!r side ( x by ! po/]ior duplicature ( ! broad ligam5t call$ ! ligam5t ( ! ov>y4 7,fig4 #ab74 ,!y are oval flatt5$ bodies ab\t an in* & a half long1 ?ree-qu>t]s ( an in* wide at _! greate/ bread?1 & a qu>t] ( a in* ?ick4 ,!y are situat$ on ! sides ( ! ut]us 9 t portion ( ! broad ligam5t call$ ! po/]ior w+1 j beh9d ! ,fallopian tubes4 ,! ov>y consi/s ( a peculi> /ructure enclos$ by two envelopes1 "o ( :i* is s]\s & ! o!r fibr\s4 ,)9 ! fibr\s coat is a special tissue call$ ! /roma2 imb$d$ 9 ?is are num]\s small r\nd transp>5t vesicles 9 v>i\s /ages ( developm5t1 v>y+ 9 size f t ( a millet se$ to t ( a hemp se$4 ,!y are ! ovisacs1 conta9+ ! ova1 & are call$ ! ,graafian vesicles4 ,^! h ?9 transp>5t walls & conta9 a cle> fluid1 & )9 t ! ovula4 ,fifte5 or tw5ty may readily be di/+ui%$ 9 ! adult female )\t ! aid ( magnify+ glasses4 ,,! ,,vag9a4 ,! vag9a is a membran\s canal1 ext5d+ f ! vulva to ! ut]us obliquely ?r\gh ! pelvic cavity1 betwe5 ! bladd] & rectum1 hav+ ab\t ! same direction z ! axis ( ! pelvis4 ,x is describ$ z be+ five or six in*es 9 l5g? & ab\t two in*es 9 diamet]1 b x w\ld be m correct to say t x is capable ( be+ di/5d$ to ^! or great] dim5sions1 = 9 its common /ate ! os ut]i is seldom f\nd to be m ?an ?ree in*es f ! ext]nal orifice1 & ! vag9a is contract$ z well z %ort5$4 ,9 great "p ! walls ( ! vag9a are compos$ ( spongy erectile tissue1 & _! vascul>ity is a cause ( consid]able hemorrhage consequ5t on _! rupture4 ,?ree lay]s comb9e to =m ! walls2 "o ext]nal or cellulo-fibr\s1 a middle or muscul> "o1 & ! int]nal or muc\s "o4 ,! latt] is ( a pale r$ hue1 :i* becomes violet dur+ m5/ruation & especially dur+ pregnancy4 ,! muc\s coat is dispos$ 9 ! =m ( rug or folds ant]iorly & po/]iorly1 :i* are bett] develop$ 9 "y virg9s & ag$ females2 dur+ advanc$ pregnancy1 & = a %ort "t aft] deliv]y1 !y are entirely effac$4 ,illu/ration3 ,fig4 #ab--,section ( ! ,ut]us1 c4 ,fig4 #ab--,ut]us1 ov>ies & ,fallopian tubes4 ,section ( ! ut]us1 etc4 a1 ,fundus ( ! ut]us2 b1 cavity ( ! womb2 c1 cavity ( ! neck ( ! ut]us2 d1 d1 ! cavity ( ! ,fallopian tubes2 e1 fimbriat$ extremity2 f1 f1 ! ov>ies2 g1 ! vag9a2 h1 h1 ! r\nd ligam5ts2 i1 i1 ! ligam5ts ( ! ov>ies4 ,! upp] "p ( ! vag9a is connect$ to ! circumf]5ce ( ! os ut]i b n 9 a /raight l9e1 = ! =m] /ret*es beyond ! latt]1 & be+ jo9$ to ! c]vix1 its muc\s membrane is reflect$ ov] ! os ut]i1 :i* by ?is mode ( union is susp5d$ ) protub]ant lips 9 ! vag9a1 & p]mitt$ to *ange its position 9 v>i\s ways & directions4 ,,! ,,ext]nal ,,organs4 ,! situation ( ! ext]nal organs ( g5]ation are indicat$ 9 ! accompany+ diagram 7,fig4 #aa47 ,x is n deem$ necess>y "h to describe ^!1 b 9 reg>d to ! hym5 7! membrane t 9 infancy ne>ly closes ! orifice ( ! vag9a71 we may rem>k t x is n a p]fect te/ ( virg9ity4 ,!re are1 h[ev]1 examples record$ 9 works on midwif]y :]e a slight surgical op]ation 0 necess>y aft] m>riage1 because ?is membrane 0 uncommonly /rong4 ,,*apt] ,,iii4 ,,physiology ,,( ,,! ,,ut]us ,,& ,,ov>ies4 ,m5/ruation is a p]iodical fl[ ( blood hav+ its s\rce 9 ! walls ( ! ut]us4 ,b m5/ruation is excit$ by & dep5d5t ^u ovulation1 & ! effective coop]ation ( bo? ! ut]us & ov>ies is necess>y to bo? m5/ruation & conception4 ,we %all consid] ^! functions sep>ately4 ,,m5/ruation4 ,9 heal?y wom5 at ! p]iod ( pub]ty1 a c]ta9 am\nt ( sangu9e\s fluid is secret$ by ! l9+ membrane ( ! ut]us1 & is excret$ ?r\gh ! vag9a e mon?2 ?is is t]m$ ! catam5ia1 or m5ses1 & ! function itself m5/ruation4 ,a female 9 :om ! dis*>ge recurs at ! usual p]iods1 9 ! usual quantity1 & ( ! usual quality1 is said to be regul>1 ,! occurr5ce ( m5/ruation def9es ! p]iod ( pub]ty at :i* a girl becomes a woman capable ( conception1 & its cessation t]m9ates ! prolific p]iod ( female life4 ,dr4 ,rob9son1 ( ,man*e/]1 ,engl&1 9 a pap] on ! natural hi/ory ( m5/ruation1 has /at$ ! age at :i* x occurr$ 9 #dej cases4 ,accord+ to 8 table1 #aj m5/ruat$ = ! fir/ "t at #aa ye>s ( age1 #ai at #ab1 #ec at #ac1 #he at #ad1 #ig at #ae1 #gf at #af1 #eg at #ag1 #bf at #ah1 #bc at #ai1 & #d at #bj4 ,! "t at :i* ! fir/ m5/ruation occurs v>ies exce$+ly f ! influ5ce ( climate1 habits ( life & con/itution4 ,!re h be5 occasional in/ances ( v precoci\s m5/ruation1 9 :i* ! fir/ appe>ance ( ! dis*>ge 0 att5d$ ) all ! attributes ( pub]ty4 ,i myself knew "o case :]e a girl ( n9e ye>s1 n only m5/ruat$1 b pres5t$ ! ext]nal signs ( pub]ty1 su* z prom95t brea/s1 wide pelvis1 r\nd$ cont\r ( body1 c4 ,! fir/ appe>ance ( ! m5ses v r>ely occurs )\t be+ prec$$ by premonitory symptoms4 ,!re is usually a degree ( languor & lassitude1 fatigue aft] ex]tion1 inequality ( spirits1 d>k %ade "u ! eyes1 heada*e1 sometimes pa9 9 ! ?yroid gl&1 pa9 9 ! back1 a s5sation ( t5sion & swell+ 9 ! l[] "p ( ! abdom51 & occasionally consid]ably fev]4 ,n unfrequ5tly /range n]v\s di/urbances occur2 b all ( ^! symptoms may pass (f1 ! fir/ & second "t1 )\t ! appe>ance ( ! m5ses1 or ) a :ite dis*>ge only4 ,usually ! ph5om5a may la/ f "o to eight days1 !n !re is an abundant fl[ ( mucus1 :i* aft] "o or two days is mix$ ) blood1 & soon gives place to almo/ pure blood4 ,:5 ?is dis*>ge takes place mo/ ( ! unpleasant symptoms disappe>1 & ! female only compla9s ( weakness & is some:at pale4 ,! hemorrhage cont9ues = sev]al days1 !n ! am\nt ( blood m+l$ ) ! vag9al mucosities dim9i%es1 soon !re is mucus alone1 !n ! dis*>ge ceases4 ,i %\ld rem>k n[ t ! propriety ( apply+ ! t]ms1 blood or hemorrhage1 to ! m5/rual secretion is prop]ly que/ion$4 ,sometimes ! fir/ m5/ruation takes place )\t be+ prec$$ by any discom=t1 b pretty g5]ally !re is a *ange 9 ! girl at ! "t1 bo? 9 h] body & m9d1 a *ange t fits h] = ! important duties t devolve ^u h]4 ,mo/ "y girls h a return ( ! dis*>ge aft] a mon?1 ! m5ses aft]w>ds recurr+ regul>ly2 "s d n become regul> until aft] sev]al mon?s4 ,sometimes ! function is imp]fectly p]=m$2 su* cases are accompani$ ) consid]able di/ress4 ,9 "s "y girls ! precursory symptoms ( ! fir/ appe>ance ( ! m5ses may n be foll[$ by a fl[ ( blood1 & !re is an app>5t ef=t ( nature recurr+ mon?ly = sev]al mon?s be=e ! c\rses become e/abli%$4 ,!re are occasional examples ( ret>d$ m5/ruation4 ,i am acqua9t$ ) "o woman :o at ! age ( tw5ty-five ye>s has n m5/ruat$4 ,! abs5ce ( ! m5ses does n r5d] conception impossible1 9 e case4 ,aft] ! m5ses are e/abli%$1 until ! "t ( _! cessation1 !y g5]ally return e mon?1 unless int]rupt$ by pregnancy or nurs+4 ,! av]age ( ! catam5ial p]iod is ab\t tw5ty-eight days2 9 a l>ge numb] x is ?irty days2 9 "s in/ances !y recur e fifte5 days4 ,! duration ( ! fl[ v>ies f "o to eight days2 ?ree or f\r days is ! mo/ usual duration4 ,! quantity ( blood lo/ is v>iable2 f ?ree to five ounces is said to be ! av]age4 ,:5 ! ov>ies are cong5itally abs5t1 or h be5 remov$1 or h become disorganiz$1 m5/ruation is abs5t1 or ceases4 ,! cause ( ! m5ses is ! successive evolution ( ! ,graafian vesicles2 b ! regul> process may g on 9 ! ov>y )\t ! regul> sangu9e\s dis*>ge4 ,! m5ses cont9ue 9 ! majority ( cases until ab\t ! age ( #df ye>s1 or p]haps 9 ?is c\ntry #dh ye>s4 ,accord+ to ,dr4 ,rob]tson1 ( ,engl&1 ! p]iods at :i* x clos$ 9 #gg individuals 01 9 #a at ! age ( #ce ye>s1 #d at #dj1 #a at #db1 #a at #dc1 #c at #dd1 #d at #de1 #c at #dg1 #aj at #dh1 #g at #di1 #bf at #ej1 #b at #ea1 #b at #eb1 #b at #ec1 #b at #ed1 #a at #eg1 #b at #fj1 & #a at #gj4 ,! av]age duration ( ! m5/rual function is ab\t #cj ye>s4 ,! cessation ( ! ov>ian function is g5]ally ann\nc$ sev]al ye>s 9 advance by irregul>ities ( ! m5ses4 ,besides ! int]missions & irregul>ities1 !re are o!r symptoms2 a g5]al & indef9ite feel+ ( uneas9ess1 pelvic pa9s1 it*+ at ! g5ital p>ts1 fla%es ( heat 9 ! face1 alt]ations ( *ill9ess & p]spiration1 leucorrha1 etc4 ,^! tr\bles are usually slight1 & disappe> promptly4 ,! "t ( life has be5 call$ ! ,,critical ,,p]iod1 because !re has be5 an op9ion preval5t t peculi> dang]s att5d x4 ,h[ev]1 ! mortality is n great] betwe5 ! ages ( #de & #ej ye>s ?an at any o!r p]iod ( life4 ,yet x is true t 9 "s in/ances diseases t _h be5 lat5t previ\sly1 decl>e !mselves at ?is p]iod4 ,,! ,,function ,,( ,,! ,,ov>ies4 ,we w n[ consid] ! physiological action ( ! ov>ies & its intimate connection ) ! action ( ! ut]us 9 m5/ruation1 etc4 ,prec$+ ! fir/ m5/ruation an ov>y is consid]ably enl>g$1 becomes ( a r$ color1 & its vascul> app>atus is consid]ably conge/$2 ! ,fallopian tube also becomes conge/$2 its fimbriat$ extremity is ( a violet r$ color1 & has a velvety appe>ance4 ,! ,graafian vesicles increase 9 size2 fifte5 or tw5ty ( !m1 m advanc$ ?an ! o!rs1 project f ! surface ( ! ov>y2 "o ( ^! gr[s s t aft] a few days x =ms a tumor ( ! size ( a *]ry2 ! walls ( ! vesicle1 be+ di/5d$ by an increas$ secretion ( fluid1 becomes q ?91 & at la/ are ruptur$4 ,:5 ! ?9n$ walls give way1 ! ovule is expell$1 ) a "p ( ! granul> cont5ts ( ! vesicle2 ^! are grasp$ by ! fimbriat$ extremity ( ! ,fallopian tube :i* is prep>$ to receive x & convey x ?r\gh its canal into ! cavity ( ! ut]us4 ,?is evolution ( an ovule excites num]\s sympa?ies ?r\gh\t ! organism ( ! female1 & especially ! g5]ative organs4 ,! vascul> app>atus ( ! womb becomes develop$ 9 an unusual mann]2 a network ( f9e blood vessels surr\nd ! orifices ( ! num]\s gl&ul> tubes1 ( :i* ! membrane is almo/ entirely compos$2 ?is gives a violet hue to ! int]nal surface ( ! womb2 ! utricul> gl&s increase 9 size1 ! muscul> /ructure ( ! ut]us acquires great] ext5sion1 becomes r$d] & m spongy & supple1 ! volume ( ! organ is increas$1 ! neck is tumefi$ & its orifice n>r[]1 ! lips ( ! os t9c are w>m] & _! color deep]4 ,! vascul> conge/ion :i* ! ut]us und]goes is accompani$ ) ! exudation ( sangu9e\s fluid1 :i* is at fir/ b a few drops2 ?is communicates to ! increas$ vag9al mucus a r$di% hue4 ,aft] a day or two !re is a bloody fl[ f ! vascul> network ( ! muc\s membrane4 ,?is fl[1 :i* con/itutes ! m5ses1 is dim9i%$ aft] ?ree or f\r days1 & ! dis*>ge aga9 conta9s a l>ge proportion ( mucus & s]um4 ,x is probable t ! rupture ( a ,graafian vesicle occurs dur+ ! la/ days ( ! fl[1 ord9>ily1 & x is also believ$ t v5]eal excitem5t is capable ( ex]t+ s mu* influ5ce ^u x t x may det]m9e ! rupture ( an enl>g$ vesicle1 :i*1 )\t sexual int]c\rse1 w\ld h rema9$ :ole sev]al days long]4 ,aft] ! dis*>ge ( ! ovule consequ5t on ! rupture ( ! ,graafian vesicle1 ! walls ( ! vesicle contract on ! matt] t is effus$ )9 x1 & =m a compact mass1 :i* aft] a "t has an orange yell[ color--?is is call$ ! corpus luteum4 ,ord9>ily1 9 ! human female 9 ! normal condition1 a new ,graafian vesicle increases 9 size e mon?1 becomes excessively develop$1 & f9ally bur/s & dis*>ges its ovule1 to become1 ?r\gh successive trans=mations1 ! corpus luteum4 ,:at is call$ ! 8mon?ly sickness10 8mon?lies10 8c\rses10 etc41 nev] occurs )\t hav+ be5 prec$$ & accompani$ by ! developm5t ( a ,graafian vesicle4 ,,*apt] ,,iv4 ,,( ,,displacem5ts ,,( ,,! ,,ut]us4 ,9 ord] to compress z mu* z possible :at ,i say ^u ^! topics1 ,i %all consid] "h displacem5ts ( ! ut]us1 bo? ( ^? :i* occur 9 ! pregnant & non-pregnant wom54 ,by ! inflection ( ! p]itoneum ! ut]us is p]mitt$ to exp& freely dur+ pregnancy1 & to rise )\t inconv5i5ce into ! cavity ( ! abdom52 ?is x c\ld n d if x 0 conf9$ to its place by %ort ligam5ts1 or by adhesions4 ,b f ! same cause1 wom5 become liable to v>i\s diseases2 to ! retrov]sion ( ! ut]us1 & o!r displacem5ts2 to dropsy ( ! p]itoneum1 & to t species ( h]nia :i* is occasion$ by ! desc5t ( ! inte/9es betwe5 ! vag9a & rectum4 ,by ,,prolapsis is meant t condition 9 :i* ! ut]us falls bel[ its natural level 9 ! pelvic cavity4 ,,procid5tia is a t]m us$ to signify ! protrusion ( ! ut]us beyond ! vulva4 ,wom5 are liable1 ev5 :5 "y1 to a fall+ ( ! womb1 b x occurs mo/ commonly aft] ! age ( ?irty-five1 9 su* z lead a labori\s life4 ,among/ o!r causes may be enum]at$ viol5t be>+ d[n ef=ts1 su* z are made 9 /ra9+ to pass h>d5$ feces1 or 9 urg+ an evacuation ?r\gh a /ricture 9 ! rectum1 9 c\gh+1 lift+ heavy weights1 etc4 ,! imm$iate causes ( ! displacem5ts are ! pressure on ! ut]us by ! visc]a above x1 & a dim9ution 9 tone ( ! ut]9e supports4 ,displacem5ts ( ! womb are m common among wom5 :o h holl[ & capaci\s pelves2 9 suff]]s f dropsy1 & 9 delicate1 flabby subjects1 :]e ! broad & r\nd ligam5ts are affect$ & elongat$4 ,!re may be prolapsis dur+ ! e>ly mon?s ( pregnancy1 & 9 cases :]e ! pelvis is l>ge & ! ligam5ts are relax$1 ! womb may re/ on ! p]9eum2 or ! neck1 & ev5 ! body may become visible ext]nally2 b x subsequ5tly rises out ( ! pelvic cavity1 assum+ a normal position4 ,:5 a woman has prolapsis ut]i %e (t5 compla9s ( a s5se ( weight ab\t ! pelvis1 ( dragg+ pa9s1 ( a we>isome backa*e1 & ( a leucorrhocal dis*>ge4 ,m5/ruation is seldom int]f]$ )1 & z ! ut]us goes back ( itself1 or is easily pu%$ up :5 ! pati5t is 9 b$1 conception may take place1 & ! g5]al heal? may n be directly affect$4 ,9 "s few in/ances !re is complete inability to pass wat] until ! pati5t lies d[n & replaces ! ut]us ) h] f+]2 9 o!r cases micturition may be annoy+ly frequ5t4 ,con/ipation is (t5 compla9$ (1 &1 if ! woman be c>eless1 a l>ge accumulation ( feces may take place 9 ! rectum4 ,by a vag9al exam9ation ! os ut]i is f\nd l[ d[n1 & if ! c]vix is ( ! natural l5g?1 we "k t x is prolapsis4 ,if a r\nd tumor is se5 project+ beyond ! vulva1 & if at ! l[e/ "p ( x !re is :at seems to be ! m\? ( ! ut]9e cavity1 x may be advisable to introduce a s\nd or ca!t]1 to make sure t ! op5+ is n a m]e cleft 9 a ut]9e polypus4 7,( c\rse1 y w\ld n use a s\nd if y suspect$ pregnancy47 ,if !re are ulc]s1 cracks1 etc41 !y may be detect$1 ! ulc]s look+ z if portions ( ! muc\s l9+ _h be5 pun*$ out4 ,9 pregnancy1 displacem5ts may occur ei!r sl[ly or sudd5ly1 ?\gh ! woman may h _h no?+ ( ! k9d previ\sly1 or !y may be ! cont9uation ( a previ\s prolapse4 ,! progressive developm5t ( ! ut]us g5]ally removes ! prolapsis ab\t ! f\r? or fif? mon?1 b if ! pelvis is v l>ge1 x may possibly cont9ue4 ,z 9 o!r cases ( prolapsis1 ! pregnant woman may suff] v mu* f x4 ,%e may suff] f a feel+ ( weight at ! anus2 pa9ful tractions 9 ! gro9s1 lumb] regions & umbilicus2 a fetid dis*>ge may come on2 !re may be complete ret5tion ( ur9e1 v ob/9ate con/ipation1 etc42 & ! pressure on ! ut]us may cause abortion4 ,= complete ret5tion ( ! ur9e ! ca!t] may be us$1 or ! womb may be press$ up by "o or two f+]s introduc$ into ! vag9a2 or ! woman may be able to ur9ate if %e lies d[n & elevates h] hips consid]ably4 ,,! ,,op]ation ,,( ,,introduc+ ,,! ,,ca!t] may be p]=m$ by ! educat$ nurse4 ,! pati5t be+ plac$ ^u h] back & ! labia sep>at$1 ! po9t ( ! =ef+] ( ! left h& %\ld be plac$ j )9 ! orifice ( ! vag9a s z to press slightly ! upp] edge2 ! ca!t] %\ld !n be pass$ along ! inn] surface ( ! f+] until x is arre/$ by ! ant]ior "p ( ! vag9a2 :5 !re1 a v slight movem5t s z to elevate ! po9t ( ! in/rum5t a little1 enables ! op]ator 9 ! majority ( cases to ent] ! ca!t] into ! canal4 ,! op]ation is m difficult :5 ! p>ts are swoll5 or di/5d$1 z happ5s occasionally f disease1 dur+ pregnancy or labor1 or aft] deliv]y4 ,if we _c detect ! orifice by ! t\*1 we may use a light1 & ! pati5t may be plac$ on h] side4 ,we may adopt ano!r way to proce$4 ,! po9t ( ! =ef+] f9ds ! clitoris1 & passes f above d[nw>ds to ! middle ( ! ve/ibule2 ! fir/ inequality met ) is ! orifice ( ! ure?ra1 into :i* ! in/rum5t c !n be pass$4 ,x w easily slide 9 if ! in/rum5t is n pass$ ei!r to ! "r or ! left ( ! m$ian l9e4 ,:5 a woman :o has previ\sly suff]$ f prolapsis becomes pregnant1 x is sometimes necess>y = h] to keep ! horizontal position dur+ ! fir/ ?ree or f\r mon?s ( pregnancy1 & aft] h] conf9em5t %e %\ld keep h] b$ a consid]able "t--p]haps = two mon?s4 ,= ! treatm5t ( prolapsis 9 non-pregnant wom51 ! g5]al pr9ciples are to be appli$3 ,to af=d artificial support to ! sup]9cumb5t abdom9al visc]a2 give tone to ! broad & r\nd ligam5ts ( ! ut]us1 to ! vag9al walls & ! p]9eum2 & to remove any complications t induce ! fall+1 su* z ut]9e conge/ion1 hyp]trophy1 c\gh1 con/ipation1 etc4 ,! ut]us may usually be easily pu%$ back to its place :5 ! pati5t is ly+ d[n1 or1 :at is bett]1 h] head mu* l[] ?an h] pelvis4 7,fig4 #ac74 ,! knee-*e/ position is ! be/ "o4 ,)\t go+ into ! details ( treatm5t 9 ! use ( b&ages1 t5ts1 etc41 ,i may say t a nurse may1 9 ! abs5ce ( a physician1 use a/r+5t vag9al injections1 a/r+5t pess>ies 7,f4 #aed1 #afc71 & cold s(t wat]2 hip ba?s may also be us$4 ,! nurse %\ld "k h[ to tamponade ! vag9a1 because1 :5 ?is is deem$ advisable by ! physician1 he desires t ! process be repeat$ e day1 & 9 _m in/ances x is n conv5i5t or possible = him to make daily visits4 ,! vag9al tampon is us$ z a means ( reta9+ ! ut]us 9 its normal position1 & also to hold m$ic9al ag5ts appli$ to ! c]vix & vag9a2 besides1 9 "s cases1 direct pressure on ! pelvic vessels /imulates & ?us b5efits !m :5 9 a /ate ( *ronic1 passive dilatation1 or v5\s hyp]emia4 ,tampons are also us$ 9 cases ( hemorrhage f ! ut]us1 & z an absorb5t ( vag9al or ut]9e dis*>ges1 & = v>i\s o!r purposes4 ,! nurse may receive in/ruction f ! physician 9 ea* case 9 reg>d to ! mat]ial1 etc41 to be us$ z tampon4 ,:5 x is desir$ to simply support ! ut]us 9 its place1 f9e cotton batt+ may be us$1 & ?is p]haps is1 9 ord9>y cases1 z good z any mat]ial4 ,b 9 "s cases absorb5t cotton1 oakum1 m>9e l9t1 or wool may be pref]r$4 ,! size ( ! tampon w1 ( c\rse1 v>y2 ord9>ily "o z l>ge z a h5's egg may be introduc$ )\t difficulty2 sometimes "o ne>ly z l>ge z a goose egg may be necess>y1 because a small "o w\ld n be reta9$4 ,cotton may be roll$ tightly into ! =m ( a cyl9d]1 or a small bag may be made ( musl9 or l951 & cotton or o!r sub/ance c be enclos$ 9 ?is & appli$4 ,! knee-pectoral position 7,fig4 #ac7 is ! "o 9 :i* a prolaps$ ut]us c be/ be replac$1 & ! nurse c be/ tamponade ! vag9a :ile ! pati5t is 9 t position4 ,! prop] knee-pectoral or knee-*e/ position is %[n 9 ,fig4 #ac4 ,! physician w\ld1 ) or )\t ! aid ( ! nurse1 use a ,sims' speculum1 & fir/ pack f\r small pl$gets ( cotton ar\nd ! neck ( ! ut]us4 ,"o /r+ c be ti$ 9 ! kite-tail mann] ar\nd ea* ( ^! pl$gets1 & !re %\ld be an end ab\t t5 in*es long to be left out f ! vag9a1 s t ! :ole may be easily remov$4 ,! nurse1 if alone1 h[ev]1 w usually press 9 b "o tampon1 & %e may d ?is :ile ! pati5t is 9 ! knee-*e/ position1 or1 :at is ne>ly z well1 on h] side or back1 hav+ fir/1 by a digital exam9ation1 asc]ta9$ t ! ut]us is 9 its prop] position4 ,illu/ration3 ,fig4 #ac4 ,g5u-pectoral position4 ,fig4 #ac--,knee-*e/ or g5u-pectoral position4 a1 ,retrov]sion ( ! ut]us4 b1 ,natural position ( ! ut]us4 ,ei!r ! nurse or ! pati5t h]self may easily press a tampon into its prop] position1 if %e possesses an ord9>y am\nt ( boldness & dext]ity4 ,%e w f9d x m difficult to prop]ly place x1 h[ev]1 if !re is tann9 or o!r a/r+5t sub/ance on ! outside ( x4 ,?is has an a/r+5t effect imm$iately :5 x comes 9 contact ) ! vag9a1 & an unusual am\nt ( vasel9e is necess>y to cov] x4 ,if a solution ( tann91 alum1 acetate ( lead1 sulphate ( z9c1 or c>bolic acid be us$1 x is be/ to prep>e sev]al tampons at ! same "t2 soak all ! tampons 9 ! solution1 squeeze !m out & dry !m1 !n :5 "o is us$ put x inside a bag & apply x dry4 ,! pati5t h]self1 if %e is intellig5t1 & is n too timid1 c introduce ! tampon4 ,%e %\ld fir/ sme> its surface ) vasel9e1 l>d1 or olive oil4 ,!n ly+ on h] back ) ?ighs sep>at$ & flex$1 draw ! labia ap>t ) ! f+]s ( "o h& & /eadily cr[d ! tampon into ! vag9a ) ! o!r1 always tak+ c>e to h a good1 /rong cord1 "o end atta*$ to ! tampon & ! o!r hang+ d[n to facilitate removal4 ,x is well also1 sometimes1 to place ano!r pl$get ( cotton betwe5 ! labia1 t c be remov$ :5 ! woman ur9ates4 ,:5 all is well cr[d$ into place1 ! tampon %\ld be reta9$ by a broad ,t b&age1 cov]$ by oil$ silk :5 x re/s aga9/ ! vulva4 ,g5]ally ! :ole %\ld be remov$ )9 f eighte5 to tw5ty-f\r h\rs1 & hot wat] or "s cleans+ injection us$1 & ! tampon be soon reappli$4 ,if opium or morph9e is us$ ) ! tampon1 z x is sometimes :5 !re is consid]able pa91 fir/ dip ! cotton 9 glyc]9e1 & !n spr9kle ! n>cotic on ! outside4 ,if borax1 tann91 alum1 acetate ( lead1 sulphate ( z9c1 *lorate ( pota%1 or c>bolic acid is us$1 ,i ?9k x well to envelop ! undissolv$ drug 9 cotton1 put x 9 ! middle ( ! tampon1 & let x dissolve sl[ly 9 ! vag9a4 ,x is be/ :5 ?us appli$ to let ! :ole suppository rema9 z mu* z =ty-eight h\rs2 x %\ld1 h[ev]1 be remov$ :5 x seems to cause sm>t+ or excoriations4 ,! accompany+ cut 7,fig4 #ac7 is ins]t$ to %[ :at is ! knee-*e/ or g5u-pectoral position1 z well z to exhibit ! retrov]sion ( ! ut]us4 ,note t 9 ?is position ! hips are elevat$1 & rememb] t x does n suffice to get on ! h&s & knees if ! haun*es are l[ d[n on ! legs & ankles4 ,,retr(lexion ,,& ,,antiflexion4 ,illu/ration3 ,fig4 #ad4 ,retr(lexion ( ! ut]us4 ,! condition kn[n z retr(lexion consi/s ( a b5d+ back ( ! ut]us at a po9t :]e ! neck jo9s ! body1 s t ! fundus is f\nd betwe5 ! c]vix & rectum1 ! os ut]i be+ 9 ! natural position4 ,9 antiflexion we f9d ! fundus press+ ^u ! bladd]4 ,^! displacem5ts are r>e 9 virg9s4 ,! false membrane =m$ 9 p]itonitis is n[ & !n ! cause ( ^! deviations1 :5 !re is sup]add$ su* causes z are m5tion$ = prolapsis4 ,! symptoms ( ,,retr(lexion are usually a dull1 we>y & con/ant backa*e1 :i* is m m>k$ ab\t ! sacral region1 pa9s t %oot d[n ! ?ighs or ! gro9s1 & a frequ5t desire to g to /ool1 al?\gh no?+ comes away4 ,! passage ( a motion t is n at all con/ipat$ aggravates ! pa9 & a*+2 sexual int]c\rse is att5d$ ) suff]+1 & is n foll[$ by pregnancy2 & j be=e & aft] ! mon?ly p]iods !re is s mu* t5d]ness t sexual connection _c be tol]at$4 ,illu/ration3 ,fig4 #ae4 ,antiflexion ( ! ut]us4 ,! catam5ia come on ) pa9 & difficulty1 b ab\t ! second day ! fl[ ( blood seems to give "s relief4 ,! g5]al heal? is bad1 !re are frequ5t attacks ( nausea1 ! appetite is small1 ! spirits are depress$1 & !re are _m :at are call$ hy/]ical symptoms4 ,on exam9ation ! conge/$ fundus may be f\nd encroa*+ ^u ! rectum2 on t\*+ ?is "p ! pati5t w exclaim t x is ! seat ( h] suff]+s1 & x is n uncommon to f9d t5d]ness ( "o or bo? ov>ies4 ,n _m ( ^! symptoms are pres5t 9 ,,antiflexion1 b ?is commonly produces great irritability ( ! bladd]1 s t :5 ! pati5t is 9 ! erect position1 ! desire to micturate is almo/ z great z 9 disease ( ! bladd]4 ,illu/ration3 ,fig4 #af4 ,antev]sion ( ! ut]us4 ,! treatm5t includes replac+ ! ut]us ) ! s\nd4 ,%\ld !re be adhesions1 h[ev]1 ?is might cause intol]able pa94 ,9 su* cases relief is giv5 by ! use ( belladonna pla/]s & belladonna1 opium1 hyoscyamus1 or conium tampons4 ,"o-half to "o dram ( ! t9cture ( "o ( ! n>cotics may be add$ to ! glyc]9e 9 :i* ! tampon is soak$1 or ! c]vical end ( ! tampon may be dipp$ 9 ! t9cture4 ,suppositories & o9tm5ts may also be us$4 7,f4 #afc1 #bad74 ,,retrov]sion ,,& ,,antev]sion4 ,9 ,,retrov]sion 7,fig4 #ac7 ! fundus is turn$ t[>d ! holl[ ( ! sacrum1 :ile ! os is drawn "u ! ar* ( ! pubis4 ,,antev]sion is *>act]iz$ by ! fundus be+ t[>ds or aga9/ ! bladd]1 ! os be+ direct$ to ! cavity ( ! sacrum4 7,fig4 #af47 ,retrov]sion is liable to occur at ! ?ird mon? ( pregnancy1 f ! neglect$ di/5tion ( ! bladd]1 & f a morbid weight & enl>gem5t1 ?\gh aft] ! f\r? mon? ! ut]us is too mu* enl>g$ to fall d[n 9 any way4 ,! *ief symptoms are backa*e & be>+ d[n pa9s4 ,x may happ5 t micturation w be imp$$2 & if ! bladd] may be felt at ! l[] "p ( ! abdom51 or if ! pati5t compla9 ( a con/ant desire to pass wat]1 or especially if ! ur9e %\ld dribble away1 ! ca!t] ought to be pass$ )\t loss ( "t1 & ! bladd] %\ld be kept evacuat$4 ,x may be necess>y1 9 ord] to re/ore ! organ to its prop] position1 to introduce ! fir/ & second f+]s ( "o h& into ! vag9a1 & a f+] ( ! o!r into ! rectum4 ,,*apt] ,v4 ,,mism5/ruation4 ,,am5orrh,a4 ,! fir/ v>iety ( cases ( am5orrha are ^? :]e no m5/rual fluid has ev] be5 secret$4 ,all girls1 z we h se51 d n m5/ruate at fifte5 ye>s1 z all *ildr5 d n cut _! fir/ tee? at sev5 mon?s1 & 9 ei!r case !re may be no disease4 ,b :5 a female has rea*$ adult life1 :5 h] frame has assum$ ! "* ( womanhood1 :5 %e is n *lorotic1 & :5 all h] organs 7save ! sexual7 p]=m _! functions naturally1 !n a cause ( ! abs5ce ( ! flux %\ld be look$ =4 ,m5/ruation may be abs5t f cong5ital mal=mation4 ,! ov>ies may be want+1 or if pres5t may be atrophi$ or diseas$2 p]haps !y pres5t sc>cely a trace ( a ,graafian vesicle2 or ^! gl&s c exi/ & ! ut]us be abs5t or imp]fect2 or !re may n be f\nd a trace ( a vag9a4 ,9 ! second v>iety ( am5orrha !re has be5 a secretion ( ! m5ses b no evacuation ( !m4 ,?is may be because !re is an occlusion ( ! vag9a1 or ! os ut]i may be imp]=ate4 ,:5 ! os is clos$ by a membrane1 ! /ructure may be incis$ ) ! bi/\ry1 or p]haps be ruptur$ by ! ut]9e s\nd4 ,! ?ird v>iety is ! mo/ common =m ( am5orrha1 viz3 t 9 :i* ! flux hav+ be5 prop]ly e/abli%$ & appe>+ regul>ly = a "t1 has be5 prematurely arre/$4 ,b x may be said ( am5orrha 9 its v>i\s =ms1 t x is n s mu* a disease z a symptom ( disease2 a consequ5ce ( ei!r individual organization1 disord] ( ! ut]us or ov>ies1 or ( "s o!r organ or organs suffici5tly important to affect ! con/itution4 ,h5ce all ! means t re/ore ! sy/em to heal?1 m$ic9al & hygi5ic1 may be recomm5d$ z t5d+ to cure ! compla9t1 & h5ce we h to inquire :e!r !re is s]i\s disease 9 any ( ! organs :5 ! "q ( pregnancy arises1 on acc\nt ( ! disappe>ance ( ! m5ses4 ,x is always necess>y 9 treat+ am5orrha to consid] ! cause ( x1 & we %\ld "k t x may come f torpitude ( ! sec]n5t vessels ( ! ut]us1 produc$ by anxiety ( m9d1 cold1 or sudd5ly suppress$ p]spiration2 falls1 especially :5 accompani$ ) t]ror2 or a g5]al in]tness & flaccidity ( ! sy/em1 & m p>ticul>ly ( ! ov>ies4 7,f4 #agb1 #agc74 ,,dysm5orrh,a4 ,!re are few wom5 :o pass ?r\gh ! :ole p]iod ( sexual vigor )\t hav+ m or less frequ5tly to endure an attack ( dysm5orrha4 ,"s few females exp]i5ce great pa9 ) ea* fl[1 f pub]ty to ! *ange ( life1 :ile 9 o!rs pa9 is only an exceptional accompanim5t4 ,) "s wom5 m>riage effects a cure1 :ile 9 o!rs x ei!r aggravates or orig9ates dysm5orrha4 ,?ree di/9ct v>ieties ( dysm5orrha h to be consid]$3 ! neuralgic1 ! conge/ive1 & ! me*anical4 ,! v>iety :i* is call$ ,,neuralgic ,,dysm5orrh,a is m frequ5t 9 unm>ri$ females2 & if m>ri$1 9 ^? t h n borne *ildr52 & mo/ frequ5tly affects ^? ( a n]v\s temp]am5t1 & ( a ?91 delicate habit4 ,! p>oxysms pres5t all ! *>act]i/ics ( neuralgia4 ,= a "t be=e ! catam5ia appe> !re is a s5se ( g5]al uneas9ess1 a deep-seat$ feel+ ( cold & heada*e1 sometimes alt]nat+ ) pa9 9 ! back & l[] "p ( ! abdom51 p]haps ext5d+ d[n ! ?ighs4 ,! flux comes on sometimes sl[ly & scantily1 or 9 "s cases 9 slight gu%es4 ,! dis*>ge may be pal] ?an natural1 & may be mix$ ) slight clots4 ,9 "s cases !re is a membrane ( pla/ic lymph dis*>g$ ei!r 9 %r$s1 or 9 ! =m ( ! ut]9e cavity t x has l9$4 ,conception is r>e "u su* circum/ances4 ,?\gh ! disease seems to be ( a simple neuralgic "*1 x is suppos$ t !re is a degree ( inflammation ( a peculi> k9d 9 ! muc\s membrane :]e ! pla/ic lymph is ?r[n (f4 ,9 reg>d to ! duration ( ! p]iod1 ! con/itutional injury su/a9$1 & z to ! relief on ! appe>ance ( ! m5ses1 ! cases v>y4 ,a peculi> irritability ( ! ut]us is a common cause ( ?is =m ( ! disease1 b1 l am5orrha1 x may be caus$ by cold1 m5tal emotion1 or local injury f a fall4 ,9 ! treatm5t ( ?is class ( cases1 to r$uce ! pa91 opium1 conium1 hyoscyamus1 etc41 are giv51 (t5 comb9$ ) camphor4 7,f4 #afa1 #afc1 #aff1 #afg47 ,^! %\ld be giv5 9 ! =m ( an enema1 or a suppository1 if ! /oma* is irritable4 7,f4 #afj47 ,! hot hip ba? %\ld be employ$1 ! pati5t rema9+ 9 x f ?irty-five to =ty m9utes2 an ounce ( c>bonate ( soda may be add$ to ! wat]4 ,! good effects ( ! ba? may be kept up by ! use1 imm$iately aft]w>ds1 ( a pess>y ( oxide ( z9c & belladonna4 7,f4 #afc47 ,x w be ( b5efit to take vag9al injections ( tepid1 or w>m1 or hot wat] on ! approa* ( ! m5ses1 & ! pati5t %\ld use a p$iluvium1 or a hip ba?1 = two or ?ree nights 9 succession antec$5t to ! %[ ( ! m5ses4 ,dur+ ! int]val e ef=t %\ld be made to /r5g!n ! pati5t1 & to dim9i% ! irritability4 ,injections ( tepid or cold wat] may be tak5 daily2 ! diet %\ld be n\ri%+1 & pl5ty ( ex]cise 9 ! op5 air %\ld be tak5 by ! pati5t4 ,"s prep>ation ( iron %\ld be giv51 & ,i h f\nd ,f4 #agg p>ticul>ly useful4 ,,conge/ive ,,dysm5orrh,a1 sometimes describ$ z inflammatory dysm5orrha1 g5]ally comes on at a lat] "t ( life ?an ! neuralgic =m4 ,x occurs 9 females ( a full habit & ( a sangu9e temp]am5t2 9 ! m>ri$ z well z ! unm>ri$1 & ^? t h n borne *ildr54 ,re/lessness & fev]i%ness1 rigors1 flu%+ & heada*e g5]ally prec$e ! sev]] symptoms4 ,! suff]+s comm5ce1 or are g5]ally aggravat$ f\r or five days be=e ! p]iod1 & x may cont9ue = a week or m4 ,bo? be=e & aft] ! catam5ia appe>1 !re is great pa9 across ! back1 a*+ ( ! limbs1 intol]ance ( light & s\nd1 we>9ess1 ! face is flu%$1 ! sk9 hot1 ! pulse full & b\nd+2 :5 ! fl[ gets abundant ! pa9 is mitigat$1 ?\gh !re are p>oxysms ( pa91 z small clots & %r$s ( membrane are ?r[n (f f ! ut]9e cavity4 ,"u ! influ5ce ( inflammation1 ! epi!lial coat ( ! ut]9e cavity & ( ! vag9a is sometimes expell$4 ,9 ! int]im betwe5 ! p]iods ! c]vix ut]i is conge/$ & t5d]1 & pa9 w be excit$ by press+ ! ov>ies2 usually !re is a t5aci\s leucorrhal dis*>ge4 ,frequ5tly ! brea/s swell & become t5d] z ! p]iod approa*es4 ,9 treat+ ?is =m ( dysm5orrha1 opiates mu/ be us$1 z 9 ! =m] v>iety1 to af=d "s alleviation4 ,give also sal9e purgatives1 febrifuge m$ic9es1 su* z aconite1 v]atrium1 & gelsemium2 also cool+ dr9ks4 ,dur+ ! int]val ! pati5t %\ld live pla9ly1 avoid /imulants1 & take mod]ate outdoor ex]cise4 ,! suppositories 7,f4 #afc7 may be us$ /eadily4 ,if ! disease be associat$ ) a rheumatic dia!sis1 ! appropriate rem$y = t %\ld be us$4 ,x is 9 su* cases especially t *alybeate m9]al wat]1 w>m sea wat]1 ba?s1 col*icum1 iodide ( potassium1 ) friction & electricity appli$ directly to ! hypoga/ric region1 succe$ 9 re/or+ heal?4 7,f4 #ajc1 #afe74 ,,me*anical ,,dysm5orrh,a is t =m 9 :i* !re is "s me*anical ob/ruction to ! escape ( ! m5/rual dis*>ge4 ,! causes ( ! ob/ruction are v>i\s4 ,!re may be ei!r a /ricture ( ! int]nal orifice ( ! ut]us1 or a n>r[+ ( ! :ole canal ( ! c]vix1 or ! ext]nal os ut]i may be small & contract$1 or "s tumor may int]f]e ) ! pat5cy ( ! c]vical canal1 & !re may be retr(lexion or antiflexion ( ! ut]us4 ,9 ^! cases !re is m or less viol5t expulsive pa9 com+ on 9 p>oxysms1 & !re is usually a scanty fl[4 ,(t5 ! dis*>ge escapes 9 gu%es1 ea* gu% be+ prec$$ by a be>+ d[n ef=t1 & accompani$ by an expulsive pa94 ,!re are attacks ( nausea1 re/lessness & ret*+1 ) flatul5ce2 !re is always sev]e heada*e & conge/ion1 ) t5d]ness ( ! ov>ies2 & if !re is endometritis1 !re are "s o!r inflammatory symptoms4 ,mod]n gynecology has v>i\s rem$ies = ?is class ( cases1 ( :i* x is n necess>y to speak "h4 ,,m5orrhagia4 ,! t]m m5orrhagia %\ld be appli$ only to cases ( m5/rual fl[1 al?\gh x is (t5 employ$ to signify any consid]able sangu9e\s dis*>ge f ! ut]us1 o!r ?an normal mon?ly escape4 ,b ,i w say some?+ "h ( cases :]e !re is a m abundant or a m prolong$ fl[ ?an is natural to ! subject ( x1 & ( cases :]e !re is a recurr5ce ( ! dis*>ge at %ort int]vals1 s z to seem almo/ cont9u\s4 ,9 t v>iety 9 :i* ! dis*>ge is normal 9 quality b ! quantity is increas$1 !re is undue ut]9e conge/ion1 set up by con/itutional causes1 or x is induc$ by slight disease ( ! ut]us or ov>ies4 ,:5 m5orrhagia takes place 9 ple?oric habits1 x is manife/ly rem$ial1 & ought n to be re/ra9$ ha/ily4 ,we may endeavor to r$uce ! ple?ora1 & a cool+ diet1 ! recumb5t position1 & sal9e ca?>tics may be enjo9$4 7,f4 #fa74 ,if ! fl[ cont9ues five days or m1 & especially if depress+ effects are manife/$1 su* z g5]al weakness1 languor1 m5tal depression1 ) pa9 9 ! head1 lo9s or back1 ! pati5t is und\bt$ly suff]+ f ! loss ( blood1 & x is be/ to re/ra9 ! flux by g5]al & local means 7,f4 #agf47 ,at ! "t :5 ! fl[ is pr(use or long cont9u$1 give /rong c9namon tea1 a teacupful at a "t1 or teaspoonful doses ( t9cture c9namon e h\r4 ,a/r+5t pess>ies %\ld sometimes be us$4 ,=m]ly injections ( cold wat] 7 giv52 rec5tly injections ( hot wat]1 z hot z c be borne 9 ! vag9a1 are consid]$ m effectual4 ,fluid extract ( ergot1 9 half-teaspoonful doses1 may be giv5 e h\r = two or ?ree successive h\rs4 ,o!r rem$ies are elixir vitriol & turp5t9e1 opium & acetate ( lead dur+ ! attack2 & c\nt] irritation to ! sacrum1 ! d\*e to ! lo9s1 spong+1 cold vag9al injections1 & ! sitz ba? dur+ ! int]val4 7,f4 #age74 ,if a/r+5t or cold injections are us$1 ! pati5t %\ld lie ^u h] back 9 b$1 & ! fluid %\ld be ?r[n up gradually4 ,( c\rse1 !re are cases :]e only an exp]i5c$1 well-educat$ physician c d all t is requir$ 9 remov+ ! cause ( ! difficulty4 ,,*apt] ,,vi4 ,,g5]ation4 ,g5]ation is effect$ 9 ! human species ?r\gh ! m$ium ( ! two sexes2 to effect x !re mu/ be ! actual contact ( ! male sem51 or its sp]matozoa1 ) a heal?y ,graafian vesicle4 ,9 ,,conception ! ,,sp]matic ,,fluid is furni%$ by ! male4 ,:5 ?is is exam9$ "u ! microscope x exhibits a great numb] ( little bodies1 :i* are mov+2 ^! are t]m$ sp]matic animalcules1 or sp]matozoa4 ,^! are met ) 9 all animals capable ( reproduction1 & !y d n appe> 9 ! human species be=e pub]ty4 ,! ovule furni%$ by ! female is exi/5t 9 ! ov>y at ! m>riageable p]iod4 ,fecundation takes place 9 ! ov>y2 probably1 sometimes1 also 9 ! tube or ut]us :5 ! ovule is pass+ out aft] m5/ruation4 ,ord9>ily ! fluid ejaculat$ by ! male mu/ rea* ! ut]us1 & 9 "s way be convey$ to ! ov>ies ?r\gh ! ,fallopian tubes to produce fecundation4 ,x is believ$ t1 z ! consequ5ce ( copulation1 ! sem5 is ?r[n on ! neck ( ! ut]us2 t x is c>ri$ =w>d1 fir/1 by ! movem5ts prop] to ! ut]us & tubes2 second1 by ! movem5ts prop] to ! sp]matozoa till x rea*es ! ovum1 g5]ally 9 ! ov>y2 t x ent]s ! ovum1 & t !n fecundation takes place4 ,^u be+ impregnat$ & ! vesicle bur/+1 ! ovum is grasp$ by ! free extremity ( ! ,fallopian tubes1 :i* is 9 contact ) ! ov>y1 ! ovum passes f ! ov>y to ! canal1 is press$ onw>ds by ! p]i/altic motions ( ! tube ?r\gh ! duct1 & f9ally rea*es ! ut]9e cavity2 !re x cont9ues to gr[ dur+ ! ord9>y t]m ( ge/ation4 ,aft] two hundr$ & sev5ty days ! ovule has develop$ into a *ild1 & is expell$ ?r\gh ! natural p>ts ( g5]ation4 ,:5 ge/ation proce$s 9 ?is mann]1 x is said to be normal1 or good1 or ut]9e2 sometimes 7?\gh v seldom7 ! ovule is arre/$ at "s po9t 9 its passage1 & is develop$ outside ( ! womb2 ?is is t]m$ an extra ut]9e pregnancy4 ,! "t at :i* conception is mo/ likely to occur is t imm$iately foll[+ ! fl[ ( ! m5ses2 x may take place imm$iately be=e ! fl[1 & sexual int]c\rse may be fruitful ev5 :5 x takes place 9 ! middle ( ! int]val betwe5 ! sexual p]iods1 ?\gh ! latt] is unusual4 ,:5 conception takes place a few days or a few h\rs be=e ! p]iod1 x is n foll[$ by ! m5/rual fl[4 ,,ut]o-,,ge/ation4 ,at ea* m5/rual p]iod ! bulk or size ( ! ut]us is = ! "t increas$1 & if conception takes place ab\t t "t1 ! excitem5t ma9ta9s & soon increases ! enl>gem5t4 ,! muc\s membrane becomes almo/ d\bl$ 9 ?ickness1 & :5 ! ovule arrives 9 ! womb1 x f9ds x fill$ ) ! membrane1 ! :ole ut]us is conge/$1 its vessels enl>ge1 & are fill$ ) blood1 _m :i* 7 invisible be=e are n[ fill$ ) r$ blood1 & ! :ole =m an intricate network on ! surface1 & 9 ! sub/ance ( ! organ2 ! coats ( ! art]ies increase 9 ?ickness2 ! coats ( ve9s are ?9n]1 & admit ( /ill great] di/5tion2 ! n]ves increase 9 size1 & may be se5 accompany+ ! blood-vessels1 & !re are *anges n only 9 ! volume1 b 9 ! %ape1 situation1 direction1 & relations ( ! ut]us4 ,! organ increases sl[ly 9 size dur+ ! e>ly4 mon?s ( pregnancy1 & m rapidly 9 ! lat]4 ,! walls are di/5d$1 h[ev]1 n me*anically f ! developm5t ( ! ovum1 b simultane\sly ) x1 & f a physiological cause2 9 %ape x becomes r\nd]1 & t[>ds ! end ( pregnancy x has an ovoid =m4 ,simultane\sly !re is an alt]ation 9 its position2 at fir/ ! neck subsides t[>ds ! floor ( ! pelvis2 ! pres5ce ( ! rectum may incl9e ! fundus to ! "r & ! neck to ! left2 ab\t ! f\r? mon? ! ut]us rises above ! sup]ior /rait2 at f\r mon?s ! fundus ut]i is two or ?ree f+]s 9 bread? above ! pubis2 at five mon?s x is )9 "o f+]'s bread? ( ! umbilicus2 betwe5 ! fif? & six? mon? x passes ! umbilicus2 at sev5 mon?s x is ?ree f+]s' bread? above ! naval2 at eight mon?s x is f\r or five above1 b x does n rise high] dur+ ! la/ mon?4 ,:ile x is ris+ x foll[s ! direction ( ! axis ( ! sup]ior /rait2 aft]w>ds x incl9es to ! "r (t5] ?an to ! left4 ,at t]m1 ! sup]ior "p ( ! ut]us is 9 contact ) ! abdom9al walls usually1 b sometimes !re may be "s ( ! inte/9es int]pos$ betwe5 !m4 ,at full t]m ! p>ietes ( ! womb are ?ick] ?an 9 ! unimpregnat$ condition2 at ! po9t correspond+ to ! ins]tion ( ! plac5ta1 ?9n] at ! neck1 & o!rwise x reta9s ab\t its orig9al ?ickness4 ,! ut]us increases ab\t =ty times 9 weight dur+ pregnancy2 at t]m x weighs ab\t tw5ty-f\r ounces1 & its l5g? is f twelve to f\rte5 in*es1 its bread? f n9e to t51 & its dep?1 ant]o-po/]iorly1 eight to n9e in*es4 ,! os ut]i1 aft] x is 9 ! gravid /ate1 becomes some:at swoll51 b s(t & cu%ion-l4 ,?is s(t5+ is at fir/ sup]ficial4 ,t[>ds ! end ( ! ?ird mon?1 ! lips ( ! os t9c are s(t5$ ?r\gh\t _! :ole ?ickness1 & ! s(t5+ increases f bel[ upw>d4 ,! neck ( ! ut]us seems some:at elongat$ at ! fir/1 b at ! comm5cem5t ( ! six? mon? ! l5g? ( ! c]vix seems to dim9i%2 !re is1 h[ev]1 no consid]able %ort5+ until ! middle ( ! eigh? mon?2 dur+ ! la/ =tnight ( pregnancy x dim9i%es v rapidly1 & f9ally is totally effac$4 ,9 primap>a ! os t9c is r\nd$ at fir/1 & is n dilat$4 ,9 females t h _h *ildr5 ! ext]nal orifice is widely op51 & ! cavity 9 ! neck is funnel-%ap$1 cont9u+ to increase until x rea*es ! int]nal orifice4 ,z ge/ation progresses ! texture ( ! ut]us *anges4 ,! p]itoneum spreads out 9 all directions )\t a decrease 9 ?ickness2 ! muc\s coat becomes app>5t1 x gr[s r$d] & m vascul>1 & its folds disappe>2 ! gl&s ( ! body ( ! womb gr[ long]2 ! middle coat is enl>g$ by ! increase 9 size ( always exi/+ muscul> elem5ts1 & ! =mation ( new fibres & increas$ connective tissue4 ,!re is1 t[>ds ! end ( pregnancy1 an a/oni%+ developm5t ( ! vascul> sy/em2 ! lymphatic vessels acquire consid]able calibre1 & ! n]ves are develop$ 9 e way1 al?\gh ! neurilemma is mo/ affect$4 ,! *anges develop$ 9 ! ut]9e muc\s membrane are ( especial int]e/4 ,its vascul>ity is greatly increas$ dur+ m5/ruation1 ! gl&s are enl>g$1 ! membrane ?ick5$1 ?r[n into folds & becomes ( a violet color2 ?is condition cont9u+ until ! ovule is dis*>g$1 or until ! la/ ( ! m5/rual p]iod4 ,! fecundation ( ! ovum w ma9ta9 & increase ?is vascul> condition ( ! membrane4 ,its vessels are s enl>g$ z to cause small effusions b5ea? ! epi!lium1 :i* gives to ! int]nal surface a spott$ appe>ance2 aft] two or ?ree weeks x is /ill m mottl$1 m puff$ up1 & furr[$ ) folds & wr9kles4 ,?is membrane is ! decidua1 :i* is aft]w>ds expell$1 ) o!r cont5ts ( ! ut]9e cavity4 ,! ,,decidua ,,reflexa is a fold ( ! decidua 9 :i* ! ftus is envelop$1 & bo? ( ^! membranes1 :i* are at ! la/ expell$ ) ! ftus1 are develop$ f ! ut]9e muc\s membrane4 ,! ut]9e decidua1 aft] ! second mon?1 gr[s ?9n]1 & its folds are gradually effac$2 aft] ! fif? mon? x is only "o tw5ty-fif? ( an in* 9 ?ickness1 & x is /ill ?9n] at ! t]m9ation ( pregnancy4 ,at ! fif? mon? x is sep>able f ! ut]us1 & ! fir/ trace ( ! new membrane :i* is to replace ! decidua may be detect$ "u x4 ,a p>tly ut]9e membrane may be ?r[n (f :5 an abortion occurs1 dur+ ! e>ly mon?s ( pregnancy4 ,,*apt] ,,vii4 ,,! ,,ovum ,,& ,,its ,,developm5t4 ,! ovum at maturity 7& n impregnat$7 is describ$ z be+ compos$ ( ! vitell9e membrane1 :i* seems l album5 9 appe>ance1 b is a ?ick1 transp>5t membrane1 )\t det]m9ate texture2 second ( ! vitellus or yolk1 a granul> liquid conta9$ 9 ! vitell9e membrane1 compos$ ( a coh]5t transp>5t viscid mass2 ?ird ( ! g]m9al vesicle1 :i* is compos$ ( a transp>5t colorless membrane1 enclos+ a liquid also transp>5t2 & la/ly1 ( ! g]m9al spot1 t is held 9 susp5sion 9 ! liquid t ! g]m9al vesicle conta9s4 ,! ovum passes sl[ly ?r\gh ! ,fallopian tubes1 & dur+ ! twelve days or m t x is pass+ to ! ut]us1 !re is "s developm5t1 "s increase 9 size1 & by ! "t x has rea*$ ! ut]us x has become impossible to f9d 9 x ei!r vesicle or g]m9al spot4 ,x is probable t 9 its passage x is n\ri%$ by ! granulations :i* accompany x1 & by absorb+ ! liquid secret$ by ! oviduct4 ,z ! impregnat$ ovum is develop$1 ! *orion1 ! amnion & ! embryo may be obs]v$4 ,! *orion1 :i* corresponds to ! membrane l9+ 9 ! %ell ( an egg1 is f\nd cov]+ ! ovum at ! e>lie/ p]iod t x has be5 se5 9 ! ut]us4 ,x is smoo? int]nally1 b ext]nally x is cov]$ ) %ort r\nd villi1 :i* at a lat] p]iod rema9 only :]e ! plac5ta is develop$4 ,! *orion is envelop$ 9 a great measure by ! reflect$ decidua2 !re is at ! outset consid]able space betwe5 ! two1 mo/ly fill$ at fir/ by ! villi ( ! *orion1 ?\gh !re may be betwe5 ! two an effusion ( blood2 ^! villi soon disappe>1 & ! membranes come 9 contact4 ,9 t "p ( ! *orion t is n cov]$ by ! decidua reflexa1 ! villi are m & m develop$1 & !y contribute a mo/ important "p 9 ! =mation ( ! plac5ta4 ,at ! same "t t ! plac5ta is =m$1 ! villi on ! o!r portion ( ! *orion is oblit]at$1 s t ! pr9cipal "p ( ! *orion is a ?91 colorless1 transp>5t membrane1 unit$ outw>dly to ! reflex$ decidua by %ort1 delicate filam5ts1 & inw>dly to ! amnion by an album9\s lay] call$ ! tunica m$ia4 ,!re is also betwe5 ! two membranes ! vesicula alba4 ,?is be>s a p]fect analogy to ! yolk ( an egg2 x is ! vitellus surr\nd$ by ! bla/od]m4 ,its use is to conta9 nutrim5t = ! ftus be=e ! developm5t ( ! plac5ta4 ,! amnion is ! mo/ int]nal membrane ( ! ovum2 x is cont9u\s ) ! m>g9s ( ! v5tral op5+ 9 ! ftus1 & closely envelopes ! embryo 9 ! e>ly p]iod4 ,its int]nal surface exhales a liquid into its own int]nal cavity1 & 9 ?is ! embryo swims freely4 ,z ?is membrane is m & m fill$1 x presses back ! ext]ior liquid & !reby cond5ses x until ! amnion comes 9 contact ) ! *orion4 ,& s9ce x adh]es to ! abdom9al p>ietes ( ! ftus1 x furni%es z x ext5ds a membran\s %ea? to ! allantoid & umbilical vesicle1 & ^! vessels1 & all p>ts ?us enclos$ con/itute ! umbilical cord4 ,! plac5ta is an app5dage ( ! *orion2 x is a s(t1 spongy mass1 con/itut+ ! pr9cipal connection betwe5 ! ovum & ! ut]us1 be+ de/9$ to ! hematosis & 7z we suppose7 to ! n\ri%m5t ( ! ftus4 ,! plac5ta1 at ! t]m9ation ( ut]o ge/ation1 is a flatt5$ body ab\t an in* 9 ?ickness at ! c5t]2 its %ape is circul> or oval1 & x is f six to eight & "o-half in*es 9 diamet]2 its int]nal surface is cov]$ by ! *orion & amnion1 & exhibits pla9ly ! umbilical art]ies & ve9s :i* conv]ge to =m ! umbilical cord4 ,its ftal portion is =m$ by ! hyp]trophi$ villi ( ! *orion1 ) :i* its circumf]5ce is cont9u\s1 & its mat]nal portion is cont9u\s ) ! decidua1 & is 9 fact a ?ick5$ "p ( t membrane4 ,z ! villi ( ! *orion are develop$ on "o "p ( its surface1 !y ramify & =m filam5ts t engraft !mselves ^u ! ut]9e muc\s membrane & adh]e closely4 ,at ! same "t !re is an inv]se developm5t ( ! ut]9e vessels1 :i* =m va/ numb]s ( loops t desc5d betwe5 ! villi ( ! *orion1 & ext5d ?r\gh to ! ftal surface ( ! plac5ta4 ,an amorph\s matt] is soon ?r[n out :i* unites ! two p>ts toge!r4 ,! plac5ta is1 !re=e1 compos$ ( two p>ts1 di/9ct 9 _! physiological action1 ?\gh !y toge!r pres5t b "o mass to our view4 ,"o "p is ! ftal portion =m$ f ! *orion2 ! o!r is ! mat]nal portion =m$ f ! ut]9e muc\s membrane1 ( :i* x is a greatly ?ick5$ "p4 ,aft] deliv]y ! ftal plac5ta comes entirely away ) ! epi!lial lay] ( ! plac5tal decidua1 & ! plac5tal di/ribution ( ! mat]nal vessels2 a portion ( ! mat]nal vessels rema9s atta*$ to ! ut]us4 ,! plac5ta may be ins]t$ ^u any "p ( ! ut]9e cavity1 al?\gh x is mo/ usually ne> ! fundus :]e ! ovum mu/ ent] ! womb4 ,if1 z is sometimes ! case1 x is atta*$ at ! l[] "p1 ov] ! orifice ( ! womb1 x causes unavoidable hemorrhage 9 ! lat] mon?s ( pregnancy4 ,! umbilical cord1 funis1 or naval /r+1 is ! connect+ l9k betwe5 ! *ild & "m4 ,x comm5ces :5 ! ext]nal lam9a ( ! bla/od]m ) ! alantois are s *ang$ z to =m a m]e cord ^u :i* ! two umbilical art]ies ramify1 & :5 all ^! h an envelop+ %ea? f ! amnios4 ,x may be disc]n$ 9 ?is /ate at ! end ( ! fir/ mon?2 at t "t ! ftal inte/9es may be se5 to protrude beyond ! umbilicus into ! amnionic %ea?1 b ! cord is !n cyl9drical & v small4 ,!re are progressive *anges1 ! cord becomes simplifi$1 ! canal ( ! amnionic %ea? is oblit]at$ gradually at its extremity1 & z ! effacem5t proce$s t[>ds ! umbilicus ! inte/9e is press$ back s t no h]nia rema9s4 ,!re are two art]ies 9 ! cord2 ^! arise f ! abdom9al aorta 9 ! ftus2 !y g by a flex$ & tortu\s c\rse to ! plac5ta1 :]e !y ramify & are di/ribut$4 ,!re is only "o ve9 :i* returns ! blood f ! plac5ta2 !re ! radicles coalesce to =m ! bran*es2 ^! unite to =m ! umbilical ve94 ,?is is n z flexu\s z ! art]ies1 :i*1 be+ long]1 w9d ar\nd ! "o v5\s trunk4 ,aft] ! ?ird mon? ^! may be pla9ly se5 9 ! %ea? imb$d$ 9 :at has be5 call$ ,:>ton's gellat9e4 ,ord9>ily ! cord lies free & loose 9 ! cavity ( ! amnion1 b occasionally ow+ to ! movem5ts ( ! *ild x may be coil$ ar\nd ! *ild's neck1 be ti$ 9 knots1 or x may escape bel[ ! head s z to prolapse dur+ labor4 ,! l5g? ( ! cord v>ies2 x is v r>ely less ?an eight in*es1 & x is sometimes six or eight feet long4 ,aft] ! bir? ( ! *ild1 ! pulsation 9 ! cord ceases )9 ab\t fifte5 m9utes4 ,aft] ! cord is cut t portion t is atta*$ to ! umbilicus dies & usually falls (f ab\t ! fif? day4 ,! blood ( ! ftus is rat$ or und]goes a *ange 9 ! plac5ta analag\s to ! *ange t our blood und]goes 9 ! lungs4 ,,*apt] ,,viii4 ,,! ,f,,tus4 ,! embryo fir/ beg9s to be di/9ct ab\t ! ?ird week2 is !n ab\t two l9es long1 weigh+ "o to two gra9s2 is surr\nd$ by an amnion :i* lies loosely ab\t x1 & obvi\sly proce$s f ! abdom9al lam92 x pres5ts c]ebral vesicles2 !re is ! appe>ance ( an eye1 sev]al art]ies are se5 ?\gh n di/9ctly =m$2 ! abdom9al cavity is op5 = a consid]able ext5t 9 front4 ,ab\t ! fif? week ! embryo becomes m consi/5t2 ! head is disproportionately l>ge2 rudim5t>y eyes are indicat$ by two black spots2 ! abdom5 is ne>ly clos$1 ?\gh at ! umbilical ap]ture a loop ( inte/9e escapes2 ! abdom9al memb]s are pres5t1 & ! cord exi/s 9 a rudim5t>y condition2 ! embryo is ne>ly two-?irds ( an in* long & weighs ab\t fifte5 gra9s4 ,! successive *anges 9 ! developm5t 71 #a/1 a g]m membrane visible imm$iately aft] ! bur/+ ( ! vesicle2 #b;d1 at "s po9t an aggregation ( granules =m+ ! cumulus ( ! bla/od]ma2 #c;d1 ! embryo develop$ ly+ at ?is po9t1 z x 7 ^u ! membranes1 :i* consi/ ( ?ree sup]impos$ lam9 or lay]s2 #d?1 on ! s]\s lay] arise ! organs ( animal life1 ! bra9 & sp9al m>r[1 organs ( s5se1 sk91 muscles1 t5dons1 ligam5ts1 c>tilage1 & bone2 on ! muc\s ! organs ( vegetative life1 ! inte/9al canal1 lungs1 liv]1 sple51 pancreas & o!r gl&s4 ,! he>t & vascul> sy/em arise f ! vascul> lay] 7if ?is c be consid]$ a sep>ate "o74 ,ab\t ! second week1 or p]haps ! ?ird1 !re is a mass ( globules loosely connect$ toge!r =m+ ! primitive /reak ( ,von ,ba]1 & ar\nd ?is ! area vasculosa is develop$4 ,! globules ( ! primitive /reak1 seem next to be develop$ into two lam9 dorsales1 :i* is ! axis ( ! future embryo1 & ! orig9 ( ! sp9al column4 ,t portion ( ! fluid t sep>ates ! *orda dorsalis f ! lam9a dorsalis is ! future sp9al cord1 & bra94 ,two o!r lam9a--lam9 v5trales ( ,von ,ba]--are 9 ! mean "t proce$+ f ! axis ( ! embryo1 "o on ea* side2 !y gr[ lat]ally & conv]ge bel[ ! axis4 ,aft] ! rudim5ts ( organic life h be5 comm5c$ 9 ! c5tral portion ( ! s]\s lay]1 a fold ( its p]iph]al portion ar*es ov] ! dorsal surface ( ! embryo s z to repres5t a sac1 & is compos$ ( two membranes2 ! "o next to ! ftus is ! amnion1 ! o!r is gradually sep>at$ f ! amnion & jo9s ! s]\s lam9a ( ! bla/od]ma2 ?is is ! false amnion ( ,p&]4 ,! he>t is =m$ at ?is e>ly p]iod1 & al?\gh !re is no septum betwe5 ! v5tricles1 a ve9 may be se5 ent]+ into x1 & an art]y passes out :i* divides into f\r bran*es to be di/ribut$ & ramifi$ 9 diff]5t portions ( ! ftus4 ,! abdom5 is yet an op5 cleft1 9 :i* 7b project+ beyond x7 is ! he>t1 :i* is ( v l>ge dim5sions2 beh9d ! he>t is ! liv]1 & "u ! liv] ! inte/9e :i* is atta*$ by means ( a di/9ct mes5t]y4 ,at ?is p]iod 7?ree weeks7 ! lungs are con/itut$ ( five or six lobules1 & two l>ge gl&ul> /ructures may also be disc]n$ along ! v]tebral column1 :i* are call$ ,wolfian bodies2 ^! anticipate ! function ( ! kidneys4 ,! alantois is se5 aris+ f ! l[] "p ( ! inte/9al canal on a little vesicle & ext5d+ s z to encircle ! embryo4 ,dur+ ! second mon? ! extremities are gr[+1 & become m project+2 ! body is curv$ & ! head b5t d[nw>ds2 !re are indications ( ! no/rils & a gap+ oral ap]ture2 ! =ehead is m swell$ because ( ! developm5t ( ! hemisph]es ( ! bra92 ! sp9al cord is cyl9drical ( ne>ly uni=m ?ickness & t]m9at+ 9 a blunt extremity--po/]iorly x is op52 ! m$ulla oblongata makes a b5d =w>ds at ! top ( ! neck1 & !n asc5ds p]p5dicul>ly into ! capaci\s cranium4 ,! fir/ c5tres ( ossification appe> ab\t ! sev5? week on ! clavicle & l[] jaw4 ,at ?is "t ! kidneys & r5al capsules beg9 to appe>4 ,! only trace ( muscul> fibre is 9 ! diaphragm4 ,! v]tebral ar*es are n yet clos$ 91 & ! ribs appe> l little /reaks2 ! liv] is v l>ge & granul>4 ,! /oma* is assum+ some:at ( its normal =m2 ! ur9>y bladd] is enclos$1 b ! anus is imp]=ate4 ,at ?is "t ! embryo is ab\t an in* 9 l5g?4 ,at two mon?s ! rudim5t>y organs ( g5]ation may be di/+ui%$1 b _! developm5t does n cle>ly %[ ! sex4 ,! embryo is f "o & a half to two in*es long & weighs ne> half an ounce1 ! head =m+ two-?irds ( ! :ole4 ,aft] ?is p]iod ! diff]5t p>ts are develop$ ) tol]able rapidity4 ,at t5 weeks ! embryo is ab\t two & a half in*es 9 l5g?4 ,at ! end ( ! ?ird mon? x is f five to six in*es long & weighs f ?ree to f\r ounces4 ,! ?orax is clos$ at all po9ts b is only slightly develop$2 ! cord conta9s no inte/9es1 & its spiral turns are evid5t2 ! nails are beg9n+ to appe>2 ! sex is di/9ct1 & ! sk9 acquires "s consi/5ce4 ,at ! f\r? mon? ! ftus is six to eight in*es 9 l5g?1 & weighs f sev5 to eight ounces4 ,a ftus born at ?is p]iod might live = an h\r or two4 ,at five mon?s ! l5g? ( ! body1 includ+ head & feet1 is f eight to t5 in*es1 & weighs f eight to elev5 ounces2 at six mon?s ! weight is ab\t "o p\nd1 & ! l5g? is elev5 to twelve & a half in*es4 ,at sev5 mon?s ! ftus is f twelve & a half to f\rte5 in*es long & weighs f ?ree to five p\nds4 ,! h&s & feet1 includ+ ! nails1 are develop$2 all its p>ts are tol]ably firm1 & _! respective dim5sions bett] proportion$ ?an =m]ly4 ,! scrotum usually conta9s "o or bo? te/icles1 !y hav+ desc5d$ ?r\gh ! +u9al r+1 f _! orig9al place ne> ! v]tebral column2 ! eyelids are p>tly op52 ! sk9 is v r$ & cov]$ ) d[n4 ,_m *ildr5 live & are re>$ t are born at sev5 mon?s4 ,! l5g? ( a ftus born at t]m is eighte5 or n9ete5 in*es1 ?\gh ! utmo/ limit is m ?an two feet4 ,! usual weight is f six to sev5 p\nds2 *ildr5 h be5 born1 h[ev]1 t 7 z mu* z eighte5 p\nds 9 weight4 ,i suspect t ?is w nev] occur unless ! t]m has be5 ext5d$ beyond ! usual p]iod4 ,,at ,,t]m ! ftus t is tw5ty in*es long w g5]ally measure t5 & a half to elev5 in*es f ! cr[n to ! umbilicus4 ,! diff]5t p>ts are well develop$ & p>tly cov]$ by a smegma call$ ! v]nix caseosa2 ! head has atta9$ ! prop] h>dness1 & ! scrotum usually conta9 ! te/icles4 ,9 female *ildr5 ! nymph are g5]ally cov]$ entirely by ! labia1 ! brea/s project1 & 9 bo? sexes conta9 frequ5tly a milky fluid4 ,z soon z ! *ild t has be5 c>ri$ ! full "t is born x usually cries1 op5s its eyes1 & makes "s /ruggl+ motions ) its limbs2 x soon passes ur9e & feces1 & readily takes ! brea/4 ,) occasional exceptions ! position ( ! *ild is unalt]$ f an e>ly p]iod ( pregnancy to its t]m9ation1 :e!r ! head be upw>ds or d[nw>ds4 ,! arms are g5]ally fold$ ov] ! *e/1 ! knees drawn up to ! abdom52 ! back curv$1 & ! head b5t ^u ! *e/1 s z to occupy z little space z possible4 ,9 ord9>y cases ! head is direct$ d[nw>ds1 & ! face looks obliquely1 s t 9 ! fir/ & second position ! back ( ! ftus is turn$ p>tly =w>ds1 & ! belly 9 ! ?ird & f\r?4 ,we are enabl$ 9 _m cases to asc]ta9 ! position ( ! ftus 9 ! ut]us be=e labor has comm5c$1 by means ( ! /e!scope1 by not+ :e!r ! pulsation is felt on "o side or ! o!r ( ! abdom5 & obs]v+ :e!r x is he>d cle>ly or n4 ,! longitud9al diamet] ( ! head is f #d to #d in*es1 ! transv]se f #c to #d1 ! v]tical #c to #c in*es4 ,! transv]se diamet] ( ! %\ld]s & ?orax is #d to #e2 ! wide/ diamet] ( ! hips #d to #e in*es4 ,9 g5]al ! measurem5ts are a little less 9 ! female ?an 9 ! male4 ,! head ( ! ftus is l>ge1 & z x is less compressible at t]m ?an o!r portions x m]its a p>ticul> description2 we %\ld be acqua9t$ ) all its *>act]s1 t we may recognize !m & !reby det]m9e ! position dur+ labor4 ,! ftal head is ovoidal 9 =m1 ! l>ge extremity be+ po/]ior4 ,sev]al bones ent] into ! =mation ( ! cranium2 !y are1 #a/1 ! frontal bone =m+ ! =ehead2 9 ! ftus ev5 at t]m x is usually divid$2 #b;d1 ! two p>ietal bones1 "o on ea* side ( ! head1 meet+ on ! m$ian l9e at ! top ( ! head2 !y help to =m ! vault ( ! cranium2 #c;d1 ! occipital bone1 =m+ ! po/]ior & "p ( ! base ( ! skull2 & #d?1 ! temporal bones1 "o on ! "r & "o on ! left side bel[ ! p>ietal1 complet+ ! lat]al portions ( ! cranium & contribut+ to =m ! base ( x4 ,! cranial bones are n unit$ to ea* o!r by sutures z !y are 9 ! adult1 b are sep>at$1 ! p>ietal bones especially1 by membran\s int]vals1 ! int]vals be+ l>g] 9 "s *ildr5 ?an 9 o!rs4 ,^! int]vals1 or sutures & fontanelles1 mu/ be c>efully /udi$4 ,! sagittal suture is ! ant]o-po/]ior "o1 & ext5ds f ! root ( ! nose to ! occipital bone4 ,x is =m$ 9 front by ! int]val t sep>ates ! frontal bone into two halves1 & sup]iorly by t betwe5 ! two p>ietals4 ,!re is a suture :i* crosses ?is1 call$ ! transv]se or coronal suture1 :i* is =m$ by ! space exi/+ betwe5 ! frontal & p>ietal bones4 ,:5 ! sagittal suture arrives at ! sup]ior angle ( ! occipital bone1 x seems to "p & give rise to two oblique lat]al sutures :i* are call$ lambdoidal2 ^! are =m$ by ! po/]ior bord]s ( ! p>ietal bones & ! sup]ior "o ( ! occipital4 ,j at ! po9t :]e ! coronal & ! lambdoidal sutures jo9 ! sagittal "o1 two membran\s spaces1 l>g] ?an ^? j describ$1 are f\nd2 ^! h receiv$ ! "n ( fontanelles4 ,9 cases ( head pres5tation dur+ labor1 "o or ! o!r ( ! fontanelles may be felt by ! att5d+ practition]1 & ?is indicates to him ! position ( ! head & ! pres5tation4 ,! ant]ior fontanelle pres5ts an ext5sive surface at ! place :]e ! transv]se crosses ! sagittal suture4 ,x is loz5ge-%ap$1 & is b\nd$ by f\r bony angles4 ,! po/]ior fontanelle is =m$ by ! union ( ! two lambdoidal sutures ) ! t]m9ation ( ! sagittal suture4 ,x is small] ?an ! ant]ior "o1 & is ( a triangul> =m4 ,x is b\nd$ by ! occipital bone & ! angles ( ! p>ietal bones4 ,dur+ labor ! bones may ov]lap ea* o!r s t ! sutures _c be felt1 b ! prom95ces ( ! bony m>g9s w aid ! diagnosis4 ,,! ,,physiology ,,( ,f,,tal ,,life4 ,! ovule1 aft] x arrives 9 ! ut]9e cavity1 comes 9 contact at all po9ts ) ! muc\s membrane ( ! ut]us4 ,its nutrition at fir/ is organic by sup]ficial imbibition2 aft]w>ds1 probably ! villi ( ! *orion imbibe ! fluids !re secret$1 & transmit !m into ! space betwe5 ! *orion & ! amnion1 !nce x transc5ds ?r\gh ! walls ( ! amnion1 & a portion is convey$ into ! ftus ?r\gh ! umbilical vesicle4 ,aft] ! plac5ta is =m$ !re may /ill be "s absorption ( "s ( ! nutritive matt]s conta9$ 9 ! liquor amnii ?r\gh ! sk9 ( ! ftus1 b its gr[? is pr9cipally ma9ta9$ by an assimilation ( t :i* ! radicles ( ! umbilical vessels take up 9 ! plac5ta4 ,by means ( ! ext5sive contact exi/+ betwe5 ! vascul> app>atus ( ! two plac5tas1 a transudation probably takes place ( "s "p ( ! mat]nal blood1 :i* is absorb$ & m+l$ ) ! ftal blood1 & furni%es "s ( ! nutritive mat]ial4 ,:5 m+l$ ) ! ftal blood1 ! nutritive elem5ts suppli$ by ! "m are devot$ to ! developm5t ( ! organs4 ,x is suppos$1 h[ev]1 t !y und]go *anges 9 ! l>ge liv] ( ! ftus & 9 its inte/9es4 ,!re is no true respiration 9 ! ut]9e cavity1 b "o function ( ! plac5ta is to r5ew ! blood ( ! ftus f t ( ! "m1 9 ab\t ! same way t ! blood ( fi%es is rat$ by ! wat] pass+ ?r\gh ! gills4 ,:e!r 9 ! e>li] mon?s absorption is c>ri$ on by ! surface alone1 or :e!r a portion ( ! liquor amnii f9ds its way to ! /oma* is difficult to decide1 b1 )\t d\bt1 a c]ta9 am\nt ( dige/ion is c>ri$ on4 ,! ,,circulation ( ! blood 9 ! ftus _c be und]/ood )\t ref]r+ to c]ta9 anatomical peculi>ities t d n exi/ 9 ! adult4 ,^! *>act]i/ics dep5d on ! abs5ce ( respiration1 & disappe> :5 x is e/abli%$4 #a/4 ,! septum betwe5 ! auricles ( ! he>t is imp]fect1 hav+ 9 its c5t] a valvul> oval ap]ture call$ ! =am5 ovale4 #b;d4 ,! pulmon>y art]y1 soon aft] its orig91 gives (f a bran*1 ! ductus art]iosis1 :i* ent]s ! aorta j bel[ ! ar*4 ,! pulmon>y art]ies are v small4 #c;d4 ,! umbilical art]y 9 ! ftus is a l>ge vascul> trunk1 :i* is ne>ly oblit]at$ 9 aft] life4 ,! two umbilical art]ies run =w>ds & inw>ds along ! lat]al & sup]ior p>ts ( ! bladd]1 !n curve =w>ds to ! abdom9al wall1 along :i* !y asc5d to ! umbilicus1 !n pass along ! cord to ! plac5ta4 #d?4 ,! ftus fur!r diff]s f ! adult 9 hav+ an umbilical ve91 :i* comes f ! plac5tal tissue1 trav]ses ! l5g? ( ! cord1 passes ?r\gh ! umbilical r+1 is mo/ly di/ribut$ to ! liv]1 b has a supplem5tal ve9 situat$ at ! ?ick edge ( ! liv]1 & lead+ to ! v5a cava asc5d5s1 call$ ! ductus v5osis4 ,! g5]al effect ( all ^! peculi>ities is to r5d] ! he>t virtually a s+le "o2 to provide = ! quiesc5t /ate ( ! lungs1 & to modify ! di/ribution ( fre% blood4 ,,! ,,c\rse ,,( ,,! ,,blood ,,9 ,,! ,f,,tus ,,is ,,z ,,foll[s3 ,! blood circulat+ 9 ! umbilical ve9 is1 on ent]+ ! ftus1 a "p ( x dis*>g$ ?r\gh ! ductus v5osis into ! v5a cava2 ano!r "p is di/ribut$ to ! liv]1 & is br\ght to ! v5a cava by ! hepatic ve9s1 & !n m+les also ) t f ! inf]ior extremities1 & !n ) t f ! upp] extremities z x passes into ! "r auricle4 ,a "p ( ?is is transmitt$ ?r\gh ! "r v5tricle1 & !nce 7except a supply = ! n\ri%m5t ( ! lungs7 ?r\gh ! ductus art]iosis into ! desc5d+ aorta4 ,a second & l>g] "p passes ?r\gh ! =am5 ovale into ! left auricle1 !n into ! left v5tricle & ar* ( ! aorta1 ! bran*es ( :i* supply ! head & upp] extremities4 ,! cont9u$ /ream passes into ! desc5d+ aorta1 mix+ ) t already describ$4 ,! :ole n[ desc5ds to ! l[] "p ( ! aorta1 :]e a portion is s5t to ! inf]ior extremities1 b a l>g] "p is drawn into ! umbilical art]ies1 & is c>ri$ by !m into ! plac5ta4 ,aft] bir? rem>kable *anges take place4 ,some?+ 9 ! circum/ances 9 :i* ! *ild is plac$ /imulates respiration & cry+1 by :i* means ! lungs are inflat$1 & space is af=d$ to ! pulmon>y circulation1 :i* sup]c$es ! use ( ! =am5 ovale & ductus art]iosis2 ! blood f ! l[] extremities _c pass ?r\gh ! umbilical art]ies1 & does pass ?r\gh ! asc5d+ cava into ! "r auricle & v5tricle1 !n into ! lungs1 :]e x und]goes analag\s *anges to ^? effect$ 9 ! plac5ta1 & is di/ribut$ to ! body g5]ally4 ,! ftal op5+s are g5]ally oblit]at$ 9 ! c\rse ( a week1 ?\gh ! =am5 ovale1 or ! ductus v5osis1 may cont9ue p]vi\s = two or ?ree weeks2 b soon ! ductus v5osis & ! umbilical art]ies are oblit]at$ & ! adult circulation e/abli%$4 ,,"p ,,iii4 ,,pregnancy ,,& ,,p>turition4 ,,*apt] ,i4 ,,diagnosis ,,( ,,pregnancy4 ,a few ( ! e>ly signs ( pregnancy are n made available to ! physician ord9>ily :5 8 op9ion is dem&$4 ,a woman is naturally unwill+ t h] physician1 if he be a man1 %\ld make ev5 a digital exam9ation1 & ?is makes x m necess>y t ! nurse %\ld "k all ! rational signs4 ,"o ( ^! signs is ! *ang$ color ( ! muc\s membrane ( ! vag9a & labia4 ,?is membrane is ( a pale r$ color1 b x becomes ( a violet hue dur+ ! "t ( m5/ruation1 & if a woman becomes pregnant1 ! violet or deep r$ color becomes cont9u\s4 ,!re is also1 ev5 9 ! comm5cem5t ( pregnancy1 a peculi> odor to ! secretion f ! vag9a & os ut]i1 :i* has be5 comp>$ to t ( ! v]nix caseosa4 ,!re is no sign ( pregnancy by :i* we c always di/+ui% x 9 its e>ly /ages2 9 "s in/ances ne>ly all ! rational signs are abs5t4 ,! g5]al condition ( a pregnant woman is *ang$ 9 a great] or less degree1 b all are n *ang$ alike4 ,g5]ally %e is ple?oric1 ! pulse is full] & quick]2 ! quantity ( circulat+ fluid is augm5t$1 ! quality alt]$ by ! increase ( fibr9e2 b ^! *anges are n always obvi\s4 ,well m>k$ sympa?ies are excit$ 9 v>i\s organs2 ! n]v\s sy/em may suff] especially2 ! woman's temp] & disposition may *ange2 %e may become caprici\s1 may h likes & dislikes 9 eat+1 especially if h] dige/ion is weak2 !re may be loss ( appetite1 he>tburn1 increas$ fl[ ( saliva1 too?a*e1 excitability ( m9d1 sleep9ess1 etc42 b ev5 :5 _m ( ^! symptoms are pres5t1 ev5 :5 ! liv] & kidneys are affect$1 s t ! sk9 is sall[ or discolor$ 9 pat*es1 & irritability ( ! bladd] causes mu* pa9 & di/ress1 ^! v>i\s signs may only furni% a sum ( probabilities am\nt+ almo/ to c]ta9ty4 ,9 "s cases ( pregnancy ! sk91 in/ead ( becom+ sall[1 is m florid1 ) occasional eruptions on ! face4 ,"s wom5 become fat dur+ pregnancy2 o!rs lose fle%2 _! faces1 9 ! e>ly mon?s1 are p9*$ & po9t$1 & _! features alt]$4 ,milk 9 ! brea/s1 especially 9 ! fir/ pregnancy1 is a sign :i* is said to be reliable2 b x is true ( "s wom5 t1 dur+ _! p]iod ( m5/ruation1 _! brea/s enl>ge2 !re is a s5sation ( fullness1 ) ?robb+ & t+l+ pa9 9 !m1 & t a milk fluid may be secret$2 ! same symptoms t are pres5t ) o!rs at ! second mon? ( pregnancy4 ,ano!r *ange is a m m>k$ sign 9 ! brea/s4 ,!re is at fir/ a s(t & moi/ /ate ( ! sk91 & ! little gl&ul> follicles ar\nd ! nipples are b$ew$ ) a secretion4 ,?is may (t5 be se5 at ! second mon?1 & x may also be notic$ t ! ve9s ( ! brea/ look m blue1 & t ! brea/s !mselves are firm] & m knotty to ! t\*4 ,!re are1 h[ev]1 o!r signs :i* are m to be dep5d$ on ?an ^! t h be5 m5tion$4 ,females cease to be regul> dur+ pregnancy4 ,a heal?y m>ri$ woman1 dur+ ! p]iod ( *ild-be>+1 bases h] pr$iction ^u ?is sign1 & is seldom disappo9t$4 ,b wom5 are n all heal?y2 disease & disord] ( ! womb1 or o!r organs ( ! body1 especially ( ! lungs1 may cause suppression ( ! catam5ia2 &1 on ! o!r h&1 ! dis*>ge may recur = sev]al mon?s aft] conception1 or ev5 mon?ly dur+ ! p]iod ( ut]o ge/ation2 &1 9 anomal\s cases1 "s "y m>ri$ wom51 :o _h hi!rto be5 q regul>1 ceas$ to m5/ruate = sev]al mon?s )\t any kn[n cause4 ,morn+ sickness is "o ( ! e>lie/ signs ( pregnancy1 z x (t5 occurs )9 two weeks4 ,! nausea may be slight or x may be v di/ress+2 x may happ5 to be soon reliev$1 b x usually cont9ues = ?ree or f\r mon?s or long]4 ,x v>ies also z reg>ds ! "t ( day dur+ :i* x cont9ues to be bad2 b if x recurs at ! regul> "t & 9 ! regul> mann]1 x is ( great value z an evid5ce ( pregnancy1 :5 comb9$ ) o!r symptoms4 ,a d>k br[n areola ar\nd ! nipple may usually be notic$ at ! end ( ! second mon?2 ?is is a di/+ui%+ sign1 especially if x be a fir/ pregnancy4 ,a mon? or two lat]1 ! d>k color is m obvi\s1 & x is d>k] 9 p]sons ) d>k hair1 etc4 ,x may be describ$ z be+ a d>k circle1 some:at swoll51 or ) a puffy turgesc5ce1 bo? ( ! nipple & ! surr\nd+ disk2 ! surface ( ! areola /udd$ ov] & r5d]$ unequal by ! prom95ce ( ! gl&ul> follicles1 ! integum5t cov]+ ! "p s(t & moi/2 sometimes small mottl$ pat*es1 ( a :iti% color1 scatt]$ ov] ! out] surface ( ! areola1 & = ab\t an in* all ar\nd x4 ,^! m>ks are q pla9 at ! fif? mon?1 & at six mon?s a numb] ( silv]y /reaks may be obs]v$4 ,quick5+ is "o ( ! mo/ important signs ( pregnancy1 & occurs ab\t ! f\r? or fif? mon?2 n because ! *ild is !n fir/ alive1 b because ! womb !n rises high] 9 ! abdom51 & because ! *ild has rea*$ a fur!r /ate ( developm5t4 ,quick5+ is a pro( t ! woman is ne> half h] "t gone2 ?\gh x may happ5 t ! s5sation is obs]v$ z e>ly z ! ?ird or f\r? mon?1 in/ead ( at f\r & a half mon?s4 ,9 "s cases wom5 d n "k ! "t :5 !y quick51 z only a slight s5sation is felt2 ?is "s comp>e to ! flutt]+ ( a bird4 ,b a lady may at t "t be fa9t1 or giddy1 or sick1 ?\gh !re seem$ to be no?+ m ?an a m]e pulsation4 ,subsequ5tly1 h[ev]1 ! movem5ts become /rong] & m frequ5t4 ,! motions ( ! *ild may be felt by a ?ird p]son on plac+ ! h& on ! woman's abdom51 especially if ! p]son's h& be cold4 ,i h kn[n "o case 9 :i*1 by plac+ my h& on ! woman's abdom51 ,i caus$ motions :i* simulat$ active movem5ts ( ! *ild1 al?\gh !re 0 no ftus pres5t4 ,,increas$ ,,size ,,& ,,h>dness ,,( ,,! ,,abdom5 is *>act]i/ic ( pregnancy4 ,enl>gem5t ( ! abdom5 may be f flatul5ce1 b su* enl>gem5t is n p]si/5t2 ! belly is l>ge "o h\r & small ! next1 & on press+ ! b[els firmly1 a rumbl+ ( w9d may be he>d1 :i* p]haps may move ab\t1 & on p]cuss+ 7tapp+7 ! "p1 a holl[ s\nd may be elicit$1 z f a drum4 ,a l>ge abdom5 may be due to fat1 b !re is a s(t & d\ghy feel+ t is *>act]i/ic ( fat4 ,on ! contr>y1 9 pregnancy1 h>dness1 solidity & resi/ance to pressure *>act]ize ! gravid ut]us1 & ! enl>gem5t is n only p]si/5t1 b gradually increas+4 ,x is true t :5 a v fat woman is pregnant1 p]cussion or palpation ( ! abdom5 may be fruitless1 & any c]ta9 diagnosis _c be made1 b 9 mo/ cases1 if we are c>eful to obs]ve ^! conditions1 & also :e!r !re is a di/5d$ bladd] & rectum1 ! diagnosis c be made aft] ! f\r? or fif? mon?4 ,to make an exam9ation by p]cussion & palpation1 let ! female lie d[n1 ) ! head rais$ & ! ?ighs flex$ on ! abdom52 !n exam9e ) bo? h&s1 especially ne> ! pubis4 ,pressure ) ! ends ( all ! f+]s1 gradually mov+ !m upw>d1 w enable u to detect ! womb1 if x rise above ! symphasis1 & also ! size & height ( ! fundus4 ,ballottem5t1 or rep]cussion1 is us$ z a means ( decid+ ^u ! pres5ce ( a ftus2 a means t is mo/ available ab\t ! fif? & six? mon?4 ,! female exam9$ %\ld be 9 an upright position1 or if %e be 9 b$1 h] %\ld]s %\ld be rais$4 ,we are direct$ to introduce ! =ef+] into ! vag9a & t\* ! c]vix ut]i1 or1 r1 9 front ( ! neck ^u ! walls ( ! ut]us2 !n slightly j]k+ upw>d by slightly flex+ ! fir/ jo9t ( ! f+]2 obs]ve if some?+ rec$e f x & fall aga9 9 a mom5t4 ,! ballottem5t is said to be a s5sation 8analag\s to t produc$ by plac+ a ball ( m>ble 9 a bladd] full ( wat] & !n /rik+ ! bladd] ) ! f+] j "u :]e ! ball re/s1 :5 ! latt] is ?r[n up & falls f its own weight ^u ! f+] t displac$ x40 ,:5 ! vag9al t\* is practic$1 :ile "o f+] rema9s 9 ! vag9a1 palpation ( ! ut]us ) ! o!r h& may assi/ 9 ! diagnosis by depress+ ! ut]us1 or by hold+ x firmly 9 place4 ,!n ! j]k ( ! f+] ^u ! head ( ! ftus causes x to float upw>ds a little 9 ! liquor amnii & desc5d4 ,,auscultation is us$ to decide _m cases ( d\btful pregnancy4 ,! pulsations ( ! ftal he>t are g5]ally p]ceptible by ! fif? mon?4 ,! exam9ation may be made by apply+ ! nak$ e> to ! abdom5 ( ! "m1 %e be+ plac$ on h] back 9 ! b$ ) h] head rais$4 ,! ftal pulsations are frequ5t1 g5]ally f #abj to #adj a m9ute4 ,! ut]9e s\ffle or bell[s murmur may (t5 be he>d z e>ly z ! f\r? mon?2 x is syn*ron\s ) ! "m's pulse2 its seat is said to be ! ut]us1 & "s believe t x indicates ! position ( ! plac5ta4 ,?is s\nd & ! pulsation ( ! umbilical cord are n v important diagno/ic signs1 & ! same may be said ( ! pres5ce ( kie/i5e 9 ! ur9e1 :i* may1 h[ev]1 be detect$ z e>ly z ! ?ird mon?4 ,"s ( ! ailm5ts t att5d pregnancy ,i w n[ m]ely m5tion3 ,!re may be irritability & a disposition to inflammation2 viol5t & ob/9ate vomit+2 indige/ion & deprav$ appetite1 he>tburn1 co/iv5ess1 hemorrhoids1 liv] spots or blot*es1 especially ab\t ! face2 di>rha or dys5t]y2 /rangury1 ) a frequ5t incl9ation to void ! ur9e2 leucorrha2 v>icose ve9s 9 ! legs1 ?igh & abdom52 inquietude1 & sleeplessness2 dropsy1 or an demat\s condition ( ! l[] extremities2 prurigo vulva2 ei!r ( ^! may be m or less tr\blesome1 b c h>dly be reg>d$ z diagno/ic signs4 ,"s rem$ies = ^! w be m5tion$ h]eaft]4 7,f4 #fi1 #gb1 #ge1 #ha1 #aca1 #agc1 #bjf1 #bbj74 ,! abdom9al walls are (t5 di/5d$ beyond :at ! woman is able to be> )\t inconv5i5ce1 z ! sk9 may become inflam$ & crack4 ,x is mu* m common t ! true sk9 b5ea? ! epid]mis cracks1 &1 al?\gh ! outside is n alt]$1 !re (t5 rema9s ^u ! abdom5 ( wom5 :o h _h *ildr5 a numb] ( small m>ks1 or little :iti% /reaks4 ,,*apt] ,,ii4 ,,abortion4 ,if a premature expulsion ( ! ftus occur be=e ! end ( ! sev5? mon?1 x is call$ an abortion1 or misc>riage2 subsequ5t to ?is p]iod1 premature labor4 ,! cause ( abortion may be 9 ! ovum or 9 ! "m1 & x is m liable to occur at ! beg9n+ ( ea* mon? correspond+ to ! m5/rual p]iod4 ,! mat]nal causes may arise f ! condition ( ! "m or may be accid5tal2 may be any?+ t injuri\sly affects ! m9d or body4 ,debility ( con/itution1 consumption1 leucorrha1 ut]9e irritation1 febrile compla9ts1 & ob/9ate con/ipation may be causes1 b "s wom5 :o are weak or sick reta9 ! ovum ) wond]ful t5acity4 ,bl[s1 falls1 viol5t concussions1 excessive or sudd5 ex]tions1 /ra9+1 sev]e c\gh+1 tak+ long walks1 rid+ on horseback1 or ov] r\gh roads 9 a c>riage1 a long railway j\rney1 fright1 sudd5 %ocks1 ang]1 joy1 sorr[1 good or bad news sudd5ly told1 tak+ a wrong /ep 9 asc5d+ or desc5d+ /airs1 lift+ heavy weights1 viol5t dra/ic purgatives1 calomel1 danc+1 & tight lac+ may excite ! ut]us to action & effect ! expulsion ( its cont5ts4 ,x is an un=tunate ?+ = a woman if %e misc>ry ) h] fir/ & second *ild1 = x (t5 becomes a habit4 ,hav+ once misc>ri$1 %e is m likely to misc>ry aga91 & by repeat$ misc>riages h] con/itution is brok51 & ! *ances ( h] ev] hav+ a liv+ *ild become v small4 ,a woman may exp]i5ce "s ?reat5+ or w>n+ symptoms ( misc>riage = "o or two days be=e ^? ( labor sup]v5e4 ,!re is usually a feel+ ( languor or we>9ess1 ( lassitude & depression ( spirits1 & a s5se ( uneas9ess1 & !n1 aft] ^! premonitory symptoms h la/$ = "s "t1 !re may be a dis*>ge ( mucus or blood f ! vag9a4 ,! %[ may increase to flood+1 & soon !re may be pa91 at fir/ slight & irregul>1 aft]w>ds ( a gr9d+ "*1 & subsequ5tly sev]e1 irregul>1 & be>+ d[n4 ,at ?is /age we may be q c]ta9 t ! pa9s w cont9ue to recur until ! ftus at lea/1 if n ! aft]bir?1 h pass$ into ! vag9a4 ,! progress 9 diff]5t cases is1 h[ev]1 q dissimil>4 ,9 ! beg9n+ ( pregnancy ! expulsion ( ! ovum might closely foll[ ! accid5t t caus$ x4 ,= example1 a woman might slip 9 desc5d+ a /aircase & fall viol5tly on h] seat1 caus+ imm$iate expulsion ( ! ovum1 ) a l>ge quantity ( fluid blood4 ,!re are "s wom5 :o h acquir$ ! habit ( abort+1 & ! ovum passes out ( ! womb ) sc>cely any pa91 little or no hemorrhage1 & ! woman spe$ily recov]s4 ,b x w v seldom happ51 aft] ! fir/ six weeks1 t !re is n "s int]val betwe5 ! accid5t & ! consequ5t abortion1 & t !re is n consid]able & protract$ pa94 ,if ! cause ( ! abortion affects ! "m in/ead ( ! ovum1 %e g5]ally exp]i5ces1 at ! "t ( ! accid5t1 a %>p pa9 ab\t ! lo9s or abdom51 :i* may cont9ue slightly = sev]al days1 & !n be r5ew$1 ) viol5t ut]9e contractions1 & "s s]\s & !n bloody dis*>ges f ! vag9a4 ,! progress ( a misc>riage is n z regul> z a labor at full t]m4 ,9 _m cases !re are %iv]+s succe$$ by fev] = a day or m prec$+ ! hemorrhage4 ,sev]e indisposition may cont9ue = sev]al days4 ,!re may be n only consid]able ut]9e pa91 b mu* pa9 9 ! bladd] & lo9s2 a s5se ( s9k+ 9 ! epiga/rium1 ( weight ne> ! vulva & anus1 & an ineffectual desire to ur9ate4 ,su* symptoms cont9ue a long] or %ort] "t1 & !n usually ! ftus alone is expell$1 ! plac5ta be+ reta9$4 ,! latt] is g5]ally deta*$ aft] a "t1 or x may 7if )9 ! fir/ ?ree mon?s7 be dis*>g$ & pass out 9 a dissolv$ condition1 ) ! lo*ia4 ,v al>m+ hemorrhage may prec$e & accompany abortion2 ?is makes ! case "o ( dang] at ! "t1 & may p]man5tly affect ! heal? ( ! woman aft]w>ds4 ,! flood+ may cont9ue aft] ! expulsion ( ! ovum2 b ,i h always f\nd t 9 su* cases !re 0 a portion ( ! plac5ta t 0 deta*$1 & t might be remov$1 ?\gh n p]haps )\t "s difficulty4 ,a good physician %\ld always be call$ 9 cases ( cont9u$ flood+4 ,! pati5t ought always to pres]ve any & e sub/ance dis*>g$1 t x may be %[$ to ! physician4 ,he %\ld make a digital exam9ation1 & he usually f9ds ! os ut]i to be p>tially dilat$1 & a portion ( ! plac5ta hang+ 9 ! orifice4 ,x has always be5 my practice to see t all 0 remov$ be=e leav+ my pati5t1 & ,i h kn[n v dang]\s hemorrhage to occur :]e ?is rule 0 n obs]v$4 ,! plac5ta c g5]ally be seiz$ by two f+]s & remov$2 b if p]sev]+ ef=ts are necess>y1 !y %\ld n be rel9qui%$ until ! safety ( ! "m is assur$1 :i* _c be :ile ! ovum1 or membranes1 or plac5ta rema9 9 ! ut]us sep>at$ f _! connections4 ,b x %\ld always be consid]$ especially important to ,,prev5t ,,! ,,abortion4 ,if a woman is prone to misc>ry1 %e ought1 z soon z %e is pregnant1 to lie d[n a great "p ( ! day2 %e mu/ keep h] m9d calm & unruffl$1 & mu/ live on pla9 diet2 %e %\ld retire e>ly to re/1 & %e mu/ h a sep>ate sleep+ ap>tm5t4 ,%e %\ld avoid tak+ active physic1 b keep h] b[els op5 by diet or by ! milde/ ap]i5ts1 or1 possibly1 daily enemata4 ,g5tle ex]cise may be tak51 alt]nat$ ) frequ5t re/4 ,cold ablutions are prop] e morn+1 b ! body %\ld be rubb$ aft]w>ds ) a co>se t[el4 ,! mo/ usual "t = a woman to misc>ry is f ! eigh? to ! ?irte5? week1 b if a woman h a p>ticul> "t1 :i* to h] is ! usual p]iod1 :5ev] t "t approa*es %e %\ld be unusually c>eful4 ,let h] lie d[n m ?an %e usually does2 let h] avoid excit+ amusem5ts4 ,%e might try to keep h] b[els op5 by ! ext]nal application ( ca/or oil1 or by ! milde/ ap]i5ts1 or by hot wat] enemata4 ,if slight hemorrhage & trifl+ pa9s come on1 we %\ld seek to arre/ ! abortion by giv+ p]haps gra9 doses ( opium e f\r or five h\rs4 ,if ! hemorrhage is sev]e1 a dra*m dose ( fluid extract ( ergot may be giv51 & a l>ge draught ( c9namon tea2 p]haps a qu>t] ( a grat$ nutmeg1 &1 9 extreme cases1 a spoonful ( br&y ) x4 ,b let x be und]/ood t 9 all su* cases a physician %\ld be call$ z soon z possible2 & :ile wait+ = him ! pati5t ought to lie on a hair mattress2 a vag9al injection ( hot wat] may be giv52 %e %\ld h b scant clo?+ ^u ! b$2 h] room %\ld be well v5tilat$1 & if %e is fa9t f ! loss ( blood1 a little aromatic ammonia may be giv54 ,,*apt] ,,iii4 ,,p>turition4 ,,false ,,pa9s occur mo/ frequ5tly 9 a fir/ pregnancy1 b mo/ pregnant wom5 h occasional pa9s1 & ^! become m viol5t )9 ?ree weeks ( ! full "t4 ,!y may be ow+ to a disord]$ /oma*1 z well z to ! action ( ! ut]us2 b !y usually come on at night1 & are liable to be mi/ak5 = labor pa9s4 ,!y are1 h[ev]1 unatt5d$ ) %[2 !y (t5 *ange f place to place1 p]haps go+ successively to ! hips1 lo9s1 l[] extremities & abdom52 !y come on at irregul> int]vals1 & are at "o "t viol5t1 at ano!r feeble1 & !y occasion no dilation ( ! os ut]i2 b true pa9s come on ) "s regul>ity1 & usually increase 9 sev]ity4 ,false pa9s are f v>i\s causes1 su* z fatigue ( any k9d1 especially too long /&+1 sudd5 & viol5t motions ( ! body1 co/iv5ess or di>rha1 g5]al fev]i%ness1 agitation ( ! m9d1 or a spasmodic action ( ! abdom9al muscles4 ,x is necess>y to adopt ! means us$ = ! relief ( ! pa9s to ! app>5t cause1 & g5]ally to give an opiate proportion$ to ! degree ( pa91 or to repeat 9 small quantities at prop] int]vals till ! pati5t %all be compos$4 ,,p]iod ,,( ,,ge/ation4 ,! duration ( pregnancy is n always absolutely a c]ta9 numb] ( days4 ,! usual t]m is t5 lun> mon?s1 or n9e cal5d> mon?s & "o week4 ,if we c\ld h correct records ( all cases we %\ld probably f9d t half ! cases ( pregnancy t]m9at$ 9 labor 9 ! =tie? week1 b t 9 a few in/ances ! t]m 0 prolong$ to ! =ty-fif? week & t 9 z _m cases wom5 7 deliv]$ ( fully develop$ *ildr5 z e>ly z ! ?irty-sev5? week4 ,a woman may make h] c\nt pretty correctly z foll[s3 ,%e %\ld fir/ note ! la/ day ( h] be+ unwell4 ,let =ty weeks f t day be m>k$ 9 an almanac1 & %e may expect h] labor to come on ne> t "t4 ,x may happ5 t a woman :o nev] has h] m5ses :ile %e is suckl+1 may become pregnant & n h a date to c\nt f2 b %e ought 9 t case to reckon f ! "t t %e quick5s4 ,al?\gh quick5+ takes place at v>i\s p]iods1 %e may !n consid] h]self ne>ly half gone 9 h] pregnancy1 & calculate t 9 f\r & a half mon?s %e w be deliv]$4 ,a woman may h a %[ = "o or two mon?ly p]iods aft] h] ge/ation comm5ces1 b ! dis*>ge may be di/+ui%$ f ! regul> m5/rual fluid by its be+ ei!r small 9 quantity1 or by its clott+1 & g5]ally by its la/+ b a few h\rs4 ,! woman %\ld reckon f ! "t :5 %e _h h] la/ regul> m5/ruation4 ,,p>turition4 ,,natural ,,labor4 ,! ut]9e functions are *>act]iz$ by p]iodicity4 ,if an abortion occurs t is n ! result ( an accid5t1 x is g5]ally at :at w\ld h be51 b = conception1 a mon?ly p]iod1 & ev5 injuries are m likely to produce _! bad effects at t p>ticul> "t4 ,s ! normal p]iod = p>turition corresponds to a m5/rual p]iod1 & g5]ally labor may be look$ = at ab\t ! t5? p]iod aft] ! la/ appe>ance ( ! catam5ia4 ,we c h>dly tell :y x s uni=mly happ5s at t p>ticul> "t2 ! process is analag\s to ! fall+ ( ripe fruit--x drops because ! fruit is fully matur$4 ,x is n 9 accordance ) ! plan ( ?is "w to dwell at all ^u any o!r ?an :at is call$ natural labor1 b ,i %all include 9 ?is class all su* z are t]m9at$ by ! natural p[]s1 :e!r !y be head1 face1 brea*1 or foot pres5tations4 ,by ,,pres5tation1 ,i mean t "p t pres5ts itself at ! brim ( ! pelvis1 s t ! acc\*eur's f+] imp+es ^u x z ! end is pass$ into ! c5t] ( ! os ut]i4 ,! ,,diagnosis ( ! diff]5t pres5tations is made by ! t\*4 ,! head may be kn[n by ! h>dness & r\ndness1 & m c]ta9ly by ! fontanelles & sutures2 ! brea* by its g5]al s(tness1 & by ! tub]osity ( ! haun* bone2 by ! cleft betwe5 ! buttocks1 ! scrotum or ! vulva1 & ! anus2 ! knee by ! h>dness & r\ndness ( ! bone2 ! foot by its =m1 its be+ at "r angles ) ! leg1 ! ne>ly equal l5g? ( ! toes1 ! n>r[ heel1 etc42 & ! face by ! inequalities ( ! pres5t+ "p4 7,^! inequalities _c at fir/ be felt2 ^u t\*+ x we fir/ p]haps detect ! br[1 !n1 z labor progresses1 we may feel ! nose1 m\?1 etc47 ,! head pres5ts 9 ab\t #ih cases out ( #ajj4 ,,physiological ,,ph5om5a ,,( ,,labor4 ,accord+ to ! division made by /&>d au?ors on p>turition1 its fir/ /age ext5ds f ! beg9n+ ( labor to ! complete dilatation ( ! os ut]i2 ! second t]m9ates by ! bir? ( ! *ild1 & ! ?ird by ! expulsion ( ! plac5ta4 ,dur+ ! la/ two or ?ree weeks ( ! t]m1 ! ut]us s9ks l[] 9 ! pelvis1 & seems to spread out lat]ally2 ! lungs & /oma* are n s mu* compress$1 & respiration & dige/ion1 if difficult1 become m easy1 & (t5 ! pati5t becomes m *e]ful & active4 ,! precursory symptoms ( labor v>y 9 int5sity 9 diff]5t wom52 b x may be obs]v$ pretty g5]ally t !re is m activity & disposition to movem5t = "o day prec$+ ! real labor4 ,b dur+ ! la/ few days ( ! ge/ation !re are contractions ( ! ut]us1 :i*1 ?\gh %ort & di/ant1 & n att5d$ ) mu* pa91 are effective 9 dilat+ ! c]vix1 & prep>+ = ! subsequ5t labors4 ,! subsid5ce ( ! l[] end ( ! ut]us into ! pelvis1 h[ev]1 causes _m unpleasant symptoms4 ,! pressure ^u ! bladd] r5d]s a frequ5t evacuation ( its cont5ts necess>y2 !re is (t5 an ineffectual desire to ur9ate1 & sometimes /rangury4 ,!re is (t5 a s5se ( weight ab\t ! anus1 an irritable /ate ( ! b[els1 occasional grip+ pa9s1 & a desire to g to /ool :5 b little is pass$1 & sometimes di>rha4 ,! dema & v>ices ( ! l[] extremities augm5t1 ! hemorrhoidal vessels swell up1 & ! piles are l>g]4 ,^! precursory symptoms are manife/$ m 9 primap>a ?an 9 o!rs4 ,to "s1 walk+ becomes at ?is "t impossible4 ,!re are dur+ ! la/ mon?1 & especially t[>d ! close ( x1 pa9less ut]9e contractions2 !re may be at fir/ a sort ( squeez+ s5sation ) x4 ,b ab\t tw5ty-f\r h\rs previ\s to ! comm5cem5t ( actual labor1 ^! contractions are accompani$ ) "s pa9 & are p]iodical1 recurr+ p]haps e tw5ty or ?irty m9utes4 ,if an exam9ation be made ( ! os t9c at ! ,,comm5cem5t ,,( ,,labor x w be f\nd t ! r\nd$ coll> ( ! os is already effac$4 ,! pa9s !n sudd5ly become acute1 & x c be obs]v$ t ! ut]us contracts if we notice its great] h>dness & r\ndness dur+ a pa94 ,! os ut]i if some:at dilat$ closes p>tially ) ea* contract+1 & x c be obs]v$ t its m>g9s are gr[+ ?9n] ?\gh t5se & resi/ant at ! "t ( ! pa94 ,! contractions di/5d ! membranes2 ^! are fir/ press$ on ! neck1 !n into x1 !n z soon z ! dilatation is suffici5tly advanc$ engage 9 x 9 ! =m ( ! segm5t ( a sph]e1 ^: dim5sions progressively increase ) ! dilatations4 ,!re is n[ & p]haps has be5 = sev]al h\rs a glairy dis*>ge f ! vag9a1 :i* becomes /reak$ ) blood1 !re are p]haps %iv]+s or rigors 7n accompani$ ) a cold sk971 ! pa9s increase 9 =ce & frequ5cy1 ! pulse is h>d1 full1 & r frequ5t1 ! c\nt5ance is flu%$1 (t5 !re is vomit+1 & ! pati5t is prone to despond & be disc\rag$4 ,%e is less agitat$ aft] ! pa9 subsides1 ?\gh x does n cease entirely4 ,dur+ ! int]val ! m>g9s ( ! os aga9 become supple1 ! membrane t 0 t5se :ile ! pa9 la/$ becomes flaccid1 & ! *ild's head c be m pla9ly felt4 ,z ! contractions are repeat$ ! os ut]i dilates m & m until x is completely op5$ & no "p ( its m>g9 c be t\*$2 ?\gh v frequ5tly f "s obliquity ( ! ut]us1 ! m>g9 on "o side c be obs]v$ pu%$ d[n be=e ! head ( ! *ild1 :ile t on ! o!r side _c be rea*$4 ,9 ord9>y cases ! membranes are ruptur$ & ! wat]s escape at ! comm5cem5t ( ! second /age1 & ! "t occupi$ by ! fir/ /age is ne>ly ?ree-f\r?s t = ! :ole labor4 ,b ! duration ( ! /ages z well z ! "t occupi$ by ! p>turition is exce$+ly v>iable1 & ! same may be said 9 reg>d to ! duration & "* ( ! pa94 ,we may obs]ve "h t pa9 is ne>ly insep>able f ! contractions ( ! ut]us1 s t 9 common language ! two expressions are us$ indiff]5tly2 b us+ ! ^w 9 its ord9>y s5se ! pa9 9 ! fir/ /age ( labor is diff]5t f t 9 ! second4 ,:at are call$ gr9d+ pa9s *>act]ize ! fir/ "p ( labor1 & al?\gh !y diff] 9 diff]5t individuals1 !y are pretty g5]ally s sev]e z to cause ! pati5t to cry out4 ,z soon z ! labor advances to ! second /age !re is a *ange 9 ! "* ( ! pa9s4 ,!y are m frequ5t & long] & ! int]vals %ort]2 b ?\gh ! suff]+ may be great] ! cry is m suppress$1 ! be>+ d[n is c>ri$ to a great] degree1 & ea* pa9 is succe$$ by a calm m p]fect ?an t 9 ! fir/ /age4 ,%\ld ! int]val be r long "s pati5ts get a little sleep betwe5 ! pa9s1 b if !re has n be5 a bur/+ ( ! wat]s previ\sly !re is g5]ally n[ a pa9 suffici5tly h>d to break ! membrane4 ,ei!r 9 ! fir/ or la/ "p1 or dur+ ! :ole ( ! labor1 ! woman says t ! pa9 is 9 h] back1 x be+ 9 ! lumb] & dorsal region2 ! gr9d+ pa9 %e speaks ( z be+ =w>d1 !y seem h[ev] to g ?r\gh f ! umbilicus to ! sacrum4 ,9 cases :]e !re is rigidity ( ! ut]9e orifice1 !re is ,i believe pa9 especially 9 ! back2 & :5 ! os becomes fully dilat$1 ! pa9s are be>+ d[n2 ! pati5t at ! accession ( a pa9 holds h] brea?1 & seiz+ hold ( some?+ ) h] h&s1 br+s ! muscles ( ! back & abdom5 & extremities to aid ! expulsive ef=ts ( ! ut]us4 ,i d n d\bt t ?is /ra9+ ( ! "m at ?is "t is advantage\s2 ^! ef=ts ( ! "m %\ld n be enc\rag$1 h[ev]1 at ! fir/ "p ( ! labor1 because !n !y d no good1 nor at ! v la/1 z comb9$ ef=ts !n may rupture ! p]9eum4 ,z ! head advances ?r\gh ! pelvic cavity ! pressure ^u ! n]ves :i* pass ?r\gh x gives rise to cramps 9 ! ?ighs & legs4 ,z ! head passes into ! vag9a ! walls become flabby & ! canal seems to enl>ge & elongate & to be prep>$ to yield to ! pressure ( ! head4 ,if an int]nal exam9ation be made ! head w be p]ceiv$ fill+ ! cavity1 desc5d+ ) ea* pa9 & rec$+ at its conclusion--! advance ord9>ily exce$+ ! recession1 ?\gh sometimes ! ga9 is n p]ceptible4 ,:5 ! head re/s on ! p]9eum1 t (f]s "s resi/ance1 :i* seems to /imulate ! ut]us & abdom9al muscles to great] ef=ts & m =cible contractions4 ,if x be a fir/ labor !re may be at ?is po9t a little delay 9 its progress4 ,b ! ftal head be+ =c$ d[n by ! rapidly recurr+ pa9s s presses aga9/ ! floor ( ! pelvis t x yields & becomes bulg+ 9 front1 & di/5d$1 ?\gh !re /ill is recession z ! pa9 int]mits4 ,b adequate =ce is call$ into action2 ea* pa9 ga9s ^u ! advance made by its pr$ecessor2 ! vulva p>tially op5s1 & at ea* pa9 !y op5 m & m2 ! resi/ance ( ! p>ts is f9ally ov]come4 ,aft] ! p]9eum has giv5 ! head its prop] direction 9 its transit1 !re usually comes a h>d pa9--=c+ a l\d cry f ! woman--ano!r pa9 succe$s imm$iately1 :i* expels ! head altoge!r f ! p>ts2 !n aft] a %ort re/ ! ut]9e p[] is aga9 ex]t$ to expel ! body ( ! *ild4 ,!re may be an int]val ( a few m9utes be=e ! pa9s return ) suffici5t =ce to expel ! %\ld]s1 b ! *ild is 9 no p>ticul> dang]2 x is be/ to wait a:ile1 ! nurse 9 ! meantime mak+ pressure ) h] h& ov] ! ut]us1 be=e any traction is made on ! head or %\ld]s4 ,if ! body is v l>ge1 h[ev]1 x may be well soon to draw a little on ! head or to rea* ) "o f+] into ! axilla & to br+ d[n ! l[] %\ld]s2 !n ! re/ w be deliv]$ )\t any difficulty4 ,! int5se suff]+ ( ! "m is n[ ex*ang$ = p]fect joy or ease2 !re is at once a transition f extreme mis]y to total fre$om f pa91 ?\gh ! labor is n yet complet$4 ,ord9>ily a few pa9s return be=e _m m9utes1 & complete ! la/ /age ( labor--! expulsion ( ! plac5ta4 ,sometimes ! contractions t expel ! *ild1 expel also ! membranes & plac5ta2 b m g5]ally !y are only p>tially deta*$ or !y may be adh]5t & n easily remov$4 ,aft] ! bir? ( ! *ild1 & ! ty+ ( ! naval /r+1 x is prop] to apply ! h& ^u ! abdom5 ( ! "m to asc]ta9 :e!r !re be ano!r *ild1 & :e!r ! ut]us be contract+ prop]ly4 ,i advise t an ef=t %\ld be made imm$iately to remove ! aft]bir? & secund9es1 mak+ firm pressure ov] ! womb2 ?is w g5]ally /imulate ! ut]us to make good contractions1 & may assi/ 9 press+ out ! plac5ta4 ,i d n advise t a midwife %\ld pull ^u ! cord1 b x is my practice to press ! f+]s ( my "r h& well into ! vag9a1 & z soon z possible grasp a little ( ! plac5ta2 my left h& at ! same "t pull+ slightly on ! cord1 & ?us by comb9$ ef=t remov+ ! aft]bir? pretty quickly4 ,i h nev] _h mu* tr\ble ab\t reta9$ or adh]5t plac5ta 9 cases :]e ,i myself (ficiat$ 9 ! deliv]y1 & ,i attribute my good =tune 9 ?is respect to ! fact t ,i d n tie ! plac5tal portion ( ! cord1 pref]r+ to let "s blood dis*>ge f ! aft]bir?1 ?us dim9i%+ its size1 & !n if necess>y ,i direct t consid]able ef=t be made 9 ! way ( squeez+ & pressure & friction ov] ! ut]us4 ,x is true t if no?+ is done a pa9 w usually come on )9 tw5ty m9utes t w expel ! aft]bir? v effectually includ+ all ! membranes1 & consid]able clots ( blood2 b ,i appreh5d t 9 _m cases dur+ ?is delay !re is an h\r-glass contraction ( ! womb comes on1 :i* reta9s ! plac5ta & prev5ts its prop] sep>ation4 ,b be=e att5d+ to ! plac5ta1 ! necess>y att5tion %\ld be paid to ! *ild4 ,a little cold wat] spr9kl$ on x w usually make ! *ild cry1 if x does n brea? imm$iately aft] x is born1 & ?is makes ! *ange 9 x f ut]9e to brea?+ life4 ,! *ild may !n be sep>at$ f ! "m by cutt+ ! cord4 ,aft] ! removal ( ! *ild x is prop] to endeavor to deliv] ! aft]bir?1 ?\gh x may n be necess>y at fir/ to d any?+ m ?an to use friction ov] ! ut]us ) mod]ate pressure1 :i* may be gradually increas$4 ,,*apt] ,,iv4 ,,me*anical ,,ph5om5a ,,( ,,labor4 ,! cavity ( ! ut]us & t ( ! pelvis =m a cont9u\s ,,passage ?r\gh :i* ! *ild mu/ be =c$ 9 its exit f ! womb at bir?4 ,! ut]us possesses ! "* ( muscul>ity & is ! ma9 ag5t 9 ! expulsion ( ! *ild4 ,by its own muscul> action ! cavity ( ! ut]us is dim9i%$ & pressure made on ! ftus1 =c+ x d[n t[>ds ! orifice1 di/5d+ ! c]vix1 & dilat+ ! passage4 ,dur+ ! second /age ( labor ! p[] ( ! ut]us is aid$ by ! volunt>y muscles ( ! abdom5 & by ! depression ( ! diaphragm4 ,! "* ( ! passage w be br\ght to m9d by recall+ :at 0 h]et(ore said ( ! diamet] ( ! pelvis4 ,x w be rememb]$ t ! usual ant]o-po/]ior diamet] ( ! brim does n exce$ #d in*es :ile ! transv]se is #e in*es1 & t at ! l[] outlet ! ant]o-po/]ior diamet] is ab\t #e in*es & ! transv]se ab\t #d in*es4 ,! ,,fir/ ,,ob/acle :i* ! *ild meets 9 its progress is ! c]vex ut]i4 ,?is be+ compos$ p>tly ( muscul> fibre :i* acts some:at z a sph9ct]1 & p>tly ( ela/ic celul> tissue1 holds ! sph9ct] 9 ! tissue ) a t5acity :i* is n easily ov]come4 ,b repeat$ muscul> contractions ( ! womb =ce d[n ! bag ( wat]s1 :i* =ms a sort ( w$ge1 & ?is is =c$ d[n & into ! os ut]i1 compell+ x to op54 ,!re are also muscul> fibres 9 ! ut]us :i* h a longitud9al z well z "s t h a circul> c\rse1 & ! action ( ! =m] t5d aft] a "t to retract ! os1 ov] ! ftal head4 ,! second ob/acle is ! bony brim ( ! pelvis into :i* ! head ( ! ftus _c pass until its long diamet] is adapt$ to c]ta9 diamet]s ( ! pelvis4 ,! diamet] ( ! bony pelvis is dim9i%$ ov] "o-f\r? ( an in* by ! s(t p>ts ^u x1 b ! oblique diamet] ( ! pelvis w admit ! long diamet] ( ! head ( ! *ild1 :i* does n (t5 exce$ #d in*es4 ,! head usually pres5ts 9 ?is way1 & passes 9 a some:at spiral mann] until x arrives at ! outlet :]e ! diamet]s are adju/$ to ea* o!r4 ,! head is1 h[ev]1 too l>ge to pass1 ev5 9 ?is way1 7 x n t x admits ( a degree ( compression to facilitate ! entrance & progress ?r\gh2 ?is m\ld+ is effect$ by ! cont9u$ pa9s4 ,! head ( ! *ild :i* pres5ts at ! brim ) ! occiput t[>ds ! left acetabulum rotates dur+ ! passage1 s t ! occiput at its exit is directly "u ! symphasis pubis2 ! cause ( ! rotation is f\nd 9 ! =m & direction ( ! passage & 9 ! %ape & size ( ! ftal head4 ,?is pres5tation & position is ! mo/ common "o1 ?\gh ei!r ( ! foll[+ is liable to occur4 ,by nam+ ! position we indicate j h[ a pres5t+ "p lies1 or is turn$4 ,we adopt ! foll[+ classification1 :i* accords ) sev]al good au?ors3 ,,pres5tations ,,& ,,positions4 ,,pres5tations4 ,,no4 ,,position4 ,,"n ,,( ,,position4 ,a--,v]tex or head #a ,occiput to left ,left occipito-iliac acetabulum4 ant]ior4 #b ,occiput to "r ,"r occipito-iliac acetabulum4 ant]ior4 #c ,occiput to ,symphasis ,occipito pubic4 pubis4 #d ,occiput to r4 ,r4 occipito-iliac sacro-iliac junc4 po/]ior4 #e ,occiput to l4 ,l4 occipito-iliac sacro-iliac junc4 po/]ior4 #f ,occiput to promon'y ( ,occipito sacral4 sacrum ,b--,brea*1 includ+ #a ,sacrum to left ,left sacro-iliac inf]ior acetabulum4 ant]ior4 extremities4 #b ,sacrum to "r ,"r sacro-iliac acetabulum4 ant]ior4 #c ,sacrum to symphasis ,sacro pubic4 pubis4 #d ,sacrum to r4 ,left sacro-iliac sacro-iliac po/]ior4 junction4 #e ,sacrum to l4 ,"r sacro-iliac sacro-iliac po/]ior4 junction4 #f ,sacrum to promont'y ( ,sacro sacral4 sacrum4 ,c--,body1 includ+ %\ld]s1 elb[ & h&4 ,d--,face1 includ+ six v>ieties4 ,! "r occipito-iliac po/]ior 7,a #d7 position is n a v uncommon "o1 b t v>iety :i* is describ$ & nam$ z ! left occipito-iliac ant]ior 7,a #a71 9 :i* ! occiput is direct$ 9 front & to ! left1 is mo/ frequ5t4 ,^! & o!r v]tex pres5tations may be recogniz$ ev5 9 ! comm5cem5t ( labor ?r\gh ! vag9al walls1 ! head be+ kn[n by its r\nd$ sph]oidal surface4 ,suppos+ t we h a case ( ! k9d t is mo/ common 7,a #a71 & t labor has begun1 we may introduce ! f+] ?r\gh ! os ut]i & we enc\nt] a r\nd$1 smoo? & resi/ant surface1 :i* is ! ant]ior "p ( ! head1 & !n by direct+ ! f+] upw>ds & backw>ds x w come 9 contact ) ! sagittal suture4 ,if ! direction ( ! suture is oblique1 & if x runs f be=e backw>ds & f ! left t[>ds ! "r1 ! position mu/ be ei!r ! left ant]ior or ! "r po/]ior occipito-iliac "o4 7,a #a or ,a #d74 ,to complete ! diagnosis we foll[ ) ! f+] ! sagittal suture until x rea*es ! fontanelle1 & ?is det]m9es ! position4 ,if ! po/]ior fontanelle is f\nd to ! left & 9 front1 & ! ant]ior "o is to ! "r & beh9d1 ! position is ,a #a1 or ! left ant]o-occipito-iliac "o4 ,! back ( ! ftus is turn$ =w>ds & t[>ds ! left side1 :ile its face & ant]ior plane is turn$ backw>ds & t[>ds ! "r1 & ! occipito-frontal diamet] ( ! *ild's head corresponds to ! oblique diamet] ( ! pelvic brim4 ,z ! labor progresses & ! head is =c$ d[n 9 ! pelvis1 x is also m /rongly flex$ on ! *e/ & ! occiput is press$ d[n 9 ! excavation4 ,) ! occiput ?us pres5t+1 x trav]ses all ! space betwe5 ! sup]ior & inf]ior /raits until x rea*es ! floor ( ! pelvis2 !re x makes :at is sometimes call$ ! pivot turn--x executes a movem5t ( rotation1 :i* c>ries ! occiput beh9d ! symphasis pubis & ! =ehead t[>ds ! holl[ ( ! sacrum2 !n ! head be+ press$ =w>ds & /ret*+ ! p]9eum1 ! =ehead & face be+ dis5gag$ f x1 em]ge2 !n aft] ! p]fect expulsion ( ! head x aga9 rotates1 ! occiput turns some:at to ! left ?igh & ! face t[>ds ! "r ?igh4 ,9 ! beg9n+ ( labor ! %\ld]s are turn$ s z to correspond to ! oblique diamet] ( ! pelvic cavity1 b !y pass ?r\gh ! pelvis 9 a transv]se position4 ,aft] !y rea* ! inf]ior /rait1 ! body rotates s t ! "r %\ld] ( ! *ild turns t[>ds ! left side ( ! "m & ! wide diamet] ( ! %\ld]s is accommodat$ to ! wide diamet] ( ! /rait1 & ! rotation ( ! head1 :i* is free ext]nally1 is second>y to ! rotation ( ! %\ld]s4 ,9 ! ,,expulsion ,,( ,,! ,,body ! "r %\ld]1 or subpubic "o1 is ! fir/ "o to appe> 9 ! vulv> fissure1 b ! left or po/]ior "o may be dis5gag$ at ! commissure ( ! p]9eum be=e ! "r "o is deliv]$2 ! rema9d] ( ! trunk is expell$ v soon1 describ+ a prolong$ spiral c\rse 9 its passage4 ,a *ild orig9ally 9 ! ,,"r ,,po/]ior-,,iliac position becomes conv]t$ t[>ds ! la/ ( ! labor into an occipito pubic or ant]ior "o1 & ! labor t]m9ates z x does 9 ,a #a1 :5 ! occiput 0 orig9ally 9 front4 ,x is ! left %\ld]1 h[ev]1 :i* gets beh9d ! ar* ( ! pubis1 & ! occiput is direct$ t[>ds ! "r ?igh aft] ! head em]ges4 ,9 "s in/ances1 ?\gh r>ely1 ! *ild orig9ally 9 ,a #d position rema9s ) ! occiput beh9d to ! t]m9ation ( ! labor4 ,9 su* cases ! =ehead comes "u ! pubis & rema9s !re = a "t1 :ile ! occiput trav]ses ! :ole circle ( ! p]9eum2 !n ! :ole head & face is imm$iately deliv]$4 ,x is n deem$ necess>y to describe "h ! me*anism ( labor 9 ! m unusual v>ieties :i* are s v num]\s4 ,z reg>ds ,,prognosis1 head pres5tations are ! mo/ favorable ( all1 & ^? 9 :i* ! occiput looks ant]iorly 9 ! beg9n+ ( labor are m favorable ?an ^? 9 :i* x is turn$ po/]iorly4 ,9 occipito-po/]ior positions ! labor is m t$i\s ?an :5 ! occiput is 9 front1 & ! expulsion becomes p>ticul>ly difficult :5 ! head ma9ta9s its orig9al position & does n rotate or take ! pivot turn4 ,^u ! ftal head aft] x is deliv]$ !re is almo/ always a protub]ance to be f\nd--a tumefaction1 m or less consid]able ^u "s po9t ( ! v]tex2 its great] size indicat+ a long] cont9uance ( ! labor1 & its seat indicat+ 9 :at position ! *ild 0 born4 ,?is tumor is almo/ always locat$ on "o ( ! po/]ior sup]ior angles ( ! p>ietal bones1 & %[s t ! occiput escap$ "u ! pubic ar*4 ,dur+ ! labor ! :ole head is /rongly compress$ except at "o po9t on ! v]tex1 :i* !re=e becomes ! seat ( a s]o-sangu9ol5t infiltration4 ,?is tumor disappe>s usually )9 =ty-eight h\rs2 if x does n1 x may prop]ly be punctur$4 ,x may conta9 ei!r s]um1 or s]um & blood1 or grum\s blood4 ,,*apt] ,v4 ,,diagnosis ,,( ,,artificial ,,labor4 ,:5 ! expulsion ( ! ftus takes place f ! ef=ts ( nature alone1 ! labor is call$ by "s au?ors spontane\s or natural1 b :5 art is oblig$ to int]f]e x is call$ artificial4 ,x w\ld be v useful to u if we c\ld always decide 9 ! comm5cem5t ( labor :e!r ! assi/ance ( art w\ld be requir$1 & ,i w gr\p toge!r 9 a few pages su* in/ructions z ,i am able to give on ?is important subject4 ,! nurse or midwife w n v g5]ally be able to decide any po9t by auscultation1 b %e z well z ! physician may judge f ! appe>ance ( ! woman1 f h] pa/ hi/ory1 f palpation ( ! abdom51 & f vag9al t\*4 ,%e %\ld accu/om h]self to judg+ by all ^! means1 t %e may be able to decide e>ly :e!r ! help ( an acc\*eur w be imp]atively ne$$4 ,no "o c decide c]ta9ly f simply see+ a pati5t 9 ! beg9n+ ( labor1 :e!r h] labor w be natural & spontane\s1 or artificial2 b ,i h _m times :5 fir/ look+ at a lady1 if h] complexion 0 fair1 & h] =m good1 b r tall1 pr$ict$ t h] acc\*em5t w\ld proce$ regul>ly & favorably4 ,b 9 =m+ our op9ion we ne$ to "k some?+ ( ! previ\s heal? & pres5t ailm5ts ( ! pati5t1 &1 if a multip>a1 ! "* ( =m] labors4 ,if nausea & vomit+ or any o!r ailm5t has r$uc$ h] /r5g? s t %e is exce$+ly weak1 ?is may give rise to "s reasonable appreh5sion2 b ,i h kn[n a woman t c\ld sc>cely reta9 a morsel ( food on h] /oma* = sev5 or eight mon?s1 t _h become v weak inde$ & exce$+ly emaciat$1 :o yet endur$ h] labor well & soon recov]$4 ,! g5]al rule is1 t ! m p]fect ! woman's heal? is1 ! bett] %e is fitt$ = *ild be>+1 b if h] g5]al heal? & /r5g? is r$uc$ bel[ its prop] /&>d by "s previ\s or accompany+ disease1 su* = example z consumption1 %e may endure ! labor v well1 & succumb to ! disease aft]w>ds4 ,pregnant wom5 are liable to be attack$ ) epidemic1 endemic1 & sporadic diseases4 ,eruptive fev]s1 etc41 may attack p>turi5t wom51 & if !y d1 ! disease & labor 9 e case w h a reciprocal influ5ce on ea* o!r--! disease w complicate ! case4 ,influ5za or int]mitt5t fev] may attack a woman at any p]iod ( ge/ation1 & !re may be no s]i\s results4 ,*ol]a1 small pox1 typhoid fev]1 sc>let fev]1 measles1 pneumonia1 & jaundice are liable to cause abortion1 & !re is dang] ( fatal results1 or ei!r ( !m w\ld be a dang]\s complication at ! "t ( labor4 ,syphilis w\ld be a cause ( abortion or premature labor1 & any disease :i* all[s ! "m to c>ry ! *ild ! full t]m may r$uce & weak5 h]4 ,gl&ul> engorgem5ts & scr(ul\s ulc]s improve dur+ ge/ation1 b if ! woman is suff]+ f a fracture1 ! bones w n unite v well4 ,tumors 9 ! abdom5 & pelvis may be an ob/acle to deliv]y1 & ulc]ations ( ! c]vix may also be h>mful & protract ! labor1 z also may con/ipation1 dropsy1 & album9uria4 ,! latt] may n be detect$ )\t an analysis ( ! ur9e1 b dropsy w be obvi\s z soon z x exi/s4 ,! evid5ces ( tumors & ulc]ations are f\nd by palpation & ! t\*--sometimes by ! use ( ! speculum4 ,aft] le>n+ ! pres5t appe>ance & ! =m] hi/ory ( ! pati5t x may be necess>y to exam9e fur!r p]haps by palpation4 ,by ,,palpation we may sometimes 7b n always7 di/+ui% ! head ( ! *ild1 & p]haps tell to :i* side its back is turn$4 ,:5 mak+ ! exam9ation let ! pati5t lie on h] back1 make g5tle pressure :5 ! pa9s are (f & ! abdom5 is relax$2 press ! ends ( y\r f+]s above ! body ( ! pubis2 by press+ d[nw>ds y may p]haps feel ! head if x has desc5d$ into ! pelvis4 ,y w ne$ to press ! abdom5 c>efully all ov] to asc]ta9 if !re are tumors1 & also to asc]ta9 if ! body or "s o!r "p pres5ts at ! c]vix ut]i4 ,if auscultation is us$ we may det]m9e positively ! position ( ! ftus by obs]v+ j :]e ! s\nds ( ! ftal he>t may be mo/ pla9ly he>d4 ,! ,,vag9al ,,t\* is ! usual mode ( det]m9+ :e!r !re is an unfavorable pres5tation ( ! *ild1 z well z :e!r !re is de=mity ( ! pelvis1 tumors 9 ! vag9a1 ulc]ations1 c4 ,:5 ! head pres5ts 9 ! comm5cem5t ( labor1 if ! fundus ( ! ut]us is n too mu* incl9$ =w>ds1 & !re is no de=mity ( ! pelvis1 ! os may easily be rea*$1 & ! h>d r\nd head ( ! *ild be felt )\t difficulty4 ,%\ld a h>d pres5t+ "p n be felt ei!r ?r\gh ! dilat$ os or ! walls ( ! ut]us1 x may be because !re is a bree* or body pres5tation1 or !re may be tw9s1 or !re may be an unusual am\nt ( wat] 9 ! ut]us1 or ! *ild may h hydrocephalus--9 ei!r ( ^! cases x might n be possible to decide imm$iately ab\t ! pres5tation & position4 ,,face ,,pres5tations _c be detect$ v e>ly 9 ! labor4 ,be=e ! membranes are ruptur$ ! head is high & difficult ( access4 ,:5 x is rea*$ ! =ehead is fir/ enc\nt]$1 aft]w>ds we may feel ! nose & m\?4 ,x is un=tunate = u t we _c usually di/+ui% a face pres5tation 9 ! e>ly /age ( labor4 ,x is n s important t we make an e>ly diagnosis ( pres5tation ( ! bree*1 z !re is no dang] to ! "m involv$ 9 ! latt]4 ,,pres5tation ,,( ,,! ,,body %\ld always be detect$ e>ly1 at lea/ z soon z ! membranes are ruptur$4 ,! abdom5 ( ! "m is mu* long] 9 ! transv]se diamet] ?an is usual1 & ! head ( ! *ild may sometimes be felt 9 ! iliac fossa4 ,! =m ( ! "m's abdom5 is irregul> z ! ftus lies curv$ on itself4 ,:5 we are able to t\* ! ftus1 if ! %\ld] pres5ts1 we fir/ feel a small bony projection1 ! acromion po9t ( ! %\ld]2 !n o!r po9ts1 includ+ ! acute angle ( ! %\ld] blade4 ,we %\ld asc]ta9 z soon z possible on :i* side ! head lies1 & also ! po/]ior plane ( ! *ild4 ,sometimes ! h& comes d[n 9 ! vag9a or ev5 appe>s at ! vulva2 if x does we may "k by t 7& by slipp+ ! f+] ( our h& up into ! axill>y space7 j h[ ! *ild lies4 ,if ! back ( ! *ild's h& is turn$ t[>ds ! "m's "r ?igh ! head is to ! "r1 & if to ! left ?igh1 to ! left4 ,! little f+] be+ t[>ds ! coccyx indicates t ! *ild's back is t[>ds ! "m's lo9s1 & ! same f+] be+ t[>ds ! pubis is evid5ce t ?is is 9 front4 ,x is q important t ^! po9ts %\ld be not$4 ,!re are v>i\s causes ( t$i\s1 difficult & ob/ruct$ labor1 & 9 ea* case we are oblig$ to dep5d pr9cipally ^u ! t\* = diagnosis4 ,9 "s in/ances ! difficulty w be obvi\s z soon z we attempt to make an exam9ation4 ,a ,,n>r[ & ,,undilatable ,,vag9a w be easily recogniz$1 b ?is w r>ely be f\nd a s]i\s ob/acle to ! passage ( ! *ild2 z ! labor proce$s ! vag9a seems naturally to dilate & to be m s(t5$ & relax$4 ,cases h be5 report$ :]e !re 0 a scirrhus tumor or canc] connect$ ) ! neck ( ! ut]us1 ev5 dur+ labor2 happily su* cases are r>e4 ,! scirrhus w\ld be felt h>d & unyield+4 ,a tumor ( any k9d connect$ ) ! os ut]i1 ! vag9a or ! rectum may ob/ruct ! desc5t ( ! *ild's head m or less accord+ to its size & mobility4 ,( c\rse !y c be detect$4 ,a ,,vag9al ,,cy/ocele ought always to be rectifi$4 ,x sometimes happ5s t ! bladd] is caught by ! head ( ! *ild 9 its desc5t into ! cavity ( ! pelvis & pu%$ be=e x1 & x c be se5 z a s(t r$ tumor betwe5 ! vulva4 ,! f+] c be pass$ po/]ior to x1 b n ant]ior1 & ! ca!t] _c be pass$ 9 ! usual direction4 ,a few cases are on record :]e a /one 7calculus7 9 ! bladd] 0 pu%$ d[n be=e ! ftal head4 ,a c>eful exam9ation w %[ t ! tumor is cov]$ by ! bladd]2 its h>dness w indicate its nature4 ,a ,,collection ,,( ,,h>d5$ ,,feces ,,9 ,,! ,,rectum is detect$ )\t difficulty4 ,x w be ( an irregul> =m1 h>d & inela/ic4 ,,swell+ ,,( ,,! ,,s(t ,,p>ts may cause ob/ruction4 ,if ! *ild's head is deta9$ = a long "t press+ ^u ! brim ( ! pelvis1 x may ob/ruct ! circulation & dim9i% ! capacity ( ! passage4 ,9 su* cases !re is unusual heat & dryness 9 ! p>ts4 ,:5 a nurse or midwife makes an exam9ation by t\*+1 %e ne$s to cont9ue x ?r\gh sev]al pa9s1 & to repeat x aga9 soon to "k if !re is any progress to ! labor4 ,if ! progress is v sl[ ?is may be f v>i\s causes1 "s ( :i* ,i w n[ simply "n4 ,x may be because ! ut]us is v mu* di/5d$1 & ?is r5d]s ! pa9s ineffici5t2 !re may be p>tial & irregul> contractions ( ! ut]us1 weakness ( con/itution1 fev] or local inflammation1 a want ( irritability 9 ! con/itution1 a de=mity ( ! pelvis & sp9e1 or d\bts & fe>s on ! "p ( ! pati5t may dim9i% ! action ( ! ut]us4 ,! labor may be sl[ because x is ! fir/ "o1 or because ! membranes 7 ruptur$ too e>ly1 or because ! woman is advanc$ 9 ye>s at ! "t ( hav+ h] fir/ conf9em5t4 ,! ut]us may be pit*$ ov] obliquely1 !re may be extreme rigidity ( ! os ut]i1 extreme rigidity ( ! s(t p>ts ( ! "m1 a contract$ or small pelvis1 ! head ( ! *ild may be l>ge & ossifi$ s z to be unyield+4 ,"o or bo? arms may come d[n by ! side ( ! head ( ! *ild2 on ! "p ( ! "m !re may be a di/5d$ bladd] f inability to void ! ur9e1 !re may be cicatrices 7sc>s7 or adhesions ( ! vag9a1 & 9 "s cases x has happ5$ t an enl>g$ ov>y has dropp$ d[n into ! pelvis1 or a portion ( inte/9e conta9+ scybala or h>d5$ feces ob/ructs ! passage1 or ! os ut]i is v m9ute1 or imp]=ate1 or totally abs5t4 ,"s ( ^! cases may dem& ! int]f]5ce ( art 9 ! fir/ /age ( labor1 b delay at t "t involves v little dang]2 z a rule nei!r ! "m nor *ild is 9 dang] 7except :5 !re is hemorrhage or convulsions7 on acc\nt ( labor be=e ! membranes are brok54 ,if ! nurse c asc]ta9 ! cause ( ! delay & f9ds t "t is :at is especially ne$$1 %e mu/ ex]cise pati5ce h]self & enc\rage h] pati5t to d s4 ,x is h>dly possible to pr$ict be=eh& 9 :at cases convulsions w occur1 b if !re is mu* heada*e 9 ! comm5cem5t ( labor & if !re has be5 consid]able album5 9 ! ur9e ( ! pati5t1 we h especial reason to appreh5d tr\ble ( t k9d4 ,! hi/ory ( ! case is important 9 =m+ an op9ion z to :e!r !re may be sev]e hemorrhage4 ,"s wom5 are naturally pr$ispos$ to fl[+4 ,,"p ,,iv4 ,,skill$ ,,nurs+ ,,& ,,midwif]y4 ,,*apt] ,i4 ,,prelim9>y ,,in/ruction ,,to ,,! ,,nurse ,,midwife4 ,x is my design 9 giv+ ! foll[+ in/ructions to prep>e ! /ud5t ( ?is "w to be a skill$ or skillful nurse1 n to be simply a midwife2 to act 9 conjunction )1 n 9 opposition to1 physicians2 to con=m to1 & n to violate laws :i* regulate ! practice ( m$ic9e2 to (ficiate 9 cases ( easy1 natural labor sometimes1 b nev] 9 cases requir+ ! use ( in/rum5ts2 to be prep>$ to act 9 em]g5cies until ! doctor c come & take ! case2 n to treat ! case :5 ! s]vices ( a physician c be obta9$ & is desir$ or ne$$2 9 %ort to act intellig5tly 9 all cases 9 :i* wom5 n[ act p]haps bl9dly1 hurri$ly & ignorantly4 ,! pres5t /ate ( feel+ among our p1 & especially among ! m$ical pr(ession 9 ?is c\ntry1 w\ld n sanction an ef=t to educate wom5 solely z midwives4 ,b !re is a g5]al feel+ or s5tim5t t e "y lady ought to h t k9d ( education :i* may r5d] h] useful2 t %e %\ld be prep>$ 9 "s way to m9i/] to ! desires1 wants & ne$s ( h] fell[ creatures1 & t "s "p ( t k or skill %\ld be ( t k9d :i* w\ld be available if ^! p]sons 7 ?r[n on _! own res\rces2 h5ce ,i w\ld h "s ( y to be1 n only nurses ( ! sick1 b skill$ nurses ( ly+-9 wom54 ,& %\ld "s "y lady aft] /udy+ ?is "w1 decide to pursue ! /udy ( m$ic9e ?or\ghly & become a physician1 ! k "h obta9$ w\ld be available4 ,,prelim9>y ,,in/ructions4 #a4 ,d n /op %ort ( a ?or\gh k ( ?is book1 e "p ( x4 #b4 ,endeavor "h to get a k ( midwif]y t w qualify y to att5d ord9>y cases ( natural labor1 & enable y sometimes to give m$ic9e :5 ne$$1 & :5 !re are no physicians 9 att5dance2 b und]/& t !re are _m times :5 ! only prop] ?+ = y to d is to s5d = a physician or exp]i5c$ acc\*eur4 #c4 ,d n hesitate to seek k & exp]i5ce & in/ruction f any s\rce :]e y ?9k t y c obta9 x4 ,physicians w be will+ to aid y1 & ,i ?9k ! "t is com+ :5 he w reg>d ! educat$ nurse z 8 fri5d1 & n z 8 natural enemy4 #d4 ,i d n ?9k x be/ t y %\ld call y\rself a midwife1 because if y d x w excite misappreh5sion & prejudice4 ,seek 9 e way to be skillful z a nurse1 & seek to h a correspond+ reputation4 #e4 ,d n und]value y\r position1 if y h ! wisdom & c\rage & p]sev]ance necess>y to prep>e y to m9i/] to y\r sex 9 _! "t ( greate/ suff]+ & trial4 ,d n d\bt t y\r mission is an honorable "o4 ,& ev5 if y d n m9i/] v (t5 to ! sick 9 labor1 except z ! "r arm ( ! m$ical man1 y may help to raise ! /&>d qualifications ( ! nurses ( our l&4 ,d n suppose t ,i am compla9+ h>%ly ( our pres5t supply ( nurses4 ,wom5 h %[n a wond]ful adaptability to ! ne$s & exig5cies ( _! suff]+ fri5ds 9 nurs+ & c>+ = !m4 ,& x is because !y are s ready to receive in/ruction t ,i endeavor "h to furni% good in/ruction = !m4 #f4 ,d n suppose t y\r k obta9$ by /udy is suffici5t to enable y to act z midwife 7except 9 an em]g5cy71 unless y\r /udies are supplem5t$ by obs]vation1 z "m nurse1 c4 #g4 ,d n be unwill+ to m9i/] to wom5 :o are poor4 ,! "y physician is will+ to d some?+ 9 ?is way to ga9 exp]i5ce & = ! sake ( humanity1 & ?is w be y\r opportunity to ga9 exp]i5ce )\t com+ 9 competition ) rivals4 #h4 ,! nurse z well z ! m$ical man1 mu/ /udy ! ph5om5a ( labor at ! b$side ( ! pati5t4 ,no "o c be qualifi$ by m]e read+ = ! duties ( a midwife1 & no woman t is dilig5t & obs]v+ c att5d a case ( labor )\t "s addition to h] k4 ,,in/ruction ,,to ,,! ,,nurse ,,midwife4 ,:5 ,i use ! t]m nurse midwife ,i mean a nurse t has "s k ( midwif]y1 t c be call$ to att5d to wom5 ne> ! "t t %e expects to be conf9$1 & t c rema9 9 att5dance = two weeks or m if x is desir$ or necess>y4 ,sometimes a woman w\ld1 if possible1 h a skill$ nurse ) h] a week or m be=e conf9em5t1 especially because %e w\ld !reby avoid s5d+ = ! physician unnecess>ily1 & because %e w\ld be less likely to deta9 him = a long p]iod ( "t4 ,if ! nurse midwife und]/&s h] bus9ess %e w 9 "s cases d bett] = ! woman ?an a physician 9 ! comm5cem5t ( labor4 ,= in/ance1 suppose t a doctor is call$ a di/ance ( five miles & away f 8 home & 8 o!r pati5ts1 & :5 he exam9es ! case ! pa9s seem to be ( ! "* ( false labor pa9s4 ,he kn[s t ! real good ( ! pati5t might require t %e %\ld take an opiate1 b ! doctor w\ld be unwill+ to give x le/ x might protract a real labor1 & subject all p>ties to ! inconv5i5ces ( a prolong$ labor includ+ unnecess>y visits ( ! doctor4 ,! nurse :o c rema9 ) ! pati5t1 if ! labor %\ld n be conclud$ 9 sev]al days1 w\ld be m likely to d j :at ! good ( ! woman requires4 ,& 9 su* a case a skill$ nurse w\ld be peculi>ly acceptable to a physician if he *anc$ to be call$1 because he w\ld be mu* m at lib]ty to leave 8 pati5t if x seem$ necess>y to d s4 ,:5 a nurse midwife is call$ to att5d a case1 %e %\ld c>ry ) h] besides dis9fectants1 a male ca!t]1 "s laudanum or o!r opiate1 qu99e1 & extract ergot1 9 ord] to be prep>$ = em]g5cies4 ,ord9>y cases may require no m$ic9e1 b "s cases d4 ,,*apt] ,,ii4 ,,! ,,natural ,,labor4 ,a ,,natural ,,labor has be5 describ$ z "o 89 :i* ! head pres5ts1 & desc5ds regul>ly into ! pelvis2 :]e ! progress is uncomplicat$1 & conclud$ by ! natural p[]s )9 tw5ty-f\r h\rs1 7ea* /age be+ ( due proportion71 ) safety to ! "m & *ild1 & 9 :i* ! plac5ta is expell$ 9 due "t40 ,a skillful1 c>eful exam9ation 9 ! comm5cem5t ( labor w enable y p]haps to decide :e!r ! labor w be natural or o!rwise4 ,b x may be y\r duty fir/ to "k if y\r pati5t is 9 ord9>y heal?1 or if %e h any fev] or organic disease1 & y %\ld enquire ab\t ! bodily functions g5]ally1 ! condition ( ! pulse1 sk91 c4 ,be=e mak+ a digital exam9ation y %\ld notice ! "* ( ! pa9s1 _! frequ5cy1 =ce & regul>ity1 ! am\nt ( volunt>y ef=t1 ! "* ( ! outcry1 c4 ,f ^! enquiries y probably w be able to decide :e!r %e is suff]+ f real labor1 or false pa9s4 ,%e w1 h[ev]1 probably n object to a digital exam9ation & y\r op9ion w be f\nd$ pr9cipally ^u t4 ,! mod]n practice is to wa% ! h&s 9 antiseptic soap or "s solution be=e mak+ an exam9ation4 ,we are direct$ by mo/ writ]s to h ! pati5t lie ^u h] left side ne> ! edge ( ! b$ :5 we exam9e h]4 ,! =e f+] ( ! "r h& 7sometimes ! left7 aft] be+ well oil$ or soap$ %\ld be pass$ along ! p]9eum into ! vag9al orifice1 & is to be press$ upw>d & backw>d t[>ds ! promontory ( ! sacrum until ! os ut]i or ! pres5t+ "p is f\nd4 ,sometimes ?is is n rea*$ )\t an ef=t4 ,:5 rea*$ endeavor to f9d ! ftal head or to det]m9e :at is ! pres5t+ "p--feel suffici5tly to di/+ui% ! lips ( ! os ut]i f ! pres5t+ portion ( ! ftus4 ,d n be ha/y 9 mak+ ! exam9ation2 wait till y exam9e suffici5tly to "k if ! *ild is =c$ d[n2 obs]ve bo? dur+ ! "t ( a pa9 & dur+ an int]val1 & obs]ve if ! pa9s dilate ! os4 ,sometimes dur+ a natural labor !re may be a sev]e pa91 & :5 ! pa9 is h>de/1 ! os contracts4 ,by wait+ to take a numb] ( pa9s y w le>n if !re is real progress4 ,:5 exam9+1 note ! calibre1 heat & moi/ure ( ! vag9a2 ! g5]al condition ( ! c]vix2 ! dilatability ( ! os ut]i & ! actual dilatation by ! bag ( wat]s or ! ftal head dur+ a pa94 ,if ! head pres5ts y c be/ le>n ! p>ticul> position :5 ! pa9 is (f2 & aft] ! membranes are ruptur$ y c decide bett] ?an previ\sly4 ,ord9>ily ! sagittal suture c be felt1 & p]haps bo? fontanelles1 b y mu/ n be disc\rag$ at all if y _c det]m9e ! exact position4 ,doctors ord9>ily d n deem x necess>y4 ,if y c decide t x is a head pres5tation & t ! woman is und\bt$ly 9 labor1 y may probably decide t ! labor w be natural1 & y may prop]ly tell ! fri5ds s1 add+ p]haps1 t x w dep5d ^u ! "* ( ! ensu+ pa9s :e!r ! labor w be protract$ or %ort4 ,v>i\s circum/ances ( :i* y are possibly n yet cognizant may make y\r case ( labor a t$i\s or difficult "o4 ,y h decid$1 p]haps1 t !re is no ob/ruction to ! passage ( ! *ild1 no de=mity ( ! pelvis1 scirrhus or o!r tumors 9 ! vag9a1 no cy/ocele1 no prolaps$ ov>y1 & t !re is n a rigid p]9eum or imp]=ate vag9a4 ,if !re is1 y ne$ to h a m$ical man pres5t1 b %\ld none be obta9$ y w ne$ to repeat y\r exam9ation f "t to "t4 ,obs]ve if ea* pa9 presses d[n ! bag ( wat]s & dilates ! m\? ( ! womb1 & if ! s(t p>ts are 9 a relax$ /ate1 & if !re is a %[4 ,ev5 if ! appe>ances are ?us promis+1 ! labor may be sl[ & t$i\s f v>i\s causes4 #a4 ,possibly h>d5$ feces maybe 9 ! rectum2 if !y are y may be assur$ ( ! fact :5 y make a digital exam9ation1 z !y seem l tumors po/]ior to ! vag9a4 ,! rem$ies are physic1 enemas1 re/--possibly opium4 #b4 ,ineffici5t pa9s may be due to a bladd] di/5d$ ) ur9e4 ,:5 ?is is suspect$ we %\ld obs]ve :e!r !re is abdom9al swell+ 7n tympanitic7 l[ d[n2 pa9 on pressure :i* gives rise to a desire to ur9ate2 a con/ant desire to pass wat] ?\gh ! pati5t has j p]=m$ ! act1 or a dribbl+ ( wat] f ! p>ts4 ,if ! bladd] _c o!rwise be reliev$ a ca!t] %\ld be us$1 & z a precaution to avoid wett+ ! b$clo!s x is well to h a ca!t] made long en\gh by affix+ a piece ( ,india rubb] tub+ to ! end ( x to rea* a vessel at ! side ( ! b$4 ,nev] use =ce 9 pass+ a ca!t] 94 ,x is v seldom t x is necess>y to use x at all dur+ labor4 #c4 ,if !re is a h]nial protrusion ( ! b[el1 or a calculus ( ! bladd] fall+ d[n 9 ! passage y w probably h a m$ical man to (ficiate4 ,b ,i may say t if !re is ne$ ( y\r do+ any?+ to replace !m1 or if x is necess>y to return a prolaps$ bladd]1 y c be/ d x :5 y\r pati5t is 9 ! knee-*e/ position4 #d4 ,! lack ( expulsive p[] is sometimes due to ! want ( sleep4 ,if ! fir/ /age1 t ( dilatation1 is prolong$ ! subsequ5t ut]9e contractions seem to want effici5cy4 ,9 su* cases if ! pati5t c h a dose ( opium or morph9e adm9i/]$ to induce sleep x acts favorably4 ,:]e !re is n]v\s excitem5t p>ticul>ly1 ! effici5cy ( ! pa9s are increas$ if we give opium & fir/ procure a p]iod ( re/4 #e4 ,! ut]us may be greatly di/5d$ & its expulsory p[] !reby weak5$4 ,9 su* cases !re may be a susp5sion ( ! action ( ! ut]us = sev]al h\rs al?\gh ! labor be=e t _h made consid]able progress4 ,if pa9s ( labor are feeble or sl[ or susp5d$1 no h>m c come to ! "m or *ild 79 su* cases7 except t ! "m is compell$ to be> !m = a long] "t4 ,! only rem$y t ,i w\ld sugge/ is t ! di/5tion be reliev$ by ! rupture ( ! membranes & dis*>ge ( wat]4 ,if m effici5t pa9s did n come on1 !n ,i w\ld give a dose ( morph9e1 :i* w\ld ei!r increase ! pa9s1 or give a p]iod ( re/4 #f4 ,sometimes !re are vehem5t & cramp-l pa9s 9 ! abdom5 produc+ no effect t is good & adequate1 caus$ by p>tial irregul> or spasmodic contractions ( ! ut]us--usually :at are call$ h\r-glass contractions4 ,if ! b[els h be5 evacuat$ & !re is no improvem5t1 ,i w\ld give "o-f\r? gra9 ( morph9e :i* w enable ! woman to g ?r\gh h] labor m easily1 & p]haps q z quickly4 #g4 ,x is g5]ally believ$ t a cord be+ v %ort & be+ ar\nd ! neck ( ! *ild may protract a labor4 ,i d n d5y t ?is may possibly occur1 & :5 ! *ild's head is born1 & ,i f9d t !re is a coil ( ! funis on its neck ,i loos5 x4 #h4 ,weakness ( ! con/itution :5 ! g5]al heal? ( ! woman is bel[ ! natural prop] /&>d may be a cause :y ! ut]9e contractions are n sev]e4 ,b 9 su* cases ! p>ts are n rigid1 & no?+ m ?an a dose ( f\r or five gra9s ( qu99e is ne$$ to make ! pa9s effectual4 #i4 ,a want ( irritability 9 ! con/itution frequ5tly obs]v$ 9 fat & inactive wom51 or 9 ^? :o are exce$+ly timid1 w sometimes be a cause ( sl[ & l+]+ labor4 ,fe> (t5 less5s ! en]gy ( all ! p[]s ( ! con/itution1 & dim9i%es or :olly suppresses = a "t ! action ( all ! p>ts conc]n$ 9 p>turition4 ,att5dants %\ld endeavor to inspire su* pati5ts ) activity & resolution1 & remove all fe> f _! m9ds4 ,^! cases are n dang]\s b ,i h (t5 f\nd x necess>y 9 ?is k9d ( cases to apply =ceps4 ,! skill$ nurse might p]haps give eight or t5 gra9s ( qu99e1 if no physician has *>ge ( ! case4 #aj4 ,e woman is expect$ to suff] great] pa9 & to h a m t$i\s labor ) h] fir/ *ild1 & if a woman be advanc$ 9 age at ! "t ( hav+ h] fir/ *ild ! difficulty att5d+ h] labor may be some:at great]4 ,a long] "t may be requir$ = ! completion ( ! labor ?an 9 ord9>y cases1 b ,i d n advise giv+ any m$ic9e unless x is p]haps a dose ( qu99e4 ,!re may be a little m ne$ ( assi/ance by in/rum5ts1 c4 #aa4 ,an oblique position ( ! os ut]i1 x be+ project$ on "o side or ! o!r ( ! c5t] ( ! sup]ior /rait1 or s f> backw>ds t x _c be felt = sev]al h\rs aft] labor has begun1 is a cause ( delay4 ,! pres5t+ "p may be f\nd press+ aga9/ ! walls ( ! pelvis at "o po9t1 in/ead ( keep+ its c\rse 9 ! c5t] ( ! pelvic cavity4 ,y %\ld endeavor to place ! pati5t s z to rem$y ?is condition4 ,:5 ! pres5t+ "p is f\nd to "o side1 x w be f\nd t ! fundus ( ! womb is ly+ to ! opposite side2 ?is %\ld be rem$i$ by a prop] support ( ! abdom9al tumor or by hold+ x up by ! h&s4 ,= example1 if ! os ut]i be project$ to ! left side1 %e ought to re/ on ! "r side & h a pill[ plac$ "u h] body2 "s physicians w\ld pref] t %e lay on ! left side1 b )\t ! pill[ "u h]4 #ab4 ,extreme rigidity ( ! os ut]i is a cause ( t$i\s & v pa9ful labors4 ,x sometimes happ5s t ! os is dilatable1 b ! pa9s are n suffici5tly expulsive4 ,p]haps at ! same "t ! os is f\nd f> back t[>ds ! promontory ( ! sacrum1 & ! head appe>s n to be driv5 directly into ! os s z to aid 9 its dilatation1 b r presses aga9/ ! ant]ior wall ( ! c]vix4 ,9 su* a case ! end ( ! f+] c be hook$ into ! ant]ior lip ( ! os ut]i s z to aid 9 ! dilatation1 & also to help correct ! displacem5t ( ! os4 ,9 o!r cases we may help dilate ! os by a firm & g5tle sweep ( ! f+] ar\nd ! advanc+ "p ( ! *ild's head )9 ! os4 ,b we _c always d ?is1 because we may be afraid ( ruptur+ ! membranes prematurely4 ,if ! membranes h be5 already ruptur$1 we may act m boldly1 b we mu/ nev] make any great ef=ts to dilate x artificially le/ we excite inflammation4 ,9 _m cases x is be/ to give gr4 ( morph9e1 & in=m ! suff]+ woman t %e _c possibly get ?r\gh h] labor 9 a %ort "t1 b if y c give h] an h\rs' re/1 ! os1 :i* is rigid1 w be m relax$ & pa9s m effectual4 #ac4 ,9 fir/ labors !re is sometimes unusual rigidity ( ! s(t p>ts1 :i* are ext]nal4 ,:]e ! p]9eum is rigid x may require sev]al h\rs cont9uance ( ! pa9s be=e x is suffici5tly /ret*$ to all[ ! head ( ! *ild to pass4 ,b ! difficulty c h>dly be reliev$ by our int]position4 ,we %\ld g5]ally wait ! due "t1 z we mu/ also if ! os coccygis is an*ylos$ ) ! sacrum4 #ad4 ,! head ( ! *ild may be comp>atively l>ge :5 ! pelvis is ( ! ord9>y =m & size4 ,?is may be a cause ( delay ?\gh x may p]haps cause no?+ m ?an prolong$1 t$i\s labor4 ,9 su* cases y h "t to s5d = a doctor1 ev5 if he lives at a di/ance4 ,aft] ! woman has be5 a long "t 9 labor he w ?9k x be/ to apply ! =ceps4 ,y w be importun$ 9 cases ( sl[ & t$i\s labor to adm9i/] ergot1 b any "o :o kn[s ! action ( ! drug w\ld nev] give x 9 any ( ! foll[+ cases3 #a4 ,:]e ! os is n well dilat$4 #b4 ,:5 any me*anical ob/acle exi/s to ! passage ( ! *ild1 or :5 !re is a t5d5cy to convulsions1 & y %\ld nev] give ergot except = hemorrhage2 & :5 y h mu* reason to fe> x1 y may 9 su* cases give "o or two tw5ty drop doses ( ! fluid extract v ne> ! t]m9ation ( labor4 ,qu99e may be giv5 z an oxytocic ) safety4 ,morph9e is liable to r5d] ! pa9s weak = a "t1 b x (t5 increases _! effici5cy4 ,i w n[ enum]ate y\r duties :5 y act z acc\*eur4 #a4 ,asc]ta9 if ! lady is really 9 labor4 ,make a digital exam9ation4 ,if ! os is high up s z to be rea*$ ) difficulty1 slightly patul\s & rigid1 & ! pa9s are felt 9 front1 !re is reason to believe t ! labor has n yet comm5c$--t %e only has false labor pa9s4 ,at ?is "t att5d to ! b[els2 give p]haps p>egoric or morph9e to relieve h] ( :at is to h] useless & exhau/+ agony1 & enjo9 re/4 ,y may at ?is "t prop]ly give h] an enema conta9+ ( a gra9 ( morph9e or fifte5 gra9s ( *loral dissolv$ 9 gruel or />* or mucilage4 #b4 ,:5 y make an exam9ation & f9d t ! pa9s are effici5t 9 produc+ a dilatation ( ! os ut]i1 t ! p>ts are s(t & relax$1 if !re is a secretion call$ ! %[1 if !re is a favorable pres5tation1 & ! labor is mak+ "s progress1 ! pati5t %\ld be told ( all t is favorable 9 ! case4 #c4 ,be c>eful 9 mak+ e>ly exam9ations to1 fir/1 if possible1 rea* ! os ) ! f+]4 ,:5 y\r f+] presses aga9/ ! c]vix x w hurt h] consid]ably m ?an x w :5 x presses aga9/ ! pres5t+ "p ( ! *ild4 #b4 ,avoid ruptur+ ! membranes4 #c4 ,notice if !re is any?+ obs]vable to h9d] ! progress ( ! labor4 #d4 ,note any progress ( ! labor4 #d4 ,if ev]y?+ is favorable1 assure ! pati5t ( ! fact2 if y h d\bts & fe>s ^u "s po9t1 y ne$ n express all y\r fe>1 b d n delay to s5d = a physician4 #e4 ,y may 9 ! e>ly /age ( labor1 p]mit ! pati5t to move ab\t z %e wi%es1 & %e may re/ on ! s(a :5 tir$4 ,%e may h h] usual diet1 b n any /imulants4 #f4 ,f "t to "t make an exam9ation4 ,if ! os is dilatable y ne$ n fe> t ! membranes may !n be ruptur$4 ,le>n z fully z possible ! pres5tation & position1 & if y press y\r f+] aga9/ ! *ild's head y may !reby re9=ce weak pa9s4 #g4 ,d n annoy ! pati5t by press+ ^u ! back or any:]e dur+ a pa9 if %e reque/s y n to1 b :5 %e does n object y c make su* pressure z w re9=ce ! action ( ! abdom9al muscles4 ,:5 %e is ly+ on h] back ) h] %\ld]s elevat$ s t %e is 9 an almo/ v]tical position1 y c /& beside h] ) y\r back t[>ds h] head1 & make ! necess>y palpation by press+ ) y\r h&s on h] abdom51 "o ( !m on ea* side4 ,d ?is only :5 !re is no t5d]ness1 :5 ! os is dilat$1 :5 !re is a normal pelvic canal & a l[ position ( ! pres5t+ "p4 ,seek 9 ?us press+ to move ! ut]us to ! axis ( ! pelvic brim1 !n ) ! palms ( y\r h&s to ! sides or fundus ( ! ut]us press gradually d[nw>d1 increas+ ! pressure = six or eight seconds1 & !n gradually dim9i%+4 ,y may repeat ?is z (t5 z %e has a pa91 & ) an increas+ =ce1 & if ! pati5t ass5ts1 y may make su* pressure unremitt+4 #h4 ,:5 ! os ut]i is fully dilat$ or s(t & dilatable1 ! membranes may be brok5 by press+ ) ! end ( y\r f+] aga9/ x1 or if ?is does n suffice1 ! f+] nail previ\sly nick$ may op5 x4 #i4 ,:5 free hemorrhage occurs prior to deliv]y1 x may dep5d ^u plac5ta previa2 t is1 ^u ! plac5ta be+ atta*$ v ne> or ov] ! m\? ( ! womb2 9 su* a case obta9 a physician to take *>ge ( ! case if possible4 ,y may y\rself give half a teaspoonful ( extract ( ergot 9 ! em]g5cy4 #aj4 ,dur+ ! progress ( ! labor y mu/ always rememb] t ! unassi/$1 natural p[]s are 9 mo/ in/ances fully suffici5t to br+ ! labor to a safe t]m9ation1 & :atev] y d %\ld be ( ! k9d t is n h>mful4 ,! important ?+ = ! att5dants to possess is g5tl5ess & pati5ce1 & x is a good ?+ = ! pati5t if %e c be kept tranquil & *e]ful4 #aa4 ,a little light food may be (f]$ ! pati5t at any "t dur+ labor4 #ab4 ,dur+ ! fir/ /age ( labor ! pati5t mu/ n /ra9 or be> d[n to ! pa9s1 b x is my practice :5 ,i exam9e my pati5t & f9d t ! head has n yet ent]$ ! pelvis1 at ! same "t t ! t\* /imulates ! ut]us to contract1 ,i direct ! pati5t to be> d[n dur+ ea* pa94 ,aft] ! head is fully engag$ 9 ! bones1 no /imulus to pa9 is ne$$2 h[ev]1 z ! be>+ d[n pa9s come on1 %e %\ld be advis$ to /ra9 or press d[n4 #ac4 ,t[>ds ! la/1 :5 %e is 9 great pa91 if %e be incl9$ to cry out1 let h] d s2 nev] reprove h]4 #ad4 ,i approve ( giv+ *lor(orm 9 "s cases1 b ,i d n advise ! skill$ nurse to give x except :5 a physician is pres5t to direct its use4 #ae4 ,dur+ ! latt] "p ( ! labor ! only assi/ance y c r5d] ! woman is to support ! back1 & to give h] some?+ to pull ^u if %e is s incl9$4 ,a %eet ti$ to ! foot ( ! b$ may be useful = ?is purpose4 ,at ! v la/1 be>+ d[n ef=ts %\ld be disc\rag$4 #af4 ,:5 ! head is ab\t to be expell$ we always fe> !re may be slight or sev]e lac]ations ( ! p]9eum4 ,d n 9 any way ha/5 ! expulsion1 ev5 if !re %\ld be a numb] ( pa9s 9 :i* a "p ( ! head pres5ts ext]nally dur+ ! pa91 & !n rec$es :5 ! pa9 goes (f4 ,i h n always be5 able to prev5t lac]ation1 b ! foll[+ directions are ! be/ t ,i c give3 ,endeavor to h ! pati5t ext5d h] legs1 & d n h h] knees drawn up close to ! body at ! la/4 ,:5 ! p]9eum is put on ! /ret*1 place ! ?umb & =ef+] ( ! "r h& on ei!r side ( ! p]9eum1 & press s z to aid ! /ret*+ or di/5tion4 ,:5 ! p]9eum is di/5d$ & protrud+ y may cov] ! h& ) a s(t napk9 & apply x across ! p]9eum1 also by ! sides ( ! vulva1 & make firm1 mod]ate pressure dur+ ! pa94 ,endeavor to h ! pressure equable ar\nd ! head ( ! *ild4 #ag4 ,:5 ! head is expell$ an att5dant %\ld make /eady g5tle pressure ^u ! ut]us & foll[ x d[n1 keep+ h] h& firmly ^u x = sev]al m9utes1 p]haps = half an h\r1 or if y h giv5 a little att5tion to ! *ild1 y y\rself may put y\r h& on ! contract$ ut]us & firmly knead x = t5 m9utes4 #ah4 ,x is n necess>y to extract ! body imm$iately aft] ! expulsion ( ! head4 ,x is bett] to wait ?ree or f\r m9utes = ! return ( a pa9 be=e mak+ any traction4 #ai4 ,al?\gh a little traction c be made on ! head1 x is a bett] way :ile an att5dant presses on ! ut]us1 & :ile y hold on to ! *ild's head ) "o h&1 ins]t a f+] ( ! o!r h& into ! axilla1 7"u ! *ild's arm7 & g5tly extract ! body4 #bj4 ,! *ild may be born app>5tly asphyxiat$--its face swoll5--& ( a d>k livid color1 & at fir/ make only feeble & gasp+ ef=ts at respiration2 if !re is ! lea/ beat+ ( ! he>t c be p]ceiv$1 !re is fair hopes ( its recov]y4 ,! cord %\ld at once be ti$ & ! *ild remov$ f ! "m4 ,if "o or two slaps on its body does n make x cry1 try imm$iately artificial respiration by ! ,sylve/] me?od p]haps1 n omitt+ at fir/ & aft]w>ds to ?r[ a little cold wat] on its body4 ,if ^! ef=ts fail ,i w\ld try to induce respiration by plac+ my h& ov] its no/rils & bl[+ into its m\?1 & imm$iately aft]w>ds compress+ its lungs4 #ba4 ,z soon z ! *ild cries1 z x mo/ g5]ally w z soon z x is born1 proce$ to tie & sep>ate ! cord4 ,tie ! cord tight1 s t x is ?or\ghly compress$ & ! vessels oblit]at$1 apply+ ! ligature ab\t "o & a half in*es f ! *ild1 & !n cut ! cord "o in* fur!r f ! *ild4 ,! *ild c be roll$ 9 flannel & remov$1 & y c att5d to ! "m & to ! removal ( ! aft]bir?4 #bb4 ,9 only a v few cases ,i h _h po/ p>tem hemorrhage or adh]5t plac5ta to tr\ble me1 & ,i comm5d to y ! me?od t ,i h us$ = ! removal ( ! plac5ta4 ,i d n tie ! cord until circulation has ceas$ 9 x4 ,i !n sev] x1 & usually two or ?ree ounces ( blood may fl[ f x4 ,?is ,i suff] to run into "s vessel to avoid soil+ ! b$ uselessly1 & !n w9d ! cord ar\nd my "r h& s t ,i c hold x4 ,if ,i _c h an att5dant to make prop] pressure on ! ut]us1 ,i imm$iately endeavor to compress x z mu* z ,i possibly c ) my left h&1 b ,i make v little traction on ! cord4 ,i usually in/ruct "s "o else to make /rong & firm pressure ^u ! ut]us1 & ,i pass two f+]s ( "o h& into ! vag9a1 & le>n !reby :5 ! plac5ta desc5ds1 & if necess>y assi/ 9 its removal4 ,al?\gh we %\ld nev] hurry 9 remov+ ! aft]bir?1 ,i believe t x always is easily remov$ if we make ! ef=t v soon aft] ! *ild is born1 & if x is necess>y = y to pass y\r h& into ! ut]us y c d s !n bett] ?an at any o!r "t4 ,judg+ f my own exp]i5ce 9 cases ( reta9$ plac5ta1 if y pass y\r h& along ! cord into ! ut]us1 y w f9d t an h\r-glass contraction reta9s ! aft]bir? 7:e!r adh]5t or n7 9 ! fundus4 ,y w h to press y\r f+]s ?r\gh ! con/rict$ portion & grasp x1 & y c remove x /eadily & sl[ly1 b n /opp+ to give x 8"o or two turns 9 ! vag9a40 #bc4 ,,po/ ,,p>tem ,,hemorrhage is liable to occur2 :5 x does1 obta9 a physician z soon z y c1 b "s ?+s mu/ be done imm$iately4 #a4 ,"s "o mu/ grasp & compress ! womb cont9ually4 #b4 ,remove ! pill[s & raise ! foot ( ! b$ s t ! pati5t's body lies high] ?an h] head4 #c4 ,if y h x1 give a small teaspoonful ( extract ( ergot1 or tw5ty drops spirits turp5t9e or 7,f4 #if47 #d4 ,exam9e to "k if possible1 ! s\rce ( ! hemorrhage2 if x comes f ! vag9a or p]9eum :]e !re is lac]ation1 x is n v dang]\s4 ,inject hot wat] ( ! temp]ature ( #aae into ! ut]us1 & apply a dry cotton clo?1 heat$ z hot z possible1 to ! abdom5 ext]nally4 #e4 ,be=e us+ ! injections remove all clots f ! vag9a4 #f4 ,qu99e & /imulants may be exhibit$ if !re is s9k+1 & ice may be appli$ to ! abdom5 & to ! int]nal surface ( ! ut]us1 if ! ble$+ cont9ues4 ,i w "h direct ano!r ?+ :i* is v effectual1 & :i* might be us$ at fir/ 9 pref]5ce to any?+ else4 #g4 ,aft] remov+ ! clots take a h&k]*ief or piece ( musl91 saturat$ ) v9eg>1 9 y\r h&1 pass x entirely into ! ut]us1 & let x rema9 !re #ae or #bj m9utes1 & y\r h& also4 ,y\r h& w compress ! op5 blood vessels1 & keep a clot 9 ! m\? ( !m1 & ! v9eg> w act z ! be/ a/r+5t t c be us$4 ,9 "o case ( viol5t flood+ ,i simply held my h& /ill 9 ! ut]us = five m9utes1 & ! fl[ ceas$4 ,aft] ! hemorrhage subsides y mu/ be c>eful n to raise ! pati5t's head above ! level sudd5ly2 h] life may be put 9 jeop>dy by sudd5ly rais+ h] s t %e sits up4 ,,aft] ,,pa9s are v seldom sev]e 9 primap>a cases1 & !y are less likely to be sev]e if ! prop] manipulations h compell$ ! womb to close completely1 expell+ all clots1 c4 ,b sometimes !re is a peculi> irritability or neuralgic condition ( ! womb :i* gives rise to excruciat+ pa9s4 ,ord9>ily y may use ,tully's p[d]4 7,f4 #abc1 #ic1 #ie1 #ajg47 ,,ret5tion ,,( ,,ur9e 9 "s cases necessitates repeat$ visits ( ! physician1 & he w appreciate a nurse :o c introduce ! ca!t]4 ,if ! pati5t _c at fir/ void ! ur9e1 p]haps ! application ( a hot wet sponge ov] ! pubis may enable h] to d s4 ,b x may be necess>y to introduce a ca!t] two or ?ree times a day until %e rega9s h] p[] ov] h] bladd]1 or until ! swell+ ( ! ure?ra subsides4 ,x is well = ! nurse to "k t ow+ to ! di/5sible /ate ( ! abdom9al p>ietes1 ! pati5t w lay twelve or f\rte5 h\rs1 p]haps1 aft] ! *ild is born1 )\t manife/+ a desire to void ! ur9e1 ?\gh h] bladd] may be v full1 & y %\ld rem9d h] ( ! necessity ( pass+ ! wat]1 le/ x produce cy/itis4 ,9 "s in/ances ! ure?ra & neck ( ! bladd] are extremely irritable1 caus+ /rangury1 & !re may be "s difficulty 9 pass+ ! ca!t]1 b ! ur9e mu/ be evacuat$1 & aft]w>ds x may be necess>y to use ergot1 laxatives1 opiates & fom5tations4 7,f4 #abe1 #abf1 #afb47 ,,*apt] ,,iii4 ,,convalesc5ce4 ,,v>iations ,,f ,,ord9>y ,,convalesc5ce w1 "u ord9>y circum/ances1 receive necess>y att5tion f ! physician1 b ! skill$ nurse %\ld "k z mu* ab\t !m z possible1 & ,i "h make a brief ref]5ce to "s ( !m4 ,! ,,n]v\s ,,%ock1 caus$ by ! la/ pa9s ( labor1 9 "s cases is v sev]e4 ,?is is indicat$ n only by ! exhau/ion1 b by ! c\nt5ance :i* is expressive ( suff]+1 anxiety & oppression4 ,! pulse may be v sl[ or unusually rapid1 ! brea?+ may be pant+4 ,opium is ! be/ rem$y1 & ?is may be giv5 9 small doses repeat$1 or a teaspoonful ( p>agoric may be giv51 also aromatic ammonia1 & #c or #d drops ( spirits ( camphor4 ,! ,,/ate ,,( ,,! ,,pulse aft] a natural labor soon comes d[n to ne> ! ord9>y /&>d2 if x rema9s above a hundr$ x is because !re is "s special cause4 ,x w be quick if !re are v h>d aft]pa9s1 a t5d5cy to flood+1 di>rha or di/urbance ( ! /oma*1 & x is quick5$ also :5 lactation comm5ces4 ,! ,,lo*ial ,,dis*>ge ord9>ily cont9ues ab\t ?ree weeks1 at fir/ ( pure blood mix$ ) coagula1 & if good ut]9e contraction has n be5 secur$1 coagula may be expell$ = sev]al days aft] ! deliv]y4 ,sometimes !re is a ,,sudd5 ,,decrease ,,( ,,! ,,lo*ia1 p]haps on ! fif? & six? day1 & at ! same "t an increas$ bulk ( ! womb1 & increas$ frequ5cy ( ! pulse4 ,apply hot fom5tations to ! abdom51 & probably "s clots w be expell$1 b at ! same "t give purgative enemata2 & if !re is abdom9al t5d]ness give an aromatic purgative & laudanum4 7,f4 #ajh1 #abb74 ,!re are rem>kable diff]5ces 9 ! ,,quantity1 ,,quality ,,& ,,odor ,,( ,,! ,,lo*ia )\t any morbid affection ( ! ut]us or vag9a4 ,b :5 ! lo*ia are acrid1 ! vag9a1 labia & ext]nal p>ts become excoriat$1 & sm>t+ or it*+ is caus$4 ,try extreme cleanl9ess1 frequ5t ba?+1 lead lotions1 black wa%1 vag9al injections ( w>m wat]1 & ,f4 #aec1 #aed4 ,if ! dis*>ge ceases a few h\rs aft] bir?1 or if x cont9ues ! usual "t1 b 9 v small quantity1 or if x is prolong$ beyond ! usual p]iod1 or if x is excessive at fir/1 & if at ! same "t all ! o!r symptoms are favorable1 !re is n occasion = mu* m$ic9e1 ?\gh x may be necess>y to give ! pati5t a bett] diet1 possibly "s tonics4 7,f4 #agd1 #age74 ,x sometimes occurs t ! lo*ia is sudd5ly dis*>g$ 9 d\ble quantity aft] ! pati5t is p]mitt$ to sit up or walk ab\t4 ,9 su* cases enjo9 extra re/4 ,if ! r$ dis*>ge cont9ues long] ?an usual1 or if x return aft] yell[ or gre5i% dis*>ges1 y %\ld be on y\r gu>d aga9/ ,,hemorrhage4 ,enjo9 re/ 9 a horizontal position "u light clo?+4 ,occasionally ! ,,lo*ia ,,h ,a ,,v ,,fetid ,,odor4 ,x is n v r>e to obs]ve a v disagreeable odor 9 ! lo*ia )\t any bad results1 b ?is (t5 indicates ! ret5tion & putrefaction ( coagula or a small portion ( ! plac5ta or membranes4 ,syr+e out ! vag9a freely night & morn+ ) ,lab>aques solution or "s o!r antiseptic wa%1 7,f4 #aec7 & once or twice a day ) w>m milk & wat]4 ,a weak solution ( c>bolic acid #a 9 #ej may be us$1 & x may be prop] to ?r[ x into ! ut]us4 ,! ,,secretion ,,( ,,milk g5]ally becomes e/abli%$ 9 ab\t =ty-eight h\rs1 & v (t5 on ! ?ird day ! brea/s become turgid1 hot & pa9ful4 ,!re may1 or may n1 be "s g5]al di/urbance1 fev]1 *ills1 c41 b if !re is x w usually be reliev$ aft] ! milk is drawn out4 ,x is cu/om>y on ! morn+ ( ! ?ird day to secure an action ( ! b[els1 & ?is g5]ally allays ! vascul> action if x is excessive4 ,b v trivial causes may set up ,,inflammation ,,( ,,! ,,brea/1 & ?is is always liable to end 9 suppuration1 :i* may be long cont9u$ & di/ress+4 ,! ,,mamm>y ,,inflammation may foll[ exposure to cold1 a bl[ or o!r injury on ! brea/1 "s tempor>y engorgem5t ( ! lacteal tubes1 or sudd5 & depress+ m5tal emotions1 & x (t5 foll[s f fissures & erosions ( ! nipples4 ,to prev5t ! =mation ( an abscess1 endeavor to remove ! engorgem5t ( ! lacteal ducts by g5tle h& friction ) oil or ,f4 #bji1 #bjb4 ,mod]ate ! inflammation by giv+ five drops ( ! extract ,phytolacca dec&ra 7,poke root7 e two h\rs--give sal9e ca?>tics1 m9ute doses ( aconite1 & p]haps a l>ge dose ( qu99e4 ,keep ! pati5t 9 b$ & h ! affect$ brea/ support$ by a susp5sory b&age4 ,apply hot fom5tations conta9+ a solution ( c>bolic acid1 or p\ltices conta9+ x1 & ! brea/s may be sme>$ ) belladonna extract rubb$ d[n ) glyc]9e2 or belladonna l9im5t or o9tm5t may be appli$ 7,f4 #bja74 ,belladonna pla/]s or dia*ylon pla/]s may be useful4 ,give #ae gra9s bromide potassa4 ,,:5 ,,pus ,,has ,,=m$ not)/&+ ef=ts made to cure ! inflammation1 z soon z x is ne> ! surface s t x c be detect$ by ! fluctuation1 ! abscess %\ld be op5$4 ,dur+ ! la/ few ye>s c>eful surgeons h be5 unwill+ to make any incision or lance ev5 an ord9>y abscess )\t employ+ "s antiseptic me?od1 su* p]haps z ! foll[+3 ,! pati5t's sk9 :]e ! incision is to be made1 is fir/ to be wa%$ 9 #a to #ajjj bi*loride ( m]cury solution--h&s & in/rum5ts employ$ 9 ! "w mu/ t\* no?+ t is n /]iliz$2 h&s mu/ be wa%$ 9 ! same solution be=e op]at+--sponges t are us$ mu/ be clean$ & /or$ 9 a #a to #bj c>bolic acid solution1 & in/rum5ts mu/ be soak$ 9 ! same = #ae m9utes be=e be+ us$1 & "s apply a l>ge wad ( bi*loride ( cotton or gauze to cat* ! exud$ pus4 ,! foll[+ is ,li/]'s antiseptic me?od :i* he fir/ direct$1 to prev5t ! introduction ( air conta9+ liv+ g]ms3 8,a solution ( "o "p ( cry/aliz$ c>bolic acid 9 f\r p>ts ( boil$ l9se$ oil hav+ be5 prep>$1 a piece ( rag f f\r to six in*es squ>e is dipp$ into ! oily mixture & laid ^u ! sk9 :]e ! incision is to be made4 ,! l[] edge ( ! rag be+ !n rais$ a scalpel or bi/\ry dipp$ 9 ! oil is plung$ into ! abscess & an op5+ ab\t ?ree-qu>t]s ( an in* 9 l5g? is made1 & ! in/ant ! knife is )drawn ! rag is dropp$ ^u ! sk9 z an antiseptic curta91 b5ea? :i* ! pus fl[s out into a vessel plac$ to receive x1 & all ! pus %\ld be press$ out z ne> z may be4 ,= a dress+ aft]w>d ,playfair recomm5ds ! foll[+3 ,ab\t six teaspoonfuls ( ! above m5tion$ solution ( c>bolic acid 9 l9se$ oil is mix$ up ) common :it+ to ! consi/5ce ( firm pa/e2 ?is is spread ^u a piece ( t9 foil ab\t six in*es squ>e1 s z to =m a lay] ab\t a qu>t] ( an in* ?ick2 ! t9-foil ?us spread ) putty is plac$ ^u ! sk91 s t ! middle ( x corresponds to ! position ( ! incision1 ! antiseptic rag us$ 9 mak+ ! incision be+ remov$ ! in/ant be=e4 ,! t9-foil is !n fix$ securely by adhesive /raps1 ! l[] edge be+ left free = ! escape ( ! dis*>ge into a fold$ t[el plac$ ov] x1 & secur$ by a b&age4 ,! dress+ is *ang$ once 9 tw5ty-f\r h\rs1 z a g5]al rule1 & mu/ be me?odically done4 ,a second simil> piece ( t9-foil hav+ be5 spread ) ! putty1 a piece ( rag is dipp$ 9 ! oily solution & plac$ on ! incision ! mom5t ! fir/ t9 is remov$4 ,?is prev5ts mis*ief dur+ ! clean+ ( ! sk9 ) a dry clo?1 & press+ out ! dis*>ge f ! cavity40 ,! same au?or directs me?odical /rapp+ ( ! brea/ ) adhesive pla/]1 9 cases ( long cont9u$ suppuration1 & he adds t 8mu* att5tion mu/ be paid to g5]al treatm5t1 & abundance ( n\ri%+ food1 appropriate /imulants & su* m$ic9e z iron & qu99e w be indicat$40 ,i give on ! au?ority ( ano!r ! foll[+ z good treatm5t = ,,sore ,,nipples3 8#a4 ,keep ev]y?+ t w irritate1 :e!r clo?+ or m$ic9e1 away f ! nipple1 & h ! excess ( milk drawn f ! brea/ 9 ! easie/ way possible4 #b4 ,keep ! excoriat$ nipple ?ickly cov]$ ) sub-nitrate ( bismu?4 #c4 ,:5 ! nipples are crack$ at ! base keep ! cracks fill$ ) bismu?1 & put on a r\nd piece ( adhesive pla/] />r$ 9 ! c5tre1 & j l>ge en\gh to slip ov] ! nipple & ext5d ar\nd its base an in* or m e way4 ,:5 ?is is loos5$ x mu/ be reappli$40 7,f4 #bca1 #bdc74 ,!re are c]ta9 accid5ts ( p>turition s grave 9 _! nature1 & att5d$ by symptoms s al>m+ & urg5t t no nurse w\ld attempt to treat ! pati5t except "u ! direction ( a physician4 ,i only ref] to !m because x is believ$ t "s ( ^! s]i\s cases might h be5 prev5t$ by e>ly prop] action on ! "p ( ! midwife or o!r att5dant4 ,,inv]sion ,,( ,,! ,,ut]us sometimes occurs1 ?\gh b r>ely4 ,if x is 9 ! practice ( a midwife1 & if %e be at ! "t pull+ on ! cord1 t w be assign$ z ! cause ( ! accid5t4 ,inv]sion consi/s ess5tially 9 ! enl>g$ & empty ut]us be+ ei!r p>tially or entirely turn$ inside out4 ,! imm$iate symptoms are ^? ( %ock or collapse--fa9t+1 small1 rapid & feeble pulse1 possibly convulsions1 or vomit+1 & a cold1 clammy sk94 ,! c\nt5ance becomes deadly pale1 ! voice weak1 & o!r symptoms indicates sudd5 exhau/ion or s9k+4 ,9 cases ( p>tial inv]sion ! symptoms are n s /rik+4 ,hemorrhage to a l>ge am\nt1 frequ5tly b n always occurs4 ,9 m ?an half ! cases no me*anical cause c be trac$1 b z x is sometimes attribut$ to pull+ on ! cord1 to pressure ) ! h& on ! fundus1 & also to ! pati5t /ra9+ =cibly1 ^! comb9$ causes %\ld be avoid$4 ,:5 ! symptoms nam$ are pres5t1 y c give ! pati5t "s aromatic ammonia or o!r /imulant2 always obta9 a physician z soon z possible4 ,,pu]p]al ,,mania is ne>ly always prec$$ by re/lessness1 want ( sleep1 & o!r premonitory symptoms4 ,:5 ! mania fir/ comes on !re is usually causeless dislike to ^? ar\nd h]1 & z ! *ild may be ! object ( suspicion1 ! nurse mu/ be extremely c>eful t ! pati5t does n h an opportunity to s]i\sly injure x4 ,! c\rse ( treatm5t mu/ be ma9ly direct$ to ! ma9t5ance ( ! /r5g? ( ! pati5t1 & ! two ?+s mo/ ne$ful are a suffici5t quantity ( suitable food & sleep4 ,possibly y\r ef=ts 9 ?is direction be=e ! disease is fully develop$1 may w>d (f ! disease4 ,,pu]p]al ,,septicemia 0 =m]ly call$ pu]p]al fev]2 z its nature is n[ bett] und]/ood ?an =m]ly1 we hope to d m ?an 0 =m]ly done to prev5t x4 ,?is fev] is n[ v g5]ally believ$ to be produc$ by ! absorption ( septic matt] into ! sy/em1 ?r\gh "s te> or lac]ation 9 ! g5]ative tract su* z exi/s aft] labor4 ,?is septic matt] may be f )9 ! pati5t su* z coagula1 or membrane1 or plac5ta p>tly decompos$2 or f )\t z might be on ! h&s ( physician & nurse1 or 9 ! air f cases ( erysipelas1 c41 or 9 "s way f pu]p]al pati5ts4 ,! notion t pu]p]al fev] & septicemia is produc$ by ,,bact]ia has n[ become an e/abli%$ doctr9e1 & has giv5 rise to a rational treatm5t bas$ !reon1 especially = _! prev5tion4 ,z prophylactic means may be m5tion$1 ! use ( a c>bolic solution #a 9 #cj :i* ! practition] or nurse applies be=e t\*+ any case1 ! use ( c>boliz$ oil #a 9 #h = lubricat+ ! f+]s1 ca!t]1 =ceps1 c42 syr++ out ! vag9a ) dilut$ ,condy's fluid1 rigid att5tion to cleanl9ess 9 napk9s1 c4 ,! nurse %\ld use antiseptics to only a v limit$ ext5t )\t ! advice ( a physician4 ,,*apt] ,,iv4 ,,c>e ,,( ,,infant ,,*ildr54 ,infants sometimes require treatm5t = ailm5ts ei!r slight or sev]e :5 ! advice ( a physician _c be obta9$4 ,! ,,naval is sometimes a little sore aft] ! naval /r+ comes away4 ,x may be dress$ by putt+ a little simple c]ate or vasel9e or c>boliz$ cosmol9e on l9t or a l95 rag1 & apply+ x to ! "p affect$ e morn+1 & a bread p\ltice e night until x is q heal$4 ,a ,,rupture ,,( ,,! ,,naval is sometimes caus$ by mu* cry+1 & x may be occasion$ by ! nurse pull+ on ! cord to remove x be=e x w readily sep>ate f ! infant's body4 ,! be/ treatm5t is a piece ( adhesive pla/] z l>ge z ! top ( a tumbl]1 ) a prop]ly adju/$ pad made ( sev]al folds ( musl9 fa/5$ on ! pla/]1 :i* w keep ! b[els f protrud+4 ,! b&age or belly b& c be put on ov] ?is4 ,if ! infant h a ,,gro9 ,,rupture ! only prop] treatm5t is to keep on x day & night if x cry mu*1 a well fitt+ truss4 ,9 apply+ ! truss be c>eful to return ! rupture ?or\ghly1 & endeavor to h x well adju/$ or x w *afe & w n effectually cure4 ,if ! *ild is ,,tongue ,,ti$ s t x _c apply its tongue to ! nipple to suck1 ! fr5um may be cut1 b x w n be necess>y to make m ?an a small nick or a slight cut 9 x4 ,,milk ,,9 ,,! ,,brea/s ,,( ,,new ,,born ,,infants1 or a s]\s fluid resembl+ x1 is (t5 f\nd1 & sometimes !re is consid]able swell+ bo? ( ! brea/s ( male & female *ildr54 ,x is n ! bett] way to apply pla/]s or to squeeze or press !m1 b ! milk may be drawn out by putt+ an op5 top ?imble ov] ! nipple & draw+ on x4 ,,*af+s may be caus$ by inatt5tion to cleanl9ess4 ,fat babies are subject to !m1 & :5 !re is disord] ( ! b[els or kidneys !y _c at all times be prev5t$4 ,?or\ghly sponge ! p>ts ) tepid ra9 wat]1 all[+ ! wat] f a well fill$ sponge to /ream ov] !m1 !n c>efully dry ) a s(t t[el1 & p]haps du/ ov] !m sub-nitrate ( bismu?4 7,f4 #bjb47 ,,di>rh,a & ,,dys5t]y & also ,,co/iv5ess are among ! ailm5ts ) :i* infants may be afflict$4 ,i wi% to be p>ticul> 9 giv+ directions1 t ^! may g5]ally be avoid$1 b ,i mu/ aga9 repeat t ! nurse %\ld nev] be influ5c$ by my advice to d any ?+ contr>y to ! directions ( ! att5d+ physician4 ,to avoid ! subsequ5t necessity ( giv+ m$ic9e y mu/ be v c>eful 9 _! adm9i/ration at fir/4 ,x is inde$ necess>y t ! meconium %\ld be purg$ (f at fir/1 b nature 9 g5]al provides su* physic z is requir$1 & if ! *ild is appli$ to ! "m's brea/1 x obta9s 9 ! colo/rum su* m$ic9e z x ne$s4 ,:]e ! infant _c obta9 any?+ f ! brea/ a g5tle ap]i5t may be giv51 & ,i "n ! foll[+ z be+ suitable3 ei!r molasses & wat]1 raw sug>1 a solution ( manna 9 w>m wat]1 a teaspoonful ( sweet oil1 or ( simple syrup ( rhub>b1 or 9 m ob/9ate cases1 ( ca/or oil1 or "o-f\r? teaspoonful comp\nd licorice p[d]1 7,f4 #ajh47 b y mu/ nev] give a dra/ic purgative1 & y mu/ n repeat ! ap]i5t if ! dis*>ges become yell[ & natural4 ,a "y infant ought to h f ?ree to six motions 9 ! tw5ty-f\r h\rs1 ! color ought to be ( a bright yell[ or orange1 & ( ! consi/5cy ( mu/>d z ord9>ily prep>$ = ! table1 & !re ought n to be any lumps or curds 9 its motions4 ,a "m or nurse ought to be v obs]vant ( ! /ate ( ! bladd] & b[els--%\ld inspect motions daily & see t !y are n slimy1 or curdl$1 or gre54 ,if !y are %e %\ld be v c>eful1 especially 9 reg>d to :at ! "m eats & dr9ks4 ,if ! b[els are co/ive %e mu/ avoid ! frequ5t repetition ( op5+ m$ic9e1 h[ev] g5tle & well select$ ! ap]i5ts may be4 ,!y int]f]e ) dige/ion1 (t5 irritate ! b[els1 & r5d] !m m co/ive4 ,= ! sake ( ! *ild z well z h]self1 ! "m may v>y h] diet consid]ably aft] ! fir/ week1 %e may eat boil$ & /ew$1 broil$ & roa/ meats1 mutton1 lamb1 & beef1 fi%1 game1 & *ick5s1 potatoes1 turnips1 sp9a*1 cel]y1 peas1 beans1 figs1 bananas1 prunes1 bak$ apples1 c4 7,f4 #de to #fj47 ,! b[els ( ! *ild t nurses g5]ally 7n always7 keep pace ) ^? ( ! "m1 & %e mu/ endeavor bo? = h] own sake & t ( ! *ild1 to keep h] b[els loose by means ( diet4 ,if necess>y %e mu/ take physic4 7,f4 #ajg1 #ajh1 #aji47 ,if ! con/ipat$ *ild nurses ! "m & ! "m con/antly pays prop] att5tion to h] own heal?1 & especially to h] diet1 ! *ild w v seldom require physic4 ,inde$ ,i w\ld n give active physic :5 ! *ild seem$ well1 if x did n h a passage (t5] ?an once a week4 ,if x has c['s milk or o!r food besides ! "m's milk1 d n boil ! milk & y c add to ! c['s milk1 corn />*1 or ! foll[+3 ,make a ?9 mu% by boil+ a small quantity at a "t ( unbolt$ :eat fl\r 9 wat] & /ra9+ x ?r\gh a sieve :ile hot4 ,! *ild may sometimes be f$ ) ?is alone1 a little sweet5$4 ,molasses may be giv5 freely1 or molasses & soda4 ,! *ild %\ld be wat*$1 & if !re is occasional co/iv5ess1 & at ! "t any indisposition1 make a suppository ( common soap ab\t an in* 9 l5g? & a qu>t] ( an in* ?ick1 dip x 9 wat] & pass x into ! rectum4 ,or give an injection ( less ?an a gill ( wat] ) p]haps a teaspoonful ( molasses & a p9* ( salt4 ,b ,i w\ld avoid ! practice ( giv+ an enema daily1 z t5d+ to get up a bad habit 9 ! sy/em4 ,%\ld ! co/iv5ess h provok$ fev]1 induc$ pa91 or excit$ convulsions1 active physic may be giv51 ei!r ca/or oil1 magnesia1 calomel1 or ,f4 #ajh4 ,b be sure t co/iv5ess is n br\ght on by giv+ p>egoric or o!r opiates1 & let a *ild dr9k freely ( pure cold & fre% wat]4 ,! wat] may be boil$ to de/roy g]ms1 & !n cool$ 9 a refrig]ator2 x %\ld always be boil$ be=e be+ us$ :5 !re is an epidemic ( b[el compla9t prevail+4 ,9 ,,dys5t]y !re is a specific inflammation & ulc]ation ( ! muc\s membrane ( ! colon1 especially ( ! l[] "p1 & ( ! rectum--!re is g5]ally "s fev]1 frequ5t & bloody /ools1 t5esmus1 & grip+ pa9s4 ,sometimes x attacks an infant or a delicate *ild1 !re be+ at fir/ = sev]al days di>rha1 ! motions be+ slimy & fro?y l frogspawn1 aft]w>d entirely muc\s & blood4 ,! *ild is dreadfully grip$1 /ra9s viol5tly1 & screams1 & twi/s ab\t e "t x has a motion1 & !re is vomit+ & great pro/ration4 ,y %\ld 9 treat+ ! *ild at ! brea/ /ill keep him to x1 & give x no o!r food4 ,if ! "m's milk is n good1 procure if possible a heal?y wet nurse4 ,if ! *ild mu/ be f$ give x c['s milk f "o heal?y c[--fre% f ! c[--small quantities at a "t & frequ5tly1 mix$ ) gum arabic wat]4 ,9 ! comm5cem5t a w>m ba? may be us$1 or z a sub/itute y may wrap ! *ild 9 a blanket t has be5 previ\sly wrung out ( hot wat]2 ov] ?is put a dry blanket & keep ! *ild ?us envelop$ = tw5ty or ?irty m9utes4 ,=mula #gd & #ii may be us$1 b ! dose = a "y *ild mu/ be small to accord ) its age4 ,,*ol]a ,,infantum is m preval5t 9 ! ,unit$ ,/ates ?an 9 any o!r c\ntry4 ,! cont9u$ heat ( summ] is a pr$ispos+ cause1 & improprieties 9 diet & clo?+1 worms1 premature wean+1 & tee?+ are excit+ causes4 ,y may treat ?is disease 9 ! initial /age by giv+ ,f4 #hj1 & also = a *ild a ye> old1 injections ( a gill ( w>m wat] 9 :i* a teaspoonful ( common salt has be5 dissolv$1 all[+ ! pati5t ?ree or f\r times a draught ( w>m wat]1 z mu* z x desires to dr9k4 ,p]haps ! dr9k w be imm$iately vomit$1 b x w at lea/ remove irritat+ matt] f ! /oma*4 ,! injection1 too1 may op]ate imm$iately1 b x may br+ ) x a fecal or bili\s dis*>ge1 & if sev]al times repeat$1 its effects w be salut>y4 ,a musl9 clo? heat$ almo/ to scor*+ & appli$ once or twice dry to ! neck1 may /op vomit+1 & draughts appli$ to ! extremities may also be ( mu* b5efit4 ,aft] us+ injections ( w>m s(t wat]1 anodyne injections may be giv5 ?ree or f\r times a day2 b cases ( ?is k9d are too s]i\s = any nurse or "m to treat1 if ! s]vices ( a physician c be obta9$2 & ,i w only m5tion "o or two ?+s m4 ,:5 ! extremities are cold put ! *ild = a few m9utes 9 a w>m ba? ( mu/>d wat]1 & !n employ friction to ! sk94 ,i h f\nd *ick5 tea made by boil+ ! *ick5 v soon aft] x is kill$1 v useful 9 *eck+ ! vomit+ & cur+ ! *ild4 ,( c\rse a physician w be obta9$ 9 ^! s]i\s cases if possible4 ,,ret5tion ,,( ,,ur9e 9 ! newly born infant if slight is easily remov$ by giv+ two or ?ree drops ( spirits ( nitre once an h\r 9 a little sweet5$ wat]1 or if ob/9ate x may be aid$ by ca/or oil & ! w>m ba?4 ,a little pumpk9 se$ or p>sley root tea also succe$s rem>kably well4 ,,ap? is usually call$ ! baby's sore m\?4 ,x g5]ally beg9s on ! inn] "p ( ! l[] lip or corn] ( ! m\?1 z a small :ite speck :i* resembles a coagulum ( milk4 ,^! aph?\s :ite pu/ules soon appe> ov] ! inside ( ! *eeks & on ! tongue & gums4 ,! eruption is v :ite & looks z if :ey or curds 7 spread ov] ! m\?1 :i* is hot & pa9ful1 & ! disease sometimes does1 & at o!r times does n cause fev]4 ,i reg>d ?is compla9t z be+ "o ( ! g]m diseases1 al?\gh ! fact has n yet be5 demon/rat$4 ,! *ildr5 f$ ^u f>9ace\s food are mo/ liable to ?is disease1 & dur+ its cont9uance1 if ! *ild is n at ! brea/ x %\ld be kept entirely to ! milk ( "o c[4 ,m$ic9e %\ld be giv5 ) reg>d to ! /oma* & b[els4 ,if ! passages f ! b[els are gre51 magnesia is a prop] k9d ( physic1 & :5 !re is di>rha use =mula #hj1 #gg1 #ha4 ,,g5u9e ,,jaundice may attack a "y *ild1 b ?is is to be di/+ui%$ f ^? cases :]e !re is only a g5]ally diffus$ ,,yell[ ,,color ,,( ,,! ,,sk94 ,9 ! latt] class ( cases !re are no symptoms indicat+ any s]i\s disease2 ! yell[ness may cont9ue = sev]al days1 & ?is disappe>s )\t ! aid ( any m$ic9e & )\t leav+ any evil beh9d4 ,b 9 jaundice ! :ites ( ! eyes & ! te>s are t+$ yell[1 &1 besides1 ! feces are pal] ?an !y %\ld be1 ! ur9e is yell[1 & o!r s]i\s symptoms are add$4 ,if ! b[els be co/ive1 or irritat$ to frequ5t ef=ts1 if ! abdom5 swells & becomes t5se1 if ! *ild is uneasy & incl9$ to vomit1 if x refuse ! brea/ & frequ5tly moans z if 9 pa91 if x emaciate rapidly1 jaundice 9 a bad =m is pres5t1 & !re is probable disease ( ! liv]4 ,call ! doctor4 ,i ne$ n cont9ue my in/ructions any f>!r 9 reg>d to ! diseases ( infancy1 z y are expect$ to act z f> z y c "u ! directions ( a physician4 ,b ,i mu/ aga9 advise y z to h[ y are to treat y\r m$ical advisor4 ,give him y\r entire confid5ce4 ,be tru?ful & c&id ) him4 ,h no res]vations2 give him a pla9 /atem5t ( ! symptoms4 ,be prep>$ to /ate ! exact "t ! *ild %[$ any illness4 ,tell him if ! *ild _h a *ill2 if !re be any eruption on ! sk91 note ! quantity & appe>ance ( ! ur9e1 ! numb]1 color1 c41 ( ! /ools--all ! symptoms ( ! disease4 ,/rictly obey ! doctor's ord]s 9 diet1 9 m$ic9e1 9 ev]y?+1 & nev] omit any ( 8 sugge/ions4 ,if ! case be sev]e1 nev] call a second physician )\t fir/ consult+ & advis+ ) ! "o fir/ *os52 speak 9 ! pres5ce ( *ildr5 ) respect & rev]5ce ( ! doctor1 & endeavor to h !m l him4 ,s5d = ! doctor :5 practicable e>ly 9 ! morn+1 z ! daylight is mo/ favorable = mak+ ! exam9ation1 b if ! illness come 9 ! night d n delay on t acc\nt2 if y d n "k :at to d1 x is bett] t ! doctor be call$ e>ly ?an late4 ,,*apt] ,v4 ,,cases ,,( ,,difficult ,,labor4 ,i wi% to give y s mu* in/ruction 9 reg>d to cases ( difficult labor t y may at lea/ be prep>$ to decide 9 any case :5 ! s]vices ( a physician is indisp5sably necess>y1 to decide :e!r ! p>turition 9 a giv5 case is a natural "o t does n ne$ any assi/ance1 or an unnatural "o requir+ ! assi/ance ( ! art ( midwif]y1 sci5tific or manual1 = ! relief ( irregul>ities & difficulties4 ,9 g5]al ,i %all adopt ,*ur*ill's divisions & def9itions z ,i ?9k !y are v concise & correct4 ,,t$i\s ,,labor4 8,,def9ition4 ,! head ( ! *ild pres5ts & ! labor is t]m9at$ )\t manual or in/rum5tal assi/ance1 b x is prolong$ beyond tw5ty-f\r h\rs f causes :i* occasion delay 9 ! fir/ /age40 ,prolongation ( labor is ( comp>atively small consequ5ce :5 ! membranes are /ill intact1 z !y s]ve to protect ! s(t p>ts ( ! "m z well z ! body ( ! *ild f injuri\s pressure1 b ! m]e l5g!n+ ( ! labor may become a s]i\s ?+ :5 ! head has ent]$ ! pelvis1 :5 ! ut]us is /rongly excit$ by reflex /imulation1 & :5 ! mat]nal s(t p>ts z well z ! ftus & cord are expos$ to sev]e pressure4 ,:5 we f9d no evil result+ f ! delay we ne$ n int]f]e1 b :5 we c remove ! cause ( x we are b\nd to d s4 ,9 t$i\s labors ! woman becomes fatigu$1 ! loss ( sleep is mu* felt1 h] spirits become depress$1 & ! /oma* is m or less di/urb$1 b :5 ! o!r bodily functions are p]=m$ regul>ly1 ! sk9 is cool1 ! pulse quiet1 ! tongue clean & moi/1 !re is no heada*e1 & ! pa9s recur tol]ably regul>ly1 ! condition ( ! pati5t is favorable1 ?\gh ! pa9s are ineffici5t & v>y 9 _! duration & frequ5cy4 ,!re is usually l\d outcry dur+ ! pa9 9 ! fir/ /age ( labor1 b !re is (t5 suffici5t remission ( ! suff]+ = ! woman to get "s quiet sleep1 & g5]ally !re is progress to ! labor4 ,,ineffici5t ,,action ,,( ,,! ,,ut]us occurs mo/ commonly 9 wom5 conf9$ = ! fir/ "t1 & sometimes we c ascribe x to no cause b con/itutional peculi>ity1 or a d]ang$ /ate ( ! dige/ive organs1 or m5tal depression2 9 o!r cases x may be caus$ by irritation ( ! os & c]vex ut]i4 ,! skill$ nurse may prop]ly s5d = a m$ical man1 ?\gh he is n indisp5sably necess>y 9 su* cases4 ,! be/ ?+ :i* %e c give 9 su* cases is a qu>t] gra9 dose ( morph9e to susp5d ! pa9s & induce sleep1 or if ?is is n ?\ght be/ x may be prop] to give physic or /imulat+ enemata4 ,nev] give ergot to increase ! pa9s1 b x may be prop] to give sev]al gra9s ( qu99e4 ,h[ev]1 giv+ m$ic9e mu/ be left z mu* z possible to ! physician4 ,,excessive ,,am\nt ,,( ,,liquor ,,amnii ) undue di/5tion ( ! ut]us 9 "s cases r5d]s ! pa9s ineffici5t4 ,! unusually l>ge size1 & ! fluctuation ( ! abdom9al tumor may be obvi\s1 b al?\gh an acc\*eur might deem x advisable to evacuate ! wat]s1 ! skill$ nurse :o c\ld n be c]ta9 t !re 0 a favorable pres5tation1 %\ld n d x4 ,%e mu/ ex]cise pati5ce h]self & enc\rage ! pati5t to d s1 & "t w probably d ! "w1 ?\gh x is bett] to commit ! case to a doctor4 ,,an ,,undilatable ,,os ,,ut]i1 :i* rema9s rigid al?\gh ! pa9s are sev]e1 may sometimes be felt ) its edges ?9 & /ret*$ ov] ! head1 & sometimes ?ick & t\gh4 ,9 ! majority ( cases pati5ce & "t may ov]come ! ob/acle1 b z x is be/ 9 "s cases to give *lor(orm1 *loral1 c41 & 9 "s in/ances to use local means to relax or dilate ! os1 ! physician %\ld be s5t =4 ,! nurse may prop]ly give ! pati5t a hip ba?4 ,,premature ,,escape ,,( ,,! ,,liquor ,,amnii & ,,obliquity ,,( ,,! ,,ut]us are bo? causes ( t$i\s labor1 b n cause = appreh5sion or special int]f]5ce4 ,i h already giv5 "s h9ts 9 reg>d to ! treatm5t ( ! latt] class ( cases4 ,,! ,,po/]ior ,,lip ,,( ,,! ,,c]vix ,,ut]i ,,9 ,,"s ,,in/ances ,,is ,,retract$ ,,:ile ,,! ,,ant]ior ,,is ,,drawn ,,tightly ,,ov] ,,! ,,cr[n ,,( ,,! ,,head4 ,9 su* cases x has be5 my practice to draw ) my f+] ! ant]ior lip =w>d1 & dur+ ! "t ( ! pa9 to press my f+] aga9/ ! head ( ! *ild4 ,i d ?is believ+ t ! ant]ior lip is caught betwe5 ! head & symphasis pubis1 & t x w be bett] retract$ :ile support is giv5 to ! head4 ,,p[]less ,,labor4 8,,def9ition4 ,! labor is prolong$ 9 ! second /age by causes :i* act on ! ut]9e p[]s prim>ily or second>ily1 r5d]+ ! pa9s feeble & ineffici5t or totally suppress+ !m40 ,9 consequ5ce ( ! /age at :i* ! delay takes place1 c]ta9 symptoms arise :i* r5d] spe$y deliv]y imp]ative4 ,! second /age may cont9ue tw5ty h\rs or m )\t any bad symptoms1 b usually if x exce$s twelve h\rs "s ( ! foll[+ symptoms may be obs]v$3 ,! pa9s become irregul> z to recurr5ce & =ce--p]haps become weak]--!re may be rigors or %iv]+s--! vomit+ may be di/ress+--!re may be con/ant re/lessness & fev]--! vag9a & ut]us may be hot & t5d] to ! t\*--& ! pressure ( ! *ild's head may prev5t ! evacuation ( ! bladd]4 ,! same causes 7weak con/itution1 m5tal emotion1 disease1 c471 :i* 9 ! fir/ /age r5d]$ ! labor t$i\s )\t bad symptoms1 n[ occasion ^! & p]haps ev5 m al>m+ indications4 ,if an exp]i5c$ acc\*eur n[ arrives to take *>ge ( ! case he w be likely to apply ! =ceps1 b x w\ld h be5 bett] if he _h be5 !re & appli$ !m soon]1 be=e ! pati5t _h und]gone s mu* suff]+2 & ! midwife :o att5ds a woman 9 ! fir/ /age ( ! labor %\ld asc]ta9 if any ( ! foll[+ causes ( p[]less labor exi/s3 ,is !re a weak con/itution or "o exhau/$ by disease8 ,is x a fir/ labor & ! woman ( advanc$ age8 ,has ! pati5t _h v _m *ildr58 ,is !re excess ( liquor amnii8 ,is !re malposition ( ! ut]us8 ,no midwife %\ld und]take to manage su* a case alone4 ,,ob/ruct$ ,,labor4 8,,def9ition4 ,! progress ( ! labor is imp$$ by "s me*anical ob/ruction 9 ! passages connect$ ) ! s(t p>ts1 :i* by caus+ delay 9 ! second /age leads to ! developem5t ( symptoms ( p[]less labor40 ,! symptoms t arise & t cause anxiety are ! same z 9 a case ( p[]less labor1 except t :ile 9 ! latt] k9d ! pa9s are feeble1 9 ! case ( ob/ruct$ labor ! pa9s may be vigor\s & sev]e b ineffective 9 consequ5ce ( ob/acles4 ,i may say1 h[ev]1 t ^! ob/acles h n be5 (t5 met ) 9 my practice4 ,s9ce ,i comm5c$ ! practice ( midwif]y ?ree ?\s& cases ( pregnancy h be5 "u my obs]vation = treatm5t1 & ,i h n yet met ) any ( ! foll[+ causes ( ob/ruct$ labor3 ,occlusion ( ! os ut]i1 canc] ( ! os ut]i1 undilatable vag9a1 tumors 9 ! pelvis1 or diseas$ ov>y1 /one 9 ! bladd]1 imp]=ate hym51 h]nial protrusion into ! vag9a1 or blood effusions1 or swell+ ( ! s(t p>ts4 ,i h met ) "o case ( excessive demat\s effusion ( ! vulva1 :i* ,i reliev$ by punctur+ ! sk92 "o case ( cy/ocele :i* ,i reliev$ by fir/ draw+ ! wat] & !n return+ ! bladd]1 be=e ! head ( ! *ild desc5d$ into ! pelvis2 "o case ( ov>ian tumor t 0 n at t "t 9 ! pelvis2 "o case ( small fibr\s tumor on ! neck ( ! ut]us1 :i* did n mu* ob/ruct ! labor2 & num]\s cases :]e h>d5$ feces 9 ! rectum 0 an ob/acle until !y 7 remov$ by ! use ( enemata4 ,9 cases ( ob/ruct$ labor ! skill$ nurse w %[ h] wisdom by detect+ ! ob/ructions & s5d+ = an acc\*eur4 ,,de=m$ ,,pelvis4 8,,def9ition4 ,! progress ( ! labor imp$$ by abnormal deviations 9 ! =m ( ! pelvis1 giv+ rise to delay 9 ! second /age1 or r5d]+ ! desc5t ( ! *ild impossible )\t assi/ance1 or altoge!r impracticable4 ,! symptoms are ^? ( p[]less labor40 ,! ,,equally ,,enl>g$ ,,pelvis1 enl>g$ 9 all its p>ts1 is n (t5 met )1 & is ( no ob/etric importance4 ,if 9 any case ?is condition is diagnos$ prec$+ or dur+ labor1 ! pati5t %\ld be wat*$ by ! nurse le/ labor close s precipitately t ! *ild falls to ! gr\nd4 ,,! ,,equally ,,contract$ ,,pelvis--equally contract$ 9 all its diamet]s1 g5]ally r5d]s ! labor difficult & t$i\s b n impracticable1 by ! natural p[]s4 ,o!r di/ortions su* z has (t5 be5 caus$ by rickets1 c41 (f] great ob/ruction to ! passage ( ! *ild4 ,9 "s cases a modification ( ! position ( ! *ild all[s x to desc5d1 b 9 _m cases x is necess>y to int]f]e & t]m9ate ! labor artificially4 ,! nurse %\ld n wait = unfavorable symptoms to appe> be=e %e s5ds = a man t is able to use ! =ceps1 c4 ,,malposition ,,& ,,malpres5tation ,,( ,,! ,,*ild4 ,unnatural or abnormal labor may be caus$ by "s peculi>ity on ! "p ( ! *ild1 9 ! position or pres5tation4 ,^! cases dem& ! s]vices ( ! skill$ acc\*eur1 & ,i d n int5d to h9t t ! nurse %\ld ev] attempt to d :at an educat$ physician %\ld be call$ to d 9 ^! cases4 ,,face ,,pres5tations sometimes ret>d ! labor s mu* 9 ! second /age z to give rise to unfavorable symptoms4 ,9 cases :]e ! action ( ! ut]us is s en]getic z to f9ally expel ! *ild1 ! suff]+s ( ! "m are sev]e & prolong$4 ,i h 9 my practice met ) f\r cases1 ?ree ( :i* 7 deliv]$ by ! natural p[]s1 ! *ildr5 liv+2 9 "o case craniotomy 0 p]=m$4 ,! mo!rs all liv$4 ,! diagnoses ( face pres5tations is n easy at an e>ly /age ( labor4 ,! f+] fir/ t\*es ! =ehead1 :i* may be mi/ak5 = ! v]tex4 ,:5 ! membranes are ruptur$ we may be able to make out ! pres5tation4 ,we may di/+ui% ! edges ( ! orbits1 ! prom95ce ( ! nose1 ! m\?1 c4 ,! bridge ( ! nose is ! be/ guide1 x be+ prom95t1 firm1 & unlike any "p ( ! bree* or v]tex4 ,! face becomes tumefi$ dur+ ! labor1 & ! *eeks press$ toge!r to resemble ! nates1 & x may be mi/ak5 = a bree* pres5tation4 ,b 9 ei!r pres5tation ! prop] c\rse = ! nurse is to leave ! case alone 9 ! expectation t ! natural ef=ts w be suffici5t to complete deliv]y4 ,! *ild :5 born has a frightful appe>ance f ! swell+ & discoloration ( "o *eek1 c41 b ! injuries pass away 9 a day or two4 ,,! ,,=ehead ,,t[>ds ,,! ,,ar* ,,( ,,! ,,pelvis at ! "t ( deliv]y is n favorable1 b unless ! pelvis is proportionately small no int]f]5ce is necess>y4 ,! ,,bree* may pres5t at ! brim 9 diff]5t positions1 & ! bree* is di/+ui%$ by its r\ndness & s(tness1 by ! cleft betwe5 ! buttocks1 by ! arms & by ! organs ( g5]ation4 ,9 "s cases ! labor is conclud$ z quickly z if ! head desc5d$1 9 o!rs x is m t$i\s4 ,! results z reg>ds ! "m are z favorable z 9 head pres5tations4 ,! dang] to ! *ild is 9 direct proportion to ! l5g? ( "t betwe5 ! bir? ( ! body & t ( ! head4 ,:5 ! body is expell$ s f> z ! umbilicus1 ! dang] to ! *ild comm5ces1 = at ?is "t ! cord may be press$ betwe5 ! body ( ! *ild & ! pelvic walls4 ,a loop ( ! cord %\ld be pull$ d[n1 & if x freely pulsates ! *ild c probably be deliv]$ alive4 ,g5]ally a judici\s traction on ! "p ( ! acc\*eur1 comb9$ ) firm pressure ?r\gh ! abdom5 appli$ by an assi/ant1 w effect deliv]y ( ! head be=e ! delay has _h "t to prove injuri\s to ! *ild4 ,if ! arms ( ! *ild are above at ! side ( ! head1 ! doctor w br+ "o d[n by pass+ a f+] ov] ! %\ld] z ne> z possible to ! elb[1 & !n draw+ x across ! face & *e/ until x arrives at ! ext]nal orifice1 b all ?is "t x is ! "p ( ! nurse to cont9ue to make effective pressure ^u ! abdom5 ( ! "m--also :ile he deliv]s ! %\ld]s--& :ile he p]haps introduces two f+]s into ! vag9a ( ! "m to rea* ! upp] jaw ( ! *ild & make pressure ^u x1 s z to depress ! *9 & facilitate ! expulsion ( ! head4 ,,pres5tation ,,( ,,! ,,knees & ,,pres5tation ,,( ,,! ,,feet is id5tical 9 its progress ) bree* cases1 & ! treatm5t ( bree* cases applies to footl+ pres5tations1 b x is be/ to avoid pull+ on ! foot or feet t come d[n1 z x is saf] = ! *ild if ! l[] "p ( ! body is deliv]$ q sl[ly4 ,ev5 if ! nurse %\ld 9 an em]g5cy deliv] ! *ild1 %e %\ld help pr9cipally by pressure on ! "m's abdom54 ,! only rule t ,i w\ld h ! skill$ nurse adopt 9 reg>d to ^! cases1 is t x is necess>y t %e %\ld discov] z e>ly z possible if ! labor is n a natural "o1 & if x is unnatural1 %\ld obta9 ! s]vices ( a physician z soon z possible4 ,! same rule applies to cases ( plac5ta previa hemorrhage1 b ,i %all h m to say ( ^! h]eaft]4 ,a case ( comp\nd pres5tation :]e ! h& & arm pres5ts ) ! head1 or 9 :i* ! feet & h&s1 or "o ( ea* pres5t toge!r1 also imp]atively dem& ! s]vices ( an exp]i5c$ acc\*eur )\t delay4 ,! nurse w be impot5t to give any effici5t help until ! doctor arrives4 ,pres5tation ( ! ,,sup]ior ,,extremities w receive f me a full & complete description1 because ,i believe t "u c]ta9 circum/ances ! nurse %\ld be prep>$ to op]ate by turn+4 ,z ?is radical op9ion may p]haps be oppos$ by my m$ical bre?r51 ,i (f] ! foll[+ reasons = x :i* ,i consid] a suffici5t ju/ification4 #a4 ,cases ( ?is class comm5ce ) ! ord9>y symptoms ( labor2 _! peculi> "* _c usually be di/+ui%$ until ! os is well dilat$1 & ?is is ! only favorable "t to p]=m ! op]ation ( turn+4 #b4 ,al?\gh 9 cities & villages g5]ally1 a physician's s]vices c 9 mo/ in/ances be imm$iately obta9$1 9 ! c\ntry x is n always practicable to obta9 !m )9 an h\r or two ( "t4 #c4 ,su* k z is necess>y = ! p]=mance ( ?is op]ation may be obta9$ f su* description & in/ruction z c be giv5 9 books4 #d4 ,!re are "s wom5 :o possess ! necess>y traits ( "*1 ! complete ex]cise ( _! faculties1 ) ! p]fect coolness :i* is dem&$ ( ! op]ator 9 su* a case4 #e4 ,i d n advocate tru/+ ! op]ation to a nurse :5 ! s]vices ( an acc\*eur c possibly be obta9$ )9 ! prop] "t4 #f4 ,! s]vices ( a physician1 if obta9$ "o or two h\rs aft] ! arm is fir/ ?ru/ d[n 9 ! vag9a1 may n be ( any use because ! "t = turn+ is pass$4 #g4 ,! op]ation ( turn+1 p]=m$ by a prop]ly in/ruct$ nurse1 does n involve ! lea/ dang] to ! "m or *ild4 #h4 ,! only dang] connect$ ) ?is op]ation arises f ! size ( ! h& ( ! op]ator1 & ! woman's h& is small4 #i4 ,x is a hi/orical fact t at "o p]iod practition]s ov]rat$ ! p]=mance ( turn+1 & ext5d$ its use to unsuitable cases1 & aft] ! inv5tion ( ! =ceps1 !y fell into an opposite error4 ,x is possible t we may be 9 error if we hold t ! nurse _c be in/ruct$ to p]=m ! op]ation ( turn+4 #aj4 ,i d n advise t ! nurse %\ld ev] attempt to turn 9 ^? cases 9 :i* ! membranes h be5 long ruptur$--! %\ld] & arm press$ d[n into ! pelvis1 & ! ut]us contract$ ar\nd ! body ( ! *ild4 ,i once succe$$ 9 a case t two exp]i5c$ physicians _h tri$ 9 va9 = sev]al h\rs to turn1 & ,i nev] _h v mu* difficulty 9 turn+1 b !re h be5 _m cases :]e excell5t op]ators c\ld n succe$ 9 turn+4 ,9 cases ( ,,pres5tation ,,( ,,%\ld]1 ,,arm ,,or ,,trunk1 deliv]y by ! natural p[]s is q exceptional1 ?\gh ! natural p[]s h occasionally succe$$ 9 expell+ ! *ild4 ,! safety ( ! "m & *ild dep5d ^u ! e>ly detection ( ! abnormal position ( ! ftus1 & ^u _! receiv+ prop] treatm5t be=e labor has be5 long 9 progress4 ,! position ( ! *ild is "o int]m$iate betwe5 ! long & transv]se diamet]s4 ,x may lie ) its back t[>ds ! abdom5 ( ! "m or ) ! back t[>ds ! sp9e ( ! "m1 & ! head ( ! *ild may be t[>ds ! "r or ! left ( ! "m4 ,! exi/5ce ( a %\ld] pres5tation is n commonly suspect$ until ! fir/ exam9ation is made dur+ labor4 ,suspicion w arise f f9d+ on exam9ation t we are n able to rea* ! pres5t+ "p1 & t ! os ut]i does n dilate z usual1 & t :5 x becomes dilat$ ! bag ( membranes protrude ( a conical =m1 b ?is is common to all malpres5tations4 ,:5 ! %\ld] has desc5d$ a little x is recogniz$ z a r\nd1 smoo? prom95ce1 r\nd] ?an ! elb[1 & we may be able to rea* ! axilla1 c4 ,! elb[ may be recogniz$ by ! %>p prom95ce ( ! bone1 & ! h& c be di/+ui%$ f ! foot by ! f+]s be+ wid] ap>t & m readily sep>at$ f ea* o!r ?an ! toes1 & by ! ?umb :i* c be c>ri$ across ! palm4 ,! situation ( ! ?umb & ! aspect ( ! palm ( ! h& w m>k :e!r x is ! "r h& or ! left4 ,z soon z ! nurse asc]ta9s or suspects f an ext]nal palpation or a vag9al exam9ation1 t x is a cross bir? %e %\ld s5d = ! doctor1 :o ought to be !re z soon z ! membranes are ruptur$1 & ! nurse mu/ n be v p]si/5t 9 mak+ exam9ations le/ %e rupture ! membranes prematurely4 ,%e may p]haps give a small dose ( morph9e1 b ,i w\ld n advise t %e give *lor(orm z x is n necess>y4 ,! "r "t to turn ! *ild is :5 ! os ut]i is dilat$1 ei!r be=e or imm$iately aft] ! rupture ( ! membranes1 & if a doctor _c be soon obta9$1 x is bett] t a skill$ nurse %\ld turn ! *ild1 & if %e is prop]ly in/ruct$1 %e %\ld d x c>efully & sl[ly1 b )\t any fe> & confid5tly4 ,%e c assure ! pati5t t %e w be able 9 a %ort "t to relieve h] suff]+s4 ,9 ,engl& ! ord9>y position = turn+ is on ! left side4 ,i pref] t ! pati5t be plac$ across ! b$ on h] back ) h] legs drawn up & support$ by assi/ants4 ,i n[ describe my own mode ( op]at+4 ,i b>e my "r arm & h& 7sometimes ! left71 lubricat+ x freely4 ,if ! wat]s h only rec5tly escap$1 & ! os be dilat$1 ! op]ation is p]=m$ ) ease1 especially aft] we h det]m9$ ! position ( ! *ild4 ,i press ! f+]s toge!r 9 ! =m ( a cone1 ! ?umb betwe5 ! f+]s--sl[ly & c>efully press !m into ! vag9a 9 an int]val betwe5 ! pa9s1 & con/antly & sl[ly press ! h& 91 only :5 ! contractions ( ! ut]us remit2 nev] us+ any =ce1 g5tly pass ! f+]s into ! os2 g5tly op5 ! f+]s a little occasionally to dilate ! os suffici5tly1 & :5 x is exp&$ pass ! h& into ! ut]us1 make out ! pres5tation accurately1 s z to keep my h& to ! abdom5 ( ! *ild2 always keep ! h& /ill dur+ a pa92 :5 !re is an int]val betwe5 ! pa9s1 c>efully se>* = ! feet2 :5 "o ( ! feet is f\nd1 clasp ! leg at ! knee ) "o f+]2 flex ! leg at ! knee s t ! f+] has a good hold ( x1 draw x d[n 9 ! abs5ce ( a pa92 z ! knee approa*es ! os :5 x is drawn d[n ov] ! abdom5 ( ! *ild1 ! %\ld]s & head rec$e t[>ds ! fundus1 & :5 ! head has rea*$ ! fundus & ! knee is br\ght ?r\gh ! os1 ! case is conv]t$ into a knee pres5tation1 & ,i deliv] sl[ly b )\t ne$less delay--mak+ a little traction dur+ ea* pa91 ! managem5t be+ conduct$ z 9 feet pres5tations1 & ! :ole process be+ assi/$ by pressure made on ! ut]us by my left h&1 or by ! h& ( an assi/ant4 ,possibly ^! directions w be bett] und]/ood if ,i use ! language ( ano!r :o directs3 #a4 ,t ! pati5t be plac$ on h] left side ne> ! edge ( ! b$4 #b4 ,! os ext]num is !n to be dilat$ ) ! f+]s r$uc$ into a conical =m1 act+ ) a semi rot>y motion ( ! h&4 #c4 ,:5 ! h& is pass$ ?r\gh ! os ext]num x mu/ be sl[ly conduct$ to ! os ut]i4 ,we may p]=ate ! membranes ) ! f+] if !y are n brok54 #d4 ,! h& mu/ !n be pass$ along ! ?ighs & legs ( ! *ild until we come to ! feet4 ,if bo? ! feet lie toge!r we mu/ grasp !m firmly ) "o h&1 b if !y are di/ant f ea* o!r we may deliv] by "o foot4 #e4 ,be=e we beg9 to extract we mu/ be sure t we d n mi/ake a h& = a foot4 ,! feet mu/ be br\ght d[n ) a sl[1 wav+ motion into ! pelvis1 :5 we are to wait till ! ut]us contracts1 /ill reta9+ !m 9 ! h&4 #f4 ,! feet are to be br\ght d[n ) ea* return ( ! pa91 & ! labor may be f9i%$ p>tly by ! ef=ts ( ! "m & p>tly by art4 #g4 ,if ! toes are turn$ t[>ds ! pubis ! back ( ! *ild is t[>ds ! back ( ! "m :i* is an unfavorable position4 #h4 ,if ! toes are t[>ds ! sacrum1 ! back ( ! *ild is t[>ds ! abdom5 ( ! "m1 & ?is position is advantage\s :5 ! head comes to be extract$4 #i4 ,:5 ! feet ( ! *ild has pass$ ?r\gh ! os ext]num1 wrap !m 9 a clo? & hold+ !m firm wait till !re is a pa91 dur+ ! cont9uance ( :i* g5tly draw d[n ! feet4 ,:5 ! pa9 ceases we mu/ re/1 we m]ely assi/+ ! ef=ts ( ! pati5t4 #aj4 ,:5 ! *ild is br\ght s l[ t ! funis rea*es ! os ext]num1 a small portion ( x is to be br\ght out to slack5 x1 & f ?is "t ! op]ation is to be f9i%$ z spe$ily z x c be ) safety1 b if ! circulation ( ! funis be undi/urb$1 !re is no occasion = ha/e z ! *ild is 9 safety4 #aa4 ,if ! *ild %\ld /ick at ! %\ld]s ! arms mu/ be successively br\ght d[n4 #ab4 ,:5 bo? ! arms are br\ght d[n ! body ( ! *ild mu/ be support$ ^u our left arm & h&1 ! f+]s on ea* side ( ! neck1 & if ! head %\ld n come easily away1 we mu/ introduce ! =ef+] ( "o h& into ! m\? ( ! *ild to r5d] ! position ( ! head m conv5i5t = pass+4 #ab4 ,:5 a *ild has be5 extract$ by ! feet1 ! plac5ta usually sep>ates v easily1 b 9 ! managem5t we are to be guid$ by ! g5]al rules4 #ac4 ,9 ^! cases ! *ild usually ne$s to be resuscitat$1 & ! nurse %\ld arrange s t hot & cold wat] may be at h& if requir$4 ,9 ^! descriptions ( ! op]ation ,i h m5tion$ bo? ! back & side z good positions = ! "m1 because "s acc\*eurs pref] "o position & "s ! o!r4 ,"s pref] to h ! pati5t on ! h&s & knees4 ,b if ! nurse h ! in/ructions "h giv5 well 9 h] m9d1 %e c op]ate 9 ei!r position4 ,if %e asc]ta9s at fir/ h[ ! *ild lies %e may sometime rea* its abdom5 bett] if %e introduces h] left h&1 b ! ma9 po9t is to proce$ sl[ly & c>efully4 ,%e %\ld be c>eful 9 pass+ 9 h] h& to *ange ! direction ( x 9 accordance ) ! pelvic axis1 & %\ld n use mu* =ce at any "t4 ,! dang] to ! "m is v small inde$2 ! dang] to ! *ild arises1 z 9 bree* pres5tations1 f ! compression ( ! funis1 :i* comm5ces ab\t ! "t ! buttocks appe> at ! os ext]num4 ,b ! safety is only :5 ! op]ation is p]=m$ at ! prop] "t4 ,! nurse mu/ nev] op]ate if ! s]vices ( a physician c be obta9$ at t "t1 b :5 x is necess>y %e may proce$ to turn1 do+ x sl[ly & prop]ly1 b fe>lessly & confid5tly4 ,if ! doctor t is s5t = is in=m$ be=e he arrives t x is a case ( h& pres5tation1 he w come dread+ ! difficulties t he may enc\nt]1 & if he c h ! satisfaction ( kn[+ :5 he comes t ! woman is safely deliv]$1 he w be exce$+ly glad4 ,,*apt] ,,vi4 ,,conclud+ ,,in/ructions ,,9 ,,midwif]y4 ,:at ,i %all say ( ,,plural ,,bir?s1 & ,,mon/]s1 ( ,,*ildr5 ,,affect$ ,,) ,,hydrocephalus1 ,,or ,,ascites1 ( ,,excessive ,,size ,,( ,,! ,f,,tus1 ( ,,defects ,,9 ,,! ,,=mation ,,( ,,! ,f,,tus1 ( ,,prolapse ,,( ,,! ,,funis1 c41 w be compress$ 9 a few words4 ,i am n in/ruct+ ! nurse to attempt to conduct a case ( ev5 natural labor )\t hav+ a physician if he c be obta9$1 b %e %\ld consid] ! s]vices ( a tra9$ practition] imp]atively necess>y 9 ^! unusual cases4 ,9 ei!r in/ance !re may be a safe deliv]y by ! natural p[]s alone1 & ! nurse may act 9 an em]g5cy1 b x w\ld n be consi/5t ) ! plan ( ?is "w = me to describe 9 detail ! v>i\s op]ations t are sometimes p]=m$ 9 ^! sev]al cases1 or to give in/ructions 9 ! use ( in/rum5ts1 :i* ,i advise ! nurse nev] to use4 ,9 reg>d to ^? in/ances :]e x seems z if x w\ld be necess>y to use in/rum5ts1 ,i quote ! foll[+ rules adopt$ by acc\*eurs3 #a4 ,m$dlesome midwif]y is always bad4 #b4 ,9 no case ne$ we int]f]e :5 ! ob/acles to be ov]come c be ov]come 9 a reasonable "t by nature or )\t an op]ation4 #c4 ,cases 9 :i* in/rum5ts are to be us$ are exceptions to ! g5]al rule1 & no in/rum5t %\ld be us$ 9 a cl&e/9e mann]4 #d4 ,we %\ld n h su* an av]sion to ! use ( in/rum5ts t we too long delay t assi/ance we h ! p[] ( af=d+ ) !m4 ,,plac5tal ,,pres5tation4 ,,plac5ta ,,previa w nev] be treat$ by ! nurse1 b %e %\ld "k its nature1 "k t x is ?is t causes unavoidable hemorrhage1 & %e %\ld n fail to obta9 a skillful physician e>ly1 to att5d ! case4 ,! flood+ is ! necess>y consequ5ce ( ! dilatation ( ! os ut]i1 by :i* ! connection betwe5 ! plac5ta & ut]us is sep>at$1 & ! m ! labor advances1 ! great] ! disruption1 & ! m excessive ! hemorrhage4 ,! woman usually passes ?r\gh ! e>ly "p ( pregnancy )\t any sign t d5otes ! peculi> atta*m5t1 b ! plac5ta c easily be di/+ui%$ f ! membranes or coagulat$ blood z soon z ! os ut]i is a little op5$4 ,:5 a hemorrhage comes on f ?is cause ! pati5t is nev] free f dang] till %e be deliv]$4 ,(t5 ! m$ical man is oblig$ to free ! pati5t f imm95t dang] by artificial deliv]y1 b ,i c conceive ( no circum/ance 9 :i* a nurse w\ld be ju/ifi$ 9 turn+ = unavoidable hemorrhage4 ,be=e1 dur+1 & aft] ! deliv]y1 ! appliances us$ 9 o!r cases ( hemorrhage may be us$ ) "s advantage1 b ,i w\ld h>dly advise ! nurse to d any ?+ be=e ! doctor arrives4 ,,accid5tal ,,hemorrhage4 ,t =m ( ,,flood+ t arises f a p>tial & accid5tal sep>ation ( ! plac5ta :i* occupies its usual position1 mu/ "h be briefly ref]r$ to1 z ! nurse may be call$ on to d some?+ 9 an em]g5cy4 ,! imm$iate cause ( ! fl[ is ! sep>ation ( "s portion ( ! plac5ta f ! womb1 & ! lac]ation ( ! vessels4 ,! hemorrhage is at fir/ int]nal1 is accompani$ ) dull pa9 at ! spot :]e x takes place1 x g5]ally becomes ext]nal1 x may or may n be att5d$ ) ! dis*>ge ( coagula f ! os ut]i1 & :5 ! dis*>ge comm5ces x v>ies 9 quantity f a few ounces to an am\nt t is al>m+4 ,x is g5]ally necess>y to make a digital exam9ation1 to di/+ui% ! accid5tal f ! unavoidable hemorrhage4 ,until ! doctor arrives ! pati5t %\ld be kept 9 b$ on a h>d mattrass & v lightly cov]$ ) b$ clo!s4 ,! temp]ature ( ! room %\ld be kept v l[1 & no?+ b cold wat] all[$4 ,! dang] f hemorrhages t occur at or ne> ! full p]iod ( ut]o ge/ation1 may (t5 be e/imat$ by ! abs5ce or degree ( pa91 z well z f ! quantity ( ! dis*>ge4 ,hemorrhages are mu* m dang]\s ) sudd5 ?an ) sl[ dis*>ges ( blood1 & wom5 are always 9 great] dang] :5 !y are n accompani$ ) pa94 ,pu]p]al convulsions1 :e!r ( ! hy/]ic1 epilepti=m1 or apoplectic v>iety w always dem& & almo/ always receive ! prompt att5tion ( ! physician4 ,:ile ! nurse is wait+ = ! doctor to arrive %e might possibly adm9i/] a ca?>tic1 ?irty gra9s ( bromide ( pota%1 & an enema1 b z a g5]al rule %e %\ld n give any?+4 ,%e might ins]t a w$ge or roll ( l95 betwe5 ! tee? to prev5t injury to ! tongue1 & %e %\ld remove e ?+ out ( ! way1 by /rik+ aga9/ :i*1 ! pati5t might hurt h]self4 ,,"p ,v4 ,,tiology1 ,,symptomotology1 ,,m$ication1 ,,nurs+4 ,,*apt] ,i4 ,,causes ,,( ,,disease4 ,! causes ( disease are spok5 ( by au?ors z pr$ispos+1 & excit+4 ,by proximate cause ( disease is meant ! cause ( ! symptoms pres5t2 ?is _c appropriately be dwelt ^u "h4 ,by excit+ cause is meant ! imm$iate cause ( a disease1 & ! di/9ction f pr$ispos+ cause arises f ! fact t :5 two p]sons are expos$ to some?+ injuri\s to ! heal?1 !y may n be equally affect$4 ,x has be5 said t if tw5ty p]sons und]go h>d%ip & exposure f %ipwreck1 ! effect ( ! wet & cold may be 9 "o to cause cat>rh1 9 ano!r rheumatism1 9 a ?ird pleurisy1 9 a f\r? op?almia1 9 ano!r inflammation ( ! b[els1 & fifte5 may escape )\t any illness at all4 ,a pr$ispos+ cause is def9$ to be any?+ :atev]1 :i* has _h su* an influ5ce on ! body z to h r5d]$ x unusually susceptible to ! excit+ cause ( ! p>ticul> disease4 ,9 mo/ cases ! di/9ction is obvi\s1 b x is sometimes difficult to say ( a giv5 cause :e!r x ought to be rank$ among ! pr$ispos+ or ! excit+ causes4 ,disease is (t5 w>d$ (f not)/&+ ! pres5ce ( ! excit+ cause1 :5 we asc]ta9 & prev5t ! pr$ispos+ cause ( x1 & x may sometimes be av]t$ 9 despite ( /rong pr$isposition1 if we "k & c gu>d aga9/ ! ag5cies by :i* x is capable ( be+ excit$4 ,:5 we enum]ate causes ( disease we see among !m _m t "u ord9>y circum/ances m9i/] to life1 heal?1 & enjoym5t2 & ,i c h>dly ref] at all to ! v>y+ circum/ances "u :i* !y become ! m$ium ( pa91 disease & dea?4 ,^! circum/ances are s v>i\s1 s _m ( !m are apt to be put 9 op]ation at ! same "t1 & s little p[] h we ( exclud+ !m "o aft] ! o!r1 s z to asc]ta9 ! exact effici5cy ( ea*1 t our obs]vation respect+ _! actual effects are op5 to mu* fallacy4 ,we _c = in/ance 9 a giv5 case e/imate accurately ! effect ( impurities 9 ! atmosph]e su* z organic & inorganic du/1 nor ! effect ( diff]5ces 9 degree ( its natural qualities su* z extremes ( heat & cold1 sudd5 v>iations ( temp]ature1 excessive moi/ure or dryness1 diff]5t electric conditions1 diff]5ces ( pressure1 a defici5cy ( light1 & ! am\nt ( ozone1 c4 ,,( ,,heat ,,& ,,cold ,,z ,,ext]nal ,,ag5cies ,,caus+ ,,disease4 ,! range ( temp]ature compatible ) human life is v great2 m5 live 9 ! hotte/ & ! colde/ climates1 :]e ! e>? produces any su/5ance = !m4 ,x requires m c>e to pres]ve life "u int5se cold ?an "u int5se heat4 ,tropical climates are ?ickly peopl$ :]e ! !rmomet] ranges f #hj to #ajj = a long "t toge!r4 ,9 arctic c\ntries on ! o!r h& :]e ! !rmomet] s9ks to #dj or #ej bel[ z]o1 we /ill f9d inhabitants1 b !y are few & ?9ly scatt]$4 ,x is probable t at a degree ( temp]ature a little great] ?an t ( ! equator or a little less ?an t ( ! poles m5 w\ld p]i%4 ,man is capable ( exi/+ "u c]ta9 circum/ances = a %ort "t1 & endur+ a mu* high] degree ( heat ?an ! g5]al atmosph]e atta9s 9 ! hotte/ portions ( ! e>?1 b !re are g5]ally "s delet]i\s effects f hot climates or cont9u$ hot wea!r4 ,! effect ( ,,heat is to /imulate ! organic functions ( ! body1 b :5 consid]able heat is appli$ = "s "t toge!r its effect is to cause languor & lassitude1 want ( en]gy1 a dis9cl9ation = ex]tion bo? bodily & m5tal2 x has a depress+ effect g5]ally ^u ! animal functions or ! n]v\s sy/em1 & !re are "s =ms ( disease t are di/9ctly traceable to heat z a cause4 ,we all "k ! effect ( hot wea!r 9 caus+ p]spiration1 & :5 ! op]ation ( high temp]ature is cont9u$ = "s "t x has a m>k$ influ5ce ^u ! liv]1 increas+ ! quantity ( bile t is secret$1 & alt]+ its s5sible qualities2 ?is is sometimes foll[$ by inflammation ( ! liv]4 ,9 ?is c\ntry ^? attacks ( vomit+ & di>rha :i* are s common t[>ds ! latt] end ( summ] or 9 autumn are ! effects ( a succession ( hot days4 ,9 tropical climates ! morbific effects ( ext]nal heat are /ill m conspicu\s1 t5d+ to viol5t disord]s ( ! /oma* & inte/9es1 & also to acute inflammation ( ! liv] & to acute abscesses 9 t organ4 ,9 ^! cases ! heat$ atmosph]e unduly /imulat+ ! secret+ function ( ! liv] creates ! pr$isposition to ! disease1 :ile ! excit+ cause ( ! inflammation may be exposure to cold4 ,!re may be delet]i\s effects f exposure to cold :]e ! climate is q hot4 ,= in/ance a man may aft] ! heat occasion$ by ! employm5ts ( ! day1 undress & lie opposite a w9d[1 8 %irt wet ) p]spiration1 to enjoy ! sea breeze at night1 & ?\gh ! !rmomet] may be z high z #hj he may h a s5sation ( cold4 ,if !re is real *ill9ess x may be delet]i\s4 ,heat sometimes acts z an excit+ cause ( disease--x produces sun/roke1 or x may produce an eruptive disease su* z prickly heat1 c4 ,! effect ( extreme ,,cold 7,i use ! t]m cold 9 ! popul> acceptation71 :5 its application is cont9u$1 is t ( a s$ative ^u ! organic functions4 ,?\gh at fir/ caus+ pa9 9 ! extremities1 if cont9u$ x causes sleep or ov]p[]+ dr[s9ess4 ,be=e ?is complete /upor comes on !re may be a blunt+ ( ! s5sations & confus+ ( ! intellect1 giv+ to ! p]son expos$ to x1 ! appe>ance ( "o intoxicat$4 ,:5 p]sons 9 ?is /ate are suff]$ to sleep1 & ! op]ation ( ! cold cont9ues1 !y become less & less s5sible to ext]nal impressions until dea? closes ! sc5e4 ,b ! effect ( cold ^u ! body )9 c]ta9 limits ( int5sity & duration is t ( a tonic4 ,:5 its refrig]at+ & s$ative prop]ties c be suffici5tly c\nt]act$ by ex]cise & w>m clo?+1 cold is /imulat+1 refre%+1 & invigorat+ to m9d & body1 x cle>s & %>p5s ! faculties1 be/[s alacrity & *e]fulness ( spirits1 & may become a curative ag5t4 ,yet exposure to cold is "o ( ! mo/ common causes ( v>i\s compla9ts4 ,z a rule x is true t !re is dang] f sudd5 vicissitudes ( temp]ature1 al?\gh ! proposition requires limitation4 ,no p]il ne$ att5d a *ange f a hot to a cold temp]ature if ! p[] to evolve heat inh]5t 9 ! sy/em be entire & active & p]si/5t1 n less5$ by any ( ^? circum/ances :i* h ! effect ( weak5+ x1 su* z local disease1 & fatigue4 ,cold is dang]\s1 n especially :5 ! body is hot1 b :5 x is cool+ aft] be+ heat$4 ,at su* times tak+ a l>ge draught ( cold wat]1 or cool+ ! body sudd5ly "s o!r way might cause dea? imm$iately2 if n1 an inflammation ( "s int]nal "p ( ! body might arise4 ,e ?+ t has ! effect ( weak5+ ! sy/em & s dim9i%+ ! p[] ( evolv+ heat1 favors ! morbific effect ( cold1 & is a pr$ispos+ cause ( disease4 ,! mo/ common ( ^! debilitat+ circum/ances are fa/+1 evacuations1 fatigue1 a la/ night's debau*1 excess 9 v5]y1 long wat*+1 mu* /udy1 & re/ or inaction imm$iately aft] x1 or aft] great ex]cise4 ,! faculty ( evolv+ heat is weak 9 old p]sons & 9 ! newly born1 & ^! are (t5 ! victims ( ! p[] ( cold4 ,! bad effects ( cold dep5d v mu* ^u ! duration ( ! s5sation4 ,ev5 slight feel+s ( *ill9ess1 if long protract$1 are apt to t]m9ate 9 "s =m ( disease4 ,cold is m likely to prove injuri\s :5 x is appli$ by a w9d or currant ( air1 & ! injuri\s op]ation ( cold is augm5t$ :5 x is accompani$ ) moi/ure--wetness is ! wor/ way 9 :i* cold c be appli$4 ,! contact ( wet or damp clo!s ) ! sk91 bo? increase & prolong ! s5sation ( cold4 ,a foggy atmosph]e is m prejudicial ?an a cle> "o ( ! same temp]ature4 ,:ile we are asleep1 also1 our p[] ( resi/+ ! effects ( cold is dim9i%$4 ,! p[] ( habit enables a p]son to resi/ ! effect ( cold1 & we may sometimes turn our k ( x to good acc\nt 9 gradually =tify+ ! sy/em aga9/ ! influ5ce ( cold t _c be avoid$4 ,b we mu/ n1 :ile we fe> to r5d] our *ildr5 effem9ate by ov] c>e & mu* clo?+1 run into ! opposite extreme & endang] _! heal? by exposure4 ,! process ( h>d5+ is d\bly dang]\s :5 x is attempt$ ) *ildr5 :o 7 orig9ally delicate1 & %\ld nev] be tri$ on any *ild or any p]son :o is uns\nd1 :o %[s any signs ( pres5t or approa*+ disease1 or any m>k$ pr$isposition to future1 & especially to scr(ul\s disease4 ,an abid+ s5se ( *ill9ess mu/ nev] be p]mitt$ ev5 :5 we are endeavor+ to accu/om a *ild to cold4 ,if !y c be kept 9 ! cold air1 & at ! same "t be kept feel+ w>m ei!r by ex]cise1 div]sion ( ! m9d1 or by clo?+1 ! result z reg>ds ! heal? is good4 ,! cold ba?1 & especially ! %[] ba?1 is a good means ( =tify+ ! body aga9/ cold air4 ,:5 we take a cold ba? 9 ! morn+1 if ! s5se ( cold does n rema9 long1 & is foll[$ by a gl[ ( w>m?1 ! ba? is sure to d good4 ,if1 h[ev]1 aft] ! ba? we suff] heada*e1 & cont9ue to be *illy & languid or uncom=table1 x %\ld at once be giv5 up z useless & dang]\s4 ,,effects ,,( ,,! ,,season ,,^u ,,heal?4 ,9 ?is c\ntry1 g5]ally1 cat>rh & c\ghs & pectoral compla9ts ( all k9ds1 are mo/ apt to prevail 9 ! w9t] & spr+ mon?s1 :ile b[el compla9ts are m num]\s & di/ress+ 9 ! summ]4 ,! muc\s membranes ( ! air passages sympa?ize ) ! sk9 "u ! ag5cy ( ext]nal cold2 ^? ( ! /oma* & inte/9es "u t ( heat4 ,! ?oracic disord]s :i* comm5ce or gr[ worse 9 ! w9t] are (t5 fatal1 & !re are v>i\s o!r maladies t are aggravat$ by cold1 s t ! mortality ( w9t] is great] ?an t ( summ]4 ,b[el compla9ts are m preval5t at ! latt] "p ( summ] or e>ly fall1 :5 mod]ately cold days succe$ a long p]iod ( hot wea!r1 ! high diurnal temp]ature be+ ! pr$ispos+ cause1 & ! cold excit+ or br++ on ! disease4 ,i %all n ref] to o!r causes ( disease except to say t if two p]sons m>ry ea* o!r :o h a h]$it>y pr$isposition to disease1 _! *ildr51 if !y h any1 w probably n be heal?y4 ,,*apt] ,,ii4 ,,symptoms ,,( ,,disease1 ,,) ,,in/ruction ,,to ,,nurses4 ,symptoms are ! signs by :i* we "k t disease is pres5t4 ,e circum/ance happ5+ 9 ! body ( ! sick p]son capable ( be+ p]ceiv$ by himself or o!rs1 :i* c be made to assi/ our judgm5t conc]n+ ! seat or nature ( ! disease1 its probable c\rse & t]m9ation or its prop] treatm5t1 is a sign or symptom4 ,^! ph5om5a are ! evid5ce ^u :i* ! :ole art ( ! physician proce$s4 ,x is important t ! nurse %\ld "k h[ to note ! symptoms1 n only t %e may "k h[ & report to ! doctor *anges t occur 9 8 abs5ce1 b t %e may be able also to m9i/] to ^? :o are sudd5ly attack$ ) sickness1 & to judge :e!r 9 cases ( slight indisposition x is necess>y to s5d = a physician4 ,by arrang+ & comp>+ symptoms1 & by not+ ! circum/ances "u :i* !y occur1 ! physician c di/+ui% ! disease1 & le>n :at are ! indications ( treatm5t--?is belongs especially to him4 ,b x is v important t a nurse %\ld "k h[ to note all *anges z !y occur1 & sometimes x is be/ %e %\ld keep a writt5 record ( !m4 ,an important po9t 9 a tra9$ or skillful nurse is t ( h] ability to obs]ve accurately & describe intellig5tly :at comes "u notice 9 ! abs5ce ( ! physician4 ,%e %\ld cultivate ! habit ( /rict obs]vation1 & simple & tru?ful /atem5t--nei!r defici5t1 exagg]at$1 or p]v]t$1 /at+ facts & n op9ions4 ,symptoms or ph5om5a :i* accompany disease may be subjective1 ^? :i* are evid5t only to ! pati5t1 or objective :i* are obs]vable by o!rs4 ,bo? sorts ( symptoms %$ mutual light on ea* o!r1 & z ! /atem5ts ( ! pati5t are n always tru/wor?y1 ! nurse %\ld be c>eful n to let any?+ pass unse5 t c by vigilance be not$4 ,! foll[+ directions w help ! nurse to cultivate ! habit ( obs]v+ symptoms3 ,try to le>n all y c ( ! previ\s hi/ory ( ! case2 y w sometimes get in=mation :i* ! pati5t w\ld n be likely to communicate to ! doctor 9 p]son4 ,note ! pati5t's app>5t age ) any indications ( disguis$ age1 signs ( weakness--:e!r corpul5t or bloat$2 note any de=mities1 swell+s or w\nds1 & notice ! attitudes & expression ( ! c\nt5ance4 ,a suff]] in/9ctively takes ,,! ,,position mo/ conducive to ease4 ,:5 "o lung is affect$ ! pati5t lies on t side1 t ! heal?y "o may h ! great] fre$om ( motion4 ,:5 !re is p]itonitis 7inflammation ( ! b[els71 he lies on 8 back ) 8 knees drawn up to relax ! abdom9al muscles4 ,if !re is colic alone he may lie on ! abdom51 z pressure may relieve 8 pa94 ,:5 a pati5t has be5 p]si/5tly on 8 back1 if he turns onto 8 side x is a sign ( improvem5t4 ,inability to brea! t]m$ ,,or?opn,a1 occurs 9 affections ( ! he>t1 & also 9 a/hma4 ,ly+ quietly 9 b$ is usually a favorable sign4 ,re/lessness & slipp+ to ! foot ( ! b$1 9 l[ /ages ( fev]1 are bad signs4 ,( ! uneasy1 morbid symptoms1 pa9 is ! mo/ important1 & mo/ common4 ,pa9 occurs 9 ne>ly all inflammations1 & x may occur :]e !re is no inflammation at all4 ,bones1 muscles1 t5dons1 ligam5ts1 ! bladd]1 ! kidneys1 ! ut]us1 all modify 9 a mann] t is peculi> to !mselves ! pa9 t is produc$ by injury or disease4 ,su* t]ms z ! foll[+ are us$ to express a peculi> "* ( pa93 ,x is said to be %>p1 %oot+1 gr[+1 burn+1 dull1 heavy1 te>+1 & s on4 ,if pa9 is felt 9 any "p :5 pressure is made ^u x ! height5$ s5sibility is call$ ,,t5d]ness1 ! "p is said to be t5d]4 ,a "p may be bo? pa9ful & t5d]1 z x usually is if ! pa9 cont9ue = a "t2 x may be t5d] )\t be+ pa9ful z x is usually1 if pa9 cont9u$ = a "t & !n ceas$4 ,it*+ is an uneasy s5sation alli$ to pa94 ,x (t5 affects ! natural outlets ( ! body4 ,x occurs ab\t ! rectum f ! motions ( little worms t ne/le !re1 & o!r causes2 & ?is it*+ ( ! rectum1 & likewise ( ! pud5dum1 are di/ress+ compla9ts1 h>ass+ ! pati5t cont9ually1 prev5t+ sleep & requir+ m$ical treatm5t 7,f4 #aie74 ,! t+l+ & prick+ (t5 felt 9 ! w9dpipe1 & provok+ c\gh+1 has "s analogy to it*+4 ,,nausea is sometimes a direct symptom ( ga/ric disord]1 at o!r times x is a v important indirect result ( disease at "s di/ance f ! /oma*4 ,! nausea :i* is s tr\blesome to pregnant wom51 is an in/ance ( a morbid s5sation1 sympa!tic ( irritation 9 a di/ant organ4 ,,dizz9ess or v]tigo results sometimes f disease )9 ! head1 & sometimes x is ! indirect result ( disease ( ! /oma* or ( m]e debility4 ,a s5sation ( s9k+1 s5sations ( weight & lightness1 ( dr[s9ess1 t5esmus1 /rangury1 he>tburn1 & v>i\s conditions ( ! special s5ses are mo/ly ,,subjective ,,symptoms4 ,"o ( ! fir/ symptoms ( diabetis is a pret]natural ke5ness ( appetite1 b 9 mo/ diseases ! appetite is lo/ or impair$ or p]v]t$4 ,,?ir/ is g5]ally great 9 diabetis1 & !re is commonly consid]able ?ir/ 9 inflammatory compla9ts4 ,! above nam$ symptoms are mo/ly subjective1 b are accompani$ by o!rs t are objective1 t %[ t ! functions ( c]ta9 p>ts are di/urb$ or susp5d$2 & x is ( especial importance to notice ! ,,pulse1 z ?is is a valuable guide 9 treat+ disease4 ,ea* contraction ( ! he>t s5ds out a wave :i* di/5ds ! blood vessels1 & !y by _! contractility or ela/icity c>ry x on ?r\gh ! entire art]ial sy/em4 ,?is p]iodical di/5tion is ! pulse4 ,! ,,pulse ,,beats c be felt :]ev] an art]y approa*es ! surface2 x is usually tak5 & c\nt$ at ! wri/2 9 *ildr5 x c be be/ tak5 at ! temporal art]y dur+ sleep4 ,to take ! pulse accurately place two or ?ree f+]s on ! art]y mak+ mod]ate pressure1 & note p>ticul>ly its frequ5cy1 its regul>ity1 its =ces & its fullness4 ,! ,,rate v>ies ) v>y+ circum/ances4 ,! av]age numb] ( pulsations 9 a heal?y adult is f #gj to #ge1 b !re are "s p]sons :o1 :5 !y are q well h a pulse ( #hj or #ij to ! m9ute1 & !re are o!rs 9 :om x seldom rises above #fj4 ,x is usually m rapid 9 wom5 ?an 9 m51 is mu* m frequ5t 9 e>ly life ?an 9 old age1 & ! av]age rate 9 a heal?y *ild is #abj4 ,9 disease1 ! pulse may acquire a great degree ( frequ5cy4 ,x may rea* #aej or ev5 #bjj1 b 9 su* cases x is g5]ally feeble & c h>dly be c\nt$4 ,besides obs]v+ ! frequ5cy ( ! pulse1 its "* 9 o!r respects mu/ be not$4 ,,irregul>ity ,,( ,,! ,,pulse g5]ally indicates disease1 & !re are two v>ieties ( x4 ,9 mo/ in/ances ( irregul> pulse1 succe$+ beats diff] 9 l5g?1 =ce & "*2 9 ! o!r v>iety a pulsation is f "t to "t left out2 ! pulse is said to int]mit4 ,9 ! ,,dicrotic ,,pulse a second>y wave or undulation c be felt4 ,x is (t5 met 9 typhoid fev]1 & an inexp]i5c$ p]son might be l$ to c\nt d\ble ! numb] ( beats4 ,ano!r important quality ( ! pulse is its h>dness or compressibility4 ,! h>d pulse ord9>ily1 ?\gh n always1 indicates inflammation4 ,?is h>d pulse may be kn[n by press+ pretty h>d ) "o f+]1 :ile we obs]ve ) ! o!rs :e!r we arre/ or aboli% ! pulse4 ,a pulse is said to be full or l>ge if x is felt to /rike a l>ge portion ( ! f+]2 o!r dep>tures f ! normal /&>d are spok5 ( z s(t1 quick1 or %>p1 ?robb+1 b\nd+1 ?ready1 wiry1 flick]+1 c4 ,,( ,,! ,,temp]ature4 ,! normal /&>d ( ! temp]ature ( a heal?y p]son is #ih4d4 ,!re is "s v>iation1 & inde$ a daily cycle ( v>iations1 s t 9 ! morn+ x is #ii or at lea/ #ih & 9 ! ev5+ #ig1 b ! range is small1 & if ! v>iation is m ?an t1 x is indicative ( disease4 ,!re is only a deviation ( ab\t #ae )9 :i* life c be su/a9$2 a temp]ature ( m ?an #ajg or less ?an #ic w almo/ c]ta9ly prove fatal4 ,e "m :o c1 z well z e nurse1 ought to own a cl9ical !rmomet]1 z !reby %e may detect ! beg9n+ ( a disord] be=e !re are o!r m>k$ signs ( indisposition4 ,%e %\ld use x ^u ! fir/ suspicion ( a dep>ture f heal? & frequ5tly aft]w>ds1 until %e kn[s t ! temp]ature is normal4 ,an increase1 especially if beg9n+ ea* day a little e>li]1 is a bad indication2 a decrease f a high temp]ature ea* day is a sign ( improvem5t4 ,9 pneumonia & g5]ally 9 su* disord]s z are initiat$ ) a *ill1 ! rise is sudd5 & rapid4 ,9 typhoid & "s o!r fev]s1 ! elevation is slight at fir/ & gradually rises4 ,! exac]bations & remissions or o!r deviations c only be recogniz$ by tak+ ! temp]ature frequ5tly1 & x %\ld be tak5 at ! same h\r ea* day to exhibit ! cycle ( *anges4 ,an irregul>ity ( temp]ature 9 ! c\rse ( a disease t has a regul> type may indicate a complication1 or x may dep5d ^u local causes1 su* z con/ipation1 bad air1 c4 ,! decl9e ( fev] & ( temp]ature may be gradual1 or x may drop to a /eady normal )9 a few h\rs4 ,be=e us+ ! !rmomet] ! index mu/ be ?r[n d[n to a po9t bel[ ! normal4 ,hold x ) ! bulb d[n & %ake till x falls suffici5tly4 ,! "p 7! axilla7 %\ld n h be5 expos$ = wa%+ = at lea/ half an h\r be=e tak+ ! temp]ature1 & x is a good precaution to keep ! axilla 7or m\?7 clos$ = t5 m9utes be=e putt+ ! bulb ( ! !rmomet] into x1 & a little "t may be sav$ by slightly w>m+ ! bulb 9 ! h& be=e its introduction4 ,if we are c>eful & see t ! axilla is fir/ dri$ f p]spiration1 & t ! clo?+ is n 9 ! way1 & t ! !rmomet] is held firmly 9 position a suffici5t "t1 we may get a correct axill>y temp]ature1 unless 9 a v emaciat$ p]son4 ,if tak5 9 ! m\? ! lips mu/ be clos$ dur+ ! process4 ,! rectum gives ! mo/ reliable temp]ature1 & ?is me?od is employ$ = infants4 ,! !rmomet] %\ld be oil$ & introduc$ = ab\t two in*es4 ,unless ! pres5ce ( feces prev5t1 ! !rmomet] w be half a degree high] ?an if tak5 9 ! axilla4 ,x w sometimes take t5 m9utes or m to obta9 ! temp]ature1 b "s !rmomet]s w d ! "w 9 less ?an five m9utes4 ,,! ,,respiration4 ,t respiration & circulation are intimately connect$1 & t :atev] modifies ! pulse usually effects ! brea?+ is a fact g5]ally kn[n4 ,t ! prop] p]=mance ( ! function ( e organ 9 ! body dep5ds some:at ^u prop] respiration1 is a fact n s g5]ally kn[n & recogniz$1 & z ?is is an important topic we may prop]ly "h enl>ge ^u x4 ,by ! muscul> action ( ! diaphragm & int]co/al muscles1 & ! consequ5t contractions & expansion ( ! lungs1 ! alt]nate inspirations & expirations are produc$ :i* we call brea?+4 ,! lungs are n completely fill$ & empti$ by ea* respiration1 & a c]ta9 am\nt ( air rema9s /ation>y 9 !m4 ,7 ?is air :i* rema9s /ation>y con/antly 9 a p>ticul> portion ( ! lungs1 ! same )\t *ange1 we w\ld d]ive no b5efit f t portion ( ! lungs4 ,practically1 h[ev]1 x is believ$ t ! additional supply brea!d 9 & out is diffus$ ?r\gh & alt]s ! "* ( ! :ole4 ,a heal?y adult ord9>ily brea!s ab\t eighte5 times p] m9ute1 tak+ 9 ea* "t ab\t tw5ty in*es ( air4 ,x is said t x takes at ?is rate sixte5 respirations to completely r5ovate ! air4 ,?is is probably true ( our ord9>y brea?+1 b ! r5ovation ( ! air dep5ds ^u our mann] ( brea?+4 ,x is possible = u to brea? s t at "o expiration we almo/ displace ! air f e portion ( our lungs1 & !n by a full1 deep1 prolong$ inspiration1 7?r[+ =w>d ! *e/1 ?r[+ back ! %\ld]1 & keep+ ! body erect17 fill ! lungs fully ) air & ?us n only *ange ! air 9 our lungs1 b *ange 9 "s degree ! "* ( our blood s z to increase its purity4 ,9 ord] to te/ ?is let me ask anyone :o is suff]+ f any slight indisposition1 if x be heada*e1 nausea1 pa9s 9 diff]5t p>ts ( ! body1 or any sickness1 to try to brea! 9 ?is mann] = half an h\r1 & obs]ve if !y d n feel bett]1 be+ c>eful at ! same "t t ! air brea!d is good & pure4 ,?is po9t is ( s mu* importance t ,i w ref] to x aga9 h]eaft]4 ,! "* ( ! respiration is an important diagno/ic symptom & %\ld always be not$4 ,! rate ( respiration v>ies z does t ( ! pulse1 b ! =m] is p>tly "u ! control ( ! w4 ,! respirations are m rapid 9 wom5 ?an 9 m51 9 *ildr5 ?an 9 adults2 x is modifi$ also by position1 ex]tion1 excitem5t1 & o!r conditions4 ,we may c\nt ! respirations by obs]v+ ! rise & fall ( ! *e/1 b x is well to put our h& on ! /oma* :]e ! motions may be felt4 ,brea?+ is 9 man mo/ly abdom9al1 9 woman mo/ly ?oracic1 b inflammation 9 ! *e/ or abdom5 w affect its "*4 ,,dyspn,a1 difficulty ( brea?+1 arises :5 f any cause ! am\nt ( air ent]+ ! lungs does n correspond to ! am\nt ( blood s5t by ! he>t = purification4 ,! air may be unfit = its "w1 or disease 9 ! lungs1 or air passages may %ut x out4 ,asphyxia results if ! supply ( air is 9 any way cut (f4 ,,( ,,! ,,air4 ,9 ?is connection ,i w say to ! nurse1 give ! pati5t pure air4 ,le>n h[ indisp5sable ?is is to life1 or heal?1 or com=t2 h[ indisp5sable to any p]son1 & especially to ! sick2 h[ liable ! air 9 ! room is to be contam9at$ by ! air brea!d or expir$ by ^? 9 ! room2 by lights burn+ 9 ! room2 by exhalations f ! bodies ( ! sick2 by excreta left = a "t 9 ! room2 by ! inevitable float+ du/ f ! floors & walls2 f clo?+1 b$d+1 & furniture2 & f ! pres5ce ( organic matt] 9 increas$ quantity1 & ( mo/ delet]i\s quality 9 & ar\nd ! sick4 ,a ?\s& feet ( air space :]e ! air is con/antly r5ew$1 is necess>y = a heal?y adult2 a sick p]son %\ld h two or ?ree times z mu*1 because ) !m !re is increas$ susceptibility to draughts4 ,be v c>eful t ! sick are n plac$ s t a direct curr5t ( air c bl[ on any "p ( ! body1 b ei!r by ! use ( fans or 9 "s o!r way ! air mu/ be r5ew$ ar\nd _! b$4 ,,v5tilation4 ,! problem to be solv$ is1 h[ c fre%1 pure air be be/ suppli$8 ,! inequalities ( temp]ature )9 & )\t ! room produces "s natural v5tilation1 z ?is sets ! air 9 motion & effects an ex*ange ( air1 if !re are "s ap]tures ar\nd ! doors & w9d[s4 ,?is1 h[ev]1 is seldom suffici5t1 & artificial v5tilation is (t5 necess>y4 ,an op5 fire is a good app>atus = ?is purpose4 ,! draught :i* x creates c>ries ! air f ! room up ! *imney1 :ile a fre% supply is drawn 9 to take its place4 ,?is supply %\ld be f ! outw>d air1 or f an adjo9+ room 9 :i* ! air is n contam9at$4 ,! inlets & outlets = air %\ld be ( equal capacity1 on opposite sides ( ! room1 & ( diff]5t heights to secure ?or\gh v5tilation4 ,!y %\ld be z f> z possible f ! pati5t & f ea* o!r4 ,9 cold & damp wea!r great c>e is necess>y to keep ! air fre% & :olesome & at ! same "t to avoid *ill+ ! pati5t4 ,b ev5 9 cold wea!r ! doors & w9d[s may be ?r[n op5 = a m9ute at a "t1 if ! pati5t is at ! "t protect$ by additional clo?+4 ,h[ev]1 dur+ ! night & 9 cold & wet wea!r1 ! pr9cipal supply ( air w be f an adjo9+ room1 air t is w>m$1 b x %\ld be z pure z possible4 ,:5 ! wea!r is cold1 & especially ! latt] "p ( ! night1 h m heat 9 ! room & n less fre% air2 if ne$$ give y\r pati5t additional clo?+ & foot w>m]s4 ,! w9d[s may be ?r[n op5 once or twice a day 9 cold wea!r1 if ! pati5t is protect$ by putt+ additional clo?+ on ! b$1 & us+ "s sort ( a scre51 7an umbrella may be us$ = a scre571 z a protection f ! cold & direct draughts4 ,b z ! contam9ation ( ! air cont9ues1 ! purification ( x %\ld be equally s1 & "s fre% air mu/ con/antly be admitt$--"s device us$ = ! purpose4 ,! w9d[ may be rais$ two or ?ree in*es & ! ap]ture clos$ ) a bo>d1 !n ! air w f9d admittance ?r\gh ! op5+ betwe5 ! two sa%2 or :5 ! w9d[ is rais$ ?ree in*es1 a bo>d six in*es wide may be plac$ on ! w9d[ sill a little inside ( x2 ?us !re w be an ap]ture bo? at ! top & bottom ( ! l[] sa%4 ,or ! upp] sa% may be l[]$ a little4 ,! curr5t ( air :i* comes 9 7?is is usually ! l[] "o7 %\ld be direct$ upw>ds4 ,9 ! summ] a lamp may be kept burn+ 9 ! fireplace or grate2 flues mu/ 9 "s way be kept heat$ or !y w n draw4 ,/oves assi/ v5tilation to "s ext5t1 b furnaces & radiators d n assi/ at all to v5tilate1 & ! air is !reby especially dry4 ,a pan ( wat] may be kept boil+ 9 ! room1 or p]haps m]ely sett+ on ! /ove1 or a t[el or two may be hung ne> a radiator & kept con/antly wet2 ^! w damp5 ! air by evaporation1 & ?is is (t5 necess>y :5 ! rooms are kept w>m by artificial heat4 ,ab\t #ff is a prop] temp]ature = a sick room 9 mo/ cases1 b #fj to #fe is suitable = fev] cases2 feeble & emaciat$ p]sons require a temp]ature ( #gj to #ge4 ,be c>eful to h ! room w>m :5 ! pati5t is out ( b$4 ,,! ,,symptoms ,,( ,,inflammation4 ,! ord9>y symptoms :i* *>act]ize inflammation may be kn[n if we obs]ve :at takes place :5 an ext]nal "p is injur$4 ,let u suppose t a heal?y man has a piece ( glass /uck 9 8 arm4 ,he soon has pa91 !n r$ness 9 t "p ( 8 arm1 !n swell+1 :i* is h>d ne> ! injury1 & increases s t "s swell+ may be obs]v$1 ?\gh n s h>d at a little di/ance1 & ! "p is q t5d] & hot4 ,^! are ! ord9>y symptoms ( inflammation3 pa91 r$ness1 heat1 & swell+1 ) t5d]ness t is manife/$ :5 ! "p is press$4 ,if ! inflammation increases !re are signs ( disord] 9 o!r p>ts ( ! body2 ! pati5t may be fir/ *illy & feeble1 !n ! sk9 may become hot & dry all ov] ! body1 ! pulse fall h>d & frequ5t1 lassitude comes on ) heada*e1 p]haps pa9 9 diff]5t p>ts ( ! body2 he has also o!r symptoms ( fev]2 is re/less1 sleeps ill1 loses 8 appetite1 8 tongue becomes :ite1 8 m\? is dry1 he is ?ir/y1 ! secretions ( ! body are dim9i%$1 has :at is call$ inflammatory fev]1 or sympa!tic fev]1 or pyrexia1 ! la/ t]m be+ n[ mo/ g5]ally us$4 ,^! ph5om5a1 ?is inflammation1 ends 9 two or ?ree diff]5t ways4 ,if measures h be5 tak5 = subdu+ ! inflammation--9 ! suppos$ case ( ! arm--if ! glass has be5 remov$1 x w probably happ5 t ! symptoms above nam$ w disappe>4 ,?is is to end 9 :at is call$ ,,resolution4 ,:5 ! inflammation goes on until pus is =m$ x is said to end 9 ,,suppuration4 ,! symptoms gr[ m sev]e = sev]al days1 ! swell+ at l5g? assumes a m po9t$ =m1 ! sk9 9 its c5tre beg9s to look :ite1 & ! swell+ !re gets s(t]2 !re is ?robb+ pa91 p]haps ! pati5t has *ills or rigors2 !n :5 ! swell+ is cut op5 or ! cuticle breaks a yell[ creamlike fluid is p\r$ out :i* is pus1 & !re is g5]ally an abatem5t ( ! symptoms4 ,if1 h[ev]1 ! suppuration or dis*>ge ( pus cont9ues = "s "t1 o!r symptoms are manife/$ su* z frequ5t %iv]+s1 foll[$ by fla%es ( heat :i* end 9 p]spiration2 ?is is ,,hectic ,,fev]4 ,:5 ! inflammation is /ill m int5se x sometimes ends 9 ,,mortification1 ! "p dies by ! viol5ce ( ! disease1 ! r$ color *ang+ to a livid or purpli%1 or gre5i% black hue1 ! fle% los+ its s5sation & hav+ an (f5sive odor4 ,( c\rse inflammation may be 9 an organ or /ructure t is int]nal1 & we det]m9e ! seat ( ! disease1 p>tly by ! "* ( ! pa94 ,sometimes ! pa9 is %>p & pi]c+2 ?is is its "* g5]ally 9 s]\s membranes su* z ! pleura or p]itoneum 7membranes cov]+ ! lungs & inte/9es47 ,!re is less pa9 :5 ! inflammation is 9 ! muc\s membrane1 or 9 ! p>5*ymat\s /ructure ( organs1 su* z ! lungs1 liv]1 & sple54 ,!re is g5]ally an aggravation ( pa9 ^u press+ a "p t is inflam$4 ,pa9 caus$ by air di/5d+ ! b[els & /ret*+ ! n]ves may be reliev$ by pressure4 ,spasmodic contractions ( ! muscles w cause pa9 )\t mu* t5d]ness4 ,,( ,,heat ,,z ,a ,,symptom ,,( ,,inflammation4 ,! temp]ature ( an inflam$ "p exce$s t :i* belongs to x 9 heal?4 ,9 inflammation z 9 fev]1 x has be5 kn[n to rise to #ajg4 ,! increase ( heat dep5ds ^u an influx ( art]ial blood1 & !re=e ( oxyg5 into ! "p4 ,!re is probably always "s increase ( heat1 ?\gh x may n always be notic$ 9 e case ( inflammation4 ,!re is m ,,r$ness ?an is natural 9 a "p t is inflam$4 ,!re is m blood ?an usual 9 ! vessels t c>ry r$ blood1 & ! r$ blood ent]s into ! small vessels :]e ! r$ p>ticles _c commonly be se54 ,all ! m9ute vessels seem to be enl>g$4 ,! r$ness (t5 rema9s sometime aft] ! inflammation has ceas$4 ,! degree ( ,,swell+ 9 diff]5t cases dep5ds p>tly on ! nature & /ructure ( ! "p affect$ & p>tly on ! int5sity ( ! inflammation2 9 "s in/ances !re is s little t x is n appreciable4 ,almo/ all ! swell+ results f ! pres5ce ( matt]s ?r[n into ! inflam$ "p4 ,9 ! c5tral h>d portion ! h>dness is to be ascrib$ to an effusion into ! areol> tissue ( x1 ( a fluid :i* is transp>5t at fir/1 aft]w>ds becom+ opaque1 call$ coagulable lymph4 ,s]um is effus$ into ! areol> tissue ( ! s(t] swell+ at ! circumf]5ce4 ,,dema1 ,,dropsy1 ,,anas>ca4 ,ev5 "u mod]ate inflammation "s am\nt ( effusion takes place into ! texture or f ! surface ( a "p4 ,?is effusive s]\s fluid call$ also s]osity1 resembles & probably is ! scrum ( ! blood4 ,:5 ?is passes into ! areol> /ructure ( a "p x is call$ dema1 7?\gh ?is is n always by inflammation7 & if ! s]osity passes out ext5sively ov] ! body1 ! disease is call$ anas>ca or g5]al dropsy4 ,if a consid]able am\nt ( ?is s]\s fluid is p\r$ out 9 a %ort "t f ! p]itoneum1 x is a =m ( ascites or abdom9al dropsy4 ,if x is ?us p\r$ into ! pleura x causes apna1 or difficulty ( brea?+1 & requires aspirat+4 ,,*apt] ,,iii4 ,,diagnosis ,,( ,,diseases ,,9 ,,*ildr51 ,,e>ly ,,treatm5t1 ,c4 ,x is n (t5 t a correct diagnosis c be made ( a disease by a s+le symptom1 b !re are m>k$ & *>act]i/ic symptoms :i* indicate "s diseases 9 *ildr5 ) consid]able c]ta9ty4 ,a /rongly m>k$ nasal or palate s\nd 9 ! *ild's cry indicates an abscess beh9d ! ph>ynx4 ,:5 ?is nasal tone is he>d we %\ld palpate ) ! f+] on ! ?roat to asc]ta9 ! degree ( sor5ess4 ,a long drawn1 t5 times l5g!n$1 l\d s\nd+ expiration ) normal inspiration1 & no dyspna is suffici5t = ! diagnosis ( ,,*orea ,,major 7,/4 ,vitus dance47 ,a high ?oracic cont9ually sigh+ inspiration1 ! upp] "p ( ! ?orax do+ ! "w ( brea?+1 & ) a sigh+ or groan+ s\nd1 %[s ! comm5cem5t ( ,,he>t ,,weakness1 ,,c>diac ,,p>alysis ,,or ,,fatty ,,deg5]ation ,,( ,,! ,,he>t1 & w probably be foll[$ by su* symptoms z cyanosis1 coldness ( ! extremities1 c4 ,/rongly m>k$ diaphragmatic expiration accompani$ by a f9e1 high :i/l+ s\nd1 po9ts to ,,bron*ial ,,a/hma4 ,?is s\nd1 h[ev]1 resembles t made 9 cr\p4 ,if !re is a pause betwe5 ! end ( expiration & ! beg9n+ ( inspiration1 cr\p may be exclud$4 ,sleep9ess1 la/+ tw5ty-f\r to ?irty-six h\rs1 occurr+ )\t fev] or o!r di/urbance to acc\nt = x1 is an initial symptom ( ,,m5+itis1 ?\gh x might be caus$ by n>cotics or uremia4 ,a prom95t1 firm fontanelle means increase 9 quantity ( ! cont5ts ( ! cranium-exudation ( "s sort4 ,x _c be caus$ by fullness ( ! vessels alone if x is firm & resi/+4 ,we "k t we h c]ebral disease ) ,,dropsy or exudation 7,hydrocephalus74 ,:5 ! fontanelle is deeply sunk51 x po9ts to loss ( blood or o!r nutritive juices1 z 9 *ol]a1 c4 ,a %>p1 %rill cry1 accompani$ by an expression ( fright or great anxiety1 & occurr+ ab\t an h\r aft] ! *ild has fall5 asleep1 is ! only symptom ( ! 8,,alp0--night t]rors1 sudd5 awak+ f bad dreams4 ,p]iodical cry+1 la/+ f five to t5 m9utes1 %\ld always make u ?9k ( spasm ( ! bladd] or ,,pa9ful ,,ur9ations4 ,viol5t cry+ at /ool ) fe> ( ! act1 & g5]al avoidance ( x1 po9ts to ,,fissure ,,( ,,! ,,anus1 & is usually accompani$ ) con/ipation4 ,a viol5t cry full ( pa9 & almo/ cont9u\s1 ) ! ?r[+ ab\t ( ! head on ! pill[ & grasp+ x ) ! h&s1 means ,,otitis or ,,e>a*e4 ,weakness or immobility ( ! *ild1 aft] a comp>atively slight or %ort illness1 po9ts to ,,sp9al ,,p>alysis4 ,delay$ ossification ( ! cranial bones is an e>ly sign ( ,,rickets1 z is cry+ cont9u$ = weeks 7increas$ on t\* ( ! extremities71 accompani$ ) fev] & incessant sweat+4 ,vomit+ ( all k9ds ( food cont9u$ = weeks 9 *ildr5 ( clos$ cranium b ) l>ge cranial measurem5ts1 :5 !re is no fev]1 pa91 idiopa?ic disease1 or a c]ebral tumor1 indicates *ronic ,,hydrocephalus ) an acute onset4 ,conge/ion ( ! *eeks 9 *ildr51 except+ 9 cases ( ca*exia & *ronic disease1 indicates an ,,inflammation or a febrile condition4 ,conge/ion ( ! face1 e>s & =ehead ( %ort duration1 /rabismus ) febrile reaction1 oscillation ( ! iris1 irregul>ity ( ! pupil ) fall+ ( ! upp] lids1 indicates a bra9 affection4 ,enl>gem5t ( ! spongy portions ( ! bones indicates ,,rickets4 ,a ?ick & purul5t secretion betwe5 ! eyelids may indicate great ,,pro/ration ( ! g5]al p[]s4 ,passive conge/ion ( ! conjunctival vessels indicates approa*+ ,,dea?4 ,long cont9u$ lividity1 z well z lividity produc$ by excitem5t or ex]cise1 ! respirations cont9u+ normal1 are indices ( ,,fault ,,9 ,,! ,,=mation ,,( ,,! ,,he>t1 or great blood vessels4 ,a tempor>y lividity indicates ! exi/5ce ( a grave acute disease1 especially ( ! respiratory organs4 ,irregul> muscul> movem5ts1 :i* are p>tly "u ! control ( ! w1 indicates ! exi/5ce ( ,,*orea 7,/4 ,vitus dance74 ,! contraction ( ! eyebr[s1 toge!r ) a turn+ ( ! head & eyes to av]t ! light1 is a sign ( cephalalgia 7heada*e74 ,:5 ! *ild holds its h& ^u its head1 or /rives to re/ ! head ^u ! bosom ( ! "m or nurse1 x may be suff]+ f e> disease4 ,:5 ! f+]s are c>ri$ to ! m\?1 & !re is besides great agitation app>5t1 & :5 x turns its head f "o side to ano!r1 !re is probably "s ob/ruction or "s abnormal condition ( ! l>ynx4 ,a feeble & pla9tive cry indicates a tr\ble 9 ! abdom9al regions4 ,if ! respiration is int]mitt5t b accel]at$1 !re is capill>y bron*itis4 ,9 bron*itis ! c\gh is cle> & di/9ct4 ,a ho>se & r\gh c\gh is indicative ( true ,,cr\p4 ,:5 ! c\gh is suppress$ & pa9ful1 !re is ,,pneumonia or ,,pleurisy4 ,9 diseases ( ! /oma*1 liv] or b[els we h usually a coat$ tongue2 a :ite tongue indicates ,,febrile di/urbance or "s ,,?roat tr\ble2 a br[n moi/ tongue1 ,,indige/ion2 a br[n dry tongue1 ,,depression1 ,,blood ,,poison+ or ,,typhoid ,,fev]2 a r$ moi/ tongue1 ,,inflammatory ,,fev]2 a broad1 pale flabby tongue accompanies a ,,dropsical ,,condition ( ! sy/em2 a tremul\s1 moi/ & flabby tongue indicates ,,feebl5ess1 ,,n]v\sness2 a pale flabby tongue :i* %[s ! pressure ( ! tee?1 a g5]ally relax$ condition ( ! sy/em2 ! irritable or /rawb]ry tongue ) its r$ papilla1 po9ts to an irritat$ /oma*1 & is met ) 9 ,,sc>let ,,fev]2 a furr$ & dry tongue is indicative ( ,,viol5t ,,local ,,inflammation2 if aft]w>ds clean1 r$ & dry1 protract$ ,,inflammatory ,,fev]4 ,:eez+ c\gh & :eez+ brea?+ indicates ,,a/hma2 dull1 heavy a*+ pa9 at ! base ( ! *e/1 ,,acute ,,bron*itis2 urg5t desire to g to /ool1 ,,dys5t]y2 dim9i%$ secretion ( ur9e1 ,,inflammatory & ,,febrile ,,disord]s2 cold h&s & feet1 ,,n]v\s ,,diseases & l[ /ates ( ! blood4 ,9 g5]al1 ! diagnosis ( diseases ( *ildr5 is easy if we simply comp>e ! objective symptoms ) ^? :i* %\ld obta9 9 a heal?y *ild ( ! same age4 ,b we mu/ rememb] t ) *ildr5 symptoms :i* appe> v grave are (t5 evanesc5t1 & on ! o!r h& ! indications ( v s]i\s disease may be disreg>d$ on acc\nt ( _! natural vivacity & recup]ative p[]s4 ,9 ea* case ea* *ild %\ld be /udi$ by itself consid]+ its antec$5ts1 its peculi>ities1 its surr\nd+s1 & its relations to !m4 ,! "m has ! be/ *ance to "k ^!2 %e sees ! *ild :5 awake & asleep1 :5 dress$ & undress$2 %e kn[s its hi/ory1 :at has be5 its diet1 :at h] own heal? has be51 h] own habits1 h] surr\nd+s & occupations1 & :e!r !re may or may n h be5 any?+ to cause sickness ( ! *ild 9 h] own toils or trials4 ,! nurse & ! "m %\ld note all ! facts1 = _! own guidance & = ! guidance ( ! physician if he is call$4 ,,e>ly ,,treatm5t ,,( ,,infantile ,,diseases4 ,v few ( ! symptoms h]et(ore m5tion$ c be neglect$ ) impunity4 ,:ile "s cases ( sickness may be left to ! p[]s ( nature to re/ore heal?1 o!rs require judici\s e>ly treatm5t1 & a physician %\ld be call$4 ,we %\ld g5]ally enjo9 re/1 b we %\ld act by our m$ic9es to meet e positive indication4 ,we are ! assi/ants ( nature2 we mu/ act by remov+ ! causes :]e !y c be rea*$2 we mu/ relieve pa91 b we mu/ n by (fici\s k9dness d too mu* & int]f]e ) ! natural return to heal?4 ,rememb] t drugs are n all p[]ful1 t "t1 re/1 diet & numb]less little ?+s are ! means by :i* we aid 9 ! fight aga9/ disease4 ,x is an excell5t plan n to cont9ue m$ic9e too long4 ,place ! *ild on ! road to heal? & see if x w n ) a little sup]vision improve--/ill1 h[ev]1 us+ prop] re/1 diet1 c4 ,b z ! app>5tly trifl+ symptoms ( to-day may become ! full fl$g$ attack ( to-morr[1 we mu/ pay att5tion to e unt[>d symptom4 ,p>5ts are liable to be unnecess>ily sc>$1 & aft]w>ds g to ! o!r extreme & neglect call+ a physician until s]i\s injury has occurr$4 ,i w "h give y a few aphorism & g5]al rules3 ,treatm5t ( ! sick %\ld be accord+ to ! pati5t z well z accord+ to ! disease4 ,adult males are n s s5sitive z females2 "y *ildr51 :e!r male or female1 are s5sitive1 t5d] & excitable1 & alive to e irritation4 ,b "y *ildr5 diff] 9 _! con/itution1 & "s h peculi>ities or idiosyncracies s t m$ic9es ( ord9>y activity act v p[]fully or ev5 viol5tly4 ,small *ildr5 are always s5sitive to ! action ( m$ic9e1 & small doses only are requir$ = !m4 ,& 9 consequ5ce ( ! activity ( ! vital p[]s1 & ! quickness & =ce ( ! circulation1 !re is a rem>kable susceptibility to inflammatory action1 disease sometimes runn+ on rapidly to organic & incurable mis*ief4 ,9 treat+ *ildr5 employ ! milde/ rem$ies at fir/1 & aid _! action by regim54 ,:5 an em]g5cy dem&s1 use ^? articles :i* exp]i5ce has %[n to h p[] to meet su* an em]g5cy4 ,exhibit su* m$ic9e 9 ! m9imum dose & increase or repeat until ! desir$ effect is produc$4 ,be v c>eful n to fill ! *ild ) no/rums = "s imag9>y ill1 le/ y !reby make x ill4 ,always rememb] t ! fir/ /ep 9 treatm5t is to *ange ! conditions :i* produc$ ! disease--remove ! cause & assi/ nature to repair ! injury4 ,,*apt] ,,iv4 ,,treatm5t ,,( ,,inflammation ,,9 ,,its ,,incipi5t ,,/ages4 ,usually ! nurse or ! "m does n treat disease1 or adm9i/] m$ic9e except "u ! direction ( a physician1 & x is n always necess>y = h] to "k ! pr9ciples t guide 9 _! adm9i/ration1 or :y p>ticul> m$ic9es are giv54 ,b x is sometimes necess>y = ! nurse or "m to decide :at %all be done1 & to act be=e ! doctor c be consult$4 ,accid5ts & em]g5cies occur1 di/ress & sickness may sudd5ly attack "s memb] ( a family at any "t1 & little ailm5ts are compla9$ ( e day by "s ( !m2 ! "q arises1 :at %all be done8 ,x is n necess>y e "t to s5d = ! physician1 & he _c at a mom5t's notice be obta9$4 ,= _m ailm5ts ! "m prescribes1 & _m times ! e>ly & judici\s use ( m$ic9es or regim5 n only relieves pres5t suff]+1 b also prev5ts ! developem5t ( s]i\s1 & protract$ & dang]\s maladies4 ,?is is especially true 9 reg>d to incipi5t inflammation1 & ,i %all "h speak p>ticul>ly ( its treatm5t4 ,:at has h]et(ore be5 said ab\t inflammation gives u "s guide to enable u to "k :e!r ! case call+ = our c>e is "o ( an inflammatory "*4 ,if ! pulse is full & h>d & a little m frequ5t ?an usual1 & !re is re/lessness & "s pa9 we may conclude t !re is ,,irritation t prec$es inflammation at lea/1 be=e su* symptoms z depression1 *ill9ess foll[$ by heat1 heada*e1 a furr$ tongue1 loss ( appetite1 & app>5t weakness come on4 ,b if any ( ^! symptoms are pres5t we %\ld se>* = ! cause4 ,p]haps if ! inflammation is ext]nal we %all be able to asc]ta9 :at produces ! tr\ble4 ,9 e case we ought to "k ! cause if possible1 z we ?us h m cle> indications = treatm5t4 ,b we may use ! s$ative treatm5t 9 all cases :]e ^! symptoms come on 9 a p]son :o has previ\sly be5 heal?y4 ,( c\rse y w n ble$--t1 if done at all1 %\ld be done by ! doctor4 ,b all s\rces ( irritation ought to be remov$1 s t ! pati5t may enjoy p]fect quiet2 ! sick room %\ld be v5tilat$1 & kept at ! temp]ature ( ab\t #fj2 let ! diet be light2 all[ ice & cold wat] freely1 & if !re is mu* febrile excitem5t use s$atives & sal9e refrig]ants4 ,! be/ s$ative is v]atrum viride1 & ! foll[+ is a conv5i5t way ( adm9i/]+ x3 ,drop #cj drops ( ! fluid extract ( v]atrum 9 #cj teaspoonfuls ( wat] & give #a teaspoonful e two h\rs4 ,to adult subjects if !re is consid]able fev] two drops ( ! extract1 or two teaspoonfuls ( ! dilut$ prep>ation may be giv5 at fir/ & ! dose may be repeat$ 9 an h\r1 b x w n be be/ to cont9ue su* l>ge doses4 ,ap]i5ts may be giv5 if !re are fecal accumulations 9 ! b[els4 ,al?\gh qu99e is a tonic1 six to t5 gra9s ( x are sometimes giv5 ) good effect 9 a case ( inflammation4 ,opium is a good rem$y judici\sly giv52 "o dose 7#a gra9 = an adult7 is good 9 a case ( cat>rh or cold2 successive doses are necess>y 9 a case ( p]itonitis or ent]itis1 b ?is %\ld be giv5 on a physician's advice4 ,x acts probably by quiet+ ! n]ves--by su/a9+ ! falt]+ action ( ! he>t1 & by keep+ ! inflam$ "p at re/4 ,sometimes cold1 & sometimes hot applications are made to inflam$ p>ts1 & x is said t ! s5sations ( ! pati5t are ! be/ crit]ion ( _! usefulness4 ,except1 h[ev]1 9 cases ( inflammation ( ! bra91 & p]haps ev5 !n1 ,i ?9k t hot applications are ! be/4 ,:5 we wi% to promote suppuration hot fom5tations %\ld be appli$4 ,,c\nt] ,,irritants relieve inflammation ( ! deep] p>ts by draw+ ! circulat+ fluid & ! n]v\s en]gy to ! surface4 ,! mild] k9ds call$ rubefaci5ts1 produce m]ely local w>m? & r$ness2 ^! may (t5 be us$ advantage\sly4 ,mu/>d appli$ s z to r$d5 ! sk9 is g5]ally useful4 ,,vesicants1 epispa/ics1 or bli/]+ ag5ts are safe appliances b !y are di/ress+1 & _! use may be def]r$ until a physician advises !m4 ,i h said t ! diet %\ld be light :ile ! pulse is h>d & full4 ,aft]w>ds :5 ! pulse is natural1 or if x becomes irregul> or small1 good bro?s or o!r nutri5ts are to be giv51 milk1 cream1 & ev5 raw eggs may be adm9i/]$4 ,9 g5]al food %\ld n be press$ ^u a pati5t4 ,,( ,,topical ,,applications ,,= ,,inflammation4 ,i h m5tion$ c\nt] irritants & ,i ?9k x be/ at ?is "t to adv]t to all ! v>i\s topical applications1 irritat+1 soo?+ & protective1 & to give su* in/ructions z ,i c 9 reg>d to !m4 ,c\nt] irritants are frequ5tly appli$ ov] or ne> ! seat ( ! disease1 & (t5 also at a remote "p to obta9 :at is call$ revulsive action4 ,9 bo? in/ances1 h[ev]1 _! action may be revulsive4 ,if appli$ to ! ?orax or *e/1 = example 9 a case ( pneumonia1 ! cuticle to :i* x is appli$ is almo/ z remote f ! lung by ! way ( ! circulation1 z is ! cuticle ( ! wri/ or ankle4 ,b practically a s9apism may be v useful appli$ at ei!r place--possibly m useful if appli$ ov] ! seat ( ! inflammation1 because !re is a sympa?y betwe5 ! p>ts--!y may be us$ v b5eficially 9 dome/ic m$ication4 ,9 a few succe$+ pages ,i give "s directions to ! nurse :o acts "u ! doctor's ord]s4 ,,ammoniacal ,,l9im5ts1 & o!r wa%es & embrocations t are suffici5tly irritat+ to produce r$ness :5 rubb$ on ! sk91 %\ld be rubb$ on briskly s z to produce consid]ably increas$ circulation 9 ! capill>ies1 c4 ,"o ( ! mo/ commonly us$ rubefaci5ts is mu/>d4 ,to make a mu/>d pla/]1 or s9apism1 take "o "p ( p[d]$ mu/>d1 & ab\t ?ree times ! quantity ( fl\r & mix into a pa/e ) tepid wat]1 & spread x ev5ly betwe5 two pieces ( ?9 musl94 ,z hot wat] or v9eg> weak5s ! active pr9ciple ( mu/>d1 tepid wat] is be/1 ev5 if x seems cold :5 appli$ to ! pati5t4 ,good s9apisms are conv5i5tly made also by d\bl+ br[n pap] sev]al ?icknesses1 wett+ x & spr9kl+ on ! mu/>d alone4 ,! mu/>d mu/ n be left on long en\gh to vesicate2 usually x %\ld be tak5 (f )9 half an h\r 7or mov$17 except :5 appli$ to ! soles ( ! feet1 :5 !y may commonly be left on = sev]al h\rs4 ,_! action mu/ be c>efully wat*$ ^u an ins5sible or deliri\s pati5t1 or a little *ild4 ,9 mix+ ! pla/] = *ildr5 glyc]9e may be us$1 & !n ! pla/] may rema9 on long]4 ,conf9e 9 place by a b&age4 ,if ! pati5t compla9 ( ! burn+ or sm>t+ aft] ! pla/] is remov$1 du/ ! "p ) />* or f9e fl\r1 or dress ) vasel9e to exclude ! air4 ,y may make a cay5ne pepp] pla/] 9 ! same way t a mu/>d pla/] is made1 or y may spr9kle pepp] ^u a ?9 slice ( pork4 ,?is makes good draughts = *ildr5 & may be useful sometimes = sore ?roat if appli$ to ! neck4 ,b capsicum pla/]s1 c41 c be b\ght at ! drug /ore4 ,9 ! c\ntry x is g5]ally conv5i5t to obta9 & apply horse radi% leaves2 ^! are good rubefaci5ts4 ,9 ord] to produce imm$iate ,,vesication ,i h kn[n a doctor to heat an iron spoon until x 0 suffici5tly hot1 & !n rub x ov] a small space ( sk92 & a small bli/] may be quickly made by saturat+ a bit ( cotton ) h>t%orn1 putt+ x 9 a top ?imble & apply+ x to ! sk9 to rema9 sev5 or eight m9utes4 ,b ! ag5t mo/ commonly us$ to produce vesication is ! ,,can?>ideal ,,pla/]4 ,if y are to produce a bli/] ) ?is1 ! "p %\ld fir/ be wa%$ & dri$1 %av$ if !re is any hair ^u x1 !n if y wi% ! bli/] to rise soon wet ! pla/] & also ! sk9 ) v9eg>2 apply1 & secure ! pla/] 9 place by a b&age4 ,mo/ commonly x w rise 9 f f\r to eight h\rs1 b )\t wait+ = x to rise fully y may remove ! pla/] & apply a p\ltice :i* w produce ! desir$ effect4 ,d n te> ! sk9 9 tak+ ! pla/] (f4 ,:5 ! bli/] is well rais$ make a slight incision or two = ! escape ( s]um1 & dress ) vasel9e or tall[4 ,?is is ! usual way1 b 9 "s cases ! physician may direct diff]5tly1 p]haps may leave ! bli/] undi/urb$ & all[ ! fluid to be reabsorb$4 ,/rangury & conge/ion ( ! kidneys sometimes foll[ ! prolong$ use ( can?>ides2 to prev5t ?is1 x is sometimes recomm5d$ t tissue pap] be well oil$ & int]pos$ betwe5 ! pla/] & sk94 ,& z camphor corrects ! action ( can?>ides ^u ! bladd]1 x is recomm5d$ t 9 case ( a *ild p>ticul>ly1 a solution ( camphor 9 e!r be spr9kl$ ^u ! pla/]4 ,if a bli/] is appli$ to a "y *ild1 x %\ld be c>efully wat*$ & n all[$ to rema9 too long4 ,9 two or ?ree h\rs ! sk9 w be well r$d5$1 & ! pla/] may be remov$ & a p\ltice appli$4 ,,t9cture ,,( ,,iod9e is sometimes appli$ z a c\nt] irritant1 b sev]al coats & repeat$ applications are necess>y to produce a bli/]4 ,local /imulation c be obta9$ f bits ( can?>ideal pla/] kept on = an h\r or two1 & remov$ or *ang$ be=e ! po9t ( vesication is rea*$4 ,! same effect foll[s ! rapid passage ( a hot flat iron ov] a piece ( br[n pap] or flannel laid ^u ! sk94 ,x is g5]ally be/ t ! flannel %\ld be wet fir/2 & %\ld an em]g5cy arise :5 f hemorrhage or "s o!r cause !re is dang] ( imm$iate collapse1 ! application ( heat 9 ?is way may r\se ! suff]] & prev5t imm$iate dea?4 ,?is or ! actual caut]y is sometimes us$ to relieve lumbago1 or rheumatism4 ,if y h !reby a slight burn1 y may dress x 9 a solution ( bic>bonate ( soda & cov] f air ) rubb] tissue4 ,if a ,,seton is ins]t$ 9 ! sk91 ! silk %\ld be mov$ daily & ! matt] well cle>$ out4 ,,wet ,,cups are appli$ to relieve conge/ion & to ab/ract blood1 ! sk9 be+ fir/ sc>ifi$4 ,,dry ,,cupp+ is mo/ practic$ = ! relief ( pa9 & to draw ! blood away f an inflam$ organ4 ,small tumbl]s may be us$ 9 ! abs5ce ( cupp+ glasses1 if ! edges are smoo?4 ,:5 y apply ! cups h at h& also a lamp1 a sauc] ( alcohol1 a bit ( sponge or a wad ( l9t fa/5$ to ! end ( a /ick4 ,h ! cups p]fectly dry1 dip ! sponge 9 ! alcohol :i* y w ignite f ! lamp1 7!y be+ ne> ! pati5t71 & let x burn = an in/ant 9 ! inv]t$ glass1 !n )draw & ext+ui% x1 & rapidly place ! cup ov] ! int5d$ spot4 ,z ! heat$ air 9 ! glass cond5ses 9 cool+1 ! sk9 w be =cibly suck$ up1 & ! blood drawn t[>ds ! surface4 ,ea* cup w rema9 on f ?ree to five m9utes4 ,d n attempt to apply !m to a bony & irregul> surface1 & be v c>eful n to burn ! pati5t by gett+ ! edges ( ! glass too hot4 ,to remove ! cup press ) ! f+] close to ! cup s t air w be admitt$4 ,,wet ,,cupp+ w be att5d$ to by ! physician1 :o w provide ! sc>ificator1 & adhesive /raps4 ,see t pl5ty ( s(t t[els are provid$4 ,!re are two v>ieties ( ,,lee*es us$ 9 ?is c\ntry1 ! ,am]ican & ! =eign4 ,! latt] diff]s f ! =m] 9 hav+ five or six /ripes d[n its back in/ead ( ?ree1 & x w draw f five to six times its own weight ( blood z x is l>g] & m voraci\s ?an ! ,am]ican v>iety4 ,! dome/ic v>iety is sometimes pref]r$ = *ildr51 z x w draw a suffici5t am\nt ( blood usually4 ,lee*es %\ld n be appli$ ov] any l>ge vessel1 & pref]ably %\ld be ov] a bony surface :]e pressure c be made to /op ! blood if x cont9ues to run4 ,! lee* %\ld n be h&l$1 x may be wa%$ & dri$ 9 ! folds ( a t[el4 ,to induce !m to bite1 ! "p to :i* !y are to be appli$ mu/ be p]fectly clean1 & x may be be/ to pick or scrat* ! sk9 s t ! lee* has fir/ a ta/e ( blood2 or y may put ! lee* 9 a w9e glass1 te/ tube1 lee* glass1 or small bottle fill$ ) wat]2 cov] ) a cord & inv]t ov] ! place2 hold x close & slip out ! pap]4 ,! lee* w !n probably take hold & ! glass c be tak5 (f1 & ! wat] absorb$ by a t[el4 ,if "o is to be appli$ inside ! m\? or no/ril1 put a ?read ?r\gh its tail to prev5t its be+ swall[$4 ,if su* an accid5t %\ld occur h ! pati5t dr9k freely ( salt & wat]1 & induce vomit+4 ,if ! lee* seems sluggi% :5 appli$ /roke x g5tly ) a dry t[el4 ,:5 full x w drop (f4 ,if y wi% to take !m (f soon]1 d n remove by =ce1 b put a little salt on _! heads4 ,if ! ble$+ f ! orifice cont9ues too long x may be *eck$ by a compress ( l9t1 an application ( ice1 or by t\*+ ) nitrate ( silv]1 or c>bolic acid4 ,lee*es n us$ may be kept 9 a j> ( wat] ) s& 9 ! bottom1 & a p]=at$ cov]1 or x may be cov]$ ) a l95 clo?4 ,! wat] 9 :i* !y are kept %\ld be *ang$ twice a week 9 w9t] & (t5] 9 summ]4 ,salt w make a lee* disgorge ! blood ) :i* x is fill$1 b if kept aft]w>ds x is liable to be diseas$1 & to cause disease 9 ^? t are ) x4 ,by ,,fom5tations or /upes is commonly meant ! application ( flannels or t[els wet ) hot wat] or "s m$ic9al decoction4 ,if hot wat] only is us$1 !y are a conv5i5t means ( apply+ w>m? & moi/ure1 b !y require con/ant att5tion1 ne$+ to be *ang$ e t5 or fifte5 m9utes4 ,!y are *iefly ( use 9 reliev+ pa9 & inflammation1 & 9 promot+ suppuration :5 t is desirable4 ,two pieces ( flannel %\ld be at h& ea* d\bl$ to ! desir$ size2 !y are to be saturat$ ) boil+ wat] & wrung out dry z possible4 ,to wr+ x out )\t scald+ "o's f+]s1 put x inside a t[el1 & ?is may be made ) a hem at ! end s t a /ick c be ?ru/ ?r\gh x4 ,wr+ ! flannel s dry t x w n make ! b$ or b$ clo?+ wet4 ,cov] ) oil$ musl9 a little l>g] ?an ! fom5tation1 & ov] t lay "s dry flannel or cotton4 ,if ! /upe is put on hot1 & frequ5tly *ang$1 x d]ives or draws blood t[>ds ! sk91 & is (t5 useful 9 reliev+ spasm & pa92 & ! cont9u$ use ( !m prev5ts suppuration4 ,m$icam5ts are sometimes add$ to make !m m irritant or s$ative2 !n !y are n *ang$ s (t51 b !y mu/ n be all[$ to get cold4 ,aft] ! fom5tations are discont9u$1 c>efully wipe ! p>ts dry to :i* !y h be5 appli$1 & cov] ) a w>m1 dry flannel4 ,i subjo9 a few useful fom5tations 9 :i* decoctions or m$ic9es are us$4 #a4 ,add "o ounce muriate ( ammonia & two ounces spirits ( camphor to #a qu>t ( boil+ wat] j be=e dipp+ ! flannel into x4 #b4 ,= a fom5tation to ! b[els1 *e/1 c41 ( a *ild1 take #a oz4 p>agoric1 #a oz4 ,jamaica g+]1 & #d ozs4 hot wat]4 #c4 ,tw5ty drops spirits turp5t9e may be spr9kl$ ov] ea* /upe1 b be c>eful ab\t bli/]+ ! sk9 or mak+ a sore4 #d4 ,a decoction ( *amomile fl[]s1 hops1 or conium1 may be us$ = ! fom5tation in/ead ( wat]4 #e4 ,tw5ty drops or m ( laudanum may be dropp$ ov] ea* /upe4 ,?is might soo! pa9 )\t caus+ /upor4 ,,p\ltices1 l /upes1 are means ( apply+ w>m? & moi/ure4 ,if appli$ e>ly1 x is believ$ !y may prev5t ! =mation ( pus1 z !y br+ ab\t a resolution ( ! inflammation4 ,:5 suppuration has comm5c$ !y facilitate ! passage ( matt] to ! surface1 & less5 ! ext5t ( ! disease4 ,:5 appli$ to an inflam$ "p or swell+ !y %\ld ext5d ov] consid]able surr\nd+ surface1 b = a suppurat+ w\nd !y %\ld be b little l>g] ?an ! op5+4 ,avoid putt+ !m on v hot 9 a case ( p>alysis & also ^u *ildr51 ?\gh !y %\ld be appli$ q hot usually4 ,to make ,,bread ,,p\ltices p\r boil+ wat] on slices ( bread )\t cru/1 simm] a few m9utes1 !n beat up ! bread quickly & spread x ^u a piece ( musl9 previ\sly cut ( ! desir$ size1 leav+ ab\t two in*es ( m>g9 ^u ea* side4 ,!n put on ! p\ltice "s l>d or oil or vasel9e to keep x f gett+ dry & h>d1 & to make x less likely to /ick4 ,x w be well to put on x a cov] ( ?9 musl9 or mosquito nett+1 or tulle1 or illusion1 & !n fold ov] l a broad hem ! edges ( bo? ! cov]s4 ,! p\ltice %\ld be ev5ly spread ab\t a qu>t] ( in* 9 ?ickness & may be c>ri$ to ! pati5t on a small tray or bo>d1 & if y are *ang+ ! p\ltice y %\ld also h a small bas9 to c>ry away ! old ones4 ,aft] apply+ ! p\ltice cov] ) "s imp]vi\s mat]ial 7oil$ musl9 or rubb] clo?7 to keep 9 ! heat4 ,su* a p\ltice z ?is w keep w>m = five or six h\rs1 b x %\ld n be all[$ to become cold & h>d4 ,milk %\ld n be us$ 9 mak+ p\ltices z x quickly s\rs4 ,,p\ltices ,,are ,,made ,,( ,,v>i\s ,,mat]ials4 ,flax se$ meal1 />*1 p[d]$ slipp]y elm1 ,indian meal1 & oat meal are us$4 ,!y %\ld all be made ( su* a consi/5ce t !y w be t5aci\s z possible1 & %\ld h at lea/ a little oil on !m to prev5t _! gett+ dry4 ,= ,,putrid ,,sores "s dis9fectant solution may be us$ in/ead ( wat] 9 mak+ ! p\ltice1 su* z a weak solution ( *lor9at$ soda4 ,,yea/ ,,p\ltices are us$ to ha/5 ! sep>ation ( gangr5\s sl\ghs4 ,mix six ounces ( yea/ ) ! same quantity ( wat] at blood heat4 ,/ir 9 f\rte5 ounces ( :eat fl\r & let x /& ne> ! fire until x rises4 ,apply :ile f]m5t+1 or1 8,take ( :eat fl\r a p\nd1 yea/ half a p9t1 mix1 & expose ! mixture to a g5tle heat until x beg9s to rise40 ,! foll[+ are old (fic9al =ms = p\ltices3 ,,alum ,,cataplasm4 ,take ! :ites ( two eggs1 ( alum a dra*m1 %ake !m toge!r s z to =m a coagulum4 7,a common mode ( prep>+ ! alum p\ltices is to rub ! :ites ( two eggs briskly 9 a sauc] ) a lump ( alum till ! liquid coagulates47 ,! curd produc$ by coagulat$ milk ) alum is sometimes us$ z a sub/itute4 ,! alum cataplasm is sometimes employ$ 9 incipi5t or *ronic op?almia z an a/r+5t application4 ,x is plac$ ov] ! eye envelop$ 9 folds ( cambric or s(t l954 ,,cataplasm ,,c>bonis ,,ligni4 ,take a suffici5t quantity ( wood *>coal r$ hot f ! fire1 & hav+ ext+ui%$ x by spr9kl+ dry s& ov] x1 r$uce x to v f9e p[d] & incorporate 9 ! simple cataplasm 9 a tepid /ate4 ,*>coal rec5tly prep>$ has ! prop]ty ( absorb+ ^? pr9ciples ^u :i* ! (f5sive odor ( putrefy+1 animal sub/ance dep5ds4 ,9 ! =m ( p\ltice x is an excell5t application to f\l & gangr5\s ulc]s1 correct+ _! fetor & improv+ ! condition ( ! sore4 ,x %\ld be frequ5tly r5ew$4 ,,conium ,,cataplasm4 ,take ( extract ( poison hemlock 7conium7 two ounces1 wat] a p9t4 ,mix & add ( bruis$ flax se$ suffici5t to produce a prop] consi/5ce4 ,?is cataplasm may be advantage\sly employ$ z an anodyne 9 canc]\s1 scr(ul\s1 & o!r pa9ful ulc]s1 b its liability to produce n>cotic effects 9 consequ5ce ( ! absorption ( ! active pr9ciple ( ! hemlock mu/ n be ov]look$4 ,sometimes a bag is made to conta9 a p\ltice1 & su* a bag %\ld be us$ if we desire to apply a l>ge p\ltice to ! *e/ or abdom54 ,"o c be made = ! brea/ & = ! back at ! same "t1 & two /raps ov] ! %\ld] may unite !m4 ,a hop p\ltice is a ?9 bag loosely fill$ ) hops & wrung out ( hot wat]4 ,,dry ,,fom5tations are sometimes employ$4 ,?9 bags fill$ ) heat$ s&1 a%es1 salt1 bran1 or hops are us$1 to keep ! heat appli$ to ! sk92 & to w>m ! feet & quick5 ! circulation 9 ! extremities1 hot bricks1 bottles fill$ ) wat]1 c41 are appli$4 ,^! %\ld be roll$ 9 hot flannel or at lea/ envelop$ 9 some?+4 ,,( ,,! ,,application ,,( ,,cold4 ,cold applications are sometimes us$ to subdue inflammation 9 ! e>ly /ages4 ,!y are n good :5 matt] is =m+1 or dur+ sl\gh+4 ,:5 !y are us$ !y ought to be cont9u\sly appli$ s z to keep up a con/ant cool+ effect4 ,sometimes ei!r wat] or "s lotion is us$ ) ! design ( cool+ by evaporation4 ,if a "p is wet ) wat]1 alcohol1 v9eg>1 a solution ( muriate ( ammonia1 or o!r fluid1 & left uncov]$1 ! effect w be to cool x4 ,:5 y design to cool by evaporation d n lay on m ?an "o ?ickness ( musl9 or l9t1 & ?is mu/ be wet s (t5 t x does n get ne>ly dry4 ,b a "p may be cool$ by sev]al folds ( musl9 wet 9 ice wat]1 & *ang$ = fre% ones be=e !y get w>m4 ,x is important t !y d n become w>m1 & h5ce !y %\ld be frequ5tly *ang$2 alt]nate cool+ & reaction is hurtful r ?an b5eficial4 ,a /eady cold /ream ( wat] is "o means ( cool+1 & ano!r device is to c>ry across a "p a long /rip ( musl9 or lamp wick+1 hav+ "o end 9 a vessel ( cold wat] high] ?an ! b$1 & ! o!r lead+ to a bas9 bel[ x4 ,protect ! b$ well ) ,india rubb] clo? s t bo? ! pati5t's clo?+ & ! b$ are kept dry4 ,rubb] bags are made to conta9 ice1 & ^! are made 9 diff]5t %apes to be adapt$ to diff]5t p>ts ( ! body4 ,!y %\ld n be m ?an half fill$1 & z soon z ! ice melts ! supply mu/ be r5ew$4 ,! ice us$ %\ld be f9ely brok52 ?is may be done by wrapp+ x 9 a f9e clo? & p\nd+ x4 ,if mix$ ) "o-?ird saw du/ ! ice w keep long]4 ,a fold ( musl9 %\ld be int]pos$ betwe5 ! ice bag & ! sk91 & !y %\ld be kept 9 _! place by a b&age or "s o!r means4 ,an ice bladd] = application to ! head c be kept f press+ on ! head by be+ fold$ 9 a napk91 :i* may be atta*$ to ! pill[ by a p94 ,a cup %ap$ sponge may answ] 9 ! place ( ! ice cap to conta9 ! ice2 ?is mu/ be wrung out be=e x is saturat$1 s t ! pill[ may n become wet4 ,,collyria are be/ appli$ to ! eye at ! out] angle2 a glass dropp] or a camel's hair p5cil may be us$--?is same "o %\ld be us$ = no?+ else4 ,draw d[n ! l[] lid1 & tell ! pati5t to look up at ! same "t t ! drop ( eyewat] is slid 94 ,d n leave moi/ clo?s b\nd ^u ! eye z !y become hot & may d h>m4 ,if y rub 9 l9im5t ) y\r h&1 wa% ! h& c>efully be=e t\*+ a s5sitive spot1 z "s ( ! +r$i5ts may cause sm>t+ or o!r injury4 ,,*apt] ,v4 ,,duties ,,( ,,! ,,nurse ,,9 ,,v>i\s ,,circum/ances1 ,,contagion1 ,,dea?1 ,c4 ,! fact t c]ta9 diseases are contagi\s is "o t ?r[s "s grave responsibilities ^u ! nurse1 & on acc\nt ( ! importance ( ! subject1 ,i w "h discuss x 9 ! light ( mod]n sci5ce4 ,infecti\s diseases are suppos$ to be propagat$ by ! ag5cy ( m9ute liv+ p>asites giv5 (f f ! body ( ! sick & convey+ ! specific virus4 ,! g]m !reby includes ?is = ! cause ( all ! zymotic diseases--diseases t are contagi\s & produc$ by "s morbid pr9ciple or g]ms act+ on ! sy/em l a f]m5t4 ,!y are claim$ to be a vegetable gr[? ( a fungoid nature1 & ! !ory is t dur+ ! process or p]iod ( ea*--a p]iod ( gr[? l mildew--! victim is a suff]] f a m or less viol5t fev]2 t ! p]iod v>ies2 9 typhoid x is tw5ty-"o days1 9 o!r =ms ( fev] p]haps a %ort] "t1 till ! microscopic fungoid gr[? may be said to effloresce & %$ its spores4 ,"s diseases also t are n contagi\s are believ$ to be caus$ by organisms 9 ! air4 ,!re are v>i\s k9ds2 monads1 bact]ia1 vibriones1 c41 are among ! sub/ances f\nd 9 ! atmosph]e ( a l>ge city1 & else:]e4 ,a v great v>iety ( ^! =ms call$ fungoid gr[? h be5 se5 & di/+ui%$1 & x is demon/rat$ cle>ly t c]ta9 =ms cause c]ta9 diseases4 ,= example1 *ol]a or *ol]aic symptoms h be5 induc$ 9 animals by ! introduction ( ! *ol]a bacillus into _! inte/9es1 & almo/ inv>iably ! dead animals %[$ a great abundance ( ! *>act]i/ic bacillus 9 ! inte/9al tract4 ,! diseases :i* are n[ kn[n or believ$ to be caus$ by su* virus are v num]\s1 & directions = prev5t+ a disease f spread+ are bas$ ^u ?is !ory2 epidemic & endemic diseases are g5]ally attribut$ to su* a cause4 ,! li/ ( g]m diseases is ab\t z ext5sive z ! li/ ( contagi\s diseases4 ,,epidemic ,,diseases are ^? t act ^u numb]s ( p at ! same "t4 ,probably !re is g5]ally1 ?\gh n always1 disease organisms diffus$ ?r\gh ! air4 ,,endemic ,,diseases are conf9$ to p>ticul> localities4 ,sporadic cases ( disease are ^? occurr+ s+ly1 or scatt]$ consid]ably4 ,,dis9fectants are su* sub/ances z act ^u ! specific g]ms or m9ute liv+ p>ticles to de/roy !m4 ,,antiseptics are su* z prev5t decomposition or putrefaction4 ,,septic ,,g]ms are g5]ally de/roy$ :5 widely diffus$ 9 ! air4 ,x is believ$ t oxyg5 acts z a dis9fectant1 at lea/ dry air is n favorable to _! gr[?4 ,a dry heat ( #cjj degrees w de/roy !m1 & !y are g5]ally kill$ by a freez+ temp]ature4 ,aga9/ communicable diseases ! *lor9e class ( antiseptics includ+ iod9e1 iod(orm1 brom9e1 & sulphur are ! mo/ effectual1 & *lor9e & sulphuric acid may )\t dang] be us$ 9 ! sick room to a suffici5t ext5t to d "s good4 ,! mo/ rapid & p[]ful ( ! dis9fectants is ! solution ( ! bi*loride ( m]cury 7corrosive sublimate74 ,! solution mo/ commonly us$ is ( ! /r5g? ( fifte5 gra9s to ! qu>t4 ,x c be appli$ directly to floors1 b$s1 walls1 s9ks1 dra9s1 vessels1 c4 ,= clo?+ use a solution ( common salt & sulphate ( z9c1 two ounces ( ! salt & f\r ounces ( ! sulphate to a gallon ( hot wat]2 soak ! clo!s 9 ?is & !n boil !m 9 wat] ) borax1 or soap or soda4 ,:5 a disease is kn[n to be v contagi\s & dang]\s1 especial c>e is necess>y to avoid contact on ! "p ( pati5ts & nurses ) outsid]s4 ,all sup]flu\s ?+s mu/ be tak5 out ( ! room be=e ! pati5t is put into x1 & c>e w be necess>y cont9ually to make ! qu>ant9e effectual4 ,e article c>ri$ out ( ! sick room mu/ be dis9fect$2 a set ( di%es %\ld be kept = ! pati5t's exclusive use1 wa%$ only by ! nurse2 ! b$d+1 clo?+1 c41 mu/ be wa%$ by ! nurses !mselves1 aft] be+ soak$ 9 a dis9fect+ solution2 dress+s & o!r clo?s1 su* z old clo?s us$ = h&k]*iefs1 may be burn$2 all excrem5titi\s & vomit$ matt] mu/ be dis9fect$2 ! broom t is us$ to sweep ! room mu/ n be us$ else:]e2 no curr5t ( air mu/ be p]mitt$ to pass f ! sick room to ! re/ ( ! h\se2 & x is well also to hang ab\t ! room clo?s wet ) "s dis9fectant solution2 hang ov] ! doorway a %eet simil>ly dis9fect$2 & ! nurse %\ld cov] h] head ) a close cap4 ,le/ ! conf9em5t & isolation make ! nurse sick %e mu/ take c>e ( h] own heal?4 ,two nurses %\ld be employ$ = e su* case1 s t nei!r may be oblig$ to sleep 9 ! same room ) ! pati5t1 & ea* %\ld *ange h] clo!s & g out ( doors = a "t e day & take a brisk walk 9 ! op5 air4 ,! v5tilation is ( especial importance 9 contagi\s diseases1 z no dis9fection c r5d] ! air entirely pure4 ,to prev5t ! infecti\s p>ticles t are ?r[n (f ! sk9 9 cases l small pox & sc>let fev]1 f pollut+ ! air ( ! room1 ! clo!s %\ld be frequ5tly *ang$1 & ! pati5t's body be wa%$ & ano9t$ ) "s o9tm5t4 ,*>coal plac$ ab\t ! room 9 %all[ vessels does "s good by means ( its prop]ty ( absorb+ gas2 & solutions ( c>bolic acid1 *loride ( lime1 soda1 & z9c are g]micides1 b ! *ief use ( ! c>bolic acid family is :]e suppuration is go+ on1 to prev5t ! spread ( septic infection4 ,x is also a means ( dis9fection p]haps1 if ! spray is us$ 9 mal>ial disease4 ,condy's fluid & sulphate ( iron are us$ z antiseptics1 b ^! /a9 clo?+4 ,*lor9e %\ld n be us$ ) sulphuric acid1 or c>bolic acid4 ,ei!r copp]as or *loride ( lime may be ?r[n dry into wat] closets4 ,a little dis9fectant %\ld be kept /&+ 9 all sputa cups1 ur9als1 & b$pans1 & 9 cases ( typhoid1 & *ol]a1 ! /ools mu/ be c>efully dis9fect$4 ,^! diseases are n only directly infecti\s1 b ! g]ms 9 ! dis*>ges may multiply & spread ! disease4 ,cov] ! bottom ( receiv+ vessels = /ools ) copp]as or *loride ( lime1 & aft] use add crude hydro*loric or sulphuric acids 9 quantity equal to half ! bulk ( ! dis*>ge4 ,cov] closely & c>ry f ! room1 & empty into a tr5* prep>$ to receive !m1 at a di/ance f ! wat] supply1 & all clo?+ & b$d+ soil$ by ! dis*>ges mu/ be dis9fect$ & boil$4 ,aft] a case is end$ ! room mu/ be subject$ to a clean+ & fumigation4 ,ev]y?+ t c be s treat$ %\ld be ei!r boil$ or subject$ to a heat ( #bbj 9 a dis9fect+ ov54 ,rubb] %eets & aprons may be clean$ ) bi*loride solution1 & ! floors1 woodwork1 & p]haps ! walls %\ld also be wa%$ ) a solution ( bi*loride ( ,m]cury4 ,:ile ! room is be+ fumigat$1 draw]s & closets %\ld be op5 & ?+s n ?or\ghly dis9fect$ %\ld be hung up 9 x4 ,a good way to fumigate ! room is to burn sulphur 9 x1 b y may evolve *lor9e f common salt 9 ! foll[+ way3 ,mix an equal bulk ( common salt & black oxide ( manganese 9 a %all[ e>!n di%1 add two p9ts ( sulphuric acid previ\sly dilut$ ) two p9ts ( wat]1 & /ir ) a /ick4 ,x is be/ 9 us+ ?is to h also /eam 9 ! room4 ,to fumigate a room h ! doors1 w9d[s1 & fireplace clos$1 & pa/e pap] c>efully ov] ! cracks4 ,if sulphur is us$ put x 9 iron pans1 all[+ two p\nds to e ?\s& cubic feet ( space2 set ! pans on brick1 s t !y w n burn ! floor2 p\r a little alcohol on ! sulphur & ignite1 !n leave ! room quickly s t y d n brea! ! gas2 pa/e up ! door :5 y g out2 keep x clos$ = tw5ty-f\r h\rs1 !n op5 all ! w9d[s & let ! room air4 ,^? direct+ ! dis9fection %\ld always rememb] ! blea*+ & corrod+ p[] ( *lor9e & sulphur\s acid gas4 ,:5 a pati5t has di$ f any infecti\s disease ! body %\ld be wa%$ 9 "s dis9fectant solution1 or soap %\ld be us$ conta9+ bi*loride ( m]cury1 & a %eet %\ld be wrapp$ ar\nd ! body wet ) ! same4 ,saturate also a l>ge wad ( cotton ) x & leave x "u ! hips4 ,! burial %\ld be soon & private 9 ^! cases4 ,,( ,,! ,,nurse',s ,,duties ,,9 ,,c>+ ,,= ,,! ,,dy+ ,,& ,,dead4 ,c]ta9 duties devolve ^u ! nurse 9 cases ( ,,dea? f any disease1 & ,i pref] to ref] to ^? duties "h4 ,among ! signs t indicate approa*+ dissolution are a peculi> %>pness ( ! features2 coldness ( ! toes1 f+]s & nose2 a dusky %ade ab\t ! f+] nails2 cold p]spiration1 re/lessness1 & muscul> twit*+s or /upor4 ,:5 y are sure t ! end is ne> x is be/ t ! fri5ds %\ld be in=m$4 ,:ile !re is slight gr\nds = hope d n give up all ef=ts1 b d n di/urb ! dy+ by useless m9i/rations4 ,note ! exact "t at :i* dea? takes place2 ?is is usually1 ?\gh n always1 obvi\s4 ,!re may be a rise ( temp]ature1 & ! body be q w>m a %ort "t aft] dea?2 ?is is produc$ by *emical *anges1 b aft] a %ort "t its temp]ature corresponds ) t ( ! room 9 :i* x is ly+4 ,!n ! peculi> /iff5+ ( ! muscles call$ ,,rigor ,,mortis sets 9 :i* la/s = a "t & !n disappe>s4 ,be=e rigor mortis comes on prep>e ! body = burial by wa%+ x 7us+ a weak solution ( *lor9at$ soda or c>bolic acid71 clos+ ! eyes1 arrang+ ! lips naturally1 & comb+ ! hair4 ,b&age ! jaws closely1 /uff all ! orifices ( ! body ) absorb5t cotton to prev5t dis*>ges1 & b9d a clo? ar\nd ! hips4 ,a clean night dress or %r\d or any o!r clo?+ desir$ c be ov] ?is1 !n cov] ! face & all ) a %eet4 ,! arrangem5ts c be put 9 ! h&s ( an und]tak]1 b x is q likely ! fri5ds w wi% y to sup]9t5d !m4 ,if ! body is to be kept = sev]al days x mu/ be pack$ 9 ice1 & aft] tw5ty-f\r h\rs ! face has a m natural appe>ance4 ,! d>k discoloration ( ! sk9 obs]vable a few h\rs aft] dea? on ! neck & sides & m dep5d5t p>ts1 is caus$ n by mortification1 b by ! blood settl+ or gravitat+ d[nw>ds4 ,slight discolorations ab\t ! face c be made less conspicu\s by du/+ !m ) toilet p[d]4 ,aft] ! body has be5 tak5 f ! h\se1 ! b$d+ mu/ be s5t out to be dis9fect$1 all ! appliances ( sickness remov$1 ! room put 9 ord]1 & ! w9d[s left wide op5 = sev]al h\rs4 ,,"s ,,g5]al ,,lessons ,,9 ,,nurs+4 ,rule #a4 ,d n get out ( temp]1 b try to make ! sick *amb] ! pleasante/ & yet ! quiete/ room 9 ! h\se4 ,d n appe> anxi\s h[ev] great y\r anxiety4 #b4 ,d n conv]se 9 :isp]s2 invalids g5]ally are suspici\s & w imag9e all sorts ( ?+s if !y see _! fri5ds conv]s+ 9 ?is mann]4 #c4 ,d n urge ! invalid to eat & dr9k :5 %e does n feel l x4 #d4 ,d n ask a convalesc5t if %e w\ld l ?is or t to eat & dr9k1 b prep>e ! delicacies & pres5t !m 9 a tempt+ way4 #e4 ,d n all[ ! nauseat+ m$ic9e bottles to /& 9 ! sight ( ! pati5t4 #f4 ,/udy all ! peculi>ities ( y\r pati5ts1 & in/ead ( oppos+ !m by argum5ts or o!rwise1 humor !m :5ev] !y d n int]f]e ) ! physician's ord]s or in/ructions4 #g4 ,9 all cases keep ev]y?+ t is us$ by ! pati5t p]fectly clean4 #h4 ,if ! pati5t is n all[$ to dr9k z mu* z %e desires1 give h] ! limit$ quantity in/ead ( a full glass4 ,if %e is all[$ to dra9 ! glass %e w probably be satisfi$4 #i4 ,d n all[ fl[]s or plants to rema9 9 ! room ov] night1 & always remove fl[]s f ! sick *amb] z soon z !y become /ale4 #aj4 ,9 all cases ! pati5t %\ld h ba?s s (t5 t ! sk9 is kept clean1 & ! pores are n /opp$ up4 #aa4 ,take c>e n to *ill or fatigue a pati5t :ile ba?+4 ,a sponge ba? c be giv5 9 b$1 ! b$ be+ protect$ by an extra draw %eet4 #ab4 ,! m\? %\ld be (t5 wa%$ & ! tee? bru%$ or wip$ (f ) a s(t clo?4 #ac4 ,! hair %\ld be comb$ at lea/ once daily4 ,! ladies' hair is braid$ or twi/$ on top ( ! head s t %e w n h to lie on a knot4 #ad4 ,d n light a sick room at night by means ( a jet ( gas burn+ l[4 #ae4 ,pref]ably use sp]m c&les4 #af4 ,d n h ! temp]ature ( ! sick room mu* above #fj4 #ag4 ,d n all[ (f5sive matt]s to rema92 b 9 a case ( em]g5cy :]e ^! _c be remov$ at once1 y c wr+ a heavy clo? out ( cold wat] & use z a cov]1 plac+ ov] ?is ord9>y pap]4 #ah4 ,d n neglect dur+ ! day to att5d to necess>ies = ! night1 t ! re/ ( ! pati5t & family be n di/urb$4 #ai4 ,to avoid mak+ a noise by ?r[+ coals on ! fire1 place x 9 pap] bags & lay !m on ! fire4 #bj4 ,d n lean or sit ^u ! b$1 if ?is is disagreeable to ! pati5t4 #ba4 ,always rememb] t no?+ :i* contributes to ! welf>e ( ^? :o require ! nurse's c>e1 is too trivial to dem& h] att5tion4 #bb4 ,! foll[+ may by "s be call$ little matt]s1 b att5tion to !m w add mat]ially to ! well be+ ( ! sick3 ,refra9 f con/ant enquiries ( pati5ts z to h[ !y feel1 = sick p are easily annoy$2 anticipate ! wants ( y\r pati5t if possible2 nev] tiptoe ab\t ! room2 if ! pati5t is v sick h ! c\rage to tell ! fri5ds :o call t ! invalid _c see fri5ds1 if able to see !m _! /ay mu/ n be prolong$2 d n all[ a pati5t to sit up 9 b$ )\t cov]+ ! %\ld]s ) "s light wrap2 support !m prop]ly ) pill[s1 or a *air & pill[s2 :5 oblig$ to leave ! room take some?+ ) y :i* is no long] ne$$1 & br+ back necess>y articles1 ?us sav+ annoyance to ! pati5t & labor to y\rself4 #bc4 ,to ,,avoid ,,mi/akes ,,9 ,,giv+ ,,m$ic9e x is a good rule to always read ! label be=e & aft] measur+ ! dose2 no m$ic9e %\ld ev] be giv5 9 ! d>k2 tie a ribbon on bottles t conta9 rem$ies = ext]nal use2 %ake a bottle be=e op5+ x2 d n leave a bottle uncork$2 g5]ally keep m$ic9es 9 a d>k closet :i* is cool z possible2 h e m$ic9e t is dang]\s tak5 int]nally label$ 8poison02 keep !m "u lock & key4 #bd4 ,! nurse %\ld "k ! ord9>y doses ( m$ic9es & ! symptoms ( ov]dos+4 ,e unusual & inord9ate action ( a drug may be a good reason = omitt+ a dose or two till ! physician is se5 & new directions are giv51 o!rwise be always regul> & prompt 9 ! adm9i/ration ( m$ic9es4 #be4 ,b 9 g5]al ! nurse c be/ display h] k & ex]cise h] skill by fai?fully c>ry+ out ! in/ructions %e has receiv$ f ! physician4 ,if ! directions are n :at %e w\ld expect1 x may be an exceptional case2 ! doctor & n ! nurse is ! judge z to :at is exceptional2 %e mu/ obey 8 ord]s4 ,d n receive ord]s f ! physician 9 sil5ce1 & :5 he is gone refuse to obey !m4 ,! nurse %\ld nev] hide any?+ f ! doctor1 ev5 if %e has done wrong2 x is a s]i\s ?+ to ?9k t life %\ld be risk$ 9 ord] to conceal wrong do+4 ,nev] be afraid ( tr\bl+ ! doctor2 he w always be glad to he> any?+ t w help 9 ! diagnosis or treatm5t ( ! case4 ,! nurse has mu* to d ) an art ^: end is ! sav+ ( human life2 any neglect to act op5ly & intellig5tly becomes a crime4 #bf4 ,rememb] t k9dness & t5d]ness z well z fai?fulness are ne$ful to successful nurs+4 ,,b$sores4 ,e precaution %\ld be tak5 by ! nurse to avoid b$sores on h] pati5t4 ,^! appe> mo/ frequ5tly ^u ! hips1 b may develop else:]e 9 p>ts subject$ to pressure4 ,to h>d5 ! p>ts !y mu/ be frequ5tly wa%$ ) soap & wat] & ?or\ghly dri$4 ,a draw %eet %\ld be plac$ "u ! pati5t t c be *ang$ z (t5 z x becomes wet & damp4 ,be c>eful to keep ! %eet free f wr9kles & inequalities1 & ! pati5t's clo!s mu/ be kept smoo? "u h]4 ,occasionally rub on ! sk9 oil or vasel9e1 & !n du/ on "s f9e p[d] su* z oxide ( z9c1 f9e />*1 or toilet p[d]4 ,pla/]s t are entirely unirritat+ may be appli$ ei!r be=e or aft] !re is an evid5t sore1 & if *ange ( position is n possible1 x may be necess>y to obta9 air cu%ions or a wat] b$4 ,an air mattrass or air cu%ions may be put on any b$1 b a wat] b$ mu/ be put 9 a tr\gh or wood5 frame made ( j ! "r size4 ,! wat] 9 a b$ ( ?is k9d %\ld be ( a temp]ature ( #gj & r5ew$ e two weeks4 ,to prev5t a wat] b$ f /ick+ to ! bo>ds "s old clo?s mu/ be int]pos$4 ,r$d5+ & r\gh5+ ( ! sk91 & pa9 on pressure indicate an approa*+ b$sore be=e !re is an abrasion ( ! sk94 ,^? wa%es t cause sm>t+ mu/ be discont9u$1 & sulphate ( z9c o9tm5t1 & unirritat+ pla/]s us$4 ,if a "p is dead & likely to sl\gh (f1 apply *>coal or yea/ or *lor9at$ p\ltices until ! gangr5\s p>ts c be remov$4 ,aft] ! sep>ation ( ! sl\gh y c apply l9t sme>$ ov] ) c>bolat$ cosmol9e or :atev] application ! surgeon or doctor may direct4 ,! sore mu/ be wa%$ & applications r5ew$ ea* day1 & at ea* "t x may be cov]$ ) a piece ( oil$ silk or musl91 or rubb] tissue conf9$ 9 place by adhesive /raps4 ,,ba?s4 ,! ,,sponge ,,ba? or wa%+ c be done p>tly "u ! b$ clo!s1 & b a small "p ( ! body ne$ to be expos$ at a "t4 ,d n ba! imm$iately aft] a meal4 ,always h a ba? ( ! temp]ature direct$ by ! doctor4 ,! foll[+ t]ms are us$ to indicate diff]5t temp]atures3 ,,ba?4 ,,wat]4 ,,vapor4 ,,air4 ,cold1 #cb to #fe ,fahr4 ,cool1 #fe to #ge ,temp]ate1 #ge to #he ,tepid1 #he to #ib #ij to #ajj #if to #ajf ,w>m1 #ib to #ih #ajj to #aae #ajf to #abj ,hot1 #ih to #aab #aae to #adj #abj to #ahj ,to put a feeble pati5t 9 a ba? wrap h] 9 a %eet & l[] h] g5tly d[n 9 x4 ,:5 %e is tak5 out wrap h] 9 a w>m dry %eet & ov] ?is fold a blanket4 ,aft] a few m9utes' re/ & a little wip+ ) a s(t dry t[el ! clo!s may be put on4 ,d n give a cold ba? :5 ! pati5t feels *illy1 :5 !re is p]spiration1 or !re is inflammation or conge/ion ( an int]nal organ4 ,! temp]ature ( ! body may be less5$ by means ( ! wet pack 9 cold wat]1 or by means ( a %eet wrung out ( cold wat] wrapp$ ar\nd ! pati5t1 & *ang$ e t5 or fifte5 m9utes1 or by apply+ t[els f ! neck d[nw>ds1 wrung out ( cold wat]4 ,= ! wet pack ! %eet may be wrung out ( ei!r hot or cold wat]4 ,spread a com=t] & two blankets on ! b$ & ov] ^! a %eet wrung out ( ! wat]4 ,remove all ! pati5t's clo?+1 lay h] 9 ! middle ( ! %eet1 !n draw ov] "o side aft] ano!r ( ! blankets & com=t]1 wrapp+ h] f ! neck to ankles2 apply some?+ to ! feet to keep !m w>m1 give pl5ty ( dr9k1 & put a wet compress on ! =ehead4 ,if ?is is int5d$ to induce p]spiration or repose1 ! pati5t may rema9 9 ! pack two or ?ree h\rs4 ,a ,,blanket ,,ba? is us$ z a means ( sweat+4 ,a blanket is wrung out ( hot wat] & wrapp$ ar\nd ! pati5t4 ,%e is to be pack$ 9 ?ree or f\r dry blankets & all[$ to re/ quietly = ?irty m9utes4 ,!n ! surface ( ! body mu/ be well rubb$ ) w>m t[els1 & ! pati5t made com=table 9 b$4 ,,cold ,,or ,,tepid ,,spong+ is sometimes direct$ :5 !re is a fev]4 ,comm5ce at ! head & sponge d[nw>ds1 !n wrap 9 a blanket & leave h] undi/urb$ = an h\r or m4 ,! effect ( ! ,,hot ,,ba? if long cont9u$ is to induce languor & weakness4 ,wat* by ! pati5t :ile %e is 9 ! wat]1 & take h] out if !re is any sign ( fa9t+4 ,d n give a hot ba? dur+ a m5/rual p]iod4 ,a hot foot ba? is "o ( ! be/ means ( revulsion to relieve ! head4 ,let ! wat] come ne>ly to ! knees1 cov] bo? ! pati5t & tub ) a blanket1 keep ! feet 9 ! hot wat] = ab\t tw5ty m9utes4 ,if a ,,hot ,,air ,,ba? or a ,,vapor ,,ba? is giv51 "s device %\ld be us$ to keep ! blankets f press+ ^u ! pati5t4 ,two half hoops may be ti$ toge!r s t !y answ] ! purpose4 ,by ! same means /eam may be diffus$ ar\nd h]1 if hot bricks wrapp$ 9 wet flannel & put on di%es are plac$ 9 ! b$ beside h]1 or /eam c be conduct$ f a boil+ teakettle "u ! blankets4 ,or place ! pati5t 9 a l>ge cane seat$ *air1 & surr\nd bo? completely ) blankets1 lett+ !m ext5d to ! floor & be secur$ ab\t ! pati5t's neck4 ,"u ! *air1 place a bas9 ( hot wat] ) an alcohol lamp b5ea? x2 br+ ! wat] to boil+1 & ! pati5t w soon be 9 a p]spiration :i* may be c>ri$ to any ext5t4 ,= a ,,bran ,,ba?1 boil two p\nds ( bran 9 a gallon ( wat] & add to ! ba?4 ,= a ,,salt ,,ba?1 add "o p\nd rock salt to e f\r gallons ( wat]4 ,= a ,,sulphur ,,ba?1 add tw5ty gra9s sulphuret ( potassium to a gallon ( wat]4 ,us$ = sk9 diseases & rheumatism4 ,9 cases :]e !re is a high fev]1 especially 9 *ildr51 ! w>m wat] ba? is giv5 to r$uce ! temp]ature4 ,if a *ild t has a temp]ature ( #ajd is imm]s$ 9 wat] heat$ only to #ih = fifte5 or tw5ty m9utes1 x w "p ) "s ( its heat4 ,,ba?+ ,,( ,,infants4 ,! ba? = v "y infants %\ld be q w>m--ab\t #ig4 ,"s nurses asc]ta9 if x is an agreeable w>m? by dipp+ an elb[ 9 ! wat]4 ,! temp]ature may f week to week be l[]$ gradually to #he or #hj4 ,two ba?s a day may be giv54 ,! ev5+ ba? %\ld be w>m] ?an ! morn+4 ,a brisk1 g5tle rubb+ aft] ! ba? is b5eficial4 ,if a *ild gets blue & %iv]s ! ba? is too cold4 ,! w>m ba? w (t5 s]ve to put a re/less & fev]i% *ild to sleep4 ,to ba! an infant support its head on y\r h& & arm1 dip ! baby into ! ba?2 !n rub ! :ole surface ( ! sk9 rapidly ) a s(t sponge or piece ( flannel soap$2 next aga9 imm]se ! body 9 ! wat]1 !n quickly & ?or\ghly dry ) a f9e w>m t[el4 ,be=e giv+ a ba? h e ?+ likely to be ne$$ at h&1 & ! room w>m4 ,,*ang+ ,,clo?+4 ,be=e rais+ up a pati5t to put on a *emise or night dress1 pull up ! soil$ "o t[>ds ! neck1 & z soon z ! head & %\ld]s are rais$1 ! soil$ g>m5t c be slipp$ (f ov] ! head & a clean "o put on2 !n pull ?is d[n smoo?ly "u ! back be=e lay+ ! pati5t d[n4 ,if two g>m5ts are worn "o c be slipp$ inside ! o!r1 & !y c be slipp$ on z "o4 ,,*apt] ,,vi4 ,,surgical ,,nurs+4 ,be=e ,i dwell p>ticul>ly ^u surgical cases & w\nds ( all k9ds1 ,i w ref] to "s g5]al duties ( ! nurse :o att5ds dur+ a surgical op]ation4 ,g5]ally ! pati5t to be op]at$ on %\ld h a ba? ! previ\s night1 & p]haps an enema on ! morn+ ( ! op]ation2 if ! op]ation is on ! female g5ital organs a w>m d\*e %\ld be giv54 ,prep>e ! room by hav+ x well clean$ & air$ & ( a temp]ature ( ab\t #he4 ,su* ?+s z are likely to be ne$$2 = example1 vasel9e1 c>bolic acid1 bas9s1 sponges1 t[els1 scissors1 ne$les1 p9s1 ice1 hot & cold wat]1 %\ld be provid$4 ,if y h to make b&ages1 an old cotton %eet is good mat]ial f :i* to te> ! /rips4 ,to jo9 ! /rips lay two ends flat on ea* o!r ov]lapp+ = an in*1 & ba/e toge!r all f\r sides4 ,a roll] b&age may be f two to twelve y>ds long2 x mu/ be roll$ z tightly z possible2 ! selvage & all loose ?reads mu/ be trimm$ (f4 ,! prop] clean+ & prep>+ ( sponges is important4 ,if "o has be5 us$ x %\ld be well wa%$ & left 9 a solution ( sal soda1 & !n kept = sev]al days 9 a five p] c5t4 solution ( c>bolic acid4 ,new sponges %\ld be prep>$ ) twice z mu* c>e4 ,9 a case :]e !re is to be an op]ation ^u ! female g5itals1 a ,t b&age may be requir$2 ?is %\ld be put on be=e ! e!r is giv51 at lea/ ! "p above ! hips1 ! o!r "p may be left free till aft] ! op]ation1 to be !n br\ght betwe5 ! ?ighs & atta*$ to ! o!r 9 front4 ,only a little light food %\ld be tak5 = ?ree or f\r h\rs be=e e!rization4 ,prep>e ! pati5t = go+ to ! room by hav+ h] hair comb$ & braid$1 artificial tee? mu/ be tak5 out1 & all tight b&s loos5$4 ,arrange ! clo?+ s t x w be protect$1 & s t x c be *ang$ aft]w>ds easily4 ,see t %e passes ! ur9e ! la/ ?+ be=e tak+ h] place = ! op]ation4 ,h a b$ ready t is prop]ly made & protect$1 to :i* %e c be mov$ :5 ! doctors all[ x1 & :]e %e c be kept quiet4 ,if !re is nausea & vomit+1 ! effects ( ! e!r1 y may quiet x by lett+ h] sip a little hot wat] or by putt+ a hot1 dry clo? on h] neck & *e/4 ,dur+ ! op]ation y _h simply to wait on ! surgeon1 n[ ! pati5t w be pr9cipally 9 y\r c>e4 ,y w receive in/ruction f ! surgeon 9 reg>d to ?+s ne$+ peculi> wat*fulness & e po9t mu/ be c>efully not$4 ,z ! w\nd may ne$ to be wat*$ dur+ ! fir/ tw5ty-f\r h\rs = hemorrhage1 x mu/ be s arrang$ t x c be look$ at )\t wak+ ! pati5t4 ,! dang] to :i* surgical cases are liable are1 #a4 ,%ock2 #b4 ,hemorrhage2 #c4 ,erysipelas2 #d4 ,pyemia2 #e4 ,tetanus4 ,if !re is ,,traumatic ,,erysipelas ! edges ( ! w\nd are r$ & swoll51 ! secretion ( pus ceases1 & by ! next day ! sk9 ar\nd ! w\nd becomes ( a peculi> r$ color4 ,!re w be fev]1 heada*e1 nausea1 & a coat$ tongue4 ,,erysipelas c be g5]at$ by inatt5tion to sanit>y laws4 ,x is infecti\s & spread by fomites1 & ! virus ( erysipelas may give rise to pu]p]al fev]4 ,x is n prop] = a nurse t has _h ! c>e ( a case ( erysipelas1 to soon be ! nurse ( a ly+-9 woman1 ev5 if %e is c>eful ab\t us+ dis9fectants on h] h&s & *ang+ h] clo!s4 ,c]ta9 influ5ces augm5t ! susceptibility ( ! body to ! ag5cy ( ! poison4 ,among ! influ5ces are intemp]ance1 l[ spirits1 anxiety1 insuffici5t n\ri%m5t1 & f\l air4 ,!re %\ld be great c>e 9 reg>d to v5tilation1 & cle>+ & clean+ ! room :]e x has be5 pres5t4 ,! disease _c be cut %ort by active rem$ies1 b may be made to t]m9ate favorably by ! use ( ! p]*loride ( iron1 c4 7,f4 #agg47 ,,tetanus 7lockjaw7 may foll[ slight w\nds4 ,at fir/ ! muscles ( ! jaw are rigid1 b ! rigidity or spasms may ext5d all ov] ! body4 ,x may result f exposure ( ! w\nd to cold1 & "s cases ( tetanus 9 infants h be5 attribut$ to ! funis1 9 in/ances :]e z mu* z ?ree or f\r in*es 7 left atta*$ to ! umbilicus4 ,9 a case ( tetanus ! pati5t %\ld lie 9 a d>k5$ room1 & noise %\ld also be exclud$4 ,,incis$ ,,w\nds1 made 9 ! fle% by %>p cutt+ in/rum5ts1 ( c\rse may be trivial cuts1 or deep incisions1 & may sometimes be treat$ by ! nurse1 ei!r because !y are slight injuries or because a surgeon _c imm$iately be obta9$4 ,if !re is n mu* ble$+ !re w n be v mu* to d4 ,x is well to h a little c>bolic acid 9 ! wat] ) :i* x is wa%$4 ,! ble$+ w soon cease if only small vessels are divid$4 ,if !re is any extrane\s matt] on ! surface ( ! w\nd x mu/ be remov$4 ,!n put ! surface ( ! lips ( ! cuts toge!r1 & take measures to keep !m 9 ?is /ate till !y h become firmly heal$4 ,if sutures are necess>y take "o or m /it*es4 ,! mo/ common me?od ( keep+ ! surface ( divid$ p>ts 9 contact is by /rips ( adhesive pla/]4 ,apply !m aft] hav+ put ! w\nd$ p>ts 9 a position favorable = br++ ! edges ( ! w\nd toge!r1 !n :ile "o holds ! lips ( ! w\nd ev5ly toge!r secure !m 9 ?is position by /rips ( adhesive pla/] appli$ across ! l9e ( ! w\nd4 ,leave a little int]space betwe5 ea* two /rips ( pla/]4 ,x is n be/ to b9d x up s t !re is no passage or exit = blood4 ,b slight w\nds may become s]i\s if "s poison or virus gets into x2 y may ne$ to put on l9t or a compress ov] ! /rips ( pla/] & !n a roll] or b&age4 ,b "s incis$ w\nds in/ead ( be+ imm$iately dress$ & b\nd up1 dem& t imm$iate att5tion %\ld be paid to ! hemorrhage4 ,we may usually "k :e!r ! ble$+ is art]ial1 v5\s or capill>y4 ,if ! w\nd is op51 blood f an art]y w spurt out 9 jets & is ( a bright r$ color4 ,unless ! art]y is v small a surgeon w be ne$$1 b y may be requir$ to act v promptly to suppress = a "t a dang]\s fl[ ( blood4 ,if a l>ge art]y is cut or punctur$ ! hemorrhage may be fatal 9 a %ort "t4 ,! application ( heat or cold1 & ! elevation ( ! "p injur$1 may suffice 9 slight cases1 b 9 ^! sev]e cases o!r means are necess>y4 ,fir/ endeavor to arre/ ! rapid fl[ ( blood by pressure ^u ! w\nd$ art]y ) y\r ?umb4 ,!n if ! w\nd is 9 a limb let "s "o tie a h&k]*ief loosely ar\nd ! limb1 & if y "k ! c\rse ( ! art]y h ! knot directly ov] x & betwe5 ! he>t & ! w\nd4 ,!n put a /ick 9 "u & twi/ ! h&k]*ief s t x is tight en\gh to compress ! art]y4 ,! hemorrhage c ?us be *eck$ until ! surgeon arrives4 ,if ! w\nd is ov] a bone 9 ! head or body1 ! ble$+ may probably be *eck$ by b9d+ on a h>d compress :]e ! art]y is cut1 ?us mak+ direct pressure ^u x4 ,a ligature ^u a limb ought n to rema9 v tight m ?an an h\r4 ,if ! hemorrhage is f a leg bel[ ! knee x may be *eck$ by putt+ a firm roll ( cotton 9 ! flex$ jo9t1 & press+ ! l[] "p ( ! leg aga9/ ! ?igh2 ?is w compress ! art]y4 ,,contus$ ,,w\nds are n (t5 att5d$ ) s]i\s hemorrhage4 ,if !re is 9 ! bruis$ "p only slight subcutane\s lac]ation1 nature may soon repair ! injury4 ,b if !re is consid]able contusion indicat$ by ! ec*ymosis :]e small blood vessels h be5 lac]at$ & ! blood extravasat$ into celul> tissue1 caus+ ! d>k discolor$ spots & o!r evid5ces ( sev]e injury1 !re w be subsequ5t inflammation1 p]haps suppuration1 dem&+ treatm5t4 ,a prop] mode ( dress+ at fir/ is to b9d on a compress saturat$ ) a f\r p] c5t4 solution ( c>bolic acid1 & = ! fev] & inflammation "o drop doses ( ext4 v]atrum may be giv54 ,b 9 all cases :]e w\nds are sev]e ! s]vices ( a physician w be requir$4 ,a ,,punctur$ ,,w\nd signifies "o made ) a %>p po9t$ in/rum5t1 ! ext]nal op5+ be+ small comp>$ to its dep?4 ,x is a good rule 9 ^! cases to leave a free v5t = any dis*>ge t may be set up4 ,! dang] 9 ^! cases is f s]i\s injury to ! deep seat$ p>ts1 & f suppuration :i* may burr[ & ext5d /ill deep] if !re is n free exit = ! pus4 ,"o mode ( treat+ ,,poison$ punctural w\nds 7s]p5t bites1 c471 :i* ( c\rse are peculi>ly dang]\s1 is by apply+ cups ov] ! w\nd4 ,any w\nd t suppurates mu* or sl\ghs causes a cavity to be fill$ up1 & ! process by :i* ! w\nds & sores heal is call$ granulation1 & cicitrization4 ,! w\nd is gradually fill$ up to ! surr\nd+ level by new tissue appe>+ 9 ! =m ( small r$ granules ba!d 9 pus4 ,heal?y granulations on an expos$ or flat surface rise ne>ly ev5 ) ! surr\nd+ sk91 & (t5 a little high]1 b :5 !y are mu* high]1 & take on a gr[+ action1 !y are :at is call$ pr\d fle%4 ,_! gr[? may be *eck$ by ! application ( active a/r+5ts2 nitrate ( silv] or burnt alum may be us$1 or adhesive /raps may be appli$4 ,! sk9 ) :i* x is cov]$ :5 heal$ is =m$ f ! surr\nd+ sk91 & ! process :i* is call$ ,,cicitrization does n g on well except :5 ! granulations are ne>ly level ) ! adjac5t sk94 ,! c5tre ( a sore has p[] to =m new sk9 :5 !re is a p>ticle ( live sk9 !re1 & = ?is reason sk9 is sometimes graft$ 94 ,a pati5t suff]+ f a suppurat+ w\nd becomes enfeebl$ f ! dis*>ge ( pus1 & %\ld h 8 /r5g? kept up by n\ri%+ food4 ,a surgeon w always endeavor to prev5t ! ret5tion & decomposition ( dis*>ges1 & to protect f ext]nal contam9ation4 ,he w direct ! "t & means ( dress+ ! w\nds1 b ! nurse mu/ rememb] t decompos$ animal matt] acts z a virul5t poison introduc$ into ! sy/em z x may be ?r\gh any abrasion ( ! sk94 ,all in/rum5ts us$ ab\t a w\nd mu/ be ?or\ghly cleans$ be=e be+ put away4 ,dress+s :i* h be5 next ! w\nd %\ld be burn$2 ^? :i* are to be wa%$ %\ld be dis9fect$4 ,avoid soil+ y\r own h&s ) dis*>ges2 protect ) a bit ( pla/] e place :]e !re is any cut1 or scrat*1 or sore4 ,if y fe> t any virus has got 9 :]e !re is any sore1 or :]e ! sk9 is brok51 t\* x ) c>bolic acid4 ,,fractures ,,& ,,dislocations4 ,"o ( ! signs ( a ,,fracture is crepitus1 ! s\nd made by ! rubb+ ( ! ends ( brok5 bones toge!r4 ,?is s\nd _c always be obta9$1 ev5 :5 ! bone c be mov$ s t ! ends rub ea* o!r1 & z su* motion causes consid]able pa9 ! nurse %\ld n seek = x1 except z %e h>k5s :5 ! limb is accid5tally or necess>ily mov$4 ,! sep>ation & inequalities ( ! ends ( ! fracture 7:5 ! bones are sup]ficial71 ! *ange 9 ! =m ( ! limb1 & ! %ort5+ ( x1 are circum/ances communicat+ in=mation 9 v _m cases1 & ! diagnosis is made pretty c]ta9 if !re is unnatural mobility ( ! limb4 ,9 o!r cases !re is loss ( motion or immobility1 swell+ & pa9 9 ! injur$ "p1 c41 b x w possibly require ! s]vices ( ! skillful surgeon to detect ! exi/5ce & "* ( a fracture2 & g5]ally ! coaptation or sett+ ( ! bone1 c be def]r$ until he arrives4 ,! nurse c d some?+ 9 ! meantime--c h ! pati5t & fractur$ limb put 9 z easy a position z possible2 p]haps h some?+ ready = b&ages & spl9ts4 ,a spl9t may be made ( any?+ t w hold ! bone securely 9 place2 x %\ld be long] ?an ! bone t is brok54 ,sole lea!r is sometimes us$2 cut ! requir$ size1 s(t5$ 9 hot wat]1 m\ld$ to fit ! "p & left on until dry1 :5 x w be ( ! desir$ %ape4 ,pla/] ( ,p>is b&ages are sometimes us$4 ,^! are prep>$ by rubb+ into ! ord9>y musl9 roll]s dry pla/]4 ,!y are !n roll$4 ,:5 !y are appli$1 s(t flannel b&ages are fir/ put on ! brok5 limb1 !n ! "o conta9+ pla/] is 7aft] be+ dipp$ 9 wat]1 & "s ( ! wat] squeez$ out71 appli$ ov] ! flannel4 ,x takes t5 or twelve h\rs = ?is to set & become h>d1 & ! brok5 limb mu/ be kept /ill dur+ ! "t4 ,du/ ! "p ov] ) toilet p[d] be=e ! b&age is appli$4 ,! success ( ! surgeon dep5ds v mu* on ! good con/ant c>e ( ! nurse4 ,if x is necess>y to move ! limb keep up "s ext5sion on x & d n twi/ x4 ,be v c>eful t ! directions ( ! surgeon are c>ri$ out1 & x w probably be necess>y to keep up ext5sion all ! "t1 o!rwise ! de=mity may return & ! limb be %ort5$4 ,,dislocations are n s easily r$uc$ z fractures1 b aft] ! sett+ & r$uction ( a dislocat$ jo9t ! action ( ! muscles t5ds to keep x 9 place4 ,!re is always "s lac]ation ( ! ligam5ts & suffici5t injury to ! s(t p>ts to excite a little inflammation1 b ! pa9 is reliev$ z soon z ! bones are replac$4 ,9 g5]al rec5t dislocations are easily r$uc$1 b :5 ! head ( a bone has be5 out ( its place = sev]al days ! r$uction becomes exce$+ly difficult1 & z a rule ! difficulty ( r$uction aris+ f ! muscles is proportion$ to ! l5g? ( "t t has elaps$ f ! p]iod ( ! accid5t4 ,= ?is reason a p]son :o has a little g5]al k on ! subject ( dislocations1 %\ld sometimes make an attempt at r$uction imm$iately aft] ! accid5t4 ,! signs ( dislocations are pa91 incapacity ( motion 9 ! limb1 *ange 9 ! l5g? ( ! limb & 9 ! direction ( its axis4 ,sometimes ! dislocat$ limb is ne>ly incapable ( any motion1 & sometimes ! de/ruction ( ! means ( union1 all[s ! limb to obey any extrane\s influ5ce4 ,! replac+ ( ! dislocation w\ld require v little ef=t or =ce 7 x n = ! resi/ance ( ! muscles & t5dons atta*$ to !m4 ,9 r$uc+ a luxat$ bone ! ma9 po9t is to apply =ce until ! head ( ! bone dislocat$ c be slipp$ into its place1 :i* is g5]ally :5 x is ne>ly to a level ) its socket4 ,?is is easily effect$ imm$iately aft] ! accid5t1 because at t "t ! resi/ance ( ! muscles is n great2 x may be be/ to attempt x1 b !re %\ld be no delay 9 s5d+ = a surgeon4 ,i recomm5d t an attempt be made to set a ,,dislocat$ ,,?umb or ,,f+] by mak+ ext5sion on ! l[] memb] & at ! same "t press+ ! head ( ! bone t[>ds its natural situation4 ,if ! r$uction is effect$1 ! ?umb or f+] %\ld be roll$ ) tape & surr\nd$ & support$ ) pa/ebo>d2 & ! h& & =e>m put 9 a sl+4 ,a surgeon may be necess>y ev5 9 a case ( dislocat$ ?umb or f+]1 b bones out ( jo9t are s mu* m easily set at fir/1 t x is be/ to attempt to set !m !n1 & ! same may be said ( "s l>g] bones4 ,= in/ance1 if !re is a ,,dislocation ,,( ,,! ,,elb[1 ! pati5t be+ settl$1 let "o man take hold ( 8 arm ne> ! %\ld]1 to make c\nt] ext5sion :ile ano!r makes ext5sion at ! wri/4 ,y y\rself be+ seat$ grasp ! elb[ ) y\r two h&s by apply+ y\r f+]s to ! ant]ior "p & y\r ?umbs to ! po/]ior1 press on ! project+ po9t ( bone d[nw>ds & =w>ds4 ,y w g5]ally be successful1 b ,i d n advise five m9utes' delay 9 s5d+ = a surgeon4 ,i only advise t an ef=t be made imm$iately4 ,aft] ?us r$uc+ a dislocation ( ! =e>m backw>ds at ! elb[1 apply a b&age 9 ! =m ( a figure ( eight2 apply "s lotion or l9im5t1 & keep ! arm 9 a sl+4 ,at ! end ( sev5 or eight days :5 ! inflammation has subsid$1 ! articulation c be g5tly mov$1 & ! motion may be increas$ e day4 ,! figure ( eight b&age is a roll] appli$ alt]nately above & bel[ a jo9t1 ! roll be+ c>ri$ obliquely ov] a c5tral po9t4 ,! art ( putt+ on a roll] b&age is an important "o = a nurse to acquire1 & ,i may "h give a few g5]al pr9ciples ?\gh no exact directions c be giv54 ,9 apply+ a b&age c>e mu/ be tak5 t x is put on tight en\gh to fulfil ! object 9 view1 )\t runn+ any risk ( /opp+ ! circulation4 ,a b&age mu/ lie smoo?ly1 )\t wr9kles1 & mak+ an ev5 pressure4 ,= b&ag+ an arm or leg a roll] f two to ?ree in*es wide may be us$2 a few turns may fir/ be giv5 on ! h& or foot1 & aft] ?is e circle is to be appli$ s z to asc5d up ! limb 9 a gradual spiral =m & cov] ab\t "o-?ird ( ! turn ( ! roll] imm$iately bel[ x4 ,to accommodate x to ! %ape ( ! limb rev]ses are made4 ,! b&age is d\bl$ back by plac+ a f+] on ! l[] edge to hold x firmly1 & turn+ ! b&age d[nw>d ov] itself1 at su* an angle z prop]ly %apes its direction1 & ^! turns c be made z (t5 z is necess>y4 ,,"p ,,vi4 ,,rem$ies ,,& ,,regim54 ,,*apt] ,i4 ,,h9ts ,,9 ,,reg>d ,,to ,,! ,,treatm5t ,,( ,,common ,,diseases4 ,x is my design 9 a subsequ5t "p ( ?is "w1 "u ! head ( em]g5cies1 to ref] to ^? exceptional cases 9 :i* !re is peculi> dang]1 :]e "s prompt action1 some?+ done imm$iately may ei!r save life or save f protract$ disease4 ,9 su* cases ! well in/ruct$ nurse may (t5 d some?+ )\t assum+ undue responsibility4 ,b ,i n[ int5d to give su* in/ruction 9 reg>d to ! treatm5t ( m9or ailm5ts & compla9ts :i* are liable to arise 9 e family daily1 z w enable ! "m or nurse to (t5 relieve pres5t di/ress1 & prev5t future sickness & suff]+4 ,b ,i hope x is fully und]/ood t :ile ,i give su* in/ruction z is f\nd$ ^u _m ye>s ( /udy1 & exp]i5ce1 & obs]vation1 ,i d n expect t any "o c become a doctor by ! p]usal ( ?is small treatise1 or t ! /ud5t ( ?is book w ev] set h]self 9 opposition to ^? :o h devot$ ye>s to ! /udy ( ! heal+ art4 ,) ! und]/&+1 !n1 t ! "m is to prescribe m$ic9e only 9 su* cases z mo!rs usually d prescribe1 ,i w n[ give "s directions t w enable ! nurse or "m to act ) promptness & assurance & effici5cy4 ,"s m$ic9e %\ld be kept 9 e h\se1 & ,i sugge/ ! foll[+ z a good li/3 ,aconite1 v]atrum1 p>egoric1 aromatic ammonia1 spirits camphor1 ess5ce pepp]m9t1 spirits nitre1 syrup ipecac1 wit* hazel1 adhesive pla/]1 *lorate ( pota%1 gum arabic1 comp\nd licorice p[d]1 c>bolic acid1 & ! sangu9>ia p[d]4 ,! la/1 :i* is ! m$ic9e t ,i always use 9 diph!ria1 may be prep>$ accord+ to ! foll[+ =mula3 ,take ( pulv]iz$ blood root ounce1 ,f]ri sulphas ,exsiccata ounce4 ,triturate toge!r4 ,dose1 #a gra9 put on ! tongue dry e f\r h\rs4 ,! m$ic9e %\ld be kept dry & is be/ kept 9 a phial cork$4 ,all ! m$ic9es %\ld be label$ ) ! "n & ord9>y dose4 ,a small quantity ( m$ic9e w suffice to keep 9 ! h\se4 ,i sugge/ ! foll[+ am\nts & labels3 oz4 t9ct4 aconite4 ,dose1 #a_/bj ( a drop 7or less7 e h\r4 ,poison4 oz4 v]atrum viride4 ,dose1 drop e two h\rs4 #a oz4 p>egoric4 ,dose1 #a drop to a teaspoonful4 #a oz4 aromatic ammonia4 ,dose1 #bj drops dilut$ 9 wat]4 #a oz4 ess4 pepp]m9t4 ,dose1 #aj drops4 #a oz4 spirits camphor4 ,dose1 #a to #e drops4 #a oz4 syrup ipecac4 ,dose1 #e drops to a teaspoonful4 #a oz4 spirits nitre4 ,dose1 teaspoonful 9 wat]4 oz4 fld4 ex4 wit* hazel4 ,dose1 #a drop e h\r4 oz4 *lorate pota%4 lb4 comp\nd licorice p[d]4 ,dose1 #a teaspoonful4 #a oz4 gum ,arabic4 yd4 adhesive pla/]4 #a oz4 c>bolic acid & glyc]9e4 ,poison4 #a oz4 sangu9>ia p[d]4 ,dose1 #a gra94 ,i w n[ give my treatm5t ( diph!ria :i* is mo/ly by ! use ( ! ,sangu9>ia p[d]1 z ?is v well illu/rates ! b5efit ( hav+ "s mild safe m$ic9e 9 ! h\se1 & us+ x e>ly 9 ! disease4 ,ne>ly ?irty ye>s ago ,i 0 s well satisfi$ ( ! efficacy ( ?is m$ic9e1 t ,i advis$ all ! families ) :i* ,i 0 acqua9t$ & :]e ,i 0 _! physician1 to keep ! p[d] 9 ! h\se & use x :5ev] any ( !m _h sore ?roat2 v _m ( !m did s1 & x has happ5$ t s f> z ,i "k1 !re has n be5 a fatal case ( diph!ria among !m4 ,i advise t x be giv5 9 all cases ( sore ?roat1 = al?\gh x is n s important a rem$y 9 all ^! cases1 x w v g5]ally be useful 9 a great] or less degree1 & z ! sore ?roat is usually ! fir/ ?+ compla9$ ( 9 diph!ria1 its e>ly application is !reby assur$4 ,a v small dose w suffice1 b !re is no objection to tak+ two or ?ree gra9s = a dose e #d h\rs1 except ! disagreeable ta/e4 ,i advise t x be tak5 alone1 & n cov]$ up1 z ,i believe t x acts locally p]haps directly ^u ! organism or g]m t is ! cause ( ! disease4 ,i h n1 h[ev]1 reli$ exclusively ^u ! "o m$ic9e1 b h always direct$ t !y %\ld give ab\t a teaspoonful ( ! saturat$ solution ( *lorate ( pota% e h\r1 & t !y keep k]os5e appli$ on ! outside ( ! ?roat or neck4 ,give pl5ty ( milk & o!r n\ri%+ diet1 & b little o!r m$ic9e is usually requir$4 ,! ,,sangu9>ia 7bloodroot7 ,,p[d] is prop]ly giv5 9 o!r cases besides diph!ria4 ,a small dose giv5 ?ree times a day is n only a good worm m$ic9e1 b w prev5t ! subsequ5t developem5t & gr[? & multiplication ( worms = "s "t4 ,x is also a cure = a c\gh t is dep5d5t on an irritat$ /ate ( ! fauces4 ,?ree gra9s tak5 aft] ea* meal is a good rem$y 9 *lorosis or suppression ( ! m5ses4 ,9 ^! cases x c be tak5 cov]$ up 9 waf]s or 9 rice pap]1 !reby avoid+ ! bitt] ta/e4 ,,aconite %\ld be kept 9 ! h\se1 & v small doses giv5 9 cases :]e !re is a little fev]i%ness1 & no m>k$ symptoms ( disease4 ,x is useful :5 !re is an ord9>y cold1 & may be giv5 two drops ( ! t9cture 9 half a glass ( wat]1 "o teaspoonful e h\r4 ,^! small doses may be giv5 to a little *ild1 & yet !y h "s effect ^u old] p]sons4 ,,ord9>y ,,colds1 h[ev]1 require m effici5t treatm5t1 & ,i (t5 direct ! foll[+3 ,a teaspoonful g+]1 a teaspoonful cream ( t>t>1 & ?ree l>ge teaspoonfuls ( sug> 9 a small glass ( wat]1 to be drank z "o draught aft] be+ /irr$4 ,heat ! feet & keep !m w>m especially at night4 ,! comb9ation ( g+]1 cream ( t>t>1 c41 op5s all ! secretions s t ! lungs1 liv]1 b[els1 sk91 & kidneys act 9 a natural mann]1 & !re is imm$iate b5efit4 ,,v]atrum has already be5 m5tion$ z a rem$y 9 inflammation4 ,if good extract or t9cture is us$ x c always be reli$ on to r$uce ! =ce & frequ5cy ( ! pulse4 ,x is frequ5tly applicable because 9 mo/ ( our diseases ! =ce & frequ5cy ( ! pulse is increas$4 ,! pulse %\ld be c\nt$ :5 x is fir/ giv51 & c\nt$ occasionally aft]w>ds1 & :5 ! pulse becomes less frequ5t ! dose mu/ be dim9i%$ or omitt$4 ,if an ov]dose is giv5 x is commonly vomit$1 o!rwise x might be dang]\s4 ,ord9>ily half a drop e two h\rs ( ! fluid extract is suffici5t1 b = adults two drops may sometimes be giv5 & repeat$ 9 an h\r4 ,we h s _m maladies t are inflammatory1 :]e ! pulse is full & h>d1 t ! indications = its use are frequ5t4 ,ev5 9 ! comm5cem5t ( fev]s1 :5 ! pulse is full & quick--:]e x 0 =m]ly ! practice ( physicians to ble$1 v]atrum %\ld be giv5 till x has a decid$ effect ^u ! pulse4 ,9 int]mitt5t fev] ! effect ( ?is s$ative ^u x1 giv5 at ! comm5cem5t ( ! fev] or hot /age1 is z salut>y z is ! effect ( qu99e giv5 dur+ ! int]mission4 ,mod]ate doses are n liable to d h>m except to ^? :o h become q weak & l[4 ,a conv5i5t way ( adm9i/]+ x is to prep>e tw5ty drops ( ! extract 9 tw5ty teaspoonfuls ( wat]1 & ! dose c be easily regulat$4 ,cr\p may g5]ally be cur$ if v]atrum is giv5 e>ly & 9 effici5t doses4 ,x is ( no avail to adm9i/] x at an advanc$ /age :5 !re is apna2 ! pulse becom+ feeble & int]mitt+1 ! lips blue1 ! sk9 los+ its heat2 & :5 dr[s9ess1 coma or o!r fatal symptoms are com+ on4 ,:5 c\gh1 ho>s5ess1 cat>rh1 & loss ( voice are notic$ 9 a "y *ild1 x %\ld be n>r[ly wat*$ & protect$ aga9/ all circum/ances likely to aggravate inflammation2 x %\ld be kept 9 ! h\se1 & a w>m1 moi/ air %\ld be kept 9 ! room 7ab\t #fe71 its diet %\ld be milk or f>9ace\s food2 ! functions ( ! b[els & sk9 %\ld be att5d$ to2 "s aconite %\ld be giv52 if !re is a slight1 r++ c\gh1 place ! pati5t 9 a w>m ba? = t5 m9utes1 !n conf9e x to b$2 keep ! air ( ! room moi/ by ! evaporation ( boil+ wat]2 give ca/or oil or o!r physic1 & small doses ( syrup ipecac1 & spirits nitre4 ,if ! respiration becomes sonor\s & difficult1 ! voice ho>se & gruff1 ! c\gh cr\py & brassy z x is call$1 y h ! *>act]i/ic symptoms ( cr\p4 ,b ! peculi> brea?+1 mak+ a sort ( cr[+ s\nd ) ea* inspiration1 w always di/+ui% x1 & !re w always be "s fev] att5d+ x4 ,cr\p sometimes comm5ces ) sore ?roat1 & ,i believe t ! sangu9>ia p[d] w usually be efficaci\s 9 its cure2 b prompt doses ( v]atrum are /ill m effectual4 ,at ! e>ly /ages y may give two drops ( ! extract1 & ! dose may be repeat$ 9 half an h\r1 & p]haps repeat$ aft]w>ds4 ,if !re is n evid5t improvem5t an ounce ( syrup ( ipecac or a teaspoonful ( sug> & alum pulv]iz$ toge!r1 may be giv5 if necess>y to make ! *ild vomit4 ,9 ! meantime hot fom5tations %\ld h be5 appli$ to ! ?roat4 ,a sponge ! size ( a l>ge fi/1 dipp$ 9 wat] z hot z c be borne1 %\ld be squeez$ half dry & appli$ "u ! *ild's *9 s z to cov] ! l>ynx1 & ! temp]ature ma9ta9$ by resoak+ x e two or ?ree m9utes4 ,ba?s may be us$ dur+ ! second /age ( ! cr\p2 if ! *ild has a temp]ature ( #ajd1 a w>m ba? ought to be adm9i/]$1 & ! *ild imm]s$ 9 x up to its *9 = fifte5 or tw5ty m9utes4 ,aft] ! brea?+ is reliev$1 /ill give small doses ( syrup ( ipecac1 or alum1 or v]atrum1 suffici5t to keep up nausea = a "t4 ,aft] !re is a decid$ amelioration ( ! symptoms1 give ! foll[+3 ,to a teacupful ( g+] tea add a teaspoonful ( aromatic ammonia1 & a teaspoonful syrup ( ipecac1 & give a teaspoonful e h\r4 ,,v]atrum is ! m$ic9e ^u :i* y mu/ rely 9 cr\py cases2 ?is disease requires vigor\s treatm5t1 b vigor\s measures 9 ! />t w g5]ally save ! life ( ! pati5t4 ,,p>egoric is a useful m$ic9e = pa91 di>rha1 c\gh & re/lessness1 & may g5]ally be giv5 advantage\sly :5 two ( ^! symptoms are pres5t4 ,opium has "s b5eficial effect 9 inflammation1 & v g5]ally p>egoric c be giv5 :]e !re is febrile excitem5t4 ,i w\ld nev] give x :5 ! *ild is only cross & irritable1 z a bad habit may !reby be eng5d]$4 ,!re is always dang] ( giv+ an ov]dose ( any opiate2 & al?\gh an adult may sometimes take z mu* z two ounces ( p>egoric :5 he is suff]+ sev]e pa91 ,i d n advise t x be giv5 to *ildr5 (t5 9 doses t exce$ five drops4 ,,di>rh,a may be treat$ 9 ! foll[+ mann]3 ,to f\r ounces ( g+] tea add "o teaspoonful p>egoric1 "o teaspoonful aromatic ammonia1 "o teaspoonful ess4 pepp]m9t1 "o half teaspoonful spirits camphor1 & two ounces ( mucilage ( gum arabic1 & %ake ! :ole toge!r4 ,?is is good m$ic9e = all =ms ( summ] compla9t1 di>rha1 dys5t]y1 or *ol]a morbus4 ,"o-half teaspoonful ( ?is is a dose1 b x c be giv5 effici5tly 9 a l>g] or small] dose4 ,x acts by correct+ ! disord]$ /ate ( ! /oma*1 & x is ^u ?is usually t ^! diseases dep5d4 ,if ! di>rha cont9ues = a day or two1 "s mild a/r+5t may be giv52 p]haps ?ree drops e two h\rs ( ! extract ( wit* hazel4 ,! diet is important1 & x is well 9 ^! cases to h "s :eat fl\r boil$4 7,f4 #dg47 ,! fl\r grat$ f x & sift$1 & made into a gruel1 may be pr(itably us$ ) milk4 ,a ?9 solution ( ,,gum ,,arabic ) milk af=ds bo? food & dr9k1 & is "o ( ! mo/ useful1 & safe1 & effici5t rem$ies4 ,su* m$ic9es z ,f4 #gd1 #gg1 #gi1 #hj1 may be giv5 9 almo/ e case ) b5efit4 ,! alkalies neutralize ! acids 9 ! /oma*1 & ! aromatics h a grateful action4 ,if ! pa9 cont9ues1 a w>m ba? may be giv54 ,%\ld ! gums be swoll51 !y %\ld be cut d[n to ! tee?4 ,b !re are _m cases ( di>rha :]e my prescription w\ld be ! foll[+3 ,give no k9d ( food save t ( ! milk ( ! "m1 & t only once 9 f\r h\rs4 ,%\ld ! ?ir/ require m fluid to satisfy x1 give f "t to "t a teaspoonful ( cold wat]2 put flannel on its body1 & wool5 /ock+s on its legs2 rub ! abdom5 ?ree or f\r times a day ) ! b>e w>m h&2 d n ev] wake ! *ild :5 asleep2 :5 awake give x five drops p>egoric e two h\rs4 ,9 ! prelim9>y /age ( ,,*ol]a ,,infantum1 besides giv+ ! di>rha mixture ) ar4 ammonia1 ,i w\ld enjo9 absolute re/ 9 ! recumb5t position1 ) w>m? to ! surface & extremities2 p]haps total ab/5tion f "m's & c['s milk1 & w\ld ord] ei!r cond5s$ milk or arr[ root prep>$ ) wat]4 ,i w\ld also make c\nt] irritation ov] ! abdom5 by p\ltices & s9apisms4 ,,dys5t]y :5 fir/ com+ on is att5d$ ) m fev] ?an di>rha is4 ,x w be di/+ui%$ by ! "* ( ! pa9 & ! dis*>ges4 ,! pati5t is torm5t$ by a s5sation z if !re 0 "s excrem5t to be dislodg$2 he goes (t5 to ! night *air1 & /ra9s to get rid ( ! irritation2 he dis*>ges b little1 & :at is void$ is ei!r a jelly l or bloody mucus2 p]haps mix$ ) films & membran\s %r$s4 ,! pulse is h>d & frequ5t1 ! sk9 hot1 ! face flu%$1 & ! pati5t compla9s ( heada*e & ?ir/4 ,y may give "s v]atrum at fir/2 "o-half drop ( ! extract e two h\rs = "o day2 & to allay ! ?ir/1 give cold wat] 9 :i* "s :eat fl\r has be5 /irr$4 ,my pr9cipal rem$ies if ! di>rha mixture does n cure1 is to give ! s\r drops 7elixir vitriol71 & ei!r l>ge or small doses ( ipecac4 ,i also use injections ( />* & laudanum1 & rectal suppositories4 7,f4 #aee1 #afj47 ,y may f9d mu* b5efit f "s dome/ic rem$ies4 ,give ei!r occasional doses ( /rong table tea1 or spoonful doses ( v9eg> & table salt1 or fre%ly prep>$ melt$ mutton suet4 ,,aromatic ,,_s ,,( ,,ammonia is useful 9 hy/]ia1 flatul5t colic & n]v\s debility4 ,x is n a p[]ful m$ic9e to ov]come disease1 b x is a m$ic9e t ought to be at h& to relieve _m little ailm5ts t are liable to occur1 :5 mu* m$ic9e _c be giv54 ,i advise ^? t are suff]+ f sick heada*e to take #cj or #dj drops ( x z a /imulant antacid4 ,x may be well also to take a teaspoonful ( p>egoric1 & to lie d[n till sleep gives relief4 ,,fa9t+ ,,fits or ,,fa9t+ may dem& a rem$y1 & #ae drops ar4 spts4 ammonia may give ! desir$ relief1 if ! suff]] lie d[n & a little cold wat] be spr9kl$ 9 h] face also4 ,?is m$ic9e is a grateful antacid 9 cases ( ,,s\r ,,/oma*1 & x w usually give "s relief 9 ! flatul5ce & di/ress ( ,,dyspepsia4 ,x may (t5 be us$ z a slight /imulant1 b z x is an alkal9e rem$y x %\ld n be giv5 conjo9$ ) acids4 ,,ess5ce ,,pepp]m9t & ,,spirits ,,camphor are (t5 us$ 9 ailm5ts simil> to ^? 9 :i* ,i use aromatic ammonia1 & ?is may be giv5 9 comb9ation ) !m4 ,"s p]sons h a decid$ pref]5ce = ess5ce c9namon1 or w9t]gre51 & ^! may be sub/itut$ = pepp]m9t2 aromatics also1 su* z sweet flag1 w h a simil> effect4 ,spirits nitre is (t5 a grateful /imulant to ! /oma*1 b x is also us$ 9 febrile affections1 & inflammatory compla9ts4 ,f\r p>ts ( spirits nitre to "o ( ar4 ammonia is diuretic1 diaphoretic1 & is well suit$ to c]ta9 /ates ( febrile disease4 ,:5 giv5 to promote ! action ( ! kidneys1 a half teaspoonful or m may be giv5 e two h\rs 9 a spoonful ( wat]4 ,scanty & high color$ ur9e1 especially :5 x is acrid & burn+1 is an indication = its use4 ,,syrup ,,( ,,ipecac is us$ z an expectorant & emetic 9 colds & c\ghs4 ,if giv5 to a *ild1 "o teaspoonful is an emetic dose1 to be repeat$ e fifte5 m9utes till x op]ates4 ,if giv5 to loos5 a c\gh1 five or six drops repeat$ e half h\r w suffice2 b x may be giv5 9 mu* l>g] doses4 ,x is (t5 giv5 9 comb9ation4 7,f4 #acg1 #aci47 ,,wit* ,,hazel4 ,pond's ,extract ,hamamelis is kept by _m p 9 ! h\se1 & z x is usually accompani$ ) directions1 ,i %all ref] to x v briefly4 ,! ord9>y fluid extract is p]haps five times z /rong z ,pond's extract1 & :5 us$ may be dilut$ accord+ly4 ,x is a/r+5t1 & a m$ic9e ( t k9d is (t5 useful bo? int]nally & ext]nally4 ,a few drops tak5 ea* day may prev5t ble$+1 :5 !re is a t5d5cy to hemorrhage1 al?\gh ergot w\ld be a m effici5t rem$y if giv5 = imm$iate effect4 ,,*lorate ,,( ,,pota% is v g5]ally giv5 9 diph!ria1 & is g5]ally safe2 no h>m c come f ! advice to keep x con/antly 9 ! h\se2 x is n v soluble1 & ! saturat$ solution is n too /rong = use4 ,x is a good way to put a half teaspoonful ( x 9 a glass1 & keep a little wat] on x all ! "t1 & give t5 or twelve teaspoonful doses ( ! solution a day = any k9d ( sore ?roat or m\?4 ,,comp\nd ,,licorice ,,p[d] 7,f4 #ajh7 is a mild laxative1 & may be giv5 to a "y *ild 9 half teaspoonful doses4 ,9 l>g] doses x w s]ve well = old] p]sons = physic4 ,:ile ,i ?9k x well to keep ?is 9 ! h\se & to occasionally adm9i/] x1 "s o!r sort ( ca?>tic may at times prop]ly be pref]r$4 ,a great v>iety ( ?is sort ( m$ic9e is atta9able1 no "o k9d is always ! be/2 ?is p[d] is h[ev] a good laxative1 9 doses ( a teaspoonful repeat$ 9 eight h\rs if necess>y4 ,,gum ,,arabic is n (t5 kept 9 ! h\se z a m$ic9e1 b ,i ?9k x em95tly prop] to keep x2 sc>cely any o!r m$ic9e is s safe & h>mless ei!r 9 l>ge or small doses1 & few are m decid$ly useful ?an ?is 9 "s cases4 ,made into an emulsion & tak5 ei!r alone or 9 comb9ation ) o!r m$ic9e1 or us$ z food1 x is good 9 e v>iety ( b[el compla9t4 ,a teaspoonful ( ! mucilage /irr$ into a cup ( cold wat] & drank by ! pati5t1 may s]ve z m$ic9e & dr9k & su/5ance :5 he c take no o!r food4 ,x may prop]ly be add$ to expectorant & diuretic m$ic9es2 b ! b5eficial effects are mo/ obvi\s :5 x is adm9i/]$ = inflammatory affections ( ! ga/ric & inte/9al muc\s membrane4 ,slipp]y elm & flaxse$ tea h a simil> effect1 b are n s decid$ly b5eficial4 ,,c>bolic ,,acid n9e p>ts & ,,glyc]9e "o "p may be kept mix$ toge!r2 n because ! glyc]9e assi/s or modifies ! action ( ! c>bolic acid1 b because x r5d]s ! acid soluble 9 ! wat]1 s t ! solution may be ( any /r5g? desir$4 ,,c>bolic ,,acid is n mu* us$ int]nally2 x is s p[]ful t x ought to be reg>d$ z a poison2 its effect is good1 h[ev]1 if giv5 9 small doses v mu* dilut$4 ,x is believ$ to be de/ructive to disease g]ms1 & may v prop]ly be giv5 9 bad cases ( di>rha & dys5t]y4 ,two drops ( ! acid 9 a glass ( wat] is a weak solution1 & may be giv5 )\t h>m2 a half teaspoonful e two h\rs4 ,!re is n space 9 ?is "w to describe p>ticul>ly ! v>i\s cases 9 :i* x may be us$ ext]nally4 ,a solution "o "p 9 #ajj ( wat]1 may be appli$ advantage\sly to any inflam$ "p or to any ,,cutane\s ,,eruption1 or may be us$ z a wa% or g>gle 9 any ,,sore ,,m\? or ,,sore ,,?roat4 ,to cure sores or eruptions1 h[ev]1 x is (t5 necess>y to apply x mu* /rong]4 ,i apply a #a to #e solution to ! sores once or twice1 & to burns a solution #a to #cj = a few days4 ,i w give m p>ticul> directions = its use 9 ,,hemorrhoids or ,,piles4 ,apply ! acid & glyc]9e 7#i to #a7 to ! piles by dropp+ #c drops ^u a bit ( tissue pap] & press+ x aga9/ ! tumors1 & into ! anus4 ,repeat ?is ea* day = ?ree days1 !n use a mild o9tm5t or suppositories4 7,f4 #bjf47 ,a few doses ( ! comp\nd licorice p[d] w be useful = piles if ! b[els are n regul>4 ,i h already giv5 "s specific directions 9 reg>d to "s diseases 9 v "y *ildr52 :at fur!r in/ructions ,i give w be ( a g5]al "*4 ,,home ,,rem$ies ,,& ,,appliances ,,= ,,sick ,,*ildr54 ,,d5tition pr$isposes to sickness1 if x does n cause x1 & x may call into activity lat5t t5d5cies to disease4 ,x may cause su* symptoms z ! foll[+3 r$ness1 heat1 & t5d]ness ( ! gums2 an increase ( saliva2 />t+ z if 9 fright2 re/lessness1 or int]rupt$ sleep2 eruptions on ! head or body2 d]angem5t ( ! dige/ive organs1 & sometimes convulsions4 ,dur+ ! p]iod ( d5tition1 be especially c>eful t ! *ild has its food & sleep regul>ly1 & t x is re/rict$ to suitable quantities ( food at a "t4 ,keep ! head cool & ! feet w>m2 wa% ! *ild daily 9 cold wat]1 & all[ x to be mu* 9 ! op5 air4 ,if a *ild is worrisome & irritable x w be necess>y to cut ! gums4 ,lance !m at ! elevat$ po9ts1 cutt+ !m d[n to ! tee?4 ,at ! same "t1 aconite c be giv51 & p]haps a w>m ba?2 & if !re is consid]able fev] give ord9>y doses ( v]atrum4 ,^! rem$ies are s g5]ally useful :]e !re is fev]1 t ,i w v5ture to recomm5d !m :5 ei!r ,,?ru%1 ,,measles1 ,,g]man ,,measles1 ,,mumps1 ,,sc>let ,,fev]1 ,,*ick5 ,,pox1 or ,,:oop+ ,,c\gh is com+ on or suspect$4 ,ea* ( ^! diseases h a natural c\rse :i* !y mu/ run be=e !y t]m9ate1 & x is be/1 z 9 diph!ria1 n to give m$ic9es p[]ful en\gh to int]f]e ) ! natural c\rse ( ! disease4 ,d n give physic4 7,f4 #aba1 #abb47 ,s 9 ,,op?almia x is bett] to h no?+ b a little salt 9 ! wat] ?an x is to use h>% ?+s to ba! ! *ild's eyes4 ,d n rub ! eyes2 let a small /ream ( tepid wat] trickle onto !m1 & wipe ! dis*>ges away ) a s(t rag4 ,burn ! rag1 wa% y\r own h&s1 & keep !m away f y\r own eyes1 on acc\nt ( ! dang] f contagion4 7,f4 #baj1 #baa47 ,,con/ipation _c be treat$ 9 all cases )\t giv+ "s ap]i5t m$ic9e4 7,f4 #ajh1 #aji47 ,oat meal gruel z a diet may be helpful2 & fre% vegetables--cabbages1 turnips1 onions1 ripe fruit2 oatmeal porridge ) molasses1 & br[n bread may be tak5 freely4 ,infants may be p>tly f$ on corn />*1 & old] *ildr5 may h crack$ :eat 7,f4 #ce71 or peas1 beans1 squa%es1 & o!r fre% vegetables & fruits 9 _! season4 ,a good draught ( wat] on ris+ & retir+ is advisable2 & a teaspoonful ( soda & molasses mix$ toge!r & tak5 daily = a week may cure a co/ive habit4 ,a suppository ( ca/ile soap may induce a movem5t 9 a *ild1 or x may be be/ to give an injection ( tepid wat]1 or soap & wat]4 ,= ,,*af+s ba! ! p>ts well 9 tepid wat]1 dry ) s(t clo?s1 & apply by means ( a s(t sponge1 ,f4 #bab4 ,! foll[+ diseases are inflammatory1 & dem& at fir/ mild treatm5t ) aconite1 v]atrum1 & w>m ba?s3 ,9 ,,tonsilitis 7qu9sy71 use ! blood root p[d] & bic>bonate ( soda4 ,! pati5t c apply ! bic>bonate ( soda to ! inflam$ tonsil ) 8 f+]1 or x c be bl[n into 8 ?roat ?r\gh a quill1 or ?r\gh a holl[ roll ( /iff pap] t conta9s a few gra9s4 ,= ! *ronic =m ( tonsil> enl>gem5t use ,f4 #bac4 ,,coryza or snivels is an inflammatory affection ( ! muc\s l9+ ( ! nose1 att5d$ ) an abnormal secretion4 ,sometimes ! *ild c only brea! ?r\gh its m\?2 9 su* cases y may draw ! brea/ milk1 & fe$ ! *ild by means ( a spoon4 ,give aconite1 & z a local application ! inside ( ! nose may be (t5 sme>$ ) vasel9e1 or cold cream1 or c>bolat$ cosmol9e4 ,bron*itis1 pneumonia1 pleurisy1 & o!r inflammatory diseases1 may n %[ _! di/9ctive "* 9 _! incipi5t /age1 b !re w be at fir/ suffici5t fev] to indicate ! ne$ ( aconite1 v]atrum1 & p]haps ! w>m ba?4 ,access>y means may be us$1 su* z ! foll[+3 ! pati5t %\ld be plac$ 9 a w>m room 7ab\t #fe7 & h only light b$ clo?+2 if ! *ild is tak5 out ( b$ he mu/ h on a w>m wrapp]1 or be o!rwise well cov]$2 he %\ld n lie flat 9 b$1 b he %\ld be some:at propp$ up ) pill[s2 & x may be be/ to keep on a cont9u\s p\ltice to ! *e/ 9 front & back4 ,! pati5t %\ld be kept v quiet1 h mucilag9\s dr9ks & f>9ace\s diet2 & ! air ( ! room %\ld be moi/5$ by /eam or ! evaporation ( waf]2 & ! v5tilation ( ! ap>tm5t mu/ n be neglect$4 ,!y mu/ h frequ5t sips ( cold wat] to allay ?ir/1 besides m>%mall[1 slipp]y elm1 or flaxse$ tea1 & revulsives mu/ be us$ z well z p\ltices & fom5tations4 ,by ! aid ( a ,,cl9ical ,,!rmomet] _m diseases may be di/+ui%$ ev5 9 ! incipi5t /age4 ,if a p]son )\t any premonitory symptoms is seiz$ ) a *ill1 foll[$ by rapid brea?+1 a dull pa9 9 ! *e/1 c\gh1 high fev]1 & comp>atively sl[ pulse2 if ! !rmomet] indicates a temp]ature ( #ajd or #aje1 & ! pulse does n beat ov] #aaj a m9ute1 ! case is "o ( ,,acute ,,pneumonia4 ,sometimes ! temp]ature is bel[ #ij2 if x exce$ #abj x is almo/ c]ta9 to be fatal4 ,,ague4 ,,*ills recurr+ regul>ly = a few days indicate ! int]mitt5t nature ( a disease4 ,b dur+ ! fir/ *ill if ! !rmomet] is appli$1 we may "k t a case is "o ( fev] & ague1 if :ile ! sk9 is yet cold ! !rmomet] rises to #aje1 & lat] to #ajg1 & dur+ ! /age ( sweat+ ! in/rum5t %[s a decl9e ( #b e fifte5 m9utes till x has rea*$ #ih4 ,?is rapid rise & decl9e is due only to mal>ia1 & qu99e is indicat$4 7,f4 #ahb47 ,,tub]cul> ,,ph?isis4 ,if a pati5t has be5 los+ fle% ( late & be5 tr\bl$ ) a %ort1 dry c\gh1 take 8 temp]ature at ab\t six ,p4 ,m4 = a few ev5+s4 ,if ! !rmomet] records #ii to #ajj1 & no o!r cause exi/s = ?is regul> nightly increase ( temp]ature1 ! case c be put d[n z "o ( incipi5t consumption1 especially if tub]culosis has be5 9 ! family4 ,endeavor to improve ! g5]al nutrition by att5tion to ! quantity & quality ( ! food 7z g5]\s diet z c be tak5 )\t di/urb+ ! /oma* or increas+ ! fev]i% symptoms72 by enjo9+ a resid5ce 9 a heal?y climate2 by ex]cise 9 ! op5 air2 by w>m clo?+2 by daily tepid spong+1 ) friction ( ! sk92 & by cod-liv] oil or petroleum emulsion ) hypophosphites4 ,an animal diet is g5]ally necess>y4 ,if dige/ion fails & !re is acidity ( ! /oma*1 give peps94 7,f4 #gb47 ,add a teaspoonful ( sweet5$ lime wat] to a tumbl] full ( milk1 & if ?is agrees ) 8 /oma*1 he c take t am\nt f\r times a day4 ,9 ,,typhoid ,,fev] ! pati5t may compla9 ( lassitude1 heada*e1 pa9 9 ! back1 etc41 = sev]al days be=e he is fev]i%4 ,!n 8 temp]ature is #ii1 & x may be "o degree high] ea* night1 until on ! six? & sev5? ev5+ x is #ajd2 x be+ ea* morn+ "o degree less ?an at night4 ,ev5 if !re is no di>rha1 tympanitis1 or eruption1 we may by obs]v+ ! temp]ature1 feel sure t we h a case ( typhoid fev]4 ,if x is a mod]ate case ! temp]ature w be #ajd at night1 & #ajc 9 ! morn+1 till ! f\rte5? day1 :5 x may decl9e "o degree 9 ! morn+1 & half a degree or "o degree 9 ! ev5+4 ,aft] t x may decl9e regul>ly till on ! #ba/ day x may be #ih4 ,relapse or *e/ difficulty may modify ?is regul> decl9e1 & ! nurse mu/ c>efully note & report to ! physician ! temp]ature ea* morn+ & night4 ,9 ,,typhus ,,fev] ! temp]ature rea*es its height1 #ajd or #aje1 )9 ?irty-six h\rs4 ,x cont9ues at t height1 ) morn+ remissions ( "o-half degree1 till ! elev5? or ?irte5? day1 :5 x rapidly falls to ! normal2 a sweat or a long sleep u%]+ 9 ! favorable t]m9ation4 ,,sc>let ,,fev]4 ,if a *ild is sudd5ly tak5 ill ) a *ill1 vomit+s1 v rapid pulse1 & ! !rmomet] records #aje or m1 v e>ly 9 ! disease1 x d5otes sc>let fev]2 & f ?is sign alone1 ev5 )\t any sore ?roat or eruption1 a diagnosis may be made4 ,?is disease may v frequ5tly g on well )\t any dang] till ! eruption subsides1 b dang] arises f exposure ( ! *ild to cold any "t dur+ ! subsequ5t f\r weeks4 ,,hy/]ia4 ,!re may be pa9 p]haps 9 ! b[els1 abdom9al t5d]ness1 & vomit+2 or !re may be symptoms ( inflammation 9 "s o!r "p2 if ! !rmomet] does n regi/] m ?an #ih x is probably hy/]ia4 ,assaftida1 val]ian1 & su* rem$ies w probably cure4 ,,apoplexy4 ,9 ?is disease ! !rmomet] soon aft] ! attack %[s a temp]ature ( only #ig1 & l[] /ill if !re %\ld be a second effusion to /ill m compress ! bra94 ,on ! contr>y1 9 a fully develop$ case ( sun/roke1 ! !rmomet] w n record less ?an #ajg4 ,x w\ld be a good ?+ if e nurse & e "m kept a cl9ical !rmomet]4 ,,*apt] ,,ii4 ,,em]g5cies1 ,,accid5ts1 ,,sudd5 ,,sickness4 ,! diseases la/ nam$ 7 !re m5tion$ because _! di/9ctive "* c\ld be det]m9$ by ! !rmomet]4 ,!y are1 h[ev]1 examples ( ! k9d ( cases t ,i design n[ to speak ( p>ticul>ly2 :]e !re is app>5t cause = al>m1 & :]e !re is app>5t necessity t some?+ %\ld be done imm$iately4 ,^! cases dem& ! s]vices ( a physician1 & my design is only to in/ruct y :at to d be=e ! doctor arrives2 or r ,i %\ld say1 ! in/ructions t ,i give are n int5d$ to sup]c$e m$ical advice1 ?\gh "s cases may be ( a k9d 9 :i* little or no?+ c be done4 ,^! em]g5cies are ( e v>iety1 & ,i %all br+ ! diff]5t k9ds be=e y z fully z ,i c4 ,ord9>ily x is n at fir/ app>5t :at ! real malady is4 ,we w suppose t dur+ ! heat ( summ] a man drops d[n unconsci\s4 ,at fir/ no "o kn[s :e!r x is apoplexy or ,,sun/roke4 ,d n get excit$ & d ?+s t are ra%2 if y d n "k :at ought to be done1 d no?+2 if y are n excit$ y may at lea/ use :at k y h acquir$4 ,s5d a message to ! doctor1 giv+ a description z f> z y c ( ! case1 s t he may come prep>$ to treat x4 ,secure pl5ty ( fre% air & room1 & get rid ( ^? :o are ar\nd1 :o _c be useful2 if respiration is susp5d$1 & !re is imm$iate dang]1 some?+ may be done at once2 at lea/ to "k if ! man has m]ely fa9t$4 ,h him laid 9 a horizontal position2 y may soon h him c>ri$ to ! ne>e/ h\se4 ,= ?is some?+ %\ld be provid$ on :i* he c lie horizontally2 in/ruct ! be>]s to avoid unnecess>y jolt+2 h a b$ ready to put him on2 if ! case is suppos$ to be fa9t+ give aromatic ammonia or a little /imulant ( "s k9d2 d n raise ! head1 b keep x l[ z ! feet4 ,if x is a sev]e case ( sun/roke1 ! sk9 is hot & ! pulse weak & flutt]+2 !re may be convulsions1 b probably !re w be no movem5t2 remove ! clo?+ ) z little di/urbance z possible2 d n cut any?+ t c be ripp$2 ?r[ cold wat] on ! head & *e/1 or put ! pati5t 9 a cold ba? ( ab\t #gj at fir/1 & gradually r$uce ! degree ( cold2 give a cup ( good table tea2 d n give alcoholic /imulants )\t m$ical advice4 ,if consci\sness returns & ! temp]ature aga9 rises1 repeat ! cold applications to ! head1 neck1 & *e/2 give ice wat] or ice tea2 x may be be/ to rub ! head & body an h\r long]1 & to give /imulant enemata4 ,,apoplexy c be di/+ui%$ f syncope by ! pulse1 :i* beats p]haps ) unnatural =ce2 ! face in/ead ( be+ pale is g5]ally flu%$1 & turgid1 & ! respiration goes on ?\gh x may be labor$ & /]tor\s4 ,! condition ( ! s5sorial functions is mu* ! same z x is 9 n>cotic poison+1 or :5 a man is dead drunk4 ,! nurse %\ld make all necess>y enquiries s t %e c furni% ! physician ) a full hi/ory ( ! case to help him 9 8 diagnosis4 ,9 apoplexy ! pulse is r sl[ ?\gh full1 & ! pupils ( ! eyes1 "o or bo?1 dilat$4 ,!re may be p>alysis ( "o side4 ,loos5 ! clo!s1 elevate ! head & *e/1 apply cold wat] to ! head1 & heat to ! extremities1 & p]haps s9apisms also4 ,giv+ physic may be def]r$ until ! doctor arrives2 & 9 g5]al y may pursue a simil> c\rse :e!r ! case is "o ( ,,concussion ,,( ,,! ,,bra91 or ,,compression or n>cotic poison+2 cold may be appli$ to ! head by means ( p\nd$ ice 9 a bladd]2 keep ! head cool & ! feet w>m4 ,_m ( ?is class ( cases require /ill v c>eful nurs+ aft] ! dang]\s symptoms are reliev$4 ,! sk9 %\ld be kept heal?y by daily friction & ba?+4 ,! b[els mu/ n be p]mitt$ to become co/ive2 ! diet %\ld be light1 ! food well *ew$1 ! m9d kept *e]ful & free f excitem5t4 ,,poisons4 ,9 cases ( poison+ no "t is to be lo/ 9 adm9i/]+ relief1 & x is important t ! nurse %\ld be famili> ) all ! usual antidotes4 ,mo/ commonly 9 a case ( poison+1 spe$y free vomit+ %\ld be induc$ by ^? articles t are at h&1 & t are quick & prompt 9 _! effects4 ,ev5 if ! poison has be5 tak5 hypod]mically1 emetics may be giv52 ^! w d no h>m3 ,sulphate ( z9c 7:ite vitriol71 is v prompt 9 its action1 & may be us$ :5 x c be procur$ 7,f4 #acd72 & if vomit+ be pres5t1 we may aid x by giv+ w>m wat]1 or p]haps pulv4 ipecac1 or "s o!r vegetable emetic4 ,b ei!r common salt or mu/>d is ne>ly always at h& & may be giv54 ,/ir up a tablespoonful ( salt or a teaspoonful ( mu/>d 9 a cup ( w>m wat]1 & give imm$iately1 & repeat until a p9t is swall[$2 d n /op to /ir !m v mu*1 b give z quickly z possible4 ,y may tickle ! ?roat ) a f+] or a fea!r to induce imm$iate vomit+4 ,d n give t>t> emetic2 d n give fluids s z to di/5d ! /oma* too mu*2 "s bl& fluid may be giv5 ) or imm$iately aft] giv+ mu/>d & salt2 ei!r milk1 lime wat]1 :ite ( egg1 fl\r & wat]1 gruel1 dr9ks sweet5$ ) honey or sug>4 ,oil %\ld n be giv5 unless ord]$4 ,be=e nam+ ! antidotes = p>ticul> poisons ,i wi% to in/ruct ! nurse to n only note ! symptoms1 b also to exam9e e article ( a suspici\s nature1 7su* z phials1 boxes1 or pap]s conta9+ p[d]s71 & pres]ve !m4 ,pres]ve also all vomit$ matt] & ev]y?+ t may af=d a clue to ! poison = aft] inspection1 if ! nature ( ! poison is likely to be a subject ( aft] inquiry4 ,9 reg>d to ! symptoms x may be well to "k t ,prussic acid1 cyanide ( potassium1 /rong ammonia1 pure c>bonic acid gas1 or pure c>bonic oxide may ,,kill almo/ at once1 z inde$ almo/ e poison may if tak5 9 a v l>ge dose2 /rong acids1 alkalies1 aconite1 antimony1 ars5ic1 tobacco1 or lobelia may cause ,,spe$y ,,collapse4 ,belladonna1 hyoscyamus1 /rammonium1 canabis indica1 alcohol or camphor1 may cause ,,delirium4 ,nux vomica1 /ry*n9e1 antimony1 or ars5ic may cause ,,tetanus or tonic contraction ( ! muscles4 ,antimony1 ars5ic1 c>bonic oxide1 aconite1 /rong acids or alkalies may cause ,,convulsions4 ,gelsemium1 conium1 aconite1 ars5ic1 or lead may cause ,,p>alysis4 ,belladonna1 atrop9e1 hyoscyamus1 or /rammonium causes ,,dry ,,sk92 & opium1 aconite1 antimony1 alcohol or lobelia causes ,,moi/ ,,sk94 ,! sk9 is almo/ always moi/ 9 collapse4 ,belladonna1 atrop9e1 hyoscyamus1 /ammonium1 aconite1 alcohol1 *lor(orm or conium may cause ,,dilat$ ,,pupils4 ,opium or *loral may cause ,,contract$ ,,pupils1 especially dur+ sleep4 ,prussic acid1 laudanum1 alcohol1 c>bolic acid1 acetic acid1 ammonia1 *lor(orm1 creosote1 iod9e1 phosphorus1 camphor1 or nitro b5zole c (t5 be smell$ 9 ! ,,brea?4 ,belladonna1 atrop9e1 hyoscyamus1 /rammonium or opium cause ! ,,m\? & ,,tongue to be ,,dry4 ,ars5ic1 ammonia1 can?>ides1 jabor&i or m]cury cause ,,salivation4 ,ars5ic1 antimony1 corrosive sublimate1 can?>ides1 digitalis1 col*icum or colyc9? causes ,,vomit+ & ,,purg+4 ,lead1 colyc9?1 copp]1 or ars5ic causes ,,colic4 ,ars5ic1 antimony & lead cause ,,cr\p4 ,,acids ,,( ,,an ,,irritat+ ,,"*4 ,^! include ,,acetic1 ,,citric1 ,,muriatic1 ,,nitric1 ,,oxalic1 ,,sulphuric1 & ,,ars5i\s acids4 ,_! irritat+ & corrosive "* dep5d ^u _! /r5g? & conc5tration1 or ! am\nt tak51 "s or all ( !m be+ salut>y 9 small dilut$ doses4 ,_! injuri\s effects are sev]e ! mom5t !y are swall[$1 z !y excoriate ! ?roat & gullet at ! "t ( swall[+4 ,b antidotes w less5 _! p[] on ! /oma* & b[els if giv5 soon1 & if giv5 ) ! emetic w r5d] ! vomit$ matt] less irritat+4 ,_! corrosive "* causes sev]e pa91 :i* may be foll[$ by symptoms ( %ock4 ,alkalies are ! antidotes4 ,give "s "o t is at h&1 ei!r calc9$ magnesia1 a solution ( soda or soap1 lime wat] or :it+4 ,at ! same "t ! emetics & alkalies are tak51 give demulc5ts1 su* z milk1 mucilage1 gruel1 flaxse$ tea1 etc4 ,( c\rse ! inflammation consequ5t on ! poison mu/ be treat$4 ,c>bolic acid might be includ$ among ^? above nam$2 ! same treatm5t w\ld be prop]1 except t /rong alkalies are ineffectual z antidotes4 ,besides emetics give milk1 demulc5t dr9ks1 & c>bonate ( magnesia1 ) a little p>egoric 9 wat]4 ,secure re/ & w>m? to ! body1 use c\nt] irritants ext]nally4 ,,ars5i\s ,,acid is includ$ 9 ! above li/4 ,! antidote = ?is is hydrat$ p]oxide ( iron1 rec5tly prep>$1 & giv5 9 l>ge doses4 ,x is prep>$ by ! addition ( liq4 ammonia to muriat$ t9ct4 ( iron1 or liq4 f]ri sulph41 :i* yields ! hydrat$ p]oxide ( iron z a d5se precipitate2 & ?is %\ld be giv5 9 tablespoonful doses e five m9utes until ! symptoms are reliev$4 ,! nurse & att5dant's duty1 h[ev]1 is to give emetics & demulc5ts freely4 ,,alkalies are l ! acids1 irritat+2 if /rong !y excoriate ! fauces & esophagus4 ,,cau/ic ,,pota%1 ,,lye1 ,,soda ,,& ,,h>t%orn are examples4 ,9 ^! cases give acids su* z v9eg> & lemon juice z antidotes1 & oils also to unite ) ! alkali & r5d] x less irritat+4 ,demulc5t dr9ks mu/ be giv5 ) ! emetics1 & acids mu/ be cont9u$ aft]w>ds4 ,= ,,lun> ,,cau/ic 7nitrate ( silv]7 give two teaspoonfuls ( salt 9 a p9t ( wat]1 also ! :ite ( egg ) o!r demulc5ts4 ,,corrosive ,,sublimate4 ,= ?is poison ! antidote is :ite ( egg & milk1 or a mixture ( :eat fl\r & wat] & soap1 :i* may be giv5 ) emetics1 or aft] !m2 be=e if no emetic is at h&4 ,! att5dant n]v\s symptoms may be alleviat$ ) p>egoric4 ,,t>t> ,,emetic ( itself produces vomit+1 b ?is may be kept up by giv+ mucilage & su* a/r+5t infusions z common tea1 c4 ,,copp]4 ,! sulphate or acetate ( copp] might act z an emetic1 b small quantities rema9+ 9 ! /oma* might act z irritant poisons4 ,give l>ge doses ( simple syrup z w>m z c be swall[$2 give also ! :ites ( eggs & l>ge quantities ( milk2 & z an antidote ! hydrat$ p]oxide ( iron4 ,= ,,bismu?1 ,,iod9e1 or ,,copp]as tak5 9 an ov]dose1 give ! same emetics & demulc5ts z = copp]4 ,,z9c & ,,t94 ,! sulphate ( z9c & ! salts ( t9 :5 n vomit$ entirely1 produce sev]e irritat+ effects on ! /oma*4 ,besides milk & album5 give c>bonate ( soda 9 solution4 ,,colyc9?1 ,,croton ,,oil1 & ,,sav9e ,,oil may produce l ! above1 vomit+1 di>rha1 & also con/riction ( ! ?roat4 ,give copi\s doses ( b>ley wat]1 etc42 give opium & p]haps /imulants4 ,^! cases & all ! re/ ( ! above may be b5efitt$ by tak+ freely ( gum ,arabic mucilage1 & may dem& treatm5t = inflammation4 ,,can?>ides may produce sev]e pa9 9 ! b[els1 bloody evacuations1 /rangury1 burn+ ?ir/ & fev]4 ,give emolli5t dr9ks ) enemata1 to :i* "s laudanum may be add$1 & also camphor2 oil mu/ n be giv5 9 cases ( poison+ by can?>ides or phosphorus4 ,,toad/ools1 ,,ag>ic1 ,,aconite1 ,,belladonna1 ,,conium1 ,,col*icum1 ,,hellebore1 & ,,alcohol1 are acro-n>cotics :i* may cause sev]e irritation ( ! ?roat & /oma*1 & su* symptoms z burn+ heat ( ! esophagus & /oma*1 ?ir/1 viol5t nausea1 purg+1 dryness & con/riction ( ! m\? & ?roat2 & be foll[$ by su* symptoms z are produc$ by n>cotic poisons3 v]tigo1 heada*e1 p]v]sion ( vision1 s5se ( suffocation1 disposition to sleep1 numbness or p>alysis ( ! limbs1 pro/ration ( ! /r5g?1 cold extremities1 feeble pulse1 & /upor4 ,,/rammonium1 ,,camphor1 ,,*loral1 ,,digitalis1 ,,bitt]-,,sweet & ,,hyoscyamus may be call$ n>cotic poisons4 ,give prompt emetics1 demulc5ts1 wit* hazel1 active purgatives1 /rong c(fee2 keep ! pati5t r\s$1 use electro-magnetism1 cold d\*e1 & employ friction4 ,= ,,phosphorus1 :i* a *ild sometimes obta9s f ! ends ( mat*es1 give emetics1 & adm9i/] big doses ( magnesia 9 wat] & mucilage4 ,!re are a few o!r poisons :i* might be class$ z irritant1 su* z nitrate pota% 7salt petre7 :i* ne$ ! same class ( rem$ies z ^? already nam$4 ,= nitre give also /imulants freely4 ,,opium & ,,belladonna are antidotes to ea* o!r1 & if a p]son has tak5 an ov]dose ( "o1 ! o!r %\ld be giv5 if x is at h&4 ,evacuate ! /oma* p]haps by tickl+ ! fauces2 give also /rong c(fee1 active /imulants1 wit* hazel2 employ friction1 p]haps electro magnetism1 & keep ! pati5t mov+4 ,morph9e ( c\rse dem&s ! same4 ,= ,,nux ,,vomica & ,,/ry*n9e1 besides giv+ an emetic give aromatic spirits ammonia1 & also *lor(orm int]nally 9 dra*m doses dilut$4 ,give tann9 & also animal *>coal1 milk & spirits camphor 9 l>ge doses4 ,,c>bonate & ,,acetate ( ,,lead sometimes act z poisons4 ,give sulphate ( z9c z an emetic1 & epsom or glaub] salts z a ca?>tic4 ,a mixture ( syrup & p]sulphuret ( iron may be giv5 z an antidote to any m9]al poison4 ,,hydrocyanic or ,,prussic ,,acid1 ,,laurel ,,wat]1 & ,,cyanide ,,( ,,pota% cause imm$iately extreme pro/ration1 nausea1 gidd9ess1 pale c\nt5ance1 sl[ brea?+1 & p>alysis4 ,da% cold wat] on ! face to produce a %ock1 tak+ c>e n to soak ! clo!s ( ! pati5t2 we may produce a m decid$ effect if we alt]nate cold & hot effusions4 ,h ! pati5t inhale /eam conta9+ liquor ammonia or h>t%orn2 give int]nally aromatic ammonia & *lor(orm2 use friction1 especially along ! sp9e & feet2 artificial respiration may be necess>y4 ,give *lor9e wat] ( ! /r5g? ( two dra*ms to ! ounce4 ,,animal ,,poisons4 ,= ,,bites ,,( ,,s]p5ts apply a ligature above ! w\nd$ "p2 use c>bolic acid or any active cau/ic2 apply cupp+ glass 7or m\?1 :5 !re is no sore 9 ! m\?74 ,bisulphite ( soda 9 l>ge doses is said to be an antidote4 ,give /imulants 9 l>ge quantities4 ,,mad ,,dog ,,bites4 ,a p]son hav+ be5 bitt5 by a mad dog1 or "o suspect$ ( rabies1 ! w\nd mu/ fir/ be made to ble$1 !n wa%$1 & f9ally caut]iz$4 ,enl>ge ! w\nd s t ! blood may fl[ out freely2 press out /ill m blood1 & y may safely suck out "s if y d n h any sore on y\r m\? or lips4 ,aft] ty+ a b&age above ! w\nd x mu/ be wa%$ until caut]ization c be effect$4 ,?is c be made ei!r ) ,vi5na pa/e1 butt] ( antimony1 *loride ( z9c1 or a r$ hot iron4 ,if ! dog c be secur$ & %ut up x is bett] ?an t he %\ld be imm$iately kill$4 ,if ! dog does n prove to be mad1 ! p]son bitt5 %\ld "k ! fact1 z ?is may prev5t ! al>m+ fe>s t ( !mselves sometimes prove disa/r\s4 ,! bitt5 p]son %\ld h 8 m9d div]t$ z mu* z possible4 ,,c>bonic ,,acid ,,gas4 ,a p]son hav+ be5 poison$ by inhal+ *oke damp or ! fumes ( burn+ *>coal1 loos5 ! clo?+1 da% cold wat] on ! head & face1 give pl5ty ( fre% air1 /imulants1 & inhalations ( ammonia4 ,employ artificial respiration if necess>y4 ,if ! body is cold employ hot applications4 ,,o!r ,,em]g5cies1 ,,p]sons ,,asphyxiat$ ,,f ,,dr[n+1 ,,hang+1 ,c4 ,:5 a p]son is asphyxiat$ treat him in/antly4 ,give all ! fre% air possible2 remove all light clo?+ f ! *e/ & neck & face2 try to re/ore respiration fir/2 cle> ! ?roat by plac+ ! pati5t on ! face ) "o arm "u ! =ehead2 ! tongue falls =w>d & leaves ! w9dpipe free2 !n wipe & cleanse ! m\?4 ,,to ,,excite ,,respiration turn ! pati5t on 8 side & apply "s /imulat+ ag5t 7z camphor or ammonia7 ne> ! no/rils1 & da% cold wat]1 or hot & cold wat] alt]nately on ! *e/1 :i* may h be5 previ\sly rubb$ briskly4 7,! ef=t to promote w>m? & circulation by rubb+ %\ld be kept up cont9u\sly z f> z possible47 ,%\ld !re be no respiration imm$iately y c use ,,m>%all ,,hall',s ,,me?od to imitate respiration4 8,turn ! pati5t aga9 on 8 face1 rais+ & support+ ! *e/ well on a fold$ coat or o!r article ( dress2 make g5tle pressure on ! back1 aft] :i* turn him ov] on 8 side2 !n aga9 on 8 face1 & aga9 press a little2 repeat ^! motions at ! rate ( fifte5 a m9ute4 ,dur+ ! op]ation let "o p]son att5d to ! movem5ts ( ! head & ! arm plac$ "u x40 ,if !re is respiration & consequ5t life1 dry ! h&s1 9 cases ( dr[n+2 & z soon z y c1 /rip ! body & gradually reclo! or cov] x2 b if ! brea?+ is n satisfactory1 aft] cont9u+ ^! same ef=ts to re/ore respiration = ab\t fifte5 m9utes1 y may use ,,sylve/]',s ,,me?od4 8,place ! pati5t on ! back on a flat surface1 incl9$ a little upw>d f ! feet2 raise & support ! %\ld]s & head on a cu%ion or a fold$ article ( dress2 draw =w>d ! pati5t's tongue1 & keep x project+ beyond ! lips1 by hav+ a b& or /r+ ar\nd ! tongue & *91 or by rais+ ! l[] jaw s t ! tee? reta9 x2 /&+ at ! pati5t's head1 grasp ! arms ne> ! elb[s & draw !m /eadily upw>d above ! head1 & keep !m /ret*$ upw>ds = two seconds2 !n turn d[n ! pati5t's arms & press !m g5tly & firmly aga9/ ! *e/ = two seconds2 repeat ! movem5t alt]nately ab\t fifte5 times e m9ute until a spontane\s ef=t to inspire is p]ceiv$2 !n proce$ ,,to ,,induce ,,circulation ,,& ,,w>m?40 ,rub ! limbs upw>d ) en]gy1 & cont9ue ! friction "u ! blanket & ov] ! dry clo?+2 promote ! w>m? ( ! body by apply+ flannels1 bottles ( hot wat] to ! pit ( ! /oma*1 ! armpit1 ! ?ighs1 & ! sole ( ! feet2 !n if ! p[] ( swall[+ has return$1 /imulants & c(fee %\ld be adm9i/]$4 ,a ,,/roke ,,( ,,lightn+ may cause imm$iate dea? by its effects on ! n]v\s sy/em4 ,sometimes x produces unconsci\sness )\t be+ fatal4 ,9 attempt+ resuscitation employ artificial respiration1 & if !re are any signs ( life treat z direct$ = %ock4 ,if !re are burns complicat+ ! case1 ( c\rse ! burns mu/ be treat$4 ,:5 !re is ,,%ock ! pati5t lies 9 an apoplectic /ate1 ! surface pale2 !re is fa9tness1 trembl+1 cold p]spiration1 l[ temp]ature1 feeble pulse1 & probably nausea & vomit+4 ,keep ! pati5t's head l[1 give aromatic ammonia1 & apply heat to ! extremities & to ! /oma*4 ,/rong beef tea %\ld be giv51 & hot tea & c(fee4 ,!re are b few exig5cies t g5]ally occasion m al>m ?an ,,convulsions4 ,fits may come on )\t premonitory symptoms2 !re is sudd5 loss ( consci\sness1 accompani$ by irregul> & p[]ful contractions ( ! muscles4 ,all ! volunt>y muscles may be affect$1 or !re may be only spasm ( ! features1 or ( "o side1 or ( a s+le limb4 ,dur+ a g5]al p>oxysm ! c\nt5ance is di/ort$1 & ! face pallid or livid2 g5]ally !re is /]tor\s brea?+1 & z ! attack subsides a disposition to sleep4 ,x is seldom fatal 9 adults1 unless caus$ by bra9 or kidney disease4 ,d n attempt too mu* treatm5t1 b y may put ! pati5t 9 su* a condition z to help 8 recov]y4 ,8 dress is to be loos5$1 & all clo?+ ab\t 8 neck remov$2 place him :]e he c brea! pure & cool air1 & y may prev5t 8 fall+ out ( b$2 if ! face is flu%$1 cold may be appli$ to ! head & w>m? & s9apisms to ! extremities4 ,if occurr+ 9 a "y *ild y may give a w>m ba?1 or a w>m hip ba?4 ,if !re is ability to swall[1 give bromide ( potassium1 ei!r alone or simultane\sly ) ! adm9i/ration ( *lor(orm & e!r4 ,,giv+ ,,ane/hetics4 ,if y give *lor(orm y may p\r a few drops on a h&k]*ief & hold x an in* f ! pati5t's nose & lips4 ,e!r & *lor(orm toge!r may be p\r$1 a teaspoonful at a "t on a little cotton inside a cone ( pap] made l>ge en\gh to fit ov] ! m\? & nose1 ! air be+ ne>ly %ut out4 ,! head ( ! pati5t mu/ be kept l[ :ile he is "u ! influ5ce ( x4 ,obs]ve ! pulse :ile giv+ x2 a feeble pulse is a sign ( dang]1 & if ! pulse is gr[+ weak1 or ! face is gr[+ livid or pale1 /op giv+ ! *lor(orm2 if ! symptoms cont9ue1 & !re is no natural respiration1 draw ! tongue =w>d s t x w n ob/ruct ! tra*ea2 h pl5ty ( fre% air2 apply friction by rubb+ ! limbs1 & if necess>y artificial respiration4 ,,clo!s ,,on ,,fire4 ,accid5ts f fire are v likely to cause a panic1 b possibly y may by ef=t s cultivate coolness & pres5ce ( m9d1 z to act wisely & delib]ately ev5 !n1 ev5 if y\r own clo!s are on fire4 ,if y are able to ?9k at all1 ! "q w be if !re is wat] )9 rea* t c be us$ to ext+ui% x imm$iately2 if !re is n1 h[ c x be smo!r$8 ,possibly ! burn+ portion c be envelop$ 9 t "p ( ! dress t is n burn$2 or a rug may be )9 rea*1 or "s wool5 ?+ t may be us$ to /ifle x1 )\t press+ x aga9/ ! p]son's fle%4 ,b v probably ! be/ t ! p]son c d is to lie d[n on ! floor & roll on ! c>pet4 ,if y see ano!r woman on fire1 d n scream or run away2 grasp h] clo!s all toge!r1 if y c )\t press+ ! fire aga9/ h] p]son2 or if y c imm$iately put out ! fire by cat*+ up a rug or "s heavy wool5 ?+ & envelop+ h] 9 x1 d s4 ,rememb] at ! same "t to avoid inhal+ mu* ( ! flames or sett+ fire to y\r own clo!s4 ,,burns ,,& ,,scalds4 ,!re are v>i\s modes ( treat+ burns1 b "o good g5]al rule is t ! dress+s %\ld be s appli$ z to exclude ! air4 ,if ! sk9 is n de/roy$ or remov$1 ei!r ! bic>bonate ( soda may be appli$ dry1 or 9 a /rong solution2 or :eat fl\r may be appli$ dry1 & ! burn cov]$ ) a ?ick lay] ( cotton batt+2 or ! :ite ( egg may be spread ov] x1 & ano!r lay] put on z soon z "o dries1 until "s six or eight lay]s are appli$4 ,if ! sk9 is abrad$ ei!r olive oil or vasel9e or c>bolat$ cosmol9e appli$ & cov]$ ) cotton or wool is a good dress+4 7,f4 #ahg1 #bad47 ,,burns ,,produc$ ,,by ,,/rong ,,acids %\ld be fir/ ba!d ) "s alkal9e solution su* z soda or ammonia2 on ! contr>y if lime or cau/ic pota% cause ! injury1 neutralize ! alkali by apply+ acid dilut$2 a teaspoonful ( v9eg> or lemon juice 9 a teacupful ( wat] w\ld suffice4 ,if a ,,bad ,,scald is occasion$ by a *ild fall+ backw>d 9 ! wat]1 c>efully undress ! *ild2 lay x on a b$ on its brea/ if ! burn is on its back2 !n du/ ov] ! p>ts ) bic>bonate ( soda2 lay musl9 or cotton wool ov] x1 & s arrange ! b$ by means ( two boxes & a bo>d t ! cov]+ _c press on ! scald4 ,if a ,,fragm5t ,,( ,,lime ,,gets ,,into ,,! ,,eye1 ba! x imm$iately ) a weak solution ( v9eg> or lemon juice4 ,if some?+ l du/ or dirt gets 9 ! eye1 x may be clean$ out by tak+ hold ( ! eye la% & pull+ ! upp] lid d[n1 & =cibly bl[+ ! nose4 ,y may sometimes wipe ! dirt f ! eye ) a s(t h&k]*ief4 ,always wipe ! eye t[>ds ! nose4 ,:5 some?+ l a ,,pea or ,,*]ry ,,pit ,,is ,,9 ,,! ,,no/ril direct ! pati5t to draw 9 a full brea?1 !n close ! m\? & ! o!r no/ril & try to bl[ ! (f5d+ object out4 ,if he fails y c probably remove x by means ( a hair-p92 or :ile ! o!r no/ril is clos$1 bl[ =cibly into ! m\? & dislodge ! object4 ,remove insects f ! e> by oil or tepid wat]4 ,a little oil or glyc]9e may fir/ be dropp$ into ! e>2 & !n x may be syr+$ ) w>m or tepid wat]1 tak+ c>e n to close ! op5+ ) ! nozzle ( ! syr+e4 ,?is may be tri$ if ! sub/ance 9 ! e> is h>d4 ,if a *ild is *ok$ let x get on all f\rs & c\gh4 ,any?+ /uck or lodg$ 9 ! ?roat may sometimes be work$ out ) a hair-p9 or b5t wire4 ,if a ,,cro*et ,,ne$le',s ,,hook$ ,,po9t ,,is ,,9 ,,! ,,fle% make c]ta9 on :i* side ! hook is1 !n put an ivory bodk9 or any simil> article d[n to ! hook1 & draw bo? out toge!r4 ,if a ,,f+] ,,or ,,?umb ,,is ,,cut 9 two1 )\t any cru%+ ( ! p>ts1 ! sev]$ portion %\ld be imm$iately appli$ to its place2 if ! cut is clean1 ! hewn (f "p may be made to unite1 possibly if x has be5 (f = two h\rs4 ,! w\nd %\ld be wa%$ ) c>bolic solution if t is imm$iately procurable1 & ! sev]$ p>ts %\ld be accurately fix$ by sutures 7/it*es7 9 _! normal position1 & a spl9t appli$4 ,life is sometimes de/roy$ sudd5ly by p]sons dr9k+ a l>ge quantity ( cold wat] :5 greatly fatigu$4 ,to avoid all dang] 9 ^! cases1 a small quantity %\ld be sipp$ at a "t2 & wa%+ ! face1 h&s & temples be=e dr9k+ is a good precaution4 ,b if by dr9k+ cold wat] ! sy/em is sev]ely *ill$ s t pro/ration takes place1 endeavor to secure w>m? by giv+ a teaspoonful p>egoric1 & rubb+ ! h&s & body briskly2 & if ! pati5t c be br\ght suffici5tly to 8 s5ses he %\ld be made to dr9k en\gh w>m wat] to induce vomit+2 ?is excites circulation & p]spiration1 & det]m9es t[>ds ! surface4 ,w>m applications %\ld be made to ! feet & to ! region ( ! /oma*1 & ! body %\ld be w>m$ z soon z possible4 ,,*apt] ,,iii4 ,,slight ,,hurts ,,& ,,ailm5ts4 ,!re are a hundr$ little accid5ts liable to occur 9 a h\sehold :i* a v little surgical skill w\ld suffice to set "r4 ,besides m$ic9es1 !re are sev]al h&y articles :i* %\ld be always kept ready 9 a clean draw]1 %\ld an em]g5cy arise t dem&s _! use4 ,h a little case conta9+ a lancet1 scissors1 p9s1 ne$les & ?read2 h also "o or two b&ages1 "s l9t & oil$ silk1 a bit ( lun> cau/ic 7nitrate silv]71 & "s /rips ( adhesive pla/]1 a /imulant lotion1 an eye lotion1 a l9im5t1 & "o or two k9ds ( o9tm5t4 ,use ! lancet to op5 small abscesses or gum boils2 ! p9s are h&y = fa/5+ b&ages1 c41 & %\ld be ( diff]5t sizes2 ! ?read %\ld be /rong & :ite2 ! ne$les ( fair size1 ) good l>ge eyes2 *>pie may take ! place ( l9t2 x is made by scrap+ old l952 x is (t5 useful2 = in/ance1 to heal old sores1 dip ,,l9t or ,,*>pie 9 clean1 cold wat]1 to :i* a few drops ( c>bolic acid has be5 add$2 !n apply x to ! sore1 :i* x mu/ m ?an cov]2 !n apply oil$ silk & a reta9+ b&age4 ,! l9t may be us$ = wat] dress+s to w\nds1 & ^! may take ! place ( p\ltices 9 treat+ swell+s :i* we wi% to r$uce or soo!4 ,keep ! be/ ,,adhesive ,,pla/] procurable2 & x ought to be cut up into diff]5t bread?s4 ,:5 x is necess>y to use ?is pla/]1 see t ! w\nd is p]fectly clean1 & apply long n>r[ slips4 ,w>m ! pla/] by hold+ x aga9/ a c ( boil+ wat] = a few seconds1 !n apply x across ! w\nd4 ,9 case ( scalp w\nds ! hair mu/ be cut (f be=e ! pla/] is appli$4 ,9 a case ( fractur$ ribs1 /rapp+ %\ld be appli$ to ! injur$ side4 ,,lun> ,,cau/ic is us$ to caut]ize dog1 or cat1 or skunk bites t are suppos$ to be ,,poison\s4 ,an excell5t ,,lotion = ,,heada*e & o!r pa9 is made ( a qu>t ( wat]1 a teacupful ( common salt1 "o ounce ( h>t%orn1 & a half ounce ( spirits ( camphor2 mix & keep 9 a bottle tightly cork$2 saturate a clo? & apply to seat ( pa94 ,t =m ( conjunctivitis 7sore eyes71 :i* occurs 9 new-born infants1 is 9 ! va/ majority ( cases1 easily remov$ by lukew>m wat]1 or by su* simple a/r+5ts z alum & borax4 7,f4 #aic1 #bae1 may be prop]ly kept 9 ! h\se = ord9>y sore eyes47 ,( c\rse sev]e cases require skill$ treatm5t1 b 9 all ord9>y cases c>eful wip+ away ( ! secretion1 ! use ( ! alum solution1 & ! greas+ ( ! sk9 to avoid excoriations1 are 9 ord]4 ,= demat\s inflammation ) little purul5t or muc\s secretion1 b ) ! tissues load$ ) s]um1 a dilute wa% ( ! wit* hazel extract acts v b5eficially4 ,! tee? ( *ildr5 :5 !y are press+ on ! gums & try+ to make _! way out1 %\ld sometimes be lanc$ by cutt+ ! gums4 ,cut d[n to ! new too? until x is felt "u ! lancet2 = incisors & cuspids a /raight l9e2 = mol>s a cross cut4 ,! be/ way to d x is--let ! op]ator & nurse sit opposite ea* o!r1 close toge!r2 ! *ild is laid d[n face upw>ds1 its head 9 ! op]ator's lap1 & its feet 9 ! nurse's lap2 ! nurse holds ! limbs ( ! *ild quietly2 ) 8 left h& ! op]ator takes ! jaw betwe5 8 f+]s1 & !n sl[ly & firmly does ! cutt+4 ,z ! *ild is /ill1 !re is no false cut4 ,,spra9s caus$ by a twi/+ ( ! ankle cause v mu* pa91 al?\gh !re is no displacem5t ( bone4 ,:5 x fir/ occurs1 put ! foot & ankle 9 hot wat] & let x rema9 = an h\r 9 wat] z hot z c be borne2 !n wrap ! "p 9 sev]al folds ( flannel :i* h be5 wrung out ( hot wat]1 & cov] x ) a dry b&age1 & let x re/ = sev]al days1 keep+ x elevat$ z high z may be com=table4 ,:5 fir/ us$ aga91 support ! jo9t by /rapp+4 ,/rips ( adhesive pla/] cut an in* wide1 may be appli$ bo? above & bel[ ! jo9t4 ,x may be be/ to r5ew ! /raps e day1--! hair %\ld be %av$ (f be=e ! pla/] is appli$4 ,!re are _m ,,little ,,ailm5ts t may be cur$ or reliev$ by regim52 or by su* articles z are 9 e h\se4 ,,wat]4 ,a glass ( ,,hot ,,wat] tak5 9 ! morn+ be=e breakfa/ wa%es (f a coat+ :i* is sometimes adh]+ to ! l9+ membrane ( ! /oma*1 & affect+ ! dige/ion4 ,,hot ,,wat] aft] cont9u\s application r5d]s great s]vice to ! ,,we>y ,,eye & cures ! slight] maladies ( ! eye4 ,if an eye is contus$ & black5$1 fom5t ! p>ts cont9ually ) hot wat] until ! pa9 ceases1 !n keep ! eye wet ) a lotion1 or b9d on a bit ( lean1 fre% beef1 to remove ! d>k discolor$ spot4 ,! it*+ ( pruritis may be mu* reliev$ by ! application ( a clo? wet 9 hot wat]4 ,! ,,hot ,,foot ,,ba? is especially efficaci\s = "s ,,heada*es4 ,if ! head is fill$ ) blood & ! temples ?rob1 soak ! feet 9 v ,,hot ,,wat] 9 :i* a spoonful ( gr\nd mu/>d or ( salt has be5 /irr$4 ,! blood w be drawn f ! head & relief obta9$4 ,= ^? :o are tr\bl$ ) ,,excessive ,,sweat+1 tepid spong+ ( ! neck1 face1 *e/ & h&s ) equal p>ts ( v9eg> & wat] at b$time is useful & agreeable4 ,,convulsions may frequ5tly be cut %ort by turn+ ! pati5t on ! left side2 b z soon z possible put ! feet 9 a bas9 ( w>m wat] 9 :i* is a little mu/>d1 & apply a clo? saturat$ ) cold wat] to ! =ehead4 ,a woman :o suff]s acute pa9 9 ! pelvic region a few days antec$5t to ! m5/rual flux1 %\ld take a ,,w>m ,,sitz ,,ba? ( fifte5 m9utes' duration be=e retir+ at night4 ,! ,,enema ,,( ,,tepid ,,wat] may be useful 9 con/ipation1 & 9 loos5ess ( b[els1 9 spasmodic colic1 & 9 pa9ful m5/ruation2 also = piles4 ,! temp]ature ( ! enema %\ld be agreeable to ! pati5t4 ,! it*+ t accompanies _m sk9 diseases is mu* r$uc$ by a w>m ba? conta9+ a h&ful ( borax1 & a h&ful ( bic>bonate ( soda1 9 ab\t ?irty gallons ( wat]4 ,^? :o practice daily ba?+1 & indulge freely 9 ,,cold ,,wat]1 are seldom tr\bl$ ) a cold4 ,frequ5t ba?+1 ! head be+ well dipp$1 w brace ! sy/em & r5d] a p]son pro( aga9/ draughts4 ,!re are _m ob/9ate affections ( ! head t h be5 kn[n to give way to affusion ( ,,cold ,,wat] ^u ! "p4 ,= inflammation ( ! bra91 heada*e1 e>a*e1 drunk5ness1 delirium trem5s1 ! delirium ( fev]1 epilepsy1 rheumatism ( ! head1 diseases ( ! eye1 deafness1 loss ( smell & ta/e1 & 9 nose ble$ ?is rem$y may be br\ght to be>4 ,"o mode ( tak+ ! ,,head ,,ba? is = ! pati5t to lie d[n1 plac+ ! back ( 8 head 9 a %all[ di% fill$ only an in* or two ) wat]4 ,! ,,wet ,,girdle is a useful m$ical appliance to give tone & /r5g? to c]ta9 p>ts4 ,two & a half or ?ree y>ds ( good t[el+ ) tapes arrang$ at "o end1 ! corn]s ( :i* h be5 turn$ ov] s z to =m a po9t1 is a good girdle4 ,x %\ld pass ab\t ?ree times ar\nd ! body2 "o-half hav+ be5 wet & put on s z to h two ?icknesses ( ! wet "p ^u ! abdom5 & "o ^u ! back4 ,! girdle may be worn e day1 b ! fold$ wet %eet is us$ = a "t 9 febrile diseases1 su* z inflammation ( ! lungs1 or ( ! b[els1 colic1 *ol]a morbus1 c4 ,fold a common co>se %eet f\r d\ble2 wet two ?icknesses ( ?is 9 cold wat] to come next ! body2 h ! pati5t lie 9 b$ ) ! f\r ?icknesses ar\nd h]1 us+ w>m bricks1 bottles1 c41 = ! feet4 ,a table spoonful ( ,,*>coal p[d]$1 /irr$ into a glass ( wat] & drank at once1 is excell5t 9 _m cases ( heada*e f ,,s\r ,,/oma*1 ,,flatul5ce1 c4 ,*ildr5 :o compla9 ( *ok+ s5sations 9 ! ?roat 7caus$ by worms71 may f9d relief f swall[+ salt & wat]4 ,^? :o are suff]+ f ,,dys5t]y %\ld h a little ,,:eat ,,fl\r /irr$ into ! wat] t !y dr9k4 ,,t> ,,wat]4 ,e body ought to h ,,t> ,,wat] 9 ! h\se4 ,x is made by add+ "o p9t ( wood t> to f\r p9ts ( cold wat]1 mix+ ?or\ghly & %ak+ frequ5tly dur+ tw5ty-f\r h\rs1 & !n filt]+ ! wat] :i* may be p\r$ f ! t>4 ,giv5 int]nally x is /imulative 9 its action1 & acts some:at ^u ! kidneys2 is useful = c\gh & ho>s5ess1 & = incipi5t ur9>y difficulty2 locally appli$ x is slightly a/r+5t1 antiseptic & dis9fectant2 & by de/roy+ ! putrefactive g]ms1 x prev5ts or re/ra9s ! process ( suppuration4 ,x is especially useful 9 pu]p]al septic diseases1 z x is antiseptic & dis9fectant2 ! res9\s pr9ciple :i* x conta9s1 ex]ts a heal+ action ^u ! g5ital lesions1 & suppuration is prev5t$4 ,x may be us$ ?ree times a day z a vag9al wa% dur+ ! ly+-9 p]iod1 & clo?s us$ to protect ! vulva & receive ! dis*>ges %\ld be moi/5$ ) x4 ,x is a useful local application 9 ! treatm5t ( v>i\s diseases ( ! vulva & vag9a1 especially = ! horrible it*+ ( pruritis4 ,its use r5d]s innocu\s ! irritat+ dis*>ges1 & its s$ative & alt]ative action re/ra9s & /ops ! morbid process4 ,x has a curative value 9 sk9 diseases1 & 9 g5]al x may be us$ 9 ! v>i\s cases :]e c>bolic acid is usually prescrib$4 ,o!r m$ic9e may be dissolv$ 9 x4 ,,salt ,,wat]4 ,salt is a promot] ( heal? & longevity1 & p g5]ally :o l salt1 v9eg>1 c41 %\ld be all[$ to gratify _! ta/e4 ,if ! blood is too ri*1 salt may re/ore x to a normal condition2 & may re/ore to x ! ne$$ elem5ts if ! blood is impov]i%$4 ,"o ( ! be/ rem$ies = ,,spitt+ ,,( ,,blood is to dr9k a little salt wat]4 ,= p]si/5t ble$+ f ! nose1 cut a piece ( raw fat salt pork1 ab\t f\r in*es long1 & ne> half an in* ?ick & ov] half an in* wide1 w$ge %ap$ at ! ends1 & =ce x ?r\gh ! no/ril cle> back to ! ph>ynx4 ,a teaspoonful ( salt tak5 j be=e a fit ( ! ague may effectually break up an int]mitt5t fev]1 & prev5t a recurr5ce ( ! *ills4 ,a spoonful ( v9eg> ) salt 9 x is an excell5t rem$y = dys5t]y4 ,,c>bonate ,,( ,,soda ,,& ,,wat]4 ,probably ! ane/hetic1 antiseptic1 & dis9fectant prop]ty ( bic>bonate ( soda is due to ! ready dis5gagem5t ( c>bonic acid f x4 ,= ,,burns ,,& ,,scalds :]e ! sk9 is n brok51 p[d]$ bic>bonate ( soda may be /rewn ov] ! burn$ p>ts4 ,if ! burns are deep & att5d$ ) mu* suppuration1 l95 rags spr9kl$ ) a solution ( ! soda 7#a to #ej7 %\ld be laid on1 & z soon z ^! rags become dry1 !y %\ld be replac$ by o!rs1 or be moi/5$ aga9 9 ! solution4 ,b = mo/ burns ! rags %\ld be kept on con/antly1 & moi/5$ by p\r+ ! solution ov] !m1 z *ang+ ! compresses w\ld cause m suppuration & delay ! heal+ process4 ,if a h& or foot is burn$1 & soda1 c41 is n obta9able1 x may be kept imm]s$ = a consid]able "t 9 cold wat] ) a salut>y effect4 ,a teaspoonful ( bak+ soda tak5 ea* day1 dissolv$ 9 a p9t ( wat]1 is a good rem$y = habitual con/ipation4 ,,honey ,,& ,,t>4 8,= ! ,,bites ,,( ,,reptiles 7rattlesnakes1 moccas9s1 c471 give ! pati5t ab\t a gill ( /ra9$ honey e t5 or fifte5 m9utes until vomit+ is produc$40 ,a table spoonful ( p[d]$ *>coal mix$ ) honey1 milk1 or cold wat]1 & tak5 e morn+ w t5d to cure any "o :o is tr\bl$ ) ei!r con/ipation or di>rha4 ,,oil4 ,! application ( ,,oil to ! :ole surface ( ! body is a simple me?od ( treatm5t ( su* infantile compla9ts z ,,atrophy1 ,,bron*itis1 ,,convulsions1 ,,di>rh,a1 & ,,febrile ,,di/urbance g5]ally4 ,sme> ,,salad ,,oil all ov]1 f ! cr[n ( ! head to ! toes1 ?ree or f\r times a day4 ,= ,,pruritis ,,ani rub on l9se$ oil freely at b$time ea* night4 ,,spirits ,,nitre4 ,= ,,rhus ,,poison+ 7poison oak7 apply sweet ,,spirits ,,( ,,nitre4 ,:]e ! dis*>ge ( ur9e is att5d$ ) heat & pa91 p\nd a h&ful ( melon or pumpk9 se$ ) a lump ( :ite sug>1 add a qu>t ( boil+ wat]1 !n add half an ounce ( spirits ( nitre & rub !m toge!r4 ,a teacupful may be tak5 e two h\rs by adults4 ,,o!r ,,rem$ies1 ,,regim51 ,c4 ,= ,,/rangury use bee tea made by p\r+ a p9t ( boil+ wat] on fifte5 or tw5ty honey bees4 ,= ,,erysipelas apply cranb]ries locally1 ei!r cook$ or uncook$4 ,ano!r good local application = erysipelas is ,,eld]fl[] ,,tea4 ,l95 clo?s wet ) ! cold infusion %\ld be appli$1 & be=e !y are dry %\ld be wrung out ( clean wat]1 !n dipp$ 9 ! infusion & reappli$4 ,! pati5t %\ld also dr9k "s ( ! eld] fl[] tea4 7,f4 #agg47 ,= ,,bee & ,,wasp ,,/+s apply ! t9cture ( arnica1 or sweet oil4 ,,lean ,,fre% ,,meat is ! be/ absorbant sub/ance to apply to relieve ! pa9 ( a ,,wasp ,,/+4 8,to give relief to a *ild t has ! ,,e>a*e close ! m\? & bl[ into ! nose40 ,*ildr5 suff]+ f :oop+ c\gh %\ld inhale ! vapor ( turp5t9e4 ,place ?is on plates & all[ ^! to /& 9 ! room4 ,:]e !re are suppurative ,,dis*>ges ,,f ,,! ,,e>1 ! dry dress+ ) ,,absorb5t ,,cotton1 aft] dry cleans+ ) ! same1 protects ! w\nd f ! air1 & attracts ! dis*>ge f ! middle e>4 ,x is mildly /imulant & conduces to heal+4 ,= ,,s(t ,,corns we> loose %oes1 & e morn+ place a little ,,absorbant ,,cotton betwe5 ! toes4 ,= mosquito bites apply a mixture ( c>bolic acid & glyc]9e 9 ! proportion ( "o ( ! =m] to tw5ty ( ! latt]4 ,= ! vomit+ :i* (t5 complicates cases ( ,,consumption & *ronic ,,bron*itis1 give ?ree or f\r gra9s ( alum 9 a little g+] tea e ?ree or f\r h\rs4 ,,inhalations ,,( ,,/eam are useful 9 qu9sy2 & all affections ( ! ?roat t are pa9ful1 are mu* reliev$ by inhal+ /eam impregnat$ ) ! oil ( pepp]m9t4 ,,tea ,,& ,,c(fee are ( "s value 9 n]v\s heada*es produc$ by c]ebral conge/ion1 & are indicat$ :5 ! face is flu%$4 ,a weak solution ( ,,common ,,salt snuff$ up into ! nose daily1 is a rem$y = ,,*ronic ,,cat>rh2 if a decoction ( ,,gre5 ,,tea is snuff$ up imm$iately aft]w>d ! rem$y is m effectual4 ,cold tea is a good mild a/r+5t application to sore eyes4 ,pati5ts :o suff] at night f cramps may f9d relief by hav+ ! head ( ! b$ rais$4 ,cause ! head ( ! b$ to be rais$ ! ?ickness ( two bricks4 ,^? p]sons :o are tr\bl$ ) dizz9ess aft] smok+ e>ly 9 ! morn+1 may avoid x g5]ally by n smok+ until aft] eat+4 ,to remove ne$les1 nails1 c41 f ! extremities1 make a small incision at ! place ( entrance ?r\gh ! sk91 & ) an obtuse po9t$ /ick1 & ! /rong] solution ( c>bolic acid on ! end ( x1 by a bor+ action p5etrate to ! necess>y dep?1 occasionally mak+ se>* ) a metalic probe to le>n ( its :]eab\ts4 ,:5 rea*$ remove ) small =ceps4 ,= ,,pruritis ,,pud5di1 ,,neuralgia1 ,,too?a*e1 ,,sickness & vomit+1 :5 ^! are due to ! pregnant /ate1 apply a bli/] to ! back1 ov] ! f\r? & fif? dorsal v]tebra4 ,*ildr5 :o are exce$+ly ,,%ort ,,sight$1 may by ,,we>+ ,,glasses be b5efitt$1 n only physically b m5tally2 becom+ m active & lively & less res]v$ & taciturn4 ,a *ild may be ?\ght a dull>d1 & to h no aptitude = obs]vation or le>n+1 because 8 mis=tune is to h bad sight2 & su* a "* may be fa/5$ ^u him = life1 because 9 8 "y days he 0 cut (f f ! enjoym5t ( ! visible _w :i* 8 fell[s 7 favor$ )4 ,oculi/s say t :5 ) ! arrival ( middle life ! focus+ p[] ( ! eye decl9es s f> t at ! usual di/ance = read+1 a suffici5t adju/+ =ce no long] exi/s1 x is ! pref]able ?+ to put on ,,weak ,,magnify+ ,,glasses1 to take (f /ra91 r ?an to po/pone _! use z long z possible4 ,my own op9ion is t :5 a man c1 by sitt+ ) 8 back to ! w9d[ & hold+ a book 9 ! light1 at ! usual di/ance f ! eye1 read ! f9e pr9t ( ! newspap]s1 x is bett] to avoid we>+ magnify+ glasses4 ,b we %\ld always be c>eful to h ! light %9e on ! pap]1 & n on our eyes :5 we are read+4 ,_m invalids1 especially ^? :o suff] f ut]9e disease1 are di/ress$ to f9d t !y beg9 to fail to comm& ! s]vices ( _! eyes4 ,:5 p]sons are recov]+ f any sev]e illness su* z fev]1 or f protract$ exhau/ion1 or aft] prolong$ lactation1 or wat*+ ) invalids1 or great loss ( sleep2 :]e !re has be5 mu* grief & weep+1 or a sev]e m5tal /ra91 or loss ( blood1 or 9 sev]e or *ronic dyspepsia1 impair$ eye p[] is pretty sure to appe>4 ,! ess5tial condition to recov]y lies 9 re/oration to vigor1 & s\nd heal?1 & habits4 ,!y c probably develop & recov] _! ocul> en]gy by ! graduat$ use ( _! eyes1 beg9n+ ) %ort p]iods & advanc+ by small additions4 ,ladies t suff] f pa9ful m5/ruation %\ld n read 9 b$ at ! "t ( ! m5/rual fl[4 ,weakly p]sons %\ld n read :ile ly+ d[n2 & to !m umbrellas1 & p>asols1 & color$ glasses become ne$ful z protection f ! sun & w9d4 ,= su* x is hurtful to read 9 railway c>s or 9 c>riages2 & to !m an atmosph]e ( smoke1 or ! air ( an ill v5tilat$1 cr[d$1 or brightly light$ room is injuri\s4 ,= ,,sleeplessness ! be/ rem$y is to s ,,regulate ,,! ,,brea?+ t x %all induce ! "r circulation 9 ! bra91 & ! repose ( ! faculties4 ,9 brea?+ h ! inspirations & expirations ( equal l5g?1 & x w at lea/ conduce to ! repose ( ! bra94 ,= a ,,slight ,,illness all t y ne$ to d v (t5 is to brea! full1 s z to make deep inspirations = half an h\r2 & y c re> heal?y *ildr5 if y c secure to !m good r\nd *e/s4 ,to d ?is1 fir/ measure ea* ( !m ) a tape2 !n tea* !m to practice =c$ inspiration ?r\gh ! no/rils sev]al times a day2 (f] a prize = ! fir/ in* ga9$ 9 circumf]5ce4 ,flat *e/$ *ildr5 w soon gr[ r\nd & full1 & ! brea?+ space l>ge4 ,! result w be good heal? ( ! *ildr54 ,a *ild n m ?an f\r ye>s old is sometimes afflict$ ) ,,diabetis2 ?is is usually due to f>9ace\s food1 & ! *ild %\ld be deb>r$ f />*y food & sug>4 ,"o important means to arre/ ,,ble$+ ,,f ,,! ,,nose is to put a tight ligature on a f+] or on a l>g] limb4 ,an attempt may also be made to *eck ! hemorrhage by firmly grasp+ ! nose ) ! f+] & ?umb1 s z to prev5t any air f pass+ ?r\gh ! cavity4 ,a ,,g>gle ( /rong ,,black ,,pepp] ,,tea us$ freely w sometimes be an effectual rem$y = ,,aphonia1 :5 ! pati5t is n able to speak l\d] ?an a :isp]4 ,,*apt] ,,iv4 ,,dietetics--,,food ,,= ,,*ildr54 ,b little pure milk c be obta9$ 9 cities1 & a sub/itute may sometimes be us$2 b :]e good milk c be obta9$1 x may usually be made ! pr9cipal food ( "y p]sons4 ,! "m's milk1 if ! mo!rs are heal?y1 is ! be/ food = infants2 & ^? t nurse %\ld n z a g5]al rule be wean$ dur+ ! summ] mon?s1 :5 di>rhz mo/ prevail4 ,:5 ! "m has a suffici5t quantity ( milk1 an infant requires & %\ld receive no o!r food b brea/ milk until ! six? & p]haps ! n9? mon?1 :5 o!r food ?an brea/ milk mu/ be provid$4 ,new-born babies until ! age ( tw5ty-"o days %\ld be f$ ) "o "p ( milk to ?ree ( wat]2 betwe5 ! ages ( ?ree & six weeks1 ) "o ( milk & two ( wat]2 f six weeks to ?ree mon?s1 two ( milk to ?ree ( wat]2 at ?ree mon?s1 half milk & half wat]2 at six mon?s ?ree ( milk & "o ( wat]4 ,x %\ld be good new milk1 & ! wat] %\ld be w>m1 or only hot en\gh to br+ ! temp]ature to t ( brea/ milk4 ,?is diet is bett] ?an any v>iety ( />* food1 b if ! be/ milk t is obta9able does n agree well ) ! *ild1 a light gruel made f any ( ! d]ivatives ( />* may be sub/itut$ = wat] 9 ! above admixtures4 ,if a fe$+ bottle is us$1 ! food %\ld be giv5 at regul> int]vals1 z has be5 h]et(ore direct$ 9 reg>d to nurs+4 ,z soon z ! *ild's meal is ov]1 ! tube %\ld be remov$ f its m\?4 ,! bottle & teat %\ld be ?or\ghly wa%$ aft] ea* meal1 & ! =m] always kept 9 a bas9 ( cold wat] :5 n 9 use4 ,a sweet fe$+ bottle is ( great importance1 & neglect ( scrupul\s att5tion to x is a frequ5t cause ( sickness 9 a *ild4 ,a few m g5]al directions w be giv5 to af=d "s guide "u v>y+ circum/ances4 ,! degree ( dilution ( ! milk may v>y ) ! ri*ness ( ! milk us$4 ,:5 ! "m gives evid5ce ( feebl5ess x may be be/ to wean ! *ild at six mon?s1 or ev5 soon] if ! "m evid5tly suff]s f lactation4 ,if ! "m's heal? is robu/ x may be well to nurse x to ! twelf? or ?irte5? mon?1 b we %\ld always endeavor to "k :e!r ! *ild ?rives be/ on ! "m's milk4 ,be=e ! twelf? mon? %e %\ld gradually dim9i% ! all[ance ( ! brea/1 & increase ! supply ( suitable food2 p]haps suckl+ ! *ild twice 9 ! tw5ty-f\r h\rs1 & o!rwise fe$+ x at prop] int]vals4 ,if ! *ild is wean$ at sev5 or eight mon?s or lat]1 x may take = a meal a breakfa/-cup full ( milk to :i* is add$ a teaspoonful ( lime wat]1 or a weak solution ( soda2 & sometimes x may take ! yolk ( an egg well beat5 up 9 a teacupful ( milk1 or a dess]t spoonful ( pe>l b>ley jelly dissolv$ 9 a breakfa/-cup full ( w>m milk1 & slightly sweet5$ ) :ite sug>4 ,,food ,,= ,,infants ,,or ,,= ,,! ,,sick %\ld nei!r be rew>m$ nor kept w>m on a /ove or 9 an ov51 especially if ei!r sug> or salt has be5 add$ to ! composition2 x is bett] to prep>e no m ?an is requir$ at once1 b if any %\ld rema9 & be us$1 let x be br\ght to a prop] w>m? by ! addition ( a little hot wat]1 bro?1 or gruel1 z ! case may be4 ,food made ( bread s z to con/itute pap or ,,panada has a great t5d5cy to become s\r1 & a quantity only suffici5t = a s+le meal %\ld be made at a "t4 ,,oatmeal & ,,indian ,,meal h a loos5+ effect ^u ! b[els1 b ^! z well z :eat5 bread1 conta9 m nutritive matt] ?an sago1 tapioca1 & simil> sub/ances :i* may be reg>d$ z modifications ( />*4 ,= ! sick h hot ?+s v hot1 & cold ?+s v cold4 ,food %\ld nev] be prep>$ 9 ! pres5ce ( ! sick1 nor s t ! smell ( cook+ be all[$ to rea* !m if x c be avoid$4 ,nev] ta/e ( ! pati5t's food 9 h] pres5ce or ) h] spoon2 give food regul>ly1 b 9 mo/ cases ! pati5t %\ld n be r\s$ f sleep = food2 "s light food at night w (t5 s]ve to s5d ! pati5t to sleep4 ,rice =ms an excell5t diet = ! sick & = convalesc5ts4 ,,cook+ ,,= ,,! ,,sick ,,& ,,= ,,"y ,,p]sons4 ,,prelim9>y ,,rem>ks4 ,cleanl9ess is em95tly ess5tial 9 cook+ = ! sick & = infants4 ,! vessel 9 :i* milk or gruel is boil$ %\ld n be us$ = any?+ greasy or season$2 a sauce pan 9 :i* bro? has be5 made1 flavor$ p]haps ) onions or p>sley1 unless v nicely clean$ w imp>t a disagreeable ta/e to delicate food4 ,:atev] vessel is us$ ! food %\ld n be all[$ to rema9 9 x1 b %\ld be p\r$ out z soon z done1 & ! vessel put to soak 9 cold wat]4 ,if x is ( t9 x %\ld soon be cleans$ ) wood a%es1 b enamel$ sauce pans or granitiz$ iron w>e may be wa%$ clean2 :5 tak5 d[n = use wipe ) a clean1 dry clo?4 ,= /irr+ use ei!r a silv] or wood5 spoon2 n "o ( iron or o!r metal4 ,! e>!nw>e di%es1 bas9s or :atev] else may be us$ = keep+ food already cook$1 or = milk1 %\ld be scald$ aft] us+1 made p]fectly dry ) a clean clo?1 & left to become q cold be=e milk bro? or :atev] x may be1 is put into !m4 ,= pres]v+ liquids 7bro?1 gruel1 or milk71 a wide1 %all[ vessel is bett] ?an a ?91 n>r[ "o2 milk %\ld nev] be kept 9 a jug2 cook$ food %\ld n be %ut 9 ) a lid2 a hair sieve1 or wire cov]1 or common col&] may pres]ve f cats1 mice1 slugs1 c4 ,! cake ( fat :i* collects on ! top ( bro? t5ds to pres]ve ! liquor :ile x rema9s unbrok52 b if ! sk9 or fat at top is brok51 & if ! bro? or gruel is design$ = use at a subsequ5t meal1 ! fat %\ld be remov$1 & ! rema9d] %\ld be transf]r$ to a clean1 dry vessel4 ,,food ,,= ,,convalesc5ts4 ,_m que/ions 9 reg>d to diet are left by ! physician to ! nurse1 especially :ile %e has ! c>e ( convalesc5ts4 ,i give = h] guidance a few m aphorisms & directions3 #a4 ,:ile x is true t z a g5]al rule p :o l salt1 v9eg>1 c41 ought to be all[$ to gratify _! ta/e1 & t ! crav+s ( a sick p]son are n always to be d5i$1 yet appetite & ta/e 7 int5d$ to gov]n ! *oice & quantity ( food 9 heal?2 & ev5 !n1 !y %\ld be guid$ by reason & exp]i5ce4 ,su* articles z fruit1 jam1 cake1 *eese1 butt]1 & milk may g5]ally be tak5 if !re is a crav+ = !m1 b if !y are n dige/$1 ! /oma* mu/ be consult$1 & n ! crav+s4 ,milk & eggs are important articles ( food1 b !y mu/ n be =c$ ^u ! pati5t2 *eese is sometimes crav$2 x is conc5trat$ nutrim5t1 b 9 "s p]son's /oma*s x is dige/ible1 & x may p]haps favor dige/ion ( o!r food2 d n entirely disreg>d ! desires & ta/e ( ! pati5t2 z a rule if meat is crav$ x is all[able1 & x is bett] to *ew & swall[ x1 ?an x is to *ew x & spit out its nutritive cont5ts4 #b4 ,dur+ convalesc5ce1 z soon z ,,animal ,,food c be tak5 ) impunity1 t :i* is mo/ dige/ible %\ld be select$4 ,) ! exception ( p\ltry ! fle% ( middle ag$ animals af=ds ! mo/ dige/ible food4 ,keep+ animal food = a c]ta9 "t be=e x is cook$ less5s ! d5sity ( ! fibre & r5d]s x m t5d]1 b ! utmo/ caution is requisite to prev5t ! *ange f advanc+ s f> z to pres5t ! slighte/ trace ( ta9t 9 ! food4 #c4 ,,gellat9e 9 ! =m ( ,,b\illon or conc5trat$ bro?s is valuable 9 fev]s1 c41 z an addition to o!r diet1 z x prev5ts or r ret>ds ! process ( d5utrition4 #d4 ,,s\r ,,milk is to "s sick p]sons & convalesc5ts an agreeable bev]age1 & 9 cases ( atonic dyspepsia & _m o!r cases1 x is a good adjuvant 9 ! treatm5t ( sl[ dige/ion1 :]e flatul5ce & a s5sation ( cramp 9 ! /oma* are prom95t symptoms4 ,! good effects ( dr9k+ a tumbl] full or half a tumbl] full ( ord9>y cold s\r milk or ,,butt]milk1 is probably ow+ 9 a measure1 to ! lactic acid :i* x conta9s4 ,x may be tak5 regul>ly half an h\r aft] ea* meal1 9 cases ( weak /oma*4 #e4 ,,milk is dige/ible :5 x is drunk imm$iately aft] x is drawn f ! udd] ( ! c[ or t ( ! goat1 b x is (t5 necess>y 9 convalesc5ce to dilute x 9 wat]4 ,x may be kept = "s "t f s\r+ 9 w>m wea!r by add+ to ea* qu>t fifte5 gra9s ( bic>bonate ( soda4 ,:5 !re is evid5ce ( ov]-acidity ( ! /oma*1 lime wat] may be add$ 9 any proportion up to "o-half4 #f4 ,,raw ,,egg some:at 9 ! =m ( an emulsion1 has be5 useful 9 c]ta9 diseases4 ,f\r raw eggs may be beat5 up 9 a p9t ( cold wat]1 a little flavor+ & sug> add$1 & ! pati5t may take x by sips dur+ ! day4 ,?is is a light & nutritive diet1 b eggs are mu* less dige/ible 9 ?is =m ?an :5 !y are lightly boil$4 #g4 ,,raw ,,oy/]s are some:at nutritive1 b are n easy ( dige/ion4 ,,lob/]s1 ,,crabs1 ,,prawns1 ,,crayfi%1 ,,scallops1 & o!r %ell fi% are m objectionable ?an oy/]s4 ,,fi%1 especially ( ! :ite k9d1 is n /imulat+2 if x is simply boil$ x is admissable = convalesc5ts1 & = ^? labor+ "u "s acute diseases4 ,9 ! decl9e ( fev]s "s animal food may be giv52 fir/ beef tea1 *ick5 bro?1 & mutton bro?1 & o!r liquid animal decoctions2 !n :ite fi% & a m g5]\s diet4 #h4 ,! value ( s\ps dep5ds ^u ! fre%ness ( ! meat1 ! mann] 9 :i* !y are boil$1 & ! delicacy ) :i* !y are season$2 = ! latt] any ( ! vegetable condim5ts may be us$ accord+ to ! ta/e ( ! consum]4 #i4 ,! nurse %\ld "k t c]ta9 articles 9 a c]ta9 =m _c be dige/$ 9 ! /oma*1 because !y _c be dissolv$ 9 ! fluid conta9$ !re4 ,ri* pa/ry1 pieces ( h>d potato1 ri* pudd+s & dumpl+s1 h>d /r+y meat1 & greasy fibr$ meat1 new bread1 & rolls t are n well bak$ are1 9 g5]al1 indige/ible4 ,pie is n ess5tially indige/ible2 inde$ indige/ibility _c be affirm$ ( any article ( food1 ap>t f a consid]ation ( ! dige/ive capacity ( ! p>ticul> /oma*1 ! p[]s ( :i* are to be te/$4 #aj4 ,"s mild ,,escul5t ,,roots are fitt$ = ! use ( ! sick if !y are boil$ 9 two wat]s1 b !y are n well adapt$ to ^? :o are liable to s\r /oma*s4 ,"s vegetables1 on acc\nt ( _! peculi> qualities1 h peculi> effects z rem$ies4 ,x is ass]t$ t sp9a* & asp>agus act z diuretics1 d&elion z a tonic & laxative1 tomatoes z a *olagogue1 beets & turnips z a tonic1 onions1 g>lic1 & leeks z /imulants & n>cotics1 ! r$ onion z a n>cotic 9 neuralgia & insomnia1 & cabbages1 tomatoes1 & o!r salad mat]ial z anti-scorbutics4 #aa4 ,,fruits produce ! mo/ div]sifi$ effects2 b pea*es & nect>9es1 v soluble pe>s if !y are ripe1 apples if !y are roa/$1 ! orange if x is fully ripe1 grapes if ! sk9 be reject$1 /rawb]ries & mulb]ries are pretty g5]ally admissible4 ,,fluid ,,alim5ts4 #ab4 ,fluid food c 9 mo/ cases be tak5 m conv5i5tly by suction ?r\gh a ,,b5t ,,glass ,,tube4 ,aft] fe$+1 dry ! m\? if ! pati5t _c well d x = h]self4 #ac4 ,wat] is dem&$ 9 e disease 9 :i* a dry sk9 & an elevation ( temp]ature is pres5t4 ,! temp]ature ( ! wat] may be f #fj to #ej4 ,small bits ( ice swall[$ :ole are excell5t to control nausea4 ,x is refre%+ & h>mless4 ,to keep a small piece ( ice f imm$iately melt+3 ,cut a piece ( flannel six in*es squ>e1 snip "o or two holes 9 ! c5tre = wat] to run ?r\gh2 conf9e x by an ela/ic b& ab\t ! edge ( a tumbl] or goblet2 depress ! middle ( ! flannel1 & a small piece ( ice may be kept 9 x = "s "t2 bits ( ice may be split (f f x ) a knife4 ,ice & wat] %\ld be pure4 #ad4 ,toa/ wat] :5 prop]ly prep>$ =ms a useful bev]age 9 ! sick room4 ,z x conta9s a small proportion ( glut5 x is slightly nutritive4 #ae4 ,:ile febrile symptoms are pres5t1 f>9ace\s matt]s su* z b>ley wat] gruel1 arr[ root1 mucilage or sago acidulat$ ) lemon juice1 & sweet5$ to ! ta/e ( ! pati5t1 are mo/ commonly suitable1 b wat] is ! mo/ salut>y dilu5t4 #af4 ,gruel is less mild & demulc5t ?an b>ley wat]1 & is m likely to s\r1 b x is nutritive food4 #ag4 ,tea is refre%+1 & may be tak5 9 mod]ate quantity1 provid$ x be n /rong4 ,c(fee may be tak5 l>gely comb9$ ) milk4 #ah4 ,be]1 br&y1 & o!r /imulants %\ld be giv5 only aft] prop] m$ical exam9ation & advice4 ,,recipes ,,= ,,bev]ages ,,& ,,food4 ,,=mula #a4 ,,food ,,= ,,infants4 ,take ( new milk1 w>m wat]1 ( ea* equal p>ts2 table salt1 sug>1 ( ea* a small quantity1 to salt & sweet5 x slightly2 w>m ! milk by ! wat]1 s t x w be ( ! same temp]ature z ! "m's milk--ab\t #ij2 ! proportion ( milk may be a little less ?an ?is :5 ! infant is newly born1 & %\ld be increas$ z x gr[s old]1 b wat] mu/ always be giv5 ) ! milk4 ,give by means ( a fe$+ bottle t has be5 prop]ly cleans$4 #b4 ,,gum ,,arabic ,,mucilage4 ,take ( gum ,arabic "o ounce1 boil+ wat] "o p9t2 aft] ! gum ,arabic is dissolv$1 add two table spoonfuls ( sug> & ! juice ( a lemon2 cool & add ice4 ,?is may be tak5 z a dr9k 9 di>rha4 #c4 ,,infusion ,,( ,,flax ,,se$4 ,take ( flax se$ two table spoonfuls1 wat] "o p9t1 sug> two table spoonfuls2 /eep = an h\r or m & /ra91 !n add ! juice ( a lemon & set on ice4 ,use z a demulc5t dr9k4 #d4 ,,milk ,,& ,,c9namon ,,dr9k4 ,take ( c9namon "o teaspoonful1 boil+ wat] "o p9t2 /eep = a few m9utes1 sweet5 ) sug>1 & mix ) half a p9t ( milk4 ,good 9 di>rha4 #e4 ,,v9eg> ,,:ey4 ,take ( milk "o p9t1 v9eg> "o ounce2 boil = a few m9utes & sep>ate ! curd4 ,good 9 dys5t]y1 & may be tak5 freely4 #f4 ,,decoction ,,( ,,bran4 ,take ( :eat bran "o p9t1 boil+ wat] ?ree p9ts2 let ! mixture /& 9 a cov]$ vessel = two h\rs2 /ra9 & s]ve1 ) sug> & cream4 ,?is is slightly laxative4 #g4 ,,sage ,,tea4 ,take ( ! dri$ leaves ( sage half an ounce1 boil+ wat] "o qu>t2 infuse = half an h\r & !n /ra94 ,sug> & lemon juice may be add$ 9 ! proportion requir$ by ! pati5t4 ,9 ! same mann] balm & o!r teas may be made4 #h4 ,a ,,refre%+ ,,dr9k ,,9 ,,fev]s4 ,boil "o ounce & a half ( tam>9ds1 ?ree ounces ( cranb]ries1 & two ounces ( /on$ rais9s1 9 ?ree p9ts ( wat] till ! wat] is r$uc$ to two p9ts2 /ra9 & add a bit ( lemon peel1 :i* %\ld be remov$ 9 an h\r z x gives a bitt] ta/e if left long4 #i4 ,,toa/ ,,wat]4 ,take slices ( toa/ nicely br[n$1 en\gh hot wat] to cov] !m1 cov] closely & let !m /& until cold2 /ra9 ! wat]1 sweet5 to ta/e1 & put a piece ( ice 9 ea* glassful4 ,if ! physician ?9ks x safe add a little lemon juice4 ,good = nausea & vomit+4 #aj4 ,,apple ,,wat]4 ,take ?ree juicy pipp9s or o!r f9e flavor$ apples1 "o qu>t cold wat]2 p>e & qu>t] ! apples1 b d n core !m2 /ew ! apples to pieces 9 a t9 or porcela9 sauce-pan1 closely cov]$2 /ra9 ! liquor at once1 closely press+ ! apples 9 ! clo?2 sweet5 & ice = dr9k+4 ,slightly laxative4 #aa4 ,,slipp]y ,,elm ,,b>k ,,tea4 ,break ! b>k into bits1 p\r boil+ wat] ov] x1 cov] & let x infuse till x is cold4 #ab4 ,,jelly ,,wat]4 ,take "o l>ge teaspoonful currant or o!r k9d ( jelly1 "o goblet ice wat]2 beat up well4 ,a good dr9k 9 fev]1 & if ( wild *]ry or blackb]ry jelly x is v good = ^? suff]+ f di>rha4 #ac4 ,,corn ,,tea4 ,take a cupful ( dry corn1 p>* x br[n1 gr9d x1 or p\nd x 9 a mort>2 p\r ov] x two cups ( boil+ wat]1 & /eep = a few m9utes4 ,?is is nutriti\s4 #ad4 ,,t>t> ,,:ey4 ,take ( milk "o qu>t1 cream ( t>t> half an ounce2 boil until ! curd sep>ates4 ,?is is some:at laxative4 #ae4 ,,h]b ,,teas4 ,take ( ! dri$ or gre5 leaves ab\t "o ounce1 boil+ wat] "o p9t1 & let !m /& until cold4 ,catnip tea is good = colds & c\ghs 9 infants2 spe>m9t & pepp]m9t tea is good = disord]$ /oma* & b[els2 p5nyroyal = a cold if rec5tly tak52 *amomile tea is a good tonic1 blackb]ry root tea is good = summ] compla9t1 raspb]ry leaves 7gre57 = dys5t]y1 sweet apple tree b>k tea = a *ild's cank]$ sore m\?1 pumpk9 se$ & p>sley tea = suppression ( ur9e2 mulli5 leaf tea is good 9 kidney compla9ts2 mulli5 leaves infus$ 9 milk makes a m$ic9al dr9k 9 a case ( ph?isis4 #af4 ,,milk ,,& ,,is+lass 7,,gelat947 ,dissolve a little gelat9 9 wat] & mix ) half a p9t ( milk4 ,boil & sweet5 to ta/e4 #ag4 ,,eff]vesc+ ,,lemonade4 ,take ! juice ( a l>ge lemon1 two or ?ree teaspoonfuls ( sug>1 half a p9t ( spr+ wat]2 add half a small teaspoonful ( c>bonate ( soda4 ,/ir & dr9k :ile eff]vesc+4 #ah4 ,,indian ,,meal ,,gruel4 ,take ( ,indian meal "o small teacupful1 :eat fl\r "o table spoonful1 boil+ wat] two qu>ts2 wet ! meal & fl\r to a smoo? pa/e1 & /ir into ! wat] :ile x is boil+4 ,boil sl[ly = ?irty or =ty m9utes1 frequ5tly /irr+ f ! bottom2 salt to ta/e2 add sug> & nutmeg if y l2 if too ?ick r$uce ) boil+ wat] to ! desir$ consi/5cy2 if a laxative effect is desir$ omit ! fl\r4 ,rais9s may be boil$ ) ! gruel1 & cream may be add$ if desir$4 #ai4 ,,oatmeal ,,gruel is made 9 ! same way z ! above4 ,gruel drank w>m at b$ "t is a soo?+ rem$y = a bad cold4 #bj4 ,,milk ,,& ,,rice ,,gruel4 ,take boil+ milk "o qu>t1 gr\nd rice two table spoonfuls wet ) cold milk1 salt "o salt spoonful2 /ir 9 ! rice pa/e & boil t5 m9utes1 /irr+ con/antly4 ,season ) sug> & nutmeg1 & eat w>m ) cream4 #ba4 ,,tapioca ,,jelly4 ,take ( tapioca two spoonfuls1 wat] "o p9t2 boil g5tly = an h\r1 or until x assumes a jelly-l appe>ance4 ,add sug> & nutmeg ) lemon juice to suit ! ta/e ( ! pati5t4 #bb4 ,,rice ,,gruel4 ,take ( gr\nd rice "o ounce1 c9namon "o dra*m1 wat] "o qu>t2 boil = ?irty m9utes1 add+ ! c9namon ne> ! conclusion4 ,/ra9 & sweet5 x4 #bc4 ,,panada4 ,take ( :eat bread "o ounce1 c9namon "o dra*m 7or if pref]r$ a little mace71 wat] "o p9t2 boil )\t /irr+ until !y mix & turn smoo?4 ,!n add a grate ( nutmeg1 a small piece ( butt]1 & sug> accord+ to ta/e4 ,"s add a table spoonful ( w9e4 #bd4 ,,bread ,,jelly4 ,/eep /ale bread 9 boil+ wat]1 & pass ?r\gh a f9e sieve :ile /ill hot4 ,?is is a light1 n\ri%+ diet = a weak /oma*1 :i* may be tak5 alone1 or aft] be+ boil$ ) milk4 #be4 ,,rice ,,cream4 ,/eep a qu>t] ( a p\nd ( :ole rice 9 milk1 & put 9 a sieve to dra9 & cool2 mix ! rice ) a gill ( cream :isk$ to a fro?1 & a little p[d]$ sug>1 & a teaspoonful ( lemon juice4 ,"s add w9e b x is n necess>y4 #bf4 ,,to ,,make ,,fat4 ,! diet to be prescrib$ :5 ! aim is to produce increas$ weight %\ld include su* articles z fat meats1 butt]1 cream1 milk1 cocoa1 *ocolate1 bread1 potatoes1 peas1 p>snips1 beets1 f>9ace\s & fl\r pudd+s1 pa/ry1 almond pudd+s1 & biscuit1 cu/>ds1 oatmeal porridge1 sug> & sweets1 port]1 c4 #bg4 ,,milk ,,porridge4 ,take :eat fl\r two table spoonfuls1 milk "o p9t1 wat] "o p9t2 mix ! fl\r ) cold wat] to =m a ?9 pa/e2 put ! milk & wat] ov] ! fire1 & :5 !y come to a boil+ po9t add ! pa/e1 c>efully /irr+4 #bh4 ,,fr5* ,,milk ,,porridge4 ,/ir "s oatmeal & wat] toge!r1 let ! mixture /& to cle>1 & p\r (f ! wat]2 !n put m wat] to ! meal1 /ir x well & let x /& till ! next day2 /ra9 ?r\gh a f9e sieve & boil ! wat]1 add+ milk :ile s do+4 ,let ! proportion ( milk exce$ "o-half4 ,) toa/ ?is is good diet = ! sick4 #bi4 ,,lime ,,wat] ,,& ,,milk4 ,take ( lime wat] "o to two ounces1 milk f\r ounces4 ,?is w sometimes be reta9$ on ! /oma* :5 o!r food is reject$4 ,! addition ( fifte5 gra9s ( bic>bonate ( soda has a simil> effect if add$ to a qu>t ( fre% milk1 & prev5ts milk f turn+ s\r = sev]al h\rs4 #cj4 ,,mu% ,,& ,,milk4 ,take ( ,indian meal "o c(fee cupful1 wat] two qu>ts1 salt to ta/e2 :5 ! wat] is boil+1 /ir ! meal into x1 add+ meal gradually till x ?ick5s s t x is difficult to /ir4 ,x %\ld be p]mitt$ to rema9 :]e x w cook sl[ly = tw5ty or ?irty m9utes1 /irr$ (t5 ) a pudd+ /ick4 ,eat ) milk4 #ca4 ,,lemon ,,jelly4 ,soak half a box ( gelat9 9 a cup ( cold wat]2 /eep ! grat$ or p>$ r9d ( two lemons 9 a p9t ( boil+ wat] = t5 m9utes1 add ! gelat91 "o cup ( sug>1 & f\r table spoonfuls ( lemon juice4 ,:5 all is dissolv$1 /ra9 & place 9 a vessel to cool4 #cb4 ,,alum ,,:ey4 ,take alum "o teaspoonful1 milk "o p9t2 boil toge!r & /ra9 to sep>ate ! curd4 #cc4 ,,table ,,tea4 ,all[ a small teaspoonful ( tea to ea* half p9t ( wat]4 ,aft] r9s+ ! teapot ) boil+ wat] put 9 ! tea1 & let x /& a few m9utes 9 ! /eam+ pot2 add ! wat] fre%ly boil+1 & let x /& :]e x w keep hot ?ree or f\r m9utes4 #cd4 ,,nutriti\s ,,c(fee4 ,take "o p9t ( ne>ly boil+ milk1 & add half an ounce ( fre%ly gr\nd c(fee1 & boil toge!r = ?ree m9utes4 ,cle> x by p\r+ into a cup & da%+ back4 ,add a little is+lass dissolv$ 9 wat] & leave to settle4 ,if pref]r$1 beat up an egg ) sug> & p\r ! c(fee ^u x4 #ce4 ,,nutriti\s ,,laxative4 ,take "o table spoonful ( lump magnesia1 pulv]iz$1 "o teaspoonful ( sal]atus or soda1 sug> & salt z desir$1 & /ir !m 9 a qu>t ( hot milk porridge made 9 ! usual way4 ,?is w op]ate z an antacid & z physic if tak5 dur+ ! day2 at ! same "t x is n\ri%+4 #cf4 ,,potus ,,imp]ialis4 ,take half an ounce ( cream t>t>1 ! juice ( "o lemon1 & two table spoonfuls ( sug>2 p\r on !m a qu>t ( boil+ wat]1 & let x /& on ice till cold4 ,if ?is is drank x w increase ! action ( ! kidneys4 #cg4 ,,vegetable ,,s\p4 ,take "o potato1 "o turnip1 "o onion2 let !m be slic$ & boil$ 9 "o qu>t ( wat] = an h\r4 ,add z mu* salt & pepp] z is agreeable1 & p\r ! :ole ^u dry toa/4 ,add butt] if desir$4 #ch4 ,,sweet ,,ptisan1 ,,= ,a ,,dr9k ,,9 ,,dys5t]y4 ,take ( %eep's suet two ounces1 milk "o p9t1 />* half an ounce1 wat] "o p9t2 boil sl[ly = fifte5 m9utes4 #ci4 ,,mucilage ,,( ,,/>*4 ,take ( />* "o ounce1 p[d]$ c9namon "o dra*m1 gum ,arabic "o ounce1 boil+ wat] ?ree p9ts2 boil until r$uc$ to two-?irds & /ra94 ,?is is a useful dr9k 9 dys5t]y4 #dj4 ,,boil$ ,,fl\r4 ,take ( f9e :eat fl\r a p\nd1 tie x up 9 a l95 clo?1 boil until x becomes a h>d dry mass4 ,a table spoonful ( ?is may be grat$ (f & us$ to make milk porridge4 #da4 ,,toa/4 ,! bread mu/ be cut ?91 ! cru/ trimm$ (f1 & !n ! slice held 9 a toa/] ov] a b$ ( coals1 & turn$ f side to side till all ! moi/ure is remov$1 !n all[$ to become a gold5 br[n4 ,s]ve x on a hot plate z soon z x is done4 #db4 ,,v ,,nice ,,panada4 ,take ?ree ,bo/on crack]s1 split !m & arrange !m 9 a b[l 9 lay]s1 sug> & salt scatt]$ among !m2 cov] ) boil+ wat]1 & set 9 a w>m place ) a close cov] ov] ! b[l1 to rema9 "o h\r4 ,a little nutmeg %\ld be add$1 & x %\ld be eat5 f ! b[l4 #dc4 ,,h[ ,,to ,,prep>e ,,arr[ ,,root4 ,put two teaspoonfuls ( ! p[d] into a bas91 mix !m smoo? ) a few teaspoonfuls ( cold wat]1 & let ano!r p]son p\r boil+ wat] ov] ! mixture :ile y cont9ue to /ir x until x =ms a />*y look+ sub/ance4 ,x may be us$ 9 ! same mann] z gruel1 a little milk & salt be+ add$ to x4 #dd4 ,,arr[ ,,root ,,cu/>d4 ,take two teaspoonfuls arr[ root1 wet !m up ) a little cold milk2 /ir = ?ree m9utes 9 a cup ( boil+ milk1 take f ! fire & /ir 9 an egg1 already well beat52 boil two m9utes long]1 flavor ) vanilla or rose wat]1 & p\r into m\lds4 #de4 ,,boil$ ,,rice ,,& ,,cocoa-,,nut4 ,take "o teacupful ( rice1 "o heap+ teaspoonful ( cocoa-nut1 & ! milk f ! c5tre ( ! nut2 "o qu>t ( wat]1 "o p9t ( milk1 & salt to ta/e2 boil ?ree or f\r h\rs 9 a d\ble boil]4 ,if x boils away too mu* add m wat]4 ,s]ve ) cann$ /rawb]ries = sauce4 #df4 ,,bread ,,jelly ,,= ,,*ildr5 ,,wean$4 ,take a quantity ( ! s(t "p ( a loaf1 break x up1 cov] x ) boil+ wat] & all[ x to soak = sev]al h\rs2 ! wat] is !n to be p\r$ (f completely1 & fre% wat] add$2 place ! mixture on ! fire & all[ x to boil until x becomes smoo?4 ,! wat] is !n to be press$ out1 & ! bread on cool+ w =m a ?ick jelly4 ,mix a portion ( ?is ) sug>$ milk & wat] z x is want$4 #dg4 ,,h[ ,,to ,,cook ,,rice4 ,erratum4 ,on page #bfh1 bottom l9e1 = #dg read #dj4 ,9 prep>+ x only j en\gh cold wat] %\ld be p\r$ on to prev5t f burn+ at ! bottom ( ! pot1 :i* %\ld h a close fitt+ cov]1 & ) a mod]ate fire ! rice is /eam$ r ?an boil$ until x is ne>ly done2 !n ! cov] is tak5 (f1 ! surplus /eam & moi/ure all[$ to escape1 & ! rice turns out a mass ( sn[ :ite k]nels4 #dh4 ,,oy/] ,,bro?4 ,take half a p9t ( oy/]s1 cut into small pieces1 put !m into a gill ( wat] & let !m simm] = eight or t5 m9utes4 ,skim & /ra91 !n add a little new milk1 salt1 & pepp]4 #di4 ,,poa*$ ,,egg4 ,a fre% egg brok5 into boil+ wat] & cook$ till ! :ite is congeal$1 !n laid on a piece ( newly toa/$ bread dipp$ 9 hot milk & butt]$1 is an appetiz+ di% = convalesc5ts4 #ej4 ,,*ick5 ,,tea4 ,to relieve ! nausea & vomit+ ( *ol]a morbus3 ,kill a *ick51 & /rip (f ! fea!rs z soon z possible aft] x is kill$2 boil ! w+s & legs 9 a little wat]4 ,?is1 if simply season$ ) a little salt1 w be acceptable to ! /oma*4 #ea4 ,,re/oration ,,s\p ,,= ,,invalids4 ,take "o p\nd ( newly kill$ beef or f[l1 *op x f9e2 add "o-half p9t ( pure wat]1 & p]haps f\r or five drops ( pure muriatic acid1 "o-half teaspoonful ( common salt1 & /ir well toge!r4 ,aft] ?ree h\rs ! :ole may be ?r[n 9 a sieve1 & ! fluid all[$ to pass ?r\gh on slight pressure2 on ! fle% residue 9 ! sieve p\r sl[ly "o-half teacupful ( wat]1 & let x run sl[ly ?r\gh ! sieve :ile squeez+ ! meat4 ,!re w ?us be obta9$ ab\t t5 ounces ( cold juice 7extract ( meat71 hav+ a pleasant ta/e ( s\p1 ( :i* a w9eglassful may be tak5 at pleasure4 ,if pref]r$ "o "p ( meat may be tak5 ) two p>ts ( :ite sug>1 "o teaspoonful e ?ree h\rs4 ,! two may be p\nd$ 9 a mort>4 #eb4 ,,beef ,,tea4 ,take "o p\nd ( beef m9c$ v f9e1 & put x 9 a common e>!nw>e pot ) a p9t & a half ( cold wat]2 /& ! pot on ! /ove1 s t x may simm] = at lea/ ?ree h\rs4 #ec4 ,,*ick5 ,,bro?4 ,:5 x is desir$ t *ick5 bro? %\ld be v nutriti\s1 take an old f[l2 cut up & break ! bones ) a mallet2 cov] ) ?ree or f\r p9ts ( cold wat]1 & add "s rice or tapioca2 salt to ta/e & boil = two h\rs4 #ed4 ,,mutton ,,& ,,veal ,,bro?4 ,take ( ei!r mutton1 beef1 or veal "o p\nd & a half1 cold wat] two qu>ts1 rice two ounces2 simm] = f\r h\rs1 boil = a few m9utes1 /ra9 & s]ve4 #ee4 ,,eggs1 ,,cream1 ,,& ,,extract ,,( ,,beef4 ,wa% two ounces ( ! be/ pe>l sago until ! wat] p\r$ f x is cle>1 !n /ir ! sago 9 half a p9t ( wat] until x is t5d] & v ?ick2 mix ) x half a p9t ( good boil+ cream1 & ! yolks ( f\r fre% eggs1 & m+le ! :ole c>efully ) "o qu>t ( good beef tea1 :i* %\ld be boil+2 s]ve4 ,good 9 cases ( l+]+ convalesc5ce aft] acute diseases4 #ef4 ,,beef ,,tea ,,made ,,nutriti\s4 ,to a p9t ( beef tea add bread crumbs1 & boil = five m9utes2 or mix a table spoonful ( cook$ oatmeal or rice ) two ( boil+ wat]1 add a cupful ( /rong beef tea & boil a few mom5ts4 ,s]ve ) toa/4 #eg4 ,,mutton ,,bro?4 ,to a p\nd ( meat cut 9 small pieces put a qu>t ( cold wat]1 boil sl[ly ?ree or f\r h\rs 9 a closely cov]$ kettle till ! meat falls to pieces2 /ra91 remove all fat1 & put 9 two table spoonfuls ( rice t has be5 soak$ half an h\r2 simm] until ! rice is well cook$1 season ) salt1 & s]ve ) toa/$ crack]4 #eh4 ,,beef ,,tea4 ,take lean beef1 cut into %r$s "o p\nd1 cold wat] "o qu>t2 boil = ?irty m9utes1 tak+ (f ! scum z x rises2 :5 x gr[s cold1 /ra94 #ei4 ,,ess5ce ,,( ,,beef4 ,take ( lean beef slic$1 "o p\nd2 put into a bottle or fruit j>1 cork x loosely & place x 9 a pot ( cold wat] 7atta*+ ! neck by means ( a /r+ to ! h&le ( ! vessel47 ,boil = two h\rs & !n decant ! liquor & skim x4 #fj4 ,,beef ,,juice4 ,take a nice juicy /eak1 remove all ! fat1 broil x ov] a bright coal fire long en\gh to heat x ?r\gh2 !n ) a meat or lemon squeez] press out ! juice into a cup2 set 9 hot wat]4 ,remove any fat t may be 9 x2 %ake ! salt box slightly ov] x & s]ve4 ,i %all n ref] to ! diff]5t alim5t>y prep>ations n[ ?r[n 9 ! m>ket1 :i* come ) pr9t$ directions on ! packages1 f>!r ?an to say t ,i h a favorable op9ion ( ,c>nrick's ,soluble food = infants4 ,i h te/$ x well4 ,,*apt] ,v4 ,,! ,,art ,,( ,,prescrib+4 ,! nurse w n (t5 prescribe m$ic9e1 b x may be ( use to "k h[ to read ! prescriptions ( o!rs1 & to "k a few ( ! g5]al rules or pr9ciples ^u :i* physicians act 9 try+ to produce ! greate/ curative effect ) lea/ possible inconv5i5ce4 ,,! ,,doses ,,( ,,m$ic9e4 ,g5]ally 9 ! foll[+ prescriptions ! ord9>y dose = an adult is /at$4 ,! "y require a small] dose ?an old] p]sons1 or ^? at maturity2 & ! v ag$ _c be> z l>ge doses z ! middle ag$4 ,! foll[+ is design$ to exhibit ! dose proportion$ to ! age2 ! dose = a p]son ( middle age be+ "o dra*m3 ,t = a p]son f #ad to #ba w be #b scruples4 ,t = a p]son f #g to #ad w be a dra*m4 ,t = a p]son f #d to #g w be #a scruple4 ,t = a p]son ( #d ye>s w be #ae gra9s4 ,t = a p]son ( #c ye>s w be #aj gra9s4 ,t = a p]son ( #b ye>s w be #h gra9s4 ,t = a p]son ( #a ye>s w be #e gra9s4 ,!re are "s m$ic9es h[ev] :i* require to be giv5 to *ildr5 9 mu* l>g] proportion$ doses ?an ^? /at$ above4 ,= example1 a *ild ( ?ree ye>s might require half z mu* ca/or oil = a dose z an adult4 ,females usually require small] doses ?an males1 & ^? ( sangu9e temp]am5t ?an ! lymphatic & phlegmatic4 ,idiosyncracies sometimes exi/ 9 individuals r5d]+ !m peculi>ly susceptible to ! action ( c]ta9 rem$ies1 or caus+ a m$ic9e to act on an individual 9 a mann] :olly diff]5t f ! ord9>y mode4 ,9 g5]al ! susceptibility to ! action ( a m$ic9e is dim9i%$ by its frequ5t use2 "s m$ic9es are ( v>iable /r5g?1 & all ^! consid]ations %\ld lead to great c>e 9 prescrib+2 "s m$ic9es require m c>e ?an o!rs1 h[ev]1 & su* =mula w be select$ = ins]tion "h z may be pretty g5]ally us$ ) safety4 ,i believe !y d n require m ef=t to adapt !m to p>ticul> cases ?an ord9>y pat5t m$ic9es4 ,,mode ,,( ,,adm9i/]+ ,,m$ic9e4 ,m$ic9es giv5 toge!r %\ld be comb9$ ) a def9ite purpose 9 reg>d to ea* article 9 ! =mula4 ,rem$ies ( ! same g5]al "* may be giv5 toge!r 9 ord] to increase _! efficacy4 ,9 ,f4 #gd !re are sev]al aromatics because a small am\nt ( ea* :5 comb9$1 w be m c]ta9 9 _! action ?an a l>ge am\nt ( "o k9d1 & at ! same "t !y w be less irritat+4 ,! effects ( "o m$ic9e are 9 _m cases increas$ by ! influ5ce ( ano!r 9 augm5t+ ! natural susceptibility ( ! sy/em to its action4 ,"o m$ic9e is giv5 ) ano!r to c\nt]act ! m disagreeable effects ( ! m active "o4 ,"o m$ic9e is sometimes giv5 z a vehicle = ano!r2 p]haps to cov] ! disagreeable ta/e or odor & to r5d] ! m$ic9e acceptable to ! /oma*4 ,= example1 ! aromatics & ammonia 9 ,f4 #gd are mu* m agreeable to ! /oma* ?an ei!r ( !m w\ld be sep>ately4 ,9 ! mix+ ( m$ic9es c>e %\ld be tak5 t !y are nei!r *emically nor physiologically incompatible4 ,:5 ! action ( an acid is desir$1 an alkali %\ld n be giv5 at ! same "t1 z !y unite to =m a comp\nd diff]5t f ei!r4 ,a soluble salt %\ld n be giv5 ) ano!r1 or ) an acid t w\ld decompose x1 & produce an in]t comp\nd4 ,if m$ic9es are giv5 t h an app>5t physiological incompatibility1 x %\ld be ) a full und]/&+ ( _! effects1 & ) ref]5ce to !m4 ,! ,,=m 9 :i* m$ic9e is giv5 mu/ v>y accord+ to ! nature ( ! m$ic9e1 ! ta/e ( ! pati5t1 or ! condition ( 8 /oma*1 z x is always desirable to h x s t x c be swall[$ )\t difficulty4 ,! physician %\ld always write 8 prescription ) neatness1 ord] & precision1 b x w be f\nd an advantage to ! nurse to h a ready compreh5sion ( ! symbols & abbreviations us$ 9 writ+ prescriptions4 ,h5ce ,i h app5d$ a table design$ to expla9 ! signs & abbreviations habitually us$4 ,ord9>ily ! ,roman num]als are employ$1 & foll[ always ! symbols to :i* !y relate4 ,a gloss>y :i* w include "s lat9 t]ms w h]eaft] be add$4 ,sign or ,abbreviation4 ,,lat9 ,,^w4 ,,engli% ,,^w4 ,libra or libr4 ,a p\nd or p\nds4 ,uncia or unci4 ,an ounce or ounces4 ,dra*ma or dra*m4 ,a dra*m or dra*ms ,scrupulus or scrupuli4 ,a scruple or scruples aa4 ,ana4 ,( ea*4 ,add4 ,adda4 ,add to x4 ,ad4 satur& ,ad satur&um4 ,until saturat$4 ,ad4 lib4 ,ad libitum4 ,at pleasure4 ,alt4 hor4 ,alt]nis horis4 ,alt]nate h\rs4 ,ante ,cib4 ,ante cibum4 ,be=e food4 ,aq4 f]v4 ,aqua f]v5s4 ,hot wat]4 ,aq4 pluv4 ,aqua pluvialis4 ,ra9 wat]4 ,aq4 pur4 ,aqu pura4 ,pure wat]4 ,aq4 tepida4 ,aqua tepida4 ,tepid wat]4 ,bis die4 ,bis die4 ,twice a day4 ,bull4 ,bulliat4 ,let x boil4 ,cap4 ,copiat4 ,let him take4 ,co*4 mag4 ,co*le> magraum4 ,a l>ge spoonful4 ,co*4 p>v4 ,co*le> p>vum4 ,a tea spoonful4 ,col5t4 ,col5tur4 ,let !m be /ra9$ ,collyr4 ,collyrium4 ,an eye wat]4 ,comp4 or ,co4 ,compositus4 ,comp\nd4 ,contus4 ,contusus4 ,bruis$ or cru%$4 ,cong4 ,congius or ,congii4 ,a gallon or gallons4 ,decoct4 ,decoctum4 ,a decoction4 ,det4 ,detur4 ,let x be giv5 ,dil4 ,dilutus4 ,dilute4 ,div4 9 p4 q4 ,divitur 9 p>tes ,divide 9 equal p>ts qualis4 ,duo4 ,duo4 ,two4 ,ft4 ,fiat4 ,let !m be made4 ,g>g4 ,g>g>isma4 ,a g>gle ,gr4 ,granum or gran4 ,a gra9 or gra9s4 ,gtt4 or gut4 ,gutta or gutt4 ,a drop or drops4 ,hau/4 ,hau/us4 ,a draught4 ,ind4 ,indico4 ,daily4 ,infus4 ,infusum4 ,an infusion4 ,inject4 ,injectio4 ,an injection4 ,m94 or ,m4 ,m9im4 #a-fj ( a fluid dra*m ,m4 ,misce4 ,mix ,mass4 ,massa4 ,a mass ,mi/4 ,mi/ura4 ,a mixture4 ,pil4 ,pilula or pilul ,a pill or pills4 ppt4 ,prep>ata4 ,prep>$4 ,pulv4 ,pulvis4 ,a p[d]4 ,p4,r4,n4 ,pro re nata4 ,z occasion requires4 q4 s4 ,quantum sufficit4 ,a suffici5t quantity4 ,recipe4 ,take4 ,rad4 ,radix4 ,a root4 ,s4 or ,sig4 ,signatur4 ,write4 ss4 ,semisis4 ,a half4 ,t9ct4 ,t9ctura4 ,a t9cture4 #b dis4 ,duo dis4 ,e two h\rs4 f4 or fl4 ,fluid uncia or unci4 ,fluid oz4 or ounces4 ,! succe$+ *apt] is compos$ ( =mul giv+ num]\s examples ( ! diff]5t =ms 9 :i* prescriptions are writt54 ,good ta/e requires t all directions %\ld be 9 ! ,engli% language1 & t hi]oglyphics & absurd abbreviations %\ld be disc>d$ z mu* z possible4 ,v _m physicians write ! directions 9 lat91 & ! druggi/ is expect$ to write ! same 9 ,engli% & atta* a label ?us writt5 to ! bottle conta9+ ! m$ic9e4 ,i h giv5 "s examples ( ! old-=m prescriptions writt5 entirely 9 lat91 & also "s :]e ! new notation 7figures1 c47 is us$4 ,:oev] reads !m ov] w le>n h[ to read prescriptions2 b ,i h giv5 none b su* z ,i value highly1 & ,i h us$ almo/ e "o 9 my practice1 & te/$ its excell5ce4 ,i advise p to obta9 ^! r ?an ^? pat5t m$ic9es ^: composition is secret4 ,! p]son :o desires "o ( ^! prescrib$ m$ic9es c obta9 x by copy+ ! =mula accurately & tak+ x to a druggi/4 ,i adopt ! usual ,,classification ,,( ,,rem$ies4 ,,antacids neutralize acids exi/+ 9 ! alim5t>y canal1 or circulat+ ) ! blood2 ,,antiseptics c\nt]act putrefaction2 ,,antispasmodics relax spasm & calm n]v\s irritation2 ,,a/r+5ts cause vital contraction ( ! organic textures2 ,,an!lm9tics de/roy worms1 or expel !m f ! b[els2 ,,ca?>tics act on ! b[els1 produc+ a purgative effect2 ,,cau/ics de/roy ! life ( ! "p ^u :i* !y act2 ,,diaphoretics increase ! cutane\s dis*>ge2 ,,diuretics produce an increas$ fl[ ( ur9e2 ,,emetics produce vomit+2 ,,expectorants augm5t ! secretion f ! pulmon>y muc\s membrane2 ,,enemata cause evacuations f ! rectum1 c42 ,,emm5agogues excite ! m5/rual secretion2 ,,n>cotics affect ! c]ebral functions2 ,,tonics exalt ! en]gies ( ! :ole sy/em4 ,i %all give examples ( rem$ies :i* are design$ to produce ^! sev]al effects1 besides "s belong+ to o!r classes4 ,:]e ! ^w teaspoon is us$ x signifies "o hold+ ab\t #ee drops ( wat] j4 7"o dra*m72 #a table spoon ab\t half an ounce1 & ?is is writt5 ss2 "o w9eglass equals two ounces1 writt5 ij2 "o teacup equals f\r ounces1 writt5 jv42 "o c(fee cup equals eight ounces1 & is writt5 viij4 ,! gramme ( ! ,,fr5* ,,metric ,,sy/em equals ab\t #ae gra9s1 & ?is is ! unit ( weights4 ,! sy/em is ( ! decimal "* & ! lat9 prefixes deci1 c5ti1 milli1 c41 are us$ to indicate its subdivisions1 & ! ,greek deca1 hecto1 kilo1 myria1 c41 are its multiples1 always on ! scale ( t54 4#jja gramme #a milligramme4 4#ja gramme #a c5tigramme4 4#a gramme #a decigramme4 #a gramme #aj gramme #a decagramme4 #ajj gramme #a hectogramme4 #ajjj gramme #a kilogramme4 ,physicians1 _m ( !m1 pref] to employ lat9 names to designate ! +r$i5ts ( _! prescriptions1 & to write ! directions to ! druggi/ 9 lat94 ,i w fir/ give a few lat9 prescriptions ) ! translation4 ,,*apt] ,,vi4 ,,m$ical ,,=mul>y4 ,=mula #fa4 ,,fiat ,,hau/us4 7,let a draught be made47 ,magnesi sulphatis dra*mas duas4 ,infusi s5n fluidunciam4 ,syrupi rhei fluidra*mam4 ,misce et fiat hau/us1 9 jusculo calido1 "ptis vicibus sum5dus4 ,! above prescription translat$ into ,engli% w\ld read3 ,take ( sulphate ( magnesia two dra*ms4 ,infusion ( s5na "o fluid ounce4 ,syrup ( rhub>b "o fluid dra*m4 ,mix & let a draught be made to be tak5 9 divid$ doses 9 w>m bro?4 ,! foll[+ is a conv5i5t =m & "o n liable to mi/akes3 ,magnesi sulph4 ij4 ,syr4 rhei f j4 ,infus4 s5n4 f j4 ,m41 et fiat hau/us4 ,s4 ,to be tak5 9 divid$ doses 9 w>m bro?4 #fb4 ,,= ,,colic4 ,magnes4 alb4 u/ j4 ,t9ct4 ftid gtt4 lx4 ,t9ct4 !b gtt4 xx4 ,aq4 font j4 ,translation4 ,take ,calc9$ magnesia #bj gra9s4 ,t9cture ( assaftida #fj drops4 ,laudanum #bj drops4 ,wat] #a ounce4 ,mix4 ,s4 ,dose4 #bj drops = a *ild1 9 sweet5$ wat]4 #fc4 ,,= ,,*ol]a ,,infantum ,,& ,,dys5t]y4 ,sal t>t4 vel c>b4 sod gr4 xxx4 ,gum ,arabic4 ,sac*4 ,alb aa4 j4 ,t9ct4 !b gtt x4 ,aq4 ,font iij4 ,translation4 ,take salt ( t>t> or soda #bj gra9s4 ,gum ,arabic & loaf sug> ea* #a dra*m4 ,t9cture ( opium 7laudanum7 #aj drops4 ,wat] #c ounces4 ,to ! above a drop ( oil ( c9namon may be add$ & x may be giv5 9 doses ( "o teaspoonful 9 lime wat] & milk1 :5 *ol]a morbus is foll[$ by di>rha & dys5t]y4 #fd4 ,,= ,,cr\p1 ,c4 ,tr4 phytolac dec gtt4 vj4 ,tr4 aconit gtt4 iij4 ,aqua4 iv4 ,m4 ,translation4 ,take ,t9ct4 ( poke root #f drops4 ,t9ct4 ( aconite #c drops4 ,wat] #d ounces4 ,mix4 ,dose a teaspoonful e five or ?irty m9utes1 z is necess>y4 ,= a case ( mamm>y abscess x may be giv5 int]nally1 & also rubb$ ^u ! brea/ 9 ! =m+ /age4 #fe4 ,,= ,,*ronic ,,enl>gem5t ,,( ,,! ,,sple54 ,errata4 ,on page #dd1 = #ab1 #ah1 #bc1 #eb1 #ed1 #eg1 #fa1 #fb1 #fe1 read #aj1 #af1 #ah1 #ai1 #bj1 #bc1 #be1 #bh4 ,on page #dc1 la/ l9e1 = #fe read #eh4 ,t9ct4 c9*4 comp4 viij4 ,aq4 m5?4 pip4 xij4 ,ammon4 murias j4 ,m4 ,translation4 ,take ( ,comp\nd t9cture ( ,p]uvian b>k #h ounces4 ,pepp]m9t wat] #ab ounces4 ,muriate ( ammonia #a ounce4 ,mix ,s4 ,dose "o teaspoonful ?ree times a day1 "o h\r be=e meals4 #ff4 ,,*ronic ,,rheumatism4 ,pulv]is guaiaci res91 ,potass nicratas aa4 j4 ,pulv]is ipecacuanh gr4 iij4 ,opii gr4 ij4 ,fiat pulvis 9 *>letas sex divid5dus4 ,translation4 ,pulv]iz$ gum guiac1 ,nitrate ( pota% ( ea* #a dra*m4 ,p[d]$ ipecac #c gra9s4 ,opium #b gra9s4 ,mix4 ,divide into six p[d]s4 ,s4 ,"o p[d] to be tak5 e ?ree h\rs 9 syrup or molasses4 #fg4 ,,= ,,sciatica ,,& ,,= ,,! ,,kidneys4 ,ol4 cubeba1 ,ol4 copaiba aa4 f4 jv4 ,ol4 t5eb9?4 f4 ij4 ,spts4 nit4 ?4 f4 vj4 ,mucilagio acacia f4 ij4 ,m4 ,translation4 ,take oil ( cubebs1 ,oil ( copaiva ( ea* f\r fluidra*ms4 ,oil ( turp5t9e two fluidra*ms4 ,spirits ( nitric e!r six fluidra*ms4 ,mucilage ( gum ,arabic two fluid ounces4 ,mix4 ,m>k4 ,"o teaspoonful ?ree times a day4 #fh4 ,,= ,,ga/ric ,,ulc]4 ,morph9e sulphatis gr4 j4 ,bismu? subnitratis ss4 ,m4 ,s4 ,ft4 ,*>t4 ,no4 vj4 ,translation4 ,take morph9e #a gra94 ,sub nitrate ( bismu? dra*m4 ,mix4 ,make six p[d]s4 ,m>k4 ,"o p[d] to be tak5 e f\r h\rs4 ,,antacids4 #fi4 ,,c>bonate ,,( ,,magnesia4 ,magnesia c>bonatis grs4 #hj4 ,extracti opii liquidi m94 #cj4 ,spiritus e!ris fl4 drs4 #c4 ,aqua m5?a viridis ad fl4 oz4 #f4 ,mix4 ,"o f\r? "p occasionally4 ,useful :]e !re is mu* oppression f flatul5cy4 #gj4 ,,*alk ,,mixture ,,& ,,hops4 ,t9cture lupuli vj4 ,t9ct4 c>damomi compositae fl4 jv4 ,v9i ipecacuanh fl4 ij4 ,extractii opii liquidi m94 xxx4 ,mi/ura creta ad4 fl4 vj4 ,m4 ,translation4 ,take t9cture ( hops #f dra*ms4 ,comp\nd t9ct ( c>damom #d fluidra*ms4 ,w9e ( ipecac #b fluidra*ms4 ,liquid extract ( opium #be m9ims4 ,*alk mixture 7add to x7 #f fluid ounces4 ,mix4 ,m>k4 ,"o teaspoonful e ?ree or f\r h\rs4 ,useful 9 di>rha due to acidity 9 ! /oma*4 #ga4 ,,= ,,he>tburn4 ,liquor magnes4 c>b4 ss4 ,sp4 lav4 comp4 ij4 ,m4 ,ft4 hau/4 ,translation4 ,take liquor ( c>bonate ( magnesia ounce4 ,comp\nd spirits ( lav5d] #b dra*m4 ,make a draught4 ,take imm$iately & repeat if necess>y4 #gb4 ,,= ,,acidity ,,( ,,! ,,/oma*4 ,peps9 #e gra9s4 ,sub nitrate bismu? #e gra9s4 ,glyc]9e ounce4 ,m4 ,sig4 ,aft] ea* meal4 #gc4 ,,= ,,infantile ,,colic4 ,magnesia c>b4 ij4 ,t9ct assaftida m94 xx4 ,aqua4 ij4 ,m4 ,sig4 ,?irty drops & repeat e half h\r until reliev$4 #gd4 ,,= ,,disord]$ ,,/oma*4 ,aqua ammonia ij4 ,ess5ce c9namon ,t9ct4 g+] aa4 ss4 ,t9ct4 pim5to j4 ,alcohol ij4 ,wat] viij4 ,mix4 ,( ?is "o teaspoonful may be put 9 a glass ( wat]1 ( :i* ! pati5t may take a teaspoonful e h\r4 #ge4 ,,nausea ,,& ,,vomit+4 ,no4 #a4 ,bic>b4 potass4 grs4 xxx4 ,wat] f4 ij4 ,bromide potass4 grs4 xxx4 ,m4 ,no4 #b4 ,citric acid4 j4 ,wat] jv4 ,syrup f4 x4 ,m4 ,add a table spoonful ( ,no4 #b to a teaspoonful ( ,no4 #a & dr9k imm$iately4 #gf4 ,a ,,p[d] ,,= ,,he>tburn4 ,magnesia calc9at ss4 ,bic>bonate sod ,pulv]is z9zib]is aa4 j4 ,m4 ,sig4 ,a small teaspoonful occasionally4 #gg4 ,,*alk ,,mixture4 ,prep>$ *alk jss4 to ij4 ,:ite sug> ,pulv4 gum ,arabic aa4 q4 s4 ,pepp]m9t wat] vj4 ,m4 ,sig4 ,a table spoonful = a dose e two h\rs4 ,:5 adm9i/]$ = di>rha1 a/r+5ts & laudanum may be add$4 #gh4 ,,*ol]a ,,mixture4 ,*alk mixture j4 ,spirits *lor(orm xx4 ,t9ct4 opium m94 jv4 ,m4 ,to be tak5 e f\r h\rs4 #gi4 ,,neutraliz+ ,,cordial4 ,bic>bonate ( pota% ,pulv4 rhei aa4 ij4 ,mix & add ( ,boil+ wat] f4 viij4 ,let x /& = two h\rs1 filt] & add ,br&y f4 j4 ,ess5ce pepp]m9t f4 j4 ,add :ite sug> to an agreeable sweetness4 ,highly useful 9 di>rha1 dys5t]y1 summ] compla9t1 c41 especially ( *ildr54 #hj4 ,,= ,,di>rh,a ,,& ,,dys5t]y4 ,oil c9namon ,oil cloves ,extract g+] aa4 ss4 ,morph9e grs4 ij4 ,rhub>b grs4 xx4 ,aqua ammonia ij4 ,spirits camphor ij4 ,alcohol viij4 ,wat] iv4 ,m4 ,s4 ,dose1 teaspoonful e two h\rs1 9 wat]4 #ha4 ,,soda ,,m9t ,,= ,,nausea1 ,c4 ,sod bic>bonas j4 ,aqua ,m5?4 pip4 xvj4 ,spirits ammon4 arom4 ss4 ,m4 ,dose4 #a table spoonful4 #hb4 ,,= ,,flatul5t ,,dyspepsia4 ,salacylate ( bismu? #b p>ts4 ,calc9$ magnesia #c p>ts4 ,oil ( anise #a "p4 ,m4 ,( ?is p[d] a small teaspoonful may be tak5 be=e a meal4 ,,antiseptics4 #hc4 ,,lav5d] ,,& ,,camphor4 ,spirits ( camphor m94 xx4 ,spirits ( lav5d] f4 j4 ,gum trugacan? mucilage f4 vij4 ,make a draught4 ,to be tak5 e six or eight h\rs by a n]v\s att5dant 9 a sick room4 #hd4 ,,solution ,,( ,,*lor9at$ ,,soda4 ,liquoris *lor9at j4 ,t9ct4 opii m94 xv4 ,camphon aqu f4 xij4 ,m4 ,a table spoonful ?ree times a day relieves ! fetor1 & is o!rwise useful 9 l[ cases ( fev]1 gangr5e ( ! lungs1 c4 ,,antispasmodics4 #he4 ,,ammonia ,,mixture4 ,aromatic spirits ( ammonia fl4 j4 ,dilute hydrocyanic acid m94 ij4 ,syrup g+] m94 f4 j4 ,c>away wat] fl4 vj4 ,make a draught4 ,to be tak5 twice or ?ree times a day if !re be flatul5ce or languor4 ,9 dyspepsia1 debility1 irritable /oma*1 c4 #hf4 ,,= ,,a/hma4 ,t9ct4 lobelia j4 ,ammon4 iodide1 ,ammon4 bromide aa4 ij4 ,syrup tolu4 iij4 ,m4 ,sig4 ,a table spoonful e "o1 two1 ?ree1 or f\r h\rs4 #hg4 ,,= ,,:oop+ ,,c\gh4 ,alum9is ijss4 ,syrup z9zib4 j4 ,syrup acaci j4 ,aqua j4 ,m4 ,sig4 ,"o teaspoonful ?ree times a day4 #hh4 ,,= ,,a/hma4 ,ext4 ,jamaica dogwood fl4 ij4 ,syrup ipecac fl4 j4 ,syrup aurant4 cortex ss4 ,m4 ,sig4 ,a teaspoonful e h\r until ! p>oxysm %\ld cease4 ,aft]w>ds e f\r h\rs = ! day4 #hi4 ,,asiatic ,,mixture ,,= ,,*ol]a4 ,gum opii1 ,gum camph4 aa4 j4 ,ol4 c>yoph4 f4 j4 ,capsicum 7cay5ne7 j4 ,sp4 ? sulph4 ,co4 ,oij4 ,dige/ #ae days4 ,dose = an adult1 #bj to #fj drops e #b1 #c1 or #d h\rs4 #ij4 ,,= ,,dysm5orrh,a4 ,t9ct4 gelsemium1 ,t9ct4 camphor1 ,t9ct4 opii deodoriz$ aa4 ij4 ,m4 ,s4 ,dose #bj drops e two h\rs until reliev$4 ,useful 9 dys5t]y aft] ! op]ation ( ,epsom salts4 #ia4 ,,h(fman',s ,,anodyne ,,& ,,laudanum4 ,liquoris anodyne ,h(fman's iij4 ,t9ctur !biac gtt4 lxxx4 ,aqua c9namomi vj4 ,fiat ,mi/ura4 ,signa1 ,a teaspoonful e h\r 9 hy/]ia1 c4 ,may sometimes be tak5 9 a dose ( a table spoonful4 #ib4 ,,= ,,aft] ,,pa9s4 ,morphia sulphas gr4 j4 ,pulv4 camphor1 ,creta prep>ata1 ,pulv4 glyc]hiza aa4 j4 ,m4 ,giv5 9 #aj gra9 doses & repeat$1 :5 requir$1 e #d h\rs4 ,,a/r+5ts4 #ic4 ,,= ,,dys5t]y4 ,acidi tanici gr4 xxx4 ,t9ct4 camphor comp f4 j4 ,aqua c9namomi ad4 f4 viij4 ,m4 ,label4 ,"o six? "p ?ree times a day1 ab\t an h\r be=e ea* meal4 #id4 ,,c9namon ,,mixture4 ,t9ct4 c9namon f4 ij4 ,c9namon wat] f4 j4 ,m4 ,make a draught to be tak5 ?rice daily4 ,9 m5orrhagia especially1 b also 9 o!r v>ieties ( passive hemorrhage4 #ie4 ,,*lor(orm1 ,,opium1 ,,& ,,ca/or ,,oil4 ,*lor(orm m94 x4 ,t9ct4 camph4 comp4 f4 ij4 ,ca/or oil f4 iij4 ,make a draught to be tak5 imm$iately4 ,9 *ol]aic di>rha4 #if4 ,,= ,,hemorrhage ,,( ,,! ,,ure?ra1 ,c4 ,t9ct4 ergot1 ,oil ( turp5t9e aa4 f4 ij4 ,t9ct4 *loride ( iron1 ,laudanum aa4 f4 j4 ,gum ,arabic mucilage f4 viij4 ,m4 ,sig4 ,take "o table spoonful h\rly4 #ig4 ,,9 ,,hemoptysis 7,,ble$+ ,,f ,,! ,,lungs47 ,fld4 ext4 ergot1 ,p>egoric1 ,syrup tolu equal p>ts4 ,m4 ,s4 ,half a table spoonful e h\r if necess>y4 #ih4 ,,= ,,ph?isis ,,:5 ,,night ,,sweats ,,& ,,c\gh ,,are ,,bad4 ,acidi sulphurici diluti gtt4 x4 ,t9ctur opii deodorat gtt4 x4 ,syrupi hypophosphatis f4 j4 ,extracti ,pruni ,virg9iani fluidi f4 ij4 ,m4 ,= a dose t]4 die4 ,x w be m conv5i5t to h ! above put up accord+ to ! foll[+ =m3 ,elixir vitriol iij4 ,deodoriz$ laudanum jss4 ,syrup hypophosphitis f4 xv4 ,fld4 ext4 wild *]ry f4 xxx4 ,m4 ,sig4 ,take ne>ly a table spoonful ?ree times a day4 7,= an adult47 #ii4 ,,= ,,infantile ,,di>rh,a4 ,sub4 nitrate bismu? ij4 ,laudanum m94 ij4 ,gum ,arabic mucilage jv4 ,mix4 ,s4 ,a teaspoonful e two h\rs4 #ajj4 ,,= ,,*ol]a ,,morbus4 ,spirits am4 arom4 j4 ,spirits lav4 co4 j4 ,t9ct4 opii camph4 ss4 ,mix4 ,s4 ,a teaspoonful 9 wat] e two h\rs or (t5]1 until reliev$4 ,9 *ol]a morbus1 colic1 dys5t]y1 c4 #aja4 ,,= ,,*ol]a ,,infantum4 ,bismu?i sub c>bonatis gr4 xvj4 ,pulv4 ipecacuanha comp4 gr4 j4 ,pulv4 sac*>i albi grs4 xij4 ,mix4 ,= viij4 p[d]s4 ,"o to be tak5 e ?ree h\rs 9 ! "m's or c['s milk4 #ajb4 ,,= ,,*ronic ,,dys5t]y4 ,sod bic>bonas ss4 ,z9ci oxide ij4 ,m4 ,sig4 #f gra9s e six h\rs4 #ajc4 ,,= ,,prolapsis ,,ut]i4 ,fld4 ext4 nux vomica f4 j4 ,fld4 ext4 blue coha% f4 ss4 ,fld4 ext4 ergot ij4 ,simple syrup ij4 ,*lor(orm m94 x4 ,m4 ,s4 ,"o-half a teaspoonful ?ree times a day4 #ajd4 ,,a/r+5t ,,p[d]4 ,sub4 nitrate ( bismu? grs4 xij4 ,pulv4 g]anium root grs4 jx4 ,dov] p[d] gr4 j4 ,m4 ,divide into six p[d]s4 ,give "o p[d] e six h\rs4 ,,ca?>tics4 #aje4 ,,! ,,:ite ,,mixture ,,= ,,rheumatism4 ,epsom salts jss4 ,c>bonate magnesia ij4 ,pepp]m9t wat] f4 viij4 ,w9e ( col*icum f4 ij4 ,m4 ,"o-six? "p e>ly e morn+4 #ajf4 ,,= ,,dys5t]y4 ,syrup ( rhub>b f4 ij4 ,syrup ( g+] f4 iij4 ,t9cture ( opium f4 j4 ,oil ( cloves gtt4 xxx4 ,m4 ,s4 ,"o teaspoonful e two or ?ree h\rs4 #ajg4 ,,= ,,vomit+ ,,( ,,pregnancy4 ,rad4 columbo 7columbo root71 ,rad4 g+] 7g+] root71 aa4 ss4 ,fol4 s5na 7s5na leaves7 j4 ,boil+ wat] ,oj4 ,sig4 ,w9eglassful be=e meals4 #ajh4 ,,comp\nd ,,licorice ,,p[d]4 ,p[d]$ s5na leaves1 ,p[d]$ licorice root aa4 vj4 ,p[d]$ f5nel se$1 ,p[d]$ sulphur aa4 iij4 ,p[d]$ sug> xvj4 ,m4 ,dose "o teaspoonful z a mild laxative4 #aji4 ,,z ,a ,,laxative ,,= ,,antip>tem ,,adm9i/ration4 ,s5na leaves iij4 ,sulphate ( magnesia xx4 ,bruis$ g+] x4 ,boil+ wat] cong4 j4 ,let ! mixture /& ov] night2 filt]4 ,dose1 two or ?ree ounces4 #aaj4 ,,= ,,piles4 ,magnesia sulp41 ,magnesia c>b41 ,sup4 t>t4 potass41 ,sulphur sublim4 aa4 j4 ,mix ?or\ghly4 ,sig4 ,"o1 two1 or ?ree teaspoonfuls ( ! p[d] be=e eat+ 9 ! morn+4 #aaa4 ,,= ,,dys5t]y4 ,mucilag9is tragacan? fl4 ij4 ,aqua c9namomi fl4 iij4 ,olei ric9i fl4 xij4 ,t9ct4 rhei1 ,syrup aurantii aa4 fl4 vj4 ,t9ct4 opii m94 xxx4 ,mix4 ,s4 ,"o-eigh? "p = an adult e ?ree h\rs4 ,9 dys5t]y :]e !re are scybala 9 ! rectum4 ,also :]e an ap]i5t ) a s$ative is ne$$4 ,,an!lm9tics4 #aab4 ,,to ,,expel ,,! ,,r\nd ,,worms4 ,santon9 gr4 #c4 ,sac*>i lactis gr4 #aj4 ,make a p[d] to be tak5 e>ly 9 ! morn+ 9 a table spoonful ( milk or cream4 ,its exhibition %\ld be foll[$ at ! end ( six h\rs by mild physic4 #aac4 ,,= ,,tape ,,worms4 ,oil ( turp5t9e #d dra*ms4 ,gruel 7n too ?ick7 #c ounces4 ,mix well4 ,ab/a9 f supp]2 take a mixture on wak+ 9 ! morn+1 & lie d[n until x op]ates4 #aad4 ,,= ,,worms4 ,santon9 #af grs4 ,flu4 ext4 spigelia #af drops4 ,simple syrup #b ounces4 ,mix4 ,sig4 ,teaspoonful morn+ & night4 ,,cau/ics ,,& ,,rubefaci5ts4 #aae4 ,,*romic ,,acid4 ,acidi *romici grs4 #fj4 ,aqua fl4 drs4 #d4 ,m4 ,apply directly to w>ts1 c41 to de/roy !m4 #aaf4 ,,iod9e ,,pa9t4 ,iod9i grs4 xl4 ,potassai iodidi ss4 ,spirits v9i rectificati f4 j4 ,m4 ,to be appli$ ) a camel's hair bru%4 #aag4 ,,burnt ,,alum4 ,! alum5 u/em is made by depriv+ ! alum ( its wat] ( *ry/alization by heat4 ,x is appli$ 9 p[d] to fung\s granulations ( ulc]s1 & mix$ ) sug> is us$ to remove nebul\s spots on ! cornea4 #aah4 ,,= ,,prickly ,,heat4 ,sulphate ( copp] grs4 xx4 ,wat] ij4 ,m4 ,apply daily by means ( a camel's hair bru% or a sponge4 ,x is appli$ aft] a morn+ ba?1 aft] ! sk9 has be5 well rubb$ ) a t[el1 & x mu/ be all[$ to dry on ! sk9 be=e dress+4 ,,diaphoretics4 #aai4 ,a ,,pleasant ,,diaphoretic ,,9 ,,fev]s4 ,citratis potas prep>at ij4 ,aqua di/ilat jv4 to vi4 ,olei limonis gtt4 ij4 ,sac*>i alba j4 ,misce4 ,s4 ,a table spoonful to be tak5 e two h\rs4 ,spirits ( nitre may be add$4 #abj4 ,,infusion ,,( ,,boneset4 ,eupatorii p]foliati j4 ,aqua buli5tis ,oj4 ,infuse = ?irty m9utes 9 a cov]$ vessel2 !n decant & take a w9eglassful e h\r till !re is free p]spiration4 ,! infusion mu/ be tak5 hot z x c be drunk1 o!rwise x may produce vomit+4 #aba4 ,,decoction ,,( ,,b>ley ,,wat] ,,) ,,nitre4 ,decocti h>dei ,oj4 ,nitratis potass ij4 ,succi limonis j4 to ij4 ,fiat potus4 ,translation4 ,take b>ley wat] "o p9t4 ,salt petre two dra*ms4 ,lemon juice "o ounce to two ounces4 ,make a dr9k to be drank w>m by ! pati5t4 #abb4 ,,modifi$ ,,diaphoretic4 ,errata4 ,on page #agb = 7,f4 #abb7 read 7,f4 #ajh47 ,opii pulv j4 ,ipecac pulv ss4 ,camphor pulv ij4 ,sac*>um iv4 ,mix ?or\ghly4 ,?is & ! foll[+ prescriptions 9 doses ( f two to eight gra9s may be us$ z a #abc4 ,,sub/itute ,,= ,,dov] ,,p[d]s4 ,morph4 sulph4 j4 ,camphor1 ,oreta prep41 ,sac*>um aa4 xx4 #abd4 ,,diaphoretic ,,& ,,expectorant4 ,potass citrat4 j4 ,suc4 limonis f4 jss4 ,syr4 ipecac4 f4 ss4 ,tr4 opii camph4 f4 iij4 ,syrupi q4 s4 ad4 f4 iij4 ,m4 ,s4 ,dess]t spoonful e two h\rs4 ,= colds & c\ghs4 ,,diuretics4 #abe4 ,,nitre1 ,,junip]1 ,,& ,,e!r4 ,potassa nitratis grs4 #fj4 ,spiritus junip] f4 dr4 #a4 ,spiritus !ris nitrici f4 dr4 #c4 ,decocti *imaphil ad4 f4 oz4 #h4 ,mix4 ,"o-six? "p e six h\rs4 #abf4 ,,diuretic ,,& ,,laxative4 ,potass t>tratis iij4 ,infus4 bu*u f4 viij4 ,mix4 ,s4 ,"o-six? "p ?ree times a day4 #abg4 ,,= ,,cy/its--,,irritable ,,condition ,,( ,,! ,,bladd]4 ,acidi b5zoici1 ,sodii biboratis aa4 gr4 x4 ,inf4 bu*u ij4 ,m4 ,sig4 ,?is am\nt ?ree times a day4 #abh4 ,,infusion ,,( ,,uva ,,ursi4 ,uva ursi foliorum j4 ,aqua buli5tis ,oj4 ,p\r ! wat] boil+ hot on ! leaves & let !m mac]ate = sev]al h\rs4 ,to be tak5 cold1 f half a p9t to a p9t daily4 ,*iefly us$ = irritable bladd] & /rangury4 #abi4 ,,= ,,subacute ,,& ,,*ronic ,,rheumatism4 ,potass iod4 ij4 ,v94 calc4 rad4 f4 ij4 ,t9ct4 guiac ammon4 f4 iij4 ,fld4 ext4 belladonna m94 xx4 ,aqua c9namon iij4 ,m4 ,a teaspoonful 9 wat] ?ree times a day4 #acj4 ,,= ,,muscul> ,,rheumatism4 ,potasii iodide j4 ,v9i col*ici rad4 f4 ij4 ,morphia sulphatis gr4 iij4 ,syrupi f4 j4 ,aqu f4 iij4 ,m4 ,s4 ,a teaspoonful ?ree times a day4 #aca4 ,,= ,,dropsy4 ,fld4 ext4 apocynum ,canab9um ij4 ,spts4 lav4 comp4 ss4 ,syrup simplex iij ss4 ,m4 ,s4 ,a teaspoonful e ?ree or f\r h\rs4 #acb4 ,,= ,,ure?raitis4 ,t9ct4 gelsemii ss4 ,potassii bromidi ijss4 ,potass4 bic>b4 ss4 ,aqua iv4 ,m4 ,s4 ,dess]t spoonful 9 wat] ?ree times a day4 ,,emetics4 #acc4 ,,p[d] ,,( ,,ipecac4 ,pulvis ipecacuanha ij4 ,divide into two doses4 ,signa4 ,"o to be tak5 9 a little sweet5$ wat] or w>m wat]4 ,if "o p[d] does n produce ! desir$ effect )9 ?irty or =ty m9utes1 ! second to be tak5 9 l mann]4 ,x may be foll[$ by a draught ( tepid wat] aft] vomit+ comm5ces4 #acd4 ,,p[d] ,,( ,,sulphate ,,( ,,z9c4 ,sulphate ( z9c #aj grs4 to ss4 ,signa4 ,to be tak5 9 syrup1 & foll[$ by a draught ( w>m wat]4 #ace4 ,,emetic ,,= ,a ,,*ild4 ,v "y *ildr5 9 "s in/ances suff] f indige/ion4 ,if delicate give five gra9s ipecacuanha1 & aft] t sick5s ! *ild give a dose ( ca/or oil to remove ! (f5d+ matt] f ! /oma*4 #acf4 ,,emetic ,,us$ ,,9 ,,capill>y ,,bron*itis ,,( ,,*ildr54 ,z9*i sulphatis gr4 iij4 ,pulv]is ipecacuauha gr4 ij4 ,m4 ,= "o dose2 to be repeat$ e t5 m9utes until emesis is produc$4 ,,expectorants4 #acg4 ,,s$ative ,,c\gh ,,mixture4 ,v9um ipecacacuanha fl4 dr4 #a4 ,spiritus e!ris nitrosa fl4 dr4 #f4 ,infusi s5ega ad4 fl4 oz4 #h4 ,mix4 ,"o-six? "p e six h\rs4 ,9 *ronic bron*itis :5 an expectorant & s$ative is desir$4 #ach4 ,,infusion ,,( ,,flaxse$1 ,c4 ,sem9um l9i j4 ,radicis glyc]hiza ss4 ,aqua buli5tis ,oij4 ,mac]ate = two or ?ree h\rs ne> ! fire 9 a cov]$ vessel1 /ra91 & add lemon juice suffici5t to make x agreeable4 ,?is may be giv5 z a common dr9k 9 cat>rh4 #aci4 ,,c\gh ,,syrup4 ,errata4 ,on page #abc1 = #aci1 #adj1 read #ha1 #ajg4 ,morph9e grs4 viij4 ,fld4 ext4 ipecac4 f4 jss4 ,t9ct4 bloodroot f4 j4 ,wat] vj4 ,simple syrup f4 xxv4 ,*lorate pota% ss4 ,muriate ( ammonia j4 ,m4 ,s4 ,dose = an adult1 a teaspoonful ?ree times a day & aft] ea* fit ( c\gh+4 #adj4 ,,t> ,,wat]4 ,picis liquida ,oij4 ,aqua ,cong4 j4 ,m4 ,/ir !m toge!r ) a wood5 rod = t5 m9utes1 !n let ! t> subside4 ,/ra9 ! wat] & keep 9 well cork$ bottles4 ,a p9t may be tak5 daily4 #ada4 ,,= ,,:oop+ ,,c\gh4 ,ammon4 bromide j4 ,t9ct4 /rammonii1 sem4 gtt4 xx4 ,syrup simplex ij4 ,aqua ij4 ,m4 ,sig4 ,a teaspoonful ?ree times a day = a *ild4 #adb4 ,,= ,,pneumonia4 ,syrup s5ega ss4 ,spirits nitre1 ,t9ct4 digitalis aa1 f4 ij4 ,morph9e gr4 ij4 ,simple syrup f4 ij4 ,m4 ,sig4 ,dose1 a half teaspoonful e ?ree h\rs or (t5]4 #adc4 ,,pneumonia4 ,t9ct4 aconite gtt4 xxx4 ,fld4 ext4 jabor&i1 ,spirits nitre dulcis aa4 ij4 ,aqua jv4 ,m4 ,sig4 ,a teaspoonful e f\r h\rs = an adult4 #add4 ,,= ,,c\gh4 ,syrup wild *]ry iij ,t9ct4 sangu9>ia j4 ,morph9e grs4 ij4 ,*lorate pota% grs4 xv4 ,muriate ( ammonia grs4 x4 ,aqua j4 ,m4 ,sig4 ,dose1 a teaspoonful e six h\rs1 & aft] ea* spell ( c\gh+4 ,,enemata ,,& ,,injections4 #ade4 ,,= ,,asc>ides4 ,sulphuric e!r #e to #bj drops4 ,wat] p9t to a p9t4 ,m4 ,inject into ! b[els4 #adf4 ,,injection ,,= ,,asc>ides ,,or ,,p9worms4 ,acid c>bolici j4 ,potassa *loratis ij4 ,aqua ,oj4 ,m4 ,w>m to #ih & inject into ! b[els4 #adg4 ,,injection ,,= ,,! ,,vag9a4 7,,?is ,,may ,,be ,,us$ ,,dilut$ ,,) ,,wat]47 ,tann9 j4 ,z9ci sulphatis ij4 ,aqua tepidi ,oj4 ,m4 ,inject ) a ,davidson or a f\nta9 syr+e4 #adh4 ,,enema ,,= ,,p9worms4 ,arg5ti nitratis 7nitrate silv]7 cry/4 #h grs4 ,aqua di/ilat #f oz4 = an enema4 ,repeat ?is ea* day = f\r or five days4 ,?is w /a9 clo?+4 #adi4 ,,enema ,,to ,,move ,,! ,,b[els4 ,ol4 ric9i 7ca/or oil7 f4 ij4 ,ol4 t]eb9?4 7spirits turp5t9e7 f4 i4 ,aqua f]v5t ,oij4 ,to be adm9i/]$ at once4 #aej4 ,,= ,,asc>ides ,,caus+ ,,vag9al ,,dis*>ge4 ,t9ct4 f]ri *loridi ss4 ,aqua calcis ,oj4 ,ft4 injectio4 ,inject "o-half into ! rectum at night & ! o!r half ! next morn+4 #aea4 ,,emm5agogue ,,enema4 ,aloes b>bad5sis gr4 x4 ,tepid milk f4 ,m4 ,to be inject$ twice a day :5 ! m5/rual fl[ is due1 = "o or two days4 #aeb4 ,,= ,,irritable ,,ut]us4 ,bromide pota% j4 ,wat] ,oj4 ,m4 ,use z a rectal injection4 ,:]e !re is pa9 9 ! "p1 "o dra*m ( ! t9cture ( opium hyoscyamus or conium may be us$ 9 ! same way4 #aec4 ,,vag9al ,,injections4 ,errata4 ,on page #he = 7,f4 #aec1 #aii7 read 7#afc1 #bad74 ,! vag9al injections mo/ us$ :5 dis9fection is ! special object1 & ! usual proportions are ! foll[+3 ,corrosive sublimate1 #a to #ajjj or #bjjj2 c>bolic acid1 #e or #aj to #ajjj2 ?ymal1 #a to #ajjj2 sulphite ( soda1 #e to #ajjj2 p]mang5ate ( pota%1 #e to #ajjj2 liquor sodii *lor9at 7,lab>aques solution71 #a to #b2 *lor9e wat]1 #a to #b2 salacylic acid1 #a to #ajjj hot wat]4 ,= m$ic9al a/r+5t vag9al injections1 give alum1 sulphate ( z9c1 or lead1 copp]1 & iron1 salts ( ! /r5g? ( "o or two p] c5t4 ,! p]mang5ate ( pota%1 silv] nitrate1 & iron solutions all make almo/ indelible /a9s on ! l954 ,if ! injections are corrosive1 a l>ge /raight glass syr+e %\ld be us$4 #aed4 ,,injection ,,= ,,leucorrh,a4 ,alum1 ,sulphate ( z9c1 ,borate ( soda1 ,pure c>bolic acid aa4 jss4 ,wat] ,oij4 ,m4 ,( ?is two table spoonfuls 9 a p9t ( wat]4 #aee4 ,,vag9al ,,injection4 ,z9ci sulphatiz1 ,alum9is exsiccata aa4 j4 ,acidi tannici ij4 ,mix4 ,label4 ,half a teaspoonful to be mix$ ) a p9t ( tepid or cold wat] to =m an injection4 #aef4 ,,injection ,,= ,,dys5t]y4 ,mucilage ( gum ,arabic or />* ij4 ,laudanum gtt4 xx4 ,m4 ,= an injection4 #aeg4 ,,injection ,,= ,,fetid ,,leucorrh,a4 ,*lorate ( pota% j4 ,laudanum f4 j4 ,t> wat] ,oij4 ,m4 ,s4 ,?ree table spoonfuls to be add$ to ! p9t ( w>m wat] z a vag9al injection4 ,,emm5agogues--,,ut]9e ,,!rapeutics4 #aeh4 ,,/imulant ,,emm5agogue4 ,potassa bromide j4 ,t9ct4 can?>ides f4 jss4 ,t9ct4 c9namomi f4 jv4 ,aqua q4 s4 ad4 f4 jss4 ,m4 ,s4 ,teaspoonful ?ree times a day = am5orrha & hy/]ia4 #aei4 ,,= ,,*lorosis4 ,t9ct4 f]ri p] *loridi f4 jss4 ,potassa *loratis jss4 ,t9ct4 actea racemosa f4 jv4 ,infusi s]p5t>ia ad4 f4 ,m4 ,sig4 ,"o-eigh? "p ?ree times a day4 #afj4 ,,rectal ,,supposit>y4 ,ext4 opii aq4 #c gra9s4 ,ext4 belladonna #a gra9s4 ,but]i cacao q4 s4 #a ounces4 ,m4 ft4 suppos4 ,no4 #ab4 ,s4 ,apply "o to relieve pa9 9 ! region ( ! ut]us or rectum4 #afa4 ,,= ,,pa9ful ,,m5/ruation4 ,f]ri c>bonate pulv4 iij4 ,ext4 conii mac4 ijss4 ,ol4 c9namon4 m94 xx4 ,syrup tolutani ij4 ,syrup simplici1 ,aqua aa4 vij4 ,m4 ,s4 ,dose1 a table spoonful f\r times a day4 ,to be giv5 = a week or t5 days be=e ! m5/rual p]iod4 #afb4 ,,fom5tation ,,= ,,pa9 ,,9 ,,! ,,bladd] ,,& ,,ut]us4 ,errata4 ,on page #ij = 7,f4 #afb7 read 7,f4 #afc47 ,flores *amomel #c ounces4 ,pulv4 sem5 l9i #c ounces4 ,h]b hyscyami1 ,h]b belladoni1 ,h]b /rammonii aa4 #a ounce4 ,m4 ,sig4 ,make fom5tations4 ,to be appli$ topically & cov]$ ) oil$ silk to reta9 heat & moi/ure4 #afc4 ,,vag9al ,,supposit>y4 ,z9ci oxide vel bismu? c>bonatis jss4 ,extracti belladonn ss4 ,olei !obroma j4 ,olei oliv ij4 ,m4 ,divide into eight pess>ies4 ,us$ 9 *ronic leucorrha1 vag9itis1 c4 ,,n>cotics ,,& ,,s$atives4 #afd4 ,,= ,,heada*e4 ,morphi sulphatis gr4 ss4 ,sodii bromidi gr4 xj4 ,m4 et fiant4 *>lutas ,no4 ij4 ,sig4 ,take "o p[d] dissolv$ 9 a w9eglass ( wat]1 to be repeat$ 9 an h\r if necess>y4 #afe4 ,,= ,,subacute ,,rheumatism4 ,v9um col*ici rad4 f4 j4 ,morphia sulph4 gr4 v4 ,magnesia sulph4 j4 ,potassa iod4 iv4 ,aqu f4 iij4 ,m4 ,sig4 ,half a teaspoonful 9 wat]4 #aff4 ,,epileptical ,,seizures ,,at ,,! ,,m5/rual ,,p]iod4 ,potassa bromide grs4 xx4 ,t9ct4 belladonna m94 ij4 ,syrup1 ,aqua q4 s4 ad4 ft4 jv4 ,m4 ,s4 ,"o dose ?ree times a day4 #afg4 ,,ov>ian ,,neuralgia4 ,ammon murias ij4 ,t9ct4 aconit4 j4 ,syrup aurant4 cort4 xij4 ,m4 ,s4 ,"o teaspoonful ?ree times a day4 #afh4 ,,soo?+ ,,n]v9e ,,& ,,tonic4 ,pot4 bromide ss4 ,f]ri pyrophos j4 ,elixir humuli1 ,aqu aa4 jv4 ,m4 ,sig4 ,table spoonful ?ree times a day4 #afi4 ,,= ,,heada*e4 ,ammonia murias iij4 ,morphia acetat4 gr4 j4 ,caffe9e citrat4 ss4 ,spts4 ammon4 aromat4 j4 ,elixir gu>ana1 ,aqua ros aa4 jv4 ,m4 ,sig4 ,dess]t spoonful e t5 or tw5ty m9utes4 #agj4 ,,too?a*e ,,drops4 ,*lor(orm #d p>ts4 ,ma/i* #h p>ts4 ,bals4 ,p]u #e p>ts4 ,m4 ft4 sol4 ,sig4 ,place two or ?ree drops 9 cavity ( too?4 #aga4 ,,= ,,functional ,,palpitation4 ,tr4 digitalis v4 ,tr4 v]atrum ij4 ,tr4 aconite j4 ,tr4 g+] ijss4 ,m4 ,s4 ,"o teaspoonful ?ree times a day4 #agb4 ,,/imulant ,,emm5agogues4 ,f]ri phosphatis ij4 ,manganesii phosphatis gr4 xxx4 ,t9ctur columb fl4 j4 ,syrupi z9zib]as fl4 ij4 ,m4 ,s4 ,"o teaspoonful 9 a w9eglassful ( wat] ?ree times a day4 #agc4 ,,= ,,neuralgia1 ,c4 ,t9ctur aconiti m94 xx4 ,spiritus !ris fl4 jv4 ,mi/ura guaiaci ad4 fl4 viij4 ,m4 ,s4 ,"o table spoonful e f\r h\rs4 #agd4 ,,= ,,n]v\s ,,depression ,,) ,,con/ipation4 ,spiritus ammoni aromatic fl4 iv4 ,extracti c9*on flav liquidi fl4 jss4 ,t9ct4 rhei fl4 jv4 ,infusi rhei ad4 fl4 viij4 ,m4 ,s4 ,two table spoonfuls ?ree times daily4 #age4 ,,acid ,,mixture4 ,acidi sulphurici aromatici fl4 ij4 ,syrup aurantii fl4 j4 ,t9cturi c9*on composit fl4 vj4 ,infusi c9*on flav fl4 viij4 ,m4 ,s4 ,"o table spoonful be=e ea* meal 9 depress+ disord]s2 if !re is hemorrhage1 give l>g] doses4 #agf4 ,,= ,,leucorrh,a4 ,wat]1 "o p9t2 sulphate ( magnesia 7epsom salts71 z mu* z ! wat] w dissolve2 sulphate ( iron1 "o dra*m4 ,mix & add aromatic sulphuric acid1 "o fluid dra*m4 ,dose1 a table spoonful or a suffici5t quantity to relax ! b[els4 #agg4 ,,= ,,erysipelas4 ,spiritus e!ris nitrici f4 ij4 ,t9ct4 ,f]ri *loridi ij4 ,qu9ia sulphatis grs4 xvj4 ,m4 ,s4 ,a teaspoonful e ?ree h\rs aft] ! action ( a ca?>tic4 #agh4 ,,aromatic ,,infusion ,,9 ,,dys5t]y4 ,errata4 ,on page #afd = 7,f4 #agh1 #agi7 read 7,f4 #aec1 #aed47 ,bruis$ calamus root iij4 ,cori&] se$ j4 ,black pepp] ss4 ,wat] ,oj4 ,boil to twelve ounces & cool4 ,s4 ,dose = an adult1 an ounce1 ?ree times daily2 = a *ild1 "o to ?ree teaspoonfuls4 ,sweet5 if pref]r$4 #agi4 ,,incont95ce ,,( ,,ur9e4 ,t9ct4 belladonna ss4 ,t9ct4 ignatia am>a ss4 ,t9ct4 can?>ides ss4 ,t9ct4 c9*onia comp4 jv4 ,m4 ,sig4 ,"o teaspoonful 9 wat] ?ree times a day4 #ahj4 ,,hop ,,bitt]s4 ,t9ct4 ( ,hops f4 ss4 ,t9ct4 ( bu*u f4 iij4 ,t9ct4 ( s5ega f4 iij4 ,podophyll91 dissolv$ 9 spts4 ( w9e ss4 gr4 j4 ,t9cture ( co*9ael gtt4 xx4 ,di/ill$ wat] ad4 xvj4 ,m4 ,?is is said to be ! same z ! no/rum :i* is sold = "o doll> 7co/+ only a few c5ts74 #aha4 ,,tonic ,,9 ,,neuralgia4 ,c9*onidia grs4 #e4 ,f]ri c>b4 grs4 #aj4 ,m4 ,"o to be tak5 e f\r h\rs1 & :5 ! pa9 is sev]e give a little opium or ,dov] p[d]4 #ahb4 ,,= ,,*ronic ,,*ills4 ,c9*onid vj4 ,acid sulph4 q4 s4 ad4 solv4 ,ol4 pip] nig] ss4 ,ol4 limonis j4 ,alcohol q4 s4 ad4 solv4 ,m4 ,e4 adde4 ,aqua q4 s4 ad4 ,oj4 ,syrup ,oj4 ,m4 ,sig4 ,"o table spoonful e f\r h\rs4 #ahc4 ,,= ,,/4 ,,vitus ,,dance4 7,,*orea47 ,z9ci sulphatis gr4 xxx4 ,ext4 val]ian 7fluid7 j4 ,syrup limonis fl4 iij4 ,m4 ,s4 ,a half teaspoonful ?ree times a day1 gradually increas+ ! dose4 #ahd4 ,,tonic ,,aft] ,,sev]e ,,hemorrhage4 ,t9ct4 f]ri *loridi1 ,t9ct4 nucis vomic aa4 f4 ij4 ,spiritus e!ris nitrosi f4 iij4 ,misce fiat mi/ura4 ,s4 ,take a teaspoonful 9 pl5ty ( wat] ?ree times a day4 ,,lotions1 ,,l9im5ts1 ,,collyria1 ,,o9tm5ts1 ,,salves1 ,c4 #ahe4 ,,= ,,scirrh\s ,,tumors4 ,ext4 eucalyptus #b dra*ms4 ,vasel9e #a ounce4 ,acid salacylic #d dra*ms4 ,ft4 ,ungu5t4 ,apply to tumor & we> x con/antly4 ,use also = indol5t ulc]ations :]e /imulation & purification is ne$$4 #ahf4 ,,to ,,remove ,,cloasma1 7,,br[ni% ,,discolorations ,,( ,,sk947 ,hydr>g4 bi*lor4 #h gr4 ,boracis pulv4 #b drs4 ,acidi acetic #b oz4 ,alcohol #b oz4 ,aqua #d oz4 ,m4 ,if x r\gh5s ! sk9 too mu* omit its use & apply sweet cream4 ,sig4 ,apply locally to ! spots4 ,poison4 #ahg4 ,,salve ,,= ,,burns1 ,c4 ,yell[ wax melt$ & /ra9$ f4 j4 ,l9se$ oil raw f4 iij4 ,tann9 j4 ,sub nitrate ( bismu? j4 ,mix z foll[s3 ,heat ! wax 9 a clean t9 vessel1 add ! oil & /ir till !y are ?or\ghly incorporat$2 !n set (f ! fire & cont9ue to /ir until cold1 add+ fir/ ! tann9 & !n ! bismu?4 #ahh4 ,,to ,,cure ,,sore ,,eyes4 ,sulph4 z9c1 ,rock salt aa4 j4 ,:ite sug> ij4 ,s(t wat] xij4 ,mix & use z an eye wat]4 #ahi4 ,,l9im5t ,,us$ ,,9 ,,c]ebro ,,sp9al ,,m5+etis4 ,oil sassafras ss4 ,*lor(orm ss4 ,aqua ammonia ss4 ,oil cloves ij4 ,t9ct4 camphor ss4 ,alcohol1 /rong jv4 ,m4 ,s4 ,apply ! :ole l5g? ( ! sp9e4 #aij4 ,,= ,,:oop+ ,,c\gh4 ,rectifi$ oil amb]1 ,t9ct4 opium1 ,h>t%orn1 ,olive oil aa4 ss4 ,m4 ,s4 ,rub well ! :ole l5g? ( ! sp9e two or ?ree times a day1 until !re is t5d]ness ( ! sk94 #aia4 ,,ammoniacal ,,gas ,,= ,,dysm5orrh,a4 ,spirits ( ammonia j4 ,put a teaspoonful ( ?is 9 a *amb] & h ! pati5t sit = "o or two m9utes ov] x4 ,9 cases ( sev]e t5esmus1 or /rangury1 or dysm5orrha1 relief may be obta9$ 9 ab\t two m9utes if ! fir/ pung5t effects ( ! gas c be borne4 #aib4 ,,anodyne ,,lotion4 ,t9ct4 aconite fl4 drs4 #ab4 ,aqua ad4 fl4 oz4 #d4 ,mix4 ,= acute sup]ficial pa91 pruritis1 hyp]e/hesia ( ! sk91 g\t1 c4 #aic4 ,,cool+ ,,lotion ,,= ,,inflam$ ,,eyes4 ,pulv4 borax ounce4 ,aqua camphor #a ounce4 ,aqua *]ry laurel q4 s4 #d ounces4 ,m4 ,s4 ,drop 9 ! eyes ad4 lib4 ,a good vehicle = ! addition ( "o or two gra9s atropia sulphate :5 indicat$4 #aid4 ,,anal ,,tr\bles4 ,/ramonium ung4 #a ounce4 ,extract conium dra*m4 ,sod salicyl4 #aj gra9s4 ,m4 ,sig4 ,use q )9 ! anal folds once or twice a day4 #aie4 ,,lotion ,,= ,,pruritis ,,ani4 ,soda bibor4 ij4 ,morphia muriat4 gr4 xvj4 ,acid hydrocyan4 dil4 ss4 ,glyc]9e ij4 ,aqua ad4 f4 viij4 ,m4 ,s4 ,= ext]nal use4 #aif4 ,,lotion ,,= ,,t9ea ,,capitis4 7,,scald ,,head47 ,acid c>bolici ss4 ,acid acetici ijss4 ,aqua di/ilata ijss4 ,m4 ,sig4 ,apply pro re nata4 #aig4 ,,o9tm5t ,,= ,,sk9 ,,affections4 ,c>bolic acid *rys1 ,sulphate soda aa4 j4 ,sulphur sublim4 j4 ,adipis j4 ,m4 ,s4 ,apply two or ?ree times a day4 ,?is is effectual = scald head1 & ei!r ) or )\t ! sulphur is good = ! eruption ( poison oak1 f\l ulc]s1 c4 #aih4 ,,= ,,sore ,,nipples4 ,aqua ros1 ,glyc]9 aa4 ij4 ,acid tanica ij4 ft4 lotion4 ,soak l9t 9 ! solution & apply to ! nipples4 #aii4 ,,turp5t9e ,,l9im5t4 ,olei t]eb9?an ij4 ,olei oliv>um ij4 ,t9ct4 camphor j4 ,aqua ammonia j4 ,m4 ,fiat ,l9am5tum4 #bjj4 ,a ,,good ,,l9im5t4 ,oil lav5d> ss4 ,alcohol jv4 ,m4 ,dige/ !n add4 ,sulph4 e!r iij4 ,laudanum ij4 ,m4 ,apply ext]nally4 #bja4 ,,belladonna ,,& ,,opium4 ,errata4 ,on page #hh = 7#bja1 #bjb7 read 7#agb1 #agc47 ,extract belladonna1 ,extract opium aa4 j4 ,laurel wat] jv4 ,m4 ,to be pa9t$ ov] pa9ful or inflam$ p>ts4 ,a %eet ( tissue pap] may be laid ov] ?is1 & !n a hot fom5tation4 #bjb4 ,,o9tm5t ,,= ,,mamm>y ,,abscess4 ,ungu5tum tabaci ij4 ,pulv4 camph4 ij4 ,ext4 belladon4 jss4 ,m4 ft4 ung4 #bjc4 ,,= ,,pa94 ,sweet oil1 ,laudanum aa4 ij4 ,rub on ! affect$ p>ts4 #bjd4 ,,balsam ,,= ,,w\nds4 ,balsam fir1 ,true ,v5ice turp5t9e1 ,oil ( almonds aa4 ij4 ,add c>bolic acid ss41 previ\sly dissolv$ 9 w>m glyc]9e ij4 ,apply ) a camel hair bru%1 hav+ previ\sly cleans$ ! w\nd ) v w>m wat]4 #bje4 ,,= ,,boils4 ,tr4 arnica fl[]s j4 ,tannic acid ss4 ,gum ,arabic pulv4 ss4 ,m4 ,let ! inflam$ surface & all ar\nd x be pa9t$ ) ! m$ic9e e fifte5 m9utes4 ,x %\ld be us$ z soon z prep>$4 #bjf4 ,,= ,,hemorrhoids4 7,,piles47 ,p[d]$ opium grs4 xxx4 ,tann9 j4 ,c>bolic acid gtt4 xv4 ,oil ( tobacco gtt4 x4 ,sol4 ( sub acetate ( lead gtt4 xx4 ,vasel9e j4 ,mix intimately4 ,apply at night & morn+4 #bjg4 ,,= ,,t5d] ,,nipples4 ,sulphate z9c gr4 j4 ,cologne wat] j4 ,m4 #bjh4 ,fld4 ext4 p9us canad5ses may be us$ topically = t5d] nipples4 #bji4 ,,piles ,,o9tm5t4 ,acidi tannici gr4 xx4 ,morph4 sulphatis gr4 v4 ,ext4 belladonn1 ,ext4 /rammonii aa4 ij4 ,ungt4 petrolei ij4 ,m4 ,aft] ba?+ & cleans+1 rub well on ! p>ts once or twice a day4 #baj4 ,,= ,,sore ,,eyes4 ,f]ri sulphas exsiccata grs4 vj4 ,ra9 wat] jv4 ,m4 ,s4 ,use z a collyria4 7,eye wat]47 #baa4 ,,= ,,op?almia4 ,sulph4 z9c grs4 ij4 ,sulph4 morphia gr4 j4 ,glyc]9e jv4 ,rose wat] xij4 ,m4 ,s4 ,= eye wat]4 #bab4 ,,*af+s4 ,f9ely pulv]iz$ native c>bonate ( j4 z9c ,f9ely pulv]iz$ />* ij4 ,m4 ,to be du/$ on ! p>ts4 #bac4 ,,= ,,enl>g$ ,,tonsils4 ,z9ci sulphatis gr4 xx4 ,syrupi mori fl4 jv4 ,glyc]9a fl4 j4 ,infusi kram]ia ad4 fl4 viij4 ,mix4 ,s4 ,use z a g>gle4 #bad4 ,,= ,,burns4 ,beeswax melt$ & /ra9$ j4 ,flaxse$ oil & sweet oil ij4 ,tannic acid j4 ,mix z 9 =mula #ahg1 & aft] add+ ! tann91 add #f or #h drops ( c>bolic acid to ! ounce4 #bae4 ,,a/r+5t ,,collyria4 ,z9ci sulphatis gr4 jv4 ,alum9is exsiccata gr4 jv4 ,t9ct4 arnica m94 x4 ,aqua di/ilata f4 j4 ,m4 #baf4 ,,= ,,tett] ,,& ,,r+worm4 ,borax ss4 ,t> wat] ij4 ,m4 #bag4 ,,= ,,pruritis ,,( ,,vulva4 ,borax ij4 ,morph9e grs4 jv4 ,t> wat] f4 vij4 ,m4 ,sig4 ,apply ?ree times a day to ! affect$ p>ts by means ( a sponge1 c4 ,fir/ wa% ) w>m wat] & soap1 & dry be=e apply+ ! lotion4 #bah4 ,,d&ruff ,,lotion4 ,t9ct4 ( can?>ides ij4 ,glyc]9e ij4 ,rose wat] iij4 ,m4 #bai4 ,,sulphate ,,( ,,iron ,,9 ,,erysipelas4 ,f]ri sulphas pulv]iz$ j4 ,aqua ,oss4 ,apply to affect$ cuticle ) a cotton clo? well wett$ 9 ! solution e ?irty m9utes till ! inflam$ "p is re/or$4 #bbj4 ,,prurigo ,,vulva4 ,soda bic>b4 ss4 ,morph sulph4 gr4 vj4 ,rose wat] viij4 ,m4 ,s4 ,apply locally4 #bba4 ,,mamm>y ,,swell+s4 ,gum camphor j4 ,sulph4 e!r1 ,t9ct4 opii aa4 ij4 ,aqua ,oj4 ,dissolve ! camphor 9 ! e!r1 !n add ! opium & ! wat]4 ,wet l95 or cotton clo?s & keep appli$ to ! brea/s4 #bbb4 ,,= ,a ,,black5$ ,,eye4 ,muriate ( ammonia ij4 ,wat]1 ,v9eg> aa4 ij4 ,fir/ fom5t ! "p ) hot wat] if !re is mu* pa91 !n keep ! contusion wet ) ! lotion4 #bbc4 ,,*loral ,,l9im5t4 ,*loral hydrat4 j4 ,l9im5t saponis f4 jv4 ,m4 ,sig4 ,= ext]nal use4 ,d n apply s z to cause mu* sor5ess4 #bbd4 ,,b>b]',s ,,it*4 ,hydr>g4 ammoniat4 #aj gra9s4 ,bismu?4 subnit4 #a dra*m4 ,liq4 c>bonis det]g4 #a dra*m4 ,lanol9 #f dra*ms4 ,m4 ,sig4 ,to be appli$ night & morn+4 #bbe4 ,,com$ones4 ,sulphuric e!r #h dra*ms4 ,ammonia c>bonate #a dra*m4 ,boracic acid #bj gra9s4 ,wat]1 to make #af dra*ms4 ,m4 ,sig4 ,apply twice a day4 #bbf4 ,,o9tm5t ,,= ,,freckles4 ,subnitrate ( ,bismu? #b dra*ms4 ,simple o9tm5t #b ounces4 ,apply to ! sk9 at night & remove 9 ! morn+ ) a little cold cream previ\s to wa%+4 #bbg4 ,,*ilbla9s4 ,acidi c>bolici #a dra*m4 ,t9ct4 iod9i #b dra*ms4 ,acidi ,tannici #a dra*m4 ,c]at simp4 #d ounces4 ,misce b5e ut ft4 ungt4 ,sig4 ,apply two or ?ree times a day4 ,errata4 ,on page #aff = 7,f4 #bcd7 read 7,f4 #bja47 ,,gloss>y4 ,,abdom54 ,! belly2 ! portion ( trunk betwe5 ! diaphragm & pelvis4 ,,abnormal4 ,unnatural2 out ( ! usual rule or ord]4 ,,abortion4 ,premature expulsion ( ! ftus4 ,,abrasion4 ,a break+ or rubb+ (f4 ,,abscess4 ,a collection ( pus or matt]4 ,,acapuncture4 ,to ins]t ne$les into ! sk9 or fle%4 ,,acc\*eur4 ,a skillful man midwife4 ,,acetat$4 ,comb9$ ) acetic acid4 ,,acetabulum4 ,! cotyloid cavity t receives ! head ( ! ?igh bone4 ,,acid4 ,a sub/ance t c comb9e *emically ) alkalies & alkal9e oxides4 ,,ac9i4 ,small granul> masses4 ,,actual ,,caut]y4 ,caut]ization by r$ hot iron4 ,,acute1 ,,%>p4 ,an acute disease1 has rapid progress & %ort duration4 ,,adhesion4 ,a /ick+ or gr[+ toge!r4 ,,adipose4 ,fatty4 ,,adjuvants4 ,m$ic9es :i* assi/ ! action ( o!r m$ic9es4 ,,tiology4 ,! sci5ce ( causes4 ,,ala4 ,a w+4 ,,ala ,,nasi4 ,! c>tilag9\s sides ( ! nose :i* move dur+ difficult brea?+4 ,,album9oid4 ,resembl+ album54 ,,album9>ia4 ,! pres5ce ( album5 9 ! ur9e4 ,a kidney disease4 ,,alkalies4 ,sub/ances t h ! p[] ( =m+ salts ) acids4 ,,alim5t>y ,,canal4 ,! passage f ! m\? to ! anus4 ,,alt]ative4 ,a m$ic9e t has p[] to gradually *ange or improve a disease4 ,,alveoli4 ,! bony sockets ( ! tee?4 ,,am5orrh,a4 ,a susp5sion or abs5ce ( ! m5ses4 ,,anaemia4 ,a lack ( r$ p>ticles 9 ! blood2 bloodlessness4 ,,anal4 ,relat+ to ! anus or rectum4 ,,anas>ca4 ,dropsy ( ! celul> tissue4 ,,ane/hetic4 ,capable ( produc+ ins5sibility4 ,,ang9a4 ,an inflammation ( ! ?roat4 ,,antacid4 ,a rem$y aga9/ acidity4 ,,ant]ior4 ,9 front1 or plac$ be=e4 ,,an!lm9tic4 ,a rem$y aga9/ worms1 de/roy+ or expell+ !m4 ,,antiflexion4 ,b5d+ =w>ds4 ,,antili?ics4 ,sub/ances t prev5t ! =mation ( calculi4 ,,antiphlogi/ics4 ,su* m$ic9es z r$uce an inflammatory habit4 ,,antiseptic4 ,prev5t+ or resi/+ putrefaction4 ,,antispasmodics4 ,su* m$ic9es z r$uce spasms4 ,,anti-,,v]sion4 ,turn+ =w>ds4 ,,anus4 ,! op5+ at ! inf]ior extremity ( ! rectum4 ,,aorta4 ,! great art]y ( ! body1 go+ f ! he>t4 ,,ap]i5t1 ,op5+4 ,mildly purgative4 ,,aphonia4 ,loss ( voice4 ,,ap?4 ,small :ite ulc]s ( ! muc\s membrane4 ,,apophysis4 ,a bony process2 a prom95ce on ! bone4 ,,aqua4 ,wat]4 ,,areola4 ,a circle ar\nd ! nipple4 ,,areol> ,,tissue4 ,! tissue t connects v>i\s comp\nd p>ts ( ! body4 ,,articulation4 ,! jo9+ or union ( bones4 ,,art]y4 ,a vessel c>ry+ blood f ! he>t4 ,,asc>ides4 ,p9 worms4 ,,ascites4 ,abdom9al dropsy4 ,,asphyxia4 ,app>5t dea?2 susp5d$ animation4 ,,assimulation4 ,! process by :i* nutrim5t is conv]t$ into ! sub/ance ( ! body4 ,,a/h5ia4 ,want ( /r5g?2 exhau/ion2 debility4 ,,a/r+5t4 ,hav+ ! p[] ( contract+ organic textures4 ,,atrophy4 ,wa/+4 ,,auscultation4 ,li/5+1 obs]v+ ! s\nds 9 ! ?orax1 c4 ,,autopsy4 ,a po/ mortem exam9ation4 ,,axilla4 ,! arm pit4 ,,axis4 ,a l9e pass+ ?r\gh ! c5t] ( a body4 ,,bact]ia4 ,a k9d ( microscopic organism4 ,,ballottem5t4 ,! fall+ back ( ! displac$ ftus4 ,,basis4 ,t "p ^u :i* any?+ re/s4 ,,b5ign4 ,( a mild "*4 ,,bile4 ,! secretion ( ! liv]2 ! gall4 ,,biology4 ,! sci5ce ( life 9 g5]al4 ,,bi/\ry4 ,a small n>r[ blad$ knife us$ 9 surg]y4 ,,bla/od]m4 ,! membrane enclos+ ! yolk ( ! ovum4 ,,b\gies4 ,an in/rum5t = dilat+ muc\s canals4 ,,bron*i4 ,! bran*es f ! w9dpipe lead+ to ! lungs4 ,,buli5tis4 ,boil+4 ,,bulimia4 ,abnormal appetite4 ,,ca*exia4 ,a g5]ally deprav$ condition ( ! sy/em2 a con/itutional t5d5cy4 ,c,,s>ean ,,section4 ,! op]ation ( remov+ a ftus f ! womb ?r\gh ! abdom54 ,,calculus4 ,a /one 9 ! bladd] or "s "p ( ! body4 ,,canula4 ,a small tubul> in/rum5t4 ,,capill>ies4 ,! smalle/ division ( blood vessels4 ,,capill>y4 ,hairlike2 small4 ,,capsicum4 ,! r$ pepp]4 ,,capsule4 ,a membran\s sac2 a gelat9\s envelope 9 :i* m$ic9e is tak54 ,,c>bonic4 ,p]ta9+ to c>bon or *>coal4 ,,c>c9oma4 ,a canc]4 ,,c>diac4 ,p]ta9+ to ! he>t4 ,,c>diac ,,orifice4 ,! upp] or left orifice ( ! /oma*4 ,,c>ies4 ,ulc]ation ( ! bone or tee?4 ,,c>m9ative4 ,a m$ic9e :i* t5ds to expel flatus4 ,,c>tilage4 ,gri/le1 a sub/ance s(t] ?an bone4 ,,catam5ia4 ,m5/rual dis*>ges4 ,,cataplasm4 ,a p\ltice4 ,,cat>rh4 ,a dis*>ge ( secretion f a muc\s membrane4 ,,ca?>tics4 ,m$ic9es caus+ dis*>ges f ! b[els4 ,,ca!t]4 ,a tubul> in/rum5t = introduction into ! ure?ra4 ,,cau/ic4 ,an es*>otic 2 a burn+ application4 ,,celul> ,,/ructure4 ,a tissue compos$ ( m9ute cells4 ,,cellulitis4 ,inflammation ( celul> or connective tissue4 ,,cephalalgia4 ,pa9 9 ! head4 ,,c]ebellum4 ,! less] bra92 ! po/]ior portion ( bra94 ,,c]ebral4 ,relat+ to ! bra94 ,,c]vix4 ,! neck4 ,,*alybeates4 ,a liquor or m$ic9e conta9+ iron4 ,,*>ta4 ,a pap] or p[d]4 ,,*e/4 ,! body f ! neck to ! abdom54 ,,*irurg]y4 ,surg]y4 ,,*olagogue4 ,m$ic9e increas+ ! fl[ ( bile4 ,,*loasma4 ,liv] spots2 br[ni% discolorations ( ! sk94 ,,*ol,,mia4 ,bile exi/+ 9 ! blood4 ,,*ole/]9e4 ,a fatty sub/ance4 ,,*orea4 ,/4 ,vitus dance2 a disease4 ,,*orion4 ,an envelope ( ! ovum4 ,,*ronic4 ,( long duration4 ,,*yle4 ,a milky fluid made f *yme4 ,,*yme4 ,! pulp into :i* food is *ang$ 9 ! /oma*4 ,,cicatrix4 ,a sc> rema9+ aft] a w\nd is heal$4 ,,cilia4 ,hairlike app5dages4 ,,cl9ical4 ,at ! b$side2 p]ta9+ to a b$4 ,,clitoris4 ,a little erectile tub]cle at ! front "p ( ! vulva4 ,erratum4 ,on page #ff six? l9e f ! bottom1 = g4 vag9a1 read g4 clitoris4 ,,clonic4 ,contract+ & relax+4 ,,cly/]4 ,an enema2 an injection into ! b[els4 ,,coagulum4 ,a clot4 ,,coaptation4 ,fitt+ toge!r prop]ly4 ,,coccyx41 ,oscoccygis2 a small bone at ! l[] end ( ! sacrum4 ,,collapse4 ,a sudd5 fail+ ( ! vital p[]s4 ,,colliquative4 ,caus+ rapid exhau/ion4 ,,collyrium4 ,an eye wat]4 ,,colo/rum4 ,! fir/ milk secret$ aft] deliv]y4 ,,colon4 ,a portion ( ! l>ge inte/9es4 ,,coma4 ,a pr(\nd sleep2 le?>gy4 ,,commissure4 ,a po9t ( union betwe5 two p>ts4 ,,comp\nd ,,fracture4 ,"o :i* communicates ) ! surface2 a fracture :]e ! bone has protrud$ ?r\gh ! sk94 ,,condyle4 ,a protub]ance on a bone4 ,,conflu5t4 ,bl5d+2 runn+ toge!r4 ,,cong5ital4 ,dat+ f bir?4 ,,conge/ion4 ,an unnatural fullness or accumulation ( blood4 ,,conjunctiva4 ,! membrane cov]+ ! eyeball & l9+ ! lid4 ,,contagion4 ,! transmitt+ ( disease by contact4 ,,cont9uity4 ,an un9t]rupt$ connection4 ,,contra ,,indication4 ,an indication aga9/ c]ta9 treatm5t4 ,,contusion4 ,bruise4 ,,convalesc5ce4 ,a p]iod ( rega9+ ( heal?4 ,,convulsions4 ,involunt>y contractions ( muscul> p>ts4 ,,copulation4 ,jo9+ toge!r2 coition4 ,,com$ones4 ,black spots on ! face4 ,,coronal4 ,belong+ to ! cr[n or top ( ! head4 ,,cortex4 ,! peel2 b>k4 ,,cornea4 ,! transp>5t membrane ( ! front "p ( ! eye4 ,,coryza4 ,an acute cat>rh2 ! snuffles4 ,,c\nt] ,,irritation4 ,irritation excit$ 9 "o "p ( ! body to relieve ano!r "p4 ,,cranium4 ,! skull2 ! bra9pan4 ,,crassam5tum4 ,clot2 ! ?ick "p ( ! blood4 ,,crepitus4 ,creak+ or grat+ s\nd4 ,,creta4 ,*alk4 ,,crisis4 ,! turn+ po9t or *ange ( a disease4 ,,cumulative4 ,increas+ by successive additions2 augm5t+4 ,,cutane\s4 ,belong+ to ! sk94 ,,cuticle4 ,! sc>f sk92 epid]mis4 ,,cyanos$4 ,made blue2 blue jaundice4 ,,cy/itis4 ,inflammation ( ! bladd]4 ,,cy/ocele4 ,desc5t ( ! bladd]4 ,,decidua4 ,aft]bir? membranes4 ,,decoction4 ,to prep>e by boil+2 ! results ( su* boil+4 ,,decomposition4 ,sep>ation ( a body into its compon5t p>ts4 ,,demulc5t4 ,( a bl&1 mucilag9\s nature4 ,,d5tition4 ,tee?+4 ,,deodorant4 ,de/roy+ odors4 ,,depurat+4 ,cleans+ f impurities4 ,,d5s4 ,a too?4 ,,desquamation4 ,a scal+ ( ! cuticle4 ,,det]m9ation4 ,unusual fl[ to any "p4 ,,dext]4 ,! "r4 ,,dia4 ,9 a day4 ,,diagnosis4 ,det]m9+ or di/+ui%+ "o disease f ano!r4 ,,diaphoretic4 ,a m$ic9e :i* excites p]spiration2 sweat+4 ,,dia/ole4 ,! dilatation ( ! he>t on entrance ( ! blood4 ,,dia!sis4 ,a peculi> bodily con/itution or pr$isposition4 ,,dietetics4 ,! bran* ( m$ical art t relates to food4 ,,dige/ion4 ,conv]sion ( food into *yme & *yle4 ,,digital ,,exam9ation4 ,exam9ation by ! f+]1 or by t\*4 ,,dilatation4 ,dilation2 expansion2 enl>g+4 ,,dilu5ts4 ,m$ic9es or fluids t increase ! fluidity ( ! blood4 ,,dis9fectants4 ,sub/ances t de/roy septic g]ms4 ,,dislocation4 ,displacem5t2 out ( jo9t4 ,,di/al4 ,f>!/ f ! he>t4 ,,diuresis4 ,an unusual secretion ( ur9e4 ,,diuretics4 ,m$ic9es t produce an increas$ fl[ ( ur9e4 ,,dorsal4 ,p]ta9+ to ! back4 ,,d\*e4 ,a column or curr5t ( wat]4 ,,duct4 ,a tube or canal :i* conducts a fluid4 ,,duod5um4 ,! "p ( ! inte/9es next ! /oma*4 ,,dyspn,a4 ,a difficulty ( brea?+4 ,,dysuria4 ,difficult1 pa9ful1 & burn+ ur9ation4 ,,ec*ymosis4 ,an effusion ( blood into ! celul> /ructures4 ,,eclampsia4 ,pu]p]al convulsions4 ,,eczema4 ,an eruption ( m9ute vesicles ^u ! sk94 ,,edema4 ,swell+ f inflammation ( ! celul> /ructure4 ,,eff]vesce4 ,to foam f ! escape ( gas4 ,,effluvia4 ,exhalation f putresc5t matt]4 ,,effusion4 ,! escape ( a fluid f out ( its natural vessels4 ,,electu>y4 ,a m$ic9al confection4 ,,embolus4 ,a clot or "s plug ob/ruct+ a blood vessel4 ,,embryo4 ,! ftus 9 its e>ly /age ( developem5t4 ,,emm5agogue4 ,promot+ ! m5/rual dis*>ge4 ,,emolli5ts4 ,sub/ances t s(t5 ! animal fibre4 ,,emphysema4 ,air escap$ into ! celul> tissue4 ,,emulsion4 ,a mixture ( oil & wat] ) "s o!r sub/ance4 ,,end]mic4 ,?r\gh ! sk94 ,,enema4 ,an injection ?r[n into ! rectum4 ,,ent]ic ,,fev]4 ,typhoid fev]2 inte/9al fev]4 ,,epidemic4 ,preval5t among ! p4 ,,epid]mis4 ,! sc>f sk92 out] lay] ( ! sk94 ,,epiglottis4 ,! c>tilage t %uts ov] ! w9dpipe 9 swall[+4 ,,epiga/rium4 ,! region ( ! /oma*4 ,,epilepsy4 ,fall+ sickness4 ,,epiphysis4 ,a union ( bone by c>tilage4 ,,epi!lium4 ,a lay] ( m9ute cells cov]+ a membrane sup]ficially4 ,,epispa/ics4 ,sub/ances :i* cause a bli/]4 ,,errh9es4 ,sub/ances :i* cause sneez+4 ,,eructation4 ,rais+ or bel*+ gas f ! /oma*4 ,,ery!ma4 ,a sk9 disease ) rose color$ pat*es4 ,,es*>4 ,! dead "p1 kill$ by cau/ic or mortification4 ,,es*>otic4 ,a sub/ance t burns or de/roys animal tissue4 ,,e!rization4 ,! /ate ( ! sy/em "u ! influ5ce ( e!r4 ,,exan!mata4 ,! eruptive or break+ out fev]s4 ,,excoriation4 ,a we>+ (f or abrasion ( ! sk94 ,,exfoliate4 ,! act ( ?r[+ (f ( dead bone 9 scales4 ,,expectant4 ,wait+ = ! ef=ts ( nature4 ,,ext5d4 ,to /ret*2 to pull out4 ,,exiravisation4 ,! effusion ( ! cont5ts ( vessels into ! surr\nd+ tissues4 ,,extra ,,ut]9e4 ,outside ! ut]9e walls4 ,f,,ces4 ,excrem5t2 evacuations f ! b[els4 ,,fallopian ,,tubes4 ,two ducts or tubes float+ 9 ! abdom54 ,,fascia4 ,fibr\s membrane cov]+ muscles4 ,,febrifuge4 ,s$ative2 assuag+ fev]4 ,,femur4 ,! ?igh bone4 ,,fibre4 ,an organic filam5t or ?read4 ,,filam5t4 ,a ?read-l app5dage4 ,,fissure4 ,a deep1 n>r[ depression4 ,,flatul5ce4 ,afflict$ ) gas 9 ! alim5t>y canal4 ,,flexion4 ,! act ( b5d+4 ,,fluctuation4 ,! undulation ( fluid :5 press$4 ,f,,tus4 ,! "y vivip>\s animal 9 ! womb4 ,,follicle4 ,a small secret+ sac4 ,,fom5tations4 ,! application ( hot clo?s wet ) hot wat] or m$icat$ liquors4 ,,=e>m4 ,! "p ( ! upp] extremity betwe5 ! elb[ & h&4 ,,=mication4 ,a s5sation l t ( ! creep+ ( ants4 ,,=mula4 ,prescriptions2 giv5 =ms4 ,,fossa4 ,a depression 9 a bone4 ,,fr5um4 ,a bridle2 a b9d+ or re/ra9+ membrane4 ,,fundus4 ,! l>g] "p ( a cone %ap$ organ4 ,,funis4 ,! umbilical cord2 ! naval /r+4 ,,furuncle4 ,a boil4 ,,gall-,,/ones4 ,concretions =m$ f ! bile4 ,,ganglion4 ,an enl>gem5t 9 ! c\rse ( a n]ve4 ,,gangr5e4 ,p>tial dea?2 mortification4 ,,g>gles4 ,solutions appli$ to ! ?roat4 ,,ga/ric4 ,p]ta9+ to ! /oma*4 ,,g5ital4 ,p]ta9+ to g5]ation4 ,,g]m4 ,an undevelop$ po9t ( gr[?4 ,,ge/ation4 ,! p]iod ( pregnancy4 ,,g+lymoid4 ,h+e-l4 ,,globus4 ,a globe or ball4 ,,globus ,,hy/]i\s4 ,a s5sation 9 ! ?roat said to be l a ball4 ,,glottis4 ,! op5+ into ! w9dpipe4 ,,gramme4 ,! ,fr5* unit ( weight2 a little ov] fifte5 gra9s4 ,,granulations4 ,small r$ elevations look+ l gra9s4 ,,gutta4 ,a drop4 ,,gynecology4 ,! sci5ce ( ! diseases ( wom54 ,,he>tburn4 ,a hot s5sation 9 ! ?roat or /oma*4 ,,hematemesis4 ,vomit+ ( blood4 ,,hemoptysis4 ,rais+ blood f ! lungs4 ,,hemorrhage4 ,a fl[ ( blood4 ,,hemo/atic4 ,an ag5t to /op ble$+4 ,,hematosis4 ,sanguification2 furni%+ blood4 ,,hemicrania4 ,pa9 9 "o side ( ! head4 ,,hemiplegia4 ,p>alysis ( a lat]al half ( ! body4 ,,hepatic4 ,p]ta9+ to ! liv]4 ,,h]nia4 ,a protrusion ( a "p t has escap$ f its natural cavity4 ,,homog5e\s4 ,consi/+ ( simil> elem5ts or p>ts4 ,,hydrocyanic ,,acid4 ,prussic acid4 ,,hydatids4 ,a mass ( wat]y vesicles4 ,,hydr>gyrum4 ,m]cury4 ,,hydrocephalus4 ,dropsy ( ! bra94 ,,hydrops4 ,dropsy4 ,,hygi5e4 ,sci5ce :i* treats ( ! pres]vation ( ! heal?4 ,,hym54 ,! virg9al membrane at ! orifice ( ! vag9a4 ,,hyp],,mia4 ,an excess ( blood 9 an organ4 ,,hyp]e/hesia4 ,exalt$ s5sibility4 ,,hyp]trophy4 ,augm5t$ bulk2 enl>gem5t4 ,,hypnotic4 ,sleep produc+2 soporific4 ,,hypo*oridrium4 ,! region "u ! float+ ribs4 ,,hypoga/rium4 ,! l[] "p ( ! abdom51 ne> ! pubis4 ,,i*or4 ,?91 wat]y1 & acrid dis*>ge4 ,,ict]us4 ,jaundice4 ,,idiopa?ic4 ,prim>ily affect+2 n second>y or symptomatic4 ,,idiosyncracy4 ,peculi>ity ( con/itution or susceptibility4 ,,ilium4 ,! upp] "p ( ! hip or haun* bone4 ,,ileum4 ,! l[] two-fif?s ( ! small inte/9es4 ,,impact$4 ,w$g$ 9 or driv5 close4 ,,imp]=ate4 ,hav+ no op5+4 ,,inanition4 ,exhau/ion f want ( food4 ,,incompatible4 ,_c be prop]ly employ$ toge!r4 ,,incont95ce4 ,inability to hold4 ,,incisor4 ,a =e or front too?4 ,,incubation4 ,hat*+2 ! matur+ ( contagi\s virus4 ,,index ,,f+]4 ,! =e f+]4 ,,induration4 ,! act ( h>d5+4 ,,infection4 ,! communication ( virus4 ,,inf]ior4 ,! l[] ( two p>ts4 ,,infusion4 #a/4 ,! /eep+ ( a sub/ance 9 a fluid2 #b;d4 ,! liquor result+ f ! /eep+ ( a sub/ance 9 a fluid4 ,,+u9al4 ,p]ta9+ to ! gro94 ,,inhalations4 ,gas or vapor to be inspir$ into ! lungs4 ,,innom9ata4 ,nameless4 ,,inspiration4 ,brea?+ 92 inhalation4 ,,int]co/al4 ,betwe5 ! ribs4 ,,integum5t4 ,! sk92 t :i* cov]s ! muscles4 ,,inunction4 ,ano9t+2 rubb+ 9 an o9tm5t4 ,,involution4 ,! r$uc+ ( a "p to its natural condition4 ,,irritation4 ,increase ( vital movem5t & s5sibility4 ,,is*ium4 ,! inf]ior "p ( ! os innom9atum4 ,,labial4 ,relat+ or belong+ to ! lips4 ,,labia ,,majora4 ,two cutane\s folds t b\nd ! op5+ ( ! vulva ext]nally4 ,,lac]ation4 ,a te>+2 a brea* made by r5d+ or te>+4 ,,lactation4 ,suckl+2 ! p]iod ( giv+ suck4 ,,lacteals4 ,! *ylif]\s vessels2 convey+ *yle4 ,,lam9a4 ,lay]s4 ,,lap>otomy4 ,op5+ ! b[els by an incision4 ,,l>ynx4 ,! top ( ! w9dpipe2 ! cavity :i* conta9s ! vocal ligam5ts4 ,,lat5t4 ,conceal$2 n app>5t4 ,,lat]al4 ,t[>ds ! side4 ,,laxatives4 ,m$ic9es :i* r5d] ! b[els m relax$ ?an usual4 ,,lee*4 ,a cotyloid worm us$ = ! local ab/raction ( blood4 ,,lesion4 ,a morbid *ange 9 ! texture ( an organ4 ,,leucorrh,a4 ,a :iti% dis*>ge f ! vag9a2 ! :ites4 ,,ligam5t4 ,a fibr\s b&4 ,,ligate4 ,to tie2 to secure ) a /r+ or b&4 ,,ligature4 ,a cord or /r+4 ,,liquor ,,amii4 ,! fluid 9 :i* ! ftus is develop$4 ,,lit]4 ,a ,fr5* measure2 #b4aac p9ts4 ,,litmus4 ,a vegetable dye2 x is turn$ r$ ) acids4 ,,lobe4 ,a division1 or projection ( an organ4 ,,lo*ia4 ,evacuations f ! vag9a foll[+ *ildbir?4 ,,lo9s4 ,! lat]al p>ts ( ! lumb> region4 ,,lumb>4 ,p]ta9+ to ! re9s or lo9s4 ,,luxation4 ,dislocation1 or putt+ out ( jo9t4 ,,lymph4 ,! colorless fluid conta9$ 9 lymphatics1 c4 ,,lymphatics4 ,lymph ducts2 c]ta9 ve9-l vessels4 ,,mac]ation4 ,! act ( s(t5+ or soak+ a ?+4 ,,mal>ia4 ,noxi\s air f decompos$ matt]4 ,,mamm>y4 ,p]ta9+ to ! brea/s4 ,,manipulation4 ,h&l+ skilfully4 ,,m>asmus4 ,a wa/+ ( fle%2 a tub]cul\s disease ( ! mes5t]ic gl&s4 ,,massage4 ,knead+ & s(t5+ ( ! muscles1 c4 ,,meatus4 ,a passage l>g] ?an a duct2 a *annel4 ,,meconium4 ,! fir/ fces ( an infant4 ,,m$ian ,,l9e4 ,an ideal l9e divid+ ! body longitud9ally4 ,,m$ulla ,,oblongata4 ,! upp] or cranial portion ( ! sp9al cord4 ,,m5+itis4 ,inflammation ( ! m5+es or membranes ( ! bra94 ,,m5orrhagia4 ,pr(use m5/ruation4 ,,mes5t]y4 ,a portion ( ! p]itoneum atta*$ to ! small inte/9es4 ,,meta/asis4 ,a sudd5 remov+ ( disease f "o "p to ano!r4 ,,metritis4 ,inflammation ( ! womb4 ,,miasm4 ,infection float+ 9 ! air4 ,,micturation4 ,! act ( ur9at+1 or evacuat+ ! bladd]4 ,,m9im4 ,! smalle/ liquid measure2 a drop4 ,,monad4 ,! simple/ k9d ( m9ute animalcule4 ,,mucus4 ,a viscid fluid secret$ by a muc\s membrane4 ,,multip>a4 ,a woman :o has _h two *ildr5 or m4 ,n,,vus4 ,a bir? m>k4 ,,n>cotic4 ,produc+ sleep & /upor4 ,,n>es4 ,! passage ?r\gh ! nose2 ! no/ril4 ,,nates4 ,! seat2 ! buttocks4 ,,necrosis4 ,dea? ( ! bone4 ,,neuralgia4 ,pa9ful affection ( ! n]ves4 ,,neurilemma4 ,! %ea? inve/+ a n]ve4 ,,normal4 ,regul>2 natural2 z x ought to be4 ,,nymph4 ,! labia int]na2 two lat]al folds ( muc\s membrane )9 ! labia ext]na4 ,,ob/etrics4 ,midwif]y4 ,,obturator ,,=am54 ,an op5+ betwe5 ! pubic & is*iatic ar*es clos$ by a membran\s ligam5t4 ,,occiput4 ,! h9d] "p ( ! skull or head4 ,,odontalgia4 ,too?a*e4 ,,dema4 ,swell+ f ! pres5ce ( s]um 9 ! areol> tissue4 ,,sophagus4 ,! gullet4 ,,(fic9al4 ,au?oriz$ by ! ,ph>macopia4 ,,om5tum4 ,! caul2 a p]itoneal fold cov]+ ! b[els4 ,,ony*ia4 ,a small abscess at ! side ( ! f+] nail4 ,,op?almia4 ,inflammation ( eyes4 ,,op?almia ,,neotorum4 ,inflammation ( ! eyes ( new born *ildr54 ,,optic4 ,relat+ to ! vision4 ,,orbit4 ,! bony cavity conta9+ ! eye4 ,,or?opn,a4 ,difficulty ( brea?+1 especially on ly+ d[n4 ,,os4 #a/ m\?1 #b;d bone4 ,,osmosis4 ,! passage ( a fluid ?r\gh a por\s membrane4 ,,os ,,sacrum4 ,! po/]ior bone ( ! pelvis4 ,,ossification4 ,conv]sion into bone4 ,,os ,,ut]i4 ,! m\? ( ! ut]us2 ! os t9c4 ,,oviduct4 ,a duct 9 ! ,fallopian tube4 ,,ovulation4 ,! =mation & dis*>ge ( eggs or ovules4 ,,ovum4 ,an egg2 an embryo & its membranes4 ,,oxytocic4 ,hav+ p[] to increase ut]9e pa9s4 ,,oz,,na4 ,fetid ulc] 9 ! nose4 ,,palm>4 ,p]ta9+ to ! int]ior ( ! h&4 ,,palpation4 ,explor+ diseas$ p>ts by t\*+ & pressure4 ,,papilla4 ,m9ute nipple %ap$ elevations 9 ! sk9 & muc\s membrane4 ,,p>aplegia4 ,p>alysis ( ! l[] half ( ! body4 ,,p>5*yma4 ,! mass or pr9cipal "p ( organs l ! lungs or liv]4 ,,p>ietal4 ,relat+ to ! walls4 ,,p>oxysm4 ,an exac]bation ( sev]ity1 9 a disord]4 ,,p>turition4 ,deliv]y2 ! act ( br++ =?4 ,,pa?ology4 ,! sci5ce :i* treats ( ! nature ( disease4 ,,pectoral4 ,p]ta9+ to ! *e/ or brea/4 ,,p$iluvium4 ,a foot ba?4 ,,pelvis4 ,! bony /ructure ( ! l[] extremity ( ! body4 ,,p]cussion4 ,! act ( /rik+ on a body to elicit s\nds4 ,,p]9eum4 ,! space betwe5 ! tub]osities ( ! is*ium1 ! anus1 & ! g5itals4 ,,p]i/altic4 ,v]micul> or wormlike4 ,,p]itoneum4 ,a s]\s membrane l9+ ! abdom9al cavity4 ,,p]tussis4 ,:oop+ c\gh4 ,,pess>y4 ,an in/rum5t to support ! ut]us :5 introduc$ into ! vag9a4 ,,pete*ia4 ,spots :i* appe> on ! sk9 9 malignant fev]4 ,,ph>macop,,ia4 ,a treatise describ+ ! prep>ation ( all k9ds ( m$ic9e4 ,,ph>ynx4 ,! upp] "p ( ! sophagus4 ,,ph?isis4 ,consumption4 ,,physiology4 ,! sci5ce ( ! prop]ties & functions ( liv+ be+s4 ,,plac5ta4 ,! aft] bir?4 ,,plasma4 ,! colorless fluid ( ! blood4 ,,ple?ora4 ,ov]fullness ( blood2 repletion4 ,,pleura4 ,! s]\s membrane cov]+ ! lungs4 ,,pleuritis4 ,pleurisy4 ,,pneumoga/ric4 ,belong+ to ! lungs & /oma*2 ! eigh? pair ( n]ves4 ,,po/ ,,mortem4 ,aft] dea?4 ,,pres5tation4 ,! "p t pres5ts4 ,,primap>a4 ,a woman :o be>s h] fir/ *ild4 ,,process4 ,a project+ "p ( bones4 ,,prognosis4 ,a pr$iction z to ! c\rse & ev5t ( a disease4 ,,prolapse4 ,a fall+ d[n or fall+ out ( a "p4 ,,prophylactic4 ,a prev5tive4 ,,proximal4 ,ne>e/ ! he>t4 ,,pruritis4 ,it*+4 ,,pu]p]al4 ,p]ta9+ to *ildbir?4 ,,pubis4 ,! ant]ior "p ( ! bony pelvis4 ,,pulmon>y4 ,p]ta9+ to ! lungs4 ,,purgative4 ,ca?>tic4 ,,purul5t4 ,hav+ ! "* ( pus or matt]4 ,,pus4 ,! creamy liquid produc$ by suppuration4 ,,pu/ule4 ,elevations ( ! sk9 conta9+ pus4 ,,pyrexia4 ,fev]2 ! febrile condition4 ,,pyrosis4 ,wat] bra%4 ,,qu>ant9e4 ,inhibition ( int]c\rse2 isolation4 ,,qu>tan4 ,recurr+ e f\r? day4 ,,quick5+4 ,! fir/ motion ( ! ftus felt by ! "m4 ,,rales4 ,s\nds produc$ 9 ! lungs :5 !re is mucus 9 ! air passages4 ,,ramus4 ,a bran*4 ,,rectum4 ,! t]m9al "p ( ! l>ge inte/9es4 ,,r$uction4 ,! re/or+ ( displac$ p>ts4 ,,refrig]ant4 ,cool+ m$ic9es :i* less5 ! heat ( ! body4 ,,regim54 ,! sy/ematic use ( ! necess>ies ( life4 ,,remission4 ,tempor>y abatem5t ( symptoms4 ,,r5al4 ,p]ta9+ to ! kidneys4 ,,resection4 ,tak+ out a portion ( bone4 ,,resolution4 ,gradual subsid5ce ( a disease4 ,,retr(lexion4 ,be+ b5t ov] backw>ds4 ,,retrov]sion4 ,turn+ or fall+ backw>ds4 ,,revulsives4 ,appliances :i* remove a disease by caus+ a det]m9ation to "s o!r "p4 ,,rhy?m4 ,measur$ beat or movem5t4 ,,rickets4 ,a disease ( ! bones4 ,,rigor4 ,a slight tremor & *ill9ess4 ,,rigor ,,mortis4 ,/iff5+ ( ! body aft] dea?4 ,,rubefaci5t4 ,mak+ r$ & w>m4 ,,rupture4 ,a protrusion ( any ( ! cont5ts ( ! belly ?r\gh ! p>ietes4 ,,sac*>um4 ,sug>4 ,,sacrum4 ,! os sacrum or os basilaire4 ,,sagittal4 ,! "n ( a suture t unites ! p>ietal bones4 ,,salt4 ,a comp\nd ( an acid & a base comb9$ *emically4 ,,sanative4 ,curative2 sanit>y4 ,,sangu9e\s4 ,full ( blood4 ,,sanies4 ,a ?9 fluid dis*>g$ f an ulc]1 hav+ "s ( ! prop]ties ( pus & blood4 ,,s>coma4 ,a tumor ( a fle%y consi/5ce4 ,,sordes4 ,an accumulation ( f\l secretions ^u ! tee?4 ,,saturation4 ,! union ( "o sub/ance ) ano!r till no m c be receiv$4 ,,sc>ifications4 ,mak+ small incisions4 ,,sciatic4 ,p]ta9+ to ! hip4 ,,scirrhus4 ,a h>d1 knotty1 canc]\s tumor4 ,,scybala4 ,h>d lumps ( feces4 ,,secretion4 ,! vital action by :i* sub/ances are sep>at$ f ! blood4 ,,secund9es4 ,! plac5ta & membranes2 ! aft]bir?4 ,,s$atives4 ,m$ic9es :i* dim9i% ! action ( ! he>t & n]ves1 & :i* are quiet+4 ,,septic4 ,hav+ p[] to promote putrefaction4 ,,septicemia4 ,blood poison+ by putrid infection4 ,,sequel4 ,morbid ph5om5a sup]v5+ aft] disease4 ,,s]\s4 ,wat]y4 ,,s]um4 ,wat]y animal fluids4 ,,%ock4 ,sudd5 depression ( ! vital p[]s4 ,,sialagogue4 ,a m$ic9e produc+ an increas$ fl[ ( saliva4 ,,s9apism4 ,a mu/>d draught4 ,,s+ultus4 ,cont9u$ hicc\gh4 ,,s9us4 ,an elongat$ cavity or abscess1 hav+ a small orifice4 ,,situ4 ,situation4 ,,sl\gh4 ,a dead or mortifi$ portion4 ,,solution4 ,! prep>ation made by dissolv+ a solid 9 a liquid4 ,,speculum4 ,an in/rum5t = dilat+ a passage or facilitat+ an exam9ation4 ,,sph9ct]4 ,a circul> muscle = contract+ a natural op5+4 ,,sp9al ,,cord4 ,a cont9uation ( ! bra9 ?r\gh ! v]tebral column4 ,,sporadic4 ,occurr+ s+ly or scatt]$4 ,,/]corace\s4 ,mix$ ) fcal matt]4 ,,/]nutatory4 ,caus+ sneez+4 ,,/e?oscope4 ,an in/rum5t = convey+ s\nd f ! body to ! e>4 ,,/rabismus4 ,squ9t+2 an affection caus+ :at is call$ cross-eye4 ,,/rangury4 ,a pa9ful dis*>ge ( ur9e4 ,,/ricture4 ,contraction ( a portion ( a duct or tube4 ,,/upe4 ,a fom5tation by means ( hot clo?s4 ,,/yptic4 ,/rongly a/r+5t4 ,,subcutane\s4 ,b5ea? ! sk94 ,,subjective4 ,p]ta9+ to "o's own consci\sness4 ,,subsultus4 ,twit*+ ( ! muscles4 ,,sudam9a4 ,small vesicles caus$ by pr(use sweat+4 ,,sudorif]\s4 ,sweat+4 ,,sudorifics4 ,m$ic9es :i* produce a fl[ ( p]spiration4 ,,sup]ior4 ,! upp] ( two p>ts4 ,,supposit>y4 ,m$ic9e 9 a solid =m1 int5d$ = introduction into ! rectum1 or vag9a4 ,,suppression4 ,/oppage ( a dis*>ge4 ,,suppuration4 ,! process ( =m+ pus4 ,,sutures4 #a/4 ,! seams t unite ! bones ( ! skull4 #b;d4 ,/it*es to hold ! edges ( a w\nd toge!r4 ,,symphasis4 ,a peculi> k9d ( articulation4 ,,symptoms4 ,signs or ph5om5a :i* accompany disease4 ,,syn*ondrosis4 ,union by c>tilage or gri/le4 ,,syncope4 ,a fa9t+ or swoon+4 ,,sy/emic4 ,p]ta9+ to ! sy/em or body g5]ally4 ,,sy/ole4 ,! contraction ( ! he>t4 ,t,,nia4 ,a k9d ( long inte/9al worm2 a tape worm4 ,,tampon4 ,a plug design$ to arre/ hemorrhage4 ,,taxis4 ,pressure made by ! f+]s to return a h]nial tum\r4 ,,t5don4 ,a cord or bundle ( fibres atta*+ muscle to bone4 ,,t5esmus4 ,a /ra9+ at /ool2 a pa9ful s5sation 9 ! l[] "p ( ! rectum4 ,,t5t4 ,a cyl9d] design$ = dilat+ a "p4 ,,t]tian4 ,occurr+ e ?ird day1 or e =ty-eight h\rs4 ,,tetanus4 ,a disease *>act]iz$ by cont9u\s muscul> contractions2 a lockjaw4 ,,!rapeutics4 ,! application ( rem$ies = diseases4 ,,?orax4 ,! cavity conta9+ ! lungs & he>t2 ! *e/4 ,,?rombosis4 ,! ob/ruction ( a blood vessel by a small coagulum4 ,,t9cture4 ,_s conta9+ m$ical sub/ances 9 solution4 ,,tone4 ,a prop] /ate ( firmness4 ,,tonic4 ,a /r5g!n+ m$ic9e4 ,,topical4 ,local2 appli$ to a p>ticul> "p4 ,,torm9a4 ,twi/+1 grip+ pa9s 9 ! b[els4 ,,t\rniquet4 ,an in/rum5t = ligat+ a limb & mak+ pressure on an art]y4 ,,transudation4 ,pass+ ( a fluid ?r\gh ! pores or int]/ices4 ,,traumatic4 ,result+ f a w\nd or lesion4 ,,trismus4 ,lockjaw2 tetanus4 ,,trituration4 ,! act ( r$uc+ to a f9e p[d]4 ,,tub] ,,is*ii4 ,! tub]osities ( ! is*ium4 ,,tumefaction4 ,enl>gem5t2 swell+4 ,,tympanitis4 ,flatul5t di/5tion ( ! belly4 ,,type4 ,peculi> =m ( disease4 ,,ulc]4 ,a sore1 dis*>g+ pus4 ,,umbilicus4 ,! naval4 ,,unctu\s4 ,fat2 oily4 ,,urea4 ,a nitrog5\s con/itu5t ( ! ur9e4 ,,ure?ra4 ,! canal t conveys ! ur9e f ! bladd] out ( ! body4 ,,ur9omet]4 ,an in/rum5t = obta9+ ! specific gravity ( ur9e4 ,,ut]o ,,ge/ation4 ,pregnancy4 ,,ut]us4 ,! womb4 ,,v>icose ,,ve9s4 ,ve9s t are morbidly enl>g$4 ,,vascul>4 ,full ( blood vessels4 ,,ve94 ,a vessel c>ry+ blood to ! he>t4 ,,v5a ,,cava4 ,a "n giv5 to two great ve9s ( ! body4 ,,v]tebra4 ,a jo9t ( ! sp9al column1 or back bone4 ,,v]tigo4 ,dizz9ess4 ,,vesicants4 ,bli/]+ ag5ts4 ,,vesicle4 ,an elevation ( ! cuticle conta9+ s]um2 a bladd]4 ,,vessel4 ,a tube or canal = fluids4 ,,viable4 ,suffici5tly develop$ to be capable ( liv+4 ,,vibriones4 ,a family ( m9ute organisms4 ,,vic>i\s4 ,tak+ ! place or (fice ( ano!r4 ,,villi4 ,m9ute papill>y elevations on a membrane4 ,,virus4 ,organic poison2 ! contagion ( disease4 ,,visc]a4 ,! cont5ts ( ! abdom51 ?orax1 or head4 ,,visuos4 ,"o ( ! int]nal organs4 ,,vital4 ,p]ta9+ to life4 ,,vivisection4 ,! dissection ( an animal :ile alive4 ,,volatile4 ,capable ( easily evaporat+4 ,,vulva4 ,! labia ext]num4 ,,:itl[4 ,a felon2 an inflammation ne> ! bone at ! end ( ! f+]4 ,,wisdom ,,tee?4 ,! la/ ( ! mol>s to appe>4 ,,w\nd4 ,a hurt or brea* ( ! sk9 & fle% ( an animal4 ,,zymotic4 ,caus$ by some?+ t acts z a f]m5t4 ,,index4 ,abbreviations us$ 9 writ+ prescriptions1 #ccj4 ,abdom51 pa9 91 #bc4 ,ablutions aft] labor1 #dd4 ---- 9 pregnancy1 #bj4 ---- ( ! sick1 #bih4 ,abortion1 may be accid5tal1 #abj4 ---- may become a habit1 #abj4 ---- premonitory symptoms1 #abj4 ---- prev5tion (1 #abb4 ---- 9 ! beg9n+ ( pregnancy1 #abj4 ---- treatm5t (1 #abc4 ,abscess1 #aff1 #cfj4 ,accid5ts1 #bgi4 ,accid5ts ( labor1 #afh4 ,acidity ( ! /oma*1 #be1 #ccf4 ,acetabulum1 #eg4 ,acetate ( copp]1 poison+ by1 #bhe4 ---- lead1 #bhg4 ,acid poisons1 #bhd1 #bhg4 ,aconite1 #bfe1 #bhc4 tiology1 #aif4 ,aft]bir?1 function ( !1 #ajb4 ---- /ructure (1 #ajj4 ---- reta9$1 #afa4 ---- h[ deliv]$1 #aca4 ,aft]pa9s1 #afb1 #cdj4 ,age suitable = m>riage1 #ad4 ---- at :i* m5/ruation beg9s1 #ga4 ,air %\ld be fully brea!d 91 #baj4 ---- ---- fre%1 #bab4 ---- ---- n contam9at$1 #baa4 ,album9>ia1 #aci4 ,alcohol1 #bhc4 ,alim5t1 #di1 #eb1 #bbe1 #cac4 ,alp1 #bah4 ,alum :ey1 #cbj4 ,am5orrha1 #hg4 ,ammonia mixture1 #cci4 ,ammoniacal gas = dysm5orrha1 #ceh4 ,ammoniacal l9im5ts1 #bbf4 ,amusem5ts1 #ag4 ,anas>ca1 #baf4 ,anatomical peculi>ities ( ! ftus1 #aaj4 ,anatomy ( ! pelvis1 #ee4 ,animal poisons1 #bhh4 ,anodynes1 #cdj1 #ceh4 ,anodyne lotion1 #ceh4 ,anatomy ( ! pelvis1 #fj4 ,antacids1 #ccf4 ,antidotes1 #bhe4 ,an!lm9tics1 #cdd4 ,antev]sion ( ! ut]us1 #he1 #hf4 ,antiflexion ( ! ut]us1 #hc4 ,antimony1 poison+ by1 #bhc4 ,antiseptic dress+s1 #aff4 ,antiseptics1 #bch1 #cch4 ,antispasmodics1 #cci4 ,ap]i5ts1 #cdc4 ,apoplexy1 #bha4 ,app>5t dea?1 #bhj1 #bhh4 ,apple wat]1 #caf4 ,ap?1 #age4 ,areola1 #aje4 ,arm pres5tations1 #ahg4 ,aromatic spirits ( ammonia1 #bgj4 ,arr[ root cu/>d1 #cbc4 ,arr[ root1 h[ to prep>e1 #cbb4 ,ars5ic1 poison+ by1 #bhd4 ,art]ies1 #bee4 ,art ( prescrib+1 #cbf4 ,articles want$ at *ildbir?1 #cb4 ,artificial respiration1 #bhi4 ,asc>ides1 #aej4 ,asphyxia1 #afj1 #bhh4 ,asphyxiat$ p]sons1 #bhh4 ,a/hma1 #bag1 #bbj1 #cci4 ,a/r+5ts1 #cdj ,atrop9e z a poison1 #bhc4 ,auscultation1 #ajh1 #adj4 ,bact]ia1 #afi4 ,ballottem5t1 #ajg4 ,b&ages1 apply+1 #bfa4 ---- mak+1 #bea4 ---- aft] conf9em5t1 #da4 ,b>b]'s it*1 #cfc4 ,ba?+1 #ai1 #bej4 ---- ( infants1 #ec1 #ed4 ---- %ort rules =1 #bej4 ,ba?s1 blanket & hot air1 #bdi4 ---- cold & cool1 #bdh4 ---- salt & sulphur1 #bej4 ---- sitz1 #bih4 ---- temp]ate & tepid1 #bdh4 ---- w>m & hot1 #bdh4 ,be>+ d[n pa9s1 #aeh4 ,b$rooms1 #bdf4 ,b$ sores1 #bdf4 ,b$s1 9 conf9em5t1 #cg4 ,bee /+s1 #cjc4 ,bee tea1 #cjb4 ,beef-juice1 #cbf4 ,beef tea1 #cbe1 #cbf4 ,belladonna1 poison+ by1 #bhc1 #bhg4 ,bev]ages1 #dd4 ,bismu?1 #bhe4 ,bites ( mad dogs1 #bhh4 ---- v5om\s snakes1 #bhh4 ,bitt]s1 hop1 #cej4 ,black5$ eye1 #big4 ,bladd]1 /ate (1 aft] conf9em5t1 #afc4 ,ble$+ f ! nose1 #cja4 ,bli/]s1 h[ dress$1 #bbg4 ---- :y us$1 #bbf4 ,blood root p[d]1 #bfd4 ,body pres5tations1 #ahg4 ,boil$ fl\r1 #dj4 ,boil$ rice & cocoa-nut1 #cbc4 ,boils1 #cfj4 ,bones ( ! ftal head1 #ajh4 ---- ---- pelvis1 #ef4 ,b[el compla9ts ( *ildr51 #bfh4 ,bread jelly1 #cai1 #cbc4 ,bread p\ltices1 #bcb4 ,brea/1 c>e (1 #dh1 #afe1 #aff4 ---- ga!r$1 #aff4 ,brea?+ ex]cise1 #cjf4 ,bree* pres5tation1 #ahd4 ,brim ( ! pelvis1 #fj4 ,brok5 bones1 #beg4 ,bron*ial a/hma1 #bag4 ,bron*itis1 #bbj4 ,bro?s1 #bdh ,br[n discolorations ( ! sk91 #ceg4 ,bruises1 #bee4 ,burns & scalds1 #bib1 #bic4 ---- dry1 #bib ---- salve =1 #ceg4 ,can?>ides1 poison+ by1 #bhf4 ,c>bolic acid1 #bgc1 #bhd4 ,c>bonic acid gas1 poison+ by1 #bhh4 ,c>e ( infant *ildr51 #agj4 ,c>e ( "m dur+ conf9em5t1 #db1 #dc1 #afc4 ---- ---- ---- labor1 #da1 #aeg4 ,catam5ia1 #gj4 ,cataplasm1 #bcc4 ,ca?>tics1 #cdb4 ,ca!t]1 introduc+ !1 #gh4 ,ca!t]ization1 #gh4 ,causes ( disease1 pr$ispos+1 #aif4 ---- ---- excit+1 #aif4 ---- ---- heat & cold1 #aig4 ---- ---- ! season1 #bjb4 ,causes ( t$i\s labor1 #adb1 #aea1 #aee1 #agi4 ,cau/ics1 #cdd4 ,c]vex ut]i1 #ff4 ,cessation ( m5ses1 #gb4 ,*af+s1 #aga4 ,*alk mixture & hops1 #ccf4 ,*ange ( life1 #gc4 ,*ang+ clo?+1 #bea4 ,*>coal1 #bdj1 #bii4 ,*ick5 bro?1 #cbe4 ,*ick5 tea1 #cbd4 ,*ilbla9s1 #cfc4 ,*ildr51 diseases (1 #bag4 ,*lorate ( pota%1 #bgb4 ,*lorosis1 #bfe1 #ceb4 ,*ol]a infantum1 #agd1 #ccd4 ,*ol]a mixture1 #ccg1 #cci4 ,*ol]a morbus1 #age4 ,*oos+ food = infants1 #cjg4 ,*orea1 #bag1 #bah1 #cef4 ,cicitrization1 #bef4 ,c9namon mixture1 #cdj4 ,circulation ( blood 9 ! ftus1 #aaj4 ,classification ( m$ic9es1 #cca4 ,cleanl9ess 9 cook+1 #cji4 ,climate1 #aih4 ,cl9ical !rmomet]1 #bgf4 ,clo!s on fire1 #bib4 ,clo?+ = ! ly+ 9 woman1 #cg4 ---- ---- ---- pregnant woman1 #ai4 ---- ---- ---- infant1 #ec ---- h[ to *ange1 #de4 ,coccyx1 #ei4 ,c(fee1 #cjc1 #cba4 ,cold applications1 #bbe1 #bce4 ,cold z a cause ( disease1 #aig1 #aii4 ,cold ba?1 #bja4 ,cold 9 ! head1 #bgf4 ,colds1 #bfe4 ,cold wat]1 #bce4 ,colic1 #ccc1 #ccg4 ,collyrium1 #bcf1 #cfb4 ,coma1 #bha4 ,common diseases1 #bfc14 ,comp\nd licorice p[d]1 #bgb4 ,compression ( ! bra91 #bha4 ,conception1 nature (1 #id4 ---- signs (1 #aab4 ,concussion ( ! bra91 #bha4 ,conduct ( "m aft] m>riage1 #ag4 ---- ---- dur+ pregnancy1 #ah4 ,conf9em5t1 prep>ations =1 #cb1 #cg4 ---- b$ =1 #cg4 ---- dress =1 #cg4 ,conium1 poison+ by1 #chc4 ,con/ipation1 #bc4 ,contagion1 caus$ by g]ms1 #bcg4 ,contagi\s diseases1 #bcg4 ,contus$ w\nds1 #bee4 ,contusions1 #bee4 ,convalesc5ce1 #afc4 ,convulsions1 infantile1 #bij1 #cjb4 ---- pu]p]al1 #aid4 ,cook]y = ! sick1 #cji4 ---- ---- "y *ildr51 #cji4 ,cool ba?1 #bdh4 ,cool+ lotion = inflam$ eyes1 #ceh4 ,corns1 #cjc4 ,corn tea1 #cag4 ,corsets1 #ai ,coryza1 #bgf4 ,co/iv5ess1 #bb1 #aga4 ,c\gh1 #bbj4 ,c\gh syrup1 #cdh4 ,c\nt] irritants1 #bbe1 #bbf4 ,crack$ nipples1 #afh4 ,cramps1 #bf4 ,crav+s1 #bie4 ,critical p]iod ( life1 #gc4 ,croton oil1 #bhf4 ,cr\p1 #bff1 #ccd4 ,cupp+1 dry & wet1 #bbi4 ,cutt+ ! gums1 #bgd1 #bif4 ,cy/itis1 #afc4 ,cy/ocele1 #adb1 #cdf4 ,d&ruff lotion1 #cfb4 ,dead1 c>e (1 #bdb4 ,dea?1 #bai1 #bdb4 ,decoction ( bran1 #cae4 ---- ---- b>ley wat]1 c41 #cde4 ,de=m$ pelvis1 #ahb4 ,d5tition1 #bgd4 ,depression ( spirits dur+ suckl+1 #di4 ,developm5t ( ! ut]us 9 pregnancy1 #ie4 ,developem5t ( ! ftus 9 pregnancy1 #aje1 #ajf4 ,diabetis1 #cjf4 ,diagnosis1 #bag1 #bgg4 ---- by palpation1 #adj4 ---- ( artificial labor1 #abf1 #ach4 ---- ( diseases 9 *ildr51 #bag ---- ( pregnancy1 #aab4 ---- by vag9al t\*1 #abf4 ,diamet] ( ! pelvis1 #fa4 ---- ---- *ild's head1 #ajg4 ,diaphoretics1 #cde4 ,di>rha prescriptions1 #bfh1 #cch4 ---- 9 a *ild1 #aga1 #bfg4 ---- 9 pregnancy1 #be4 ,diet>y aft] labor1 #dd1 #dg4 ---- dur+ suckl+1 #dd4 ---- ( a pregnant female1 #ai4 ---- ( ! "y wives1 #ag4 ,diet = infants & *ildr51 #cjg4 ---- ---- ! sick1 #cji4 ,dietetics1 #cj4 ,diff]5ces ( pelves1 #fc4 ,difficult labor1 #agg4 ,digital exam9ations1 #adj4 ,diph!ria1 #bfd1 #bfc4 ,diph!ria p[d]1 #bfc1 #bfd4 ,directions = dome/ic m$ication1 #bfb4 ,directions to ! mon?ly nurse1 #cc1 #dc4 ---- ?+s to be provid$1 #cc4 ---- c>e ( ! "m2 re/1 #dc4 ---- diet1 #dc4 ---- bev]ages1 #dd4 ---- ! lo*ial dis*>ge1 #dd4 ---- ablutions1 #dd4 ---- clo?+1 #de4 ---- ret5tion ( ur9e1 #dg4 ---- "m's brea/s1 #dg4 ---- c>e ( *ild's food1 #di1 #ea1 #eb4 ---- ---- sleep1 #ec4 ---- ---- ! naval1 #ec4 ---- ---- clo?+1 #ec4 ,diseases ( *ildr51 #bag4 ---- infants1 #aga4 ---- pregnancy1 vomit+1 #aba4 ---- morn+ sickness1 #ba4 ,diseases ( ! ?roat1 #bfd4 ,dis9fectants1 #bch1 #bci4 ,dis9fection1 #bda4 ,dislocations1 #bei4 ---- ( elb[1 #bfj4 ---- ( ?umb or f+]1 #bfj4 ,disord]s ( m5/ruation1 #hg4 ---- am5orrha1 #h-4 ---- dysm5orrha1 #hh4 ---- m5orrhagia1 #ib4 ,displacem5ts ( ! ut]us1 #gf4 ,diuretics1 #cdf4 ,dome/ic m$ication1 #bfb4 ,dome/ic managem5t ( colds1 #bfe4 ---- ---- di>rha1 #bfh4 ---- ---- fev]s1 #bff4 ---- ---- dys5t]y1 #bfi4 ---- ---- cramp1 #bff4 ---- ---- cr\p1 #bff4 ---- ---- fa9t+ fits1 #bgj ,doses = *ildr5 & adults1 #cbg4 ,dress = labor1 #cg4 ,dress+ ! *ild1 #dj1 #da4 ,dropsies1 #baf1 #cdg4 ,dropsy ( ! head1 #bah1 #bai4 ,dr[n+1 #bhh4 ,drugs1 li/ (1 #bfc4 ,duration ( pregnancy1 #abd4 ,duties ( a wife1 #ai4 ---- ---- skill$ nurse or midwife1 #ade4 ---- mak+ exam9ation1 #aef4 ---- h[ to act z midwife1 #adi4 ---- turn+ ! *ild1 #ahe4 ---- c>e ( ! *ild1 #agj4 ---- po/ p>tem hemorrhage1 #afj4 ---- adh]5t plac5ta1 #afa4 ---- aft] pa9s1 #afb4 ---- ret5tion ( ur9e1 #afb4 ---- ,%ock1 #afc4 ---- ! lo*ia1 #afd4 ---- ! milk1 #afe4 ---- c>e ( ! brea/s1 #afe4 ---- convulsions1 #add4 ---- mania1 #afi4 ---- septicemia #afi4 ---- c>e ( infant *ildr51 #agj4 ,duties ( a nurse 9 v>i\s circum/ances1 #bcg4 ,dys5t]y 9 ! infant1 #aga4 ---- ---- *ildr5 #bbj1 #bfi1 #cch1 #cdj4 ,dysm5orrha1 #hh1 #hi1 #ia1 #cdj4 ,dyspepsia1 #bgj4 ,e>1 =eign sub/ance 91 #bic4 ,e>a*e1 #bah1 #bai4 ,e>ly treatm5t ( disease1 #bba4 ,effects ( ! season ^u heal?1 #bjb4 ,eff]vesc+ lemonade1 #cag4 ,elb[ jo9t1 dislocation ( !1 #bhj4 ,elb[ pres5tation1 #ahe4 ,elm1 slipp]y1 #bgc4 ,embryo1 #ajc4 ,em]g5cies1 #bgi4 ,emetics1 #cdg4 ,emm5agogues1 #ceb4 ,emotion1 influ5ce ( on *ild1 #ba4 ,enema app>atus1 #cc4 ,enema = p9worms1 #cej4 ,enemata1 #bih1 #cdi4 ,epidemics1 #bch4 ,epileptical seizures1 #bij4 ,epi/axis1 #cjf4 ,erect c>riage1 #cjf4 ,ergot1 #aee4 ,eruptive fev]s1 #bgh4 ,erysipelas #bec1 #cfb4 ,ess5ce ( beef1 #cbf4 ,e!rization1 #bia4 ,excessive sweat+1 #bih4 ,ex]cise dur+ pregnancy1 #ai1 #bf1 #ce4 ---- be=e breakfa/1 #bb4 ,expectorants1 #cdh4 ,extra ut]9e pregnancy1 #id4 ,eye lotion1 #ceg1 #cfa1 #cfb14 ,face pres5tations1 #adc1 #ahc4 ,fa9t+1 #be4 ,fa9t+ 9 pregnancy1 #be4 ,fall+ ( ! ut]us1 #gf4 ,fallopian tubes1 #fg4 ,false labor pa9s1 #cd1 #abc4 ,fa!r's influ5ce1 #ae4 ,fecundation1 #id4 ,fe$+ infants1 #di1 #cjg1 #cad4 ,febrile disord]s1 #bbj4 ,female weakness1 #gg4 ,fire1 clo!s cat*+1 #bib4 ,fissure ( ! anus1 #bah4 ,fits1 #bij4 ,flatul5ce1 #ch4 ,flatul5t colic1 #ccc1 #ccg4 ,flaxse$1 #cae4 ,flexions & v]sions ( ! womb1 #ge4 ,fl\r boil$1 #cbb4 ,fluid alim5ts1 #cac4 ,ftal circulation1 #ajd1 #aaj1 #aaa4 ---- life1 #ajc4 ,ftus its developm5t1 #aje1 #ajc4 ---- size at t]m1 #ajf4 ,fom5tations1 #bca1 #bcd1 #ceb4 ,fontanelles1 #afi4 ,food1 dur+ pregnancy1 #ai4 ---- = a *ild1 #ej1 #cjg4 ---- = convalesc5ts1 #caj4 ---- milk & eggs1 #cab4 ---- rules = giv+1 #caj4 ---- v>ieties (1 #caa4 ,foot ba?1 #bih4 ,=eign matt] 9 a w\nd1 #bed4 ---- ---- 9 ! e>1 #bic4 ---- ---- ---- ---- eye1 #bic4 ---- ---- ---- ---- nose1 #bic4 ---- ---- ---- ---- ?roat1 #bid4 ,=mul = food1 #cad4 ,=mul = m$ic9es1 #ccb4 ,fractur$ ribs1 #bif4 ,fractures1 nurses duties1 #beh4 ,fractures1 signs (1 #beg1 #beh4 ,friction1 #bfi4 ,fruits1 #cac4 ,fumigation1 #bda4 ,fundus ( ! ut]us1 #fe4 ,g>gles1 #cjf4 ,ga!r$ brea/s1 #aff4 ,gelsemium1 #bhc4 ,g5]ation1 #ic1 #id4 ,g]m diseases1 #bcg4 ,ge/ation1 p]iod (1 #id1 #abd4 ,giv+ m$ic9es1 #bde4 ,giv+ ane/hetics1 #bia4 ,graafian vesicle1 #ge4 ,granulations1 heal?y1 #bef4 ,gre5 sickness1 #bcg4 ,gum ,arabic1 #bgb1 #cae4 ,h>d5+ infants1 #bja4 ---- nipples1 #bg4 ,haun* bone1 #eg4 ,head ( ! ftus1 #ajh4 ,head pres5tations1 #adj4 ,heada*e1 #bai1 #ced4 ,heal?1 #ad4 ,heal? ( wives1 #ad4 ,he>tburn1 #be1 #ccf4 ---- 9 pregnancy1 #bd4 ,heat z a cause ( disease1 #aig4 ---- a symptom ( inflammation1 #aae4 ,hematuria & m5orrhagia1 #ib1 #cda4 ,hemoptysis1 #cda4 ,hemorrhage1 unavoidable1 #aic4 ---- dur+ labor1 #aic1 #aid4 ---- int]nal1 #aid ---- po/ p>tem1 #afa4 ---- f cuts & incisions1 #bee4 ,hemorrhoids1 #bge1 #cfj4 ,h]b teas1 #cag4 ,home rem$ies = ague & fev]1 #bgg4 ---- ---- apoplexy1 #bgi4 ---- ---- op?almia1 #bge4 ---- ---- bron*itis1 #bgf4 ---- ---- con/ipation1 #bge4 ---- ---- di>rha1 #bfh4 ---- ---- dys5t]y1 #bfi4 ---- ---- hy/]ia1 #bgh4 ---- ---- pneumonia1 #bgf4 ---- ---- sc>let fev]1 #bgh4 ---- ---- typhoid fev]1 #bgh4 ,honey1 #cjb4 ,hop bitt]s1 #cef4 ,hot ba?s1 #bdh4 ,hot foot ba?s1 #bih4 ,hot wat]1 #big4 ,h[ to brea!1 #baj4 ,h[ to cook rice1 #cbc4 ,h[ to prep>e arr[ root1 #cbb4 ,h[ to use injections1 #cea4 ,hydrocyanic acid1 poison+ by1 #bhg4 ,hyoscyamus1 #bhc4 ,hyp]mia1 ,hy/]ia1 #bgh4 ,hypnotic supposit>y1 #ceb4 ,ice1 #bce4 ,ice bags1 #bce4 ,iliac fossa1 #eg1 #eh4 ,impact$ feces1 #adb1 #aea4 ,incis$ w\nds1 #bed4 ,incompatible m>riages1 #af4 ,incont95ce ( ur9e1 #cee4 ,indian meal gruel1 #cah4 ,indige/ible food1 #big4 ,ineffici5t action ( ut]us1 #aea4 ,infant1 c>e (1 #dj4 ,infant fe$+1 #agd4 ,infection1 #bch4 ,inflammation1 symptoms (1 local heat1 #bae4 ---- ---- pa91 #bae4 ---- ---- r$ness1 #baf4 ---- ---- swell+1 #baf4 ---- ---- t5d]ness1 #bad4 ---- g5]al symptoms1 sk91 ---- ---- ---- pulse1 #bbc4 ---- t]m9ations1 resolution1 #bad4 ---- ---- suppuration1 #beh4 ---- treatm5t (1 g5]al1 #bbc4 ---- ---- topical1 #bbe4 ,inflammation ( ! brea/1 #afe4 ,infusion ( flaxse$1 #cae4 ,infusions1 #cag4 ,inhalations1 #cjc4 ,injections1 #bih4 ,injections = ! vag9a1 #cea4 ,innom9ata1 #ef4 ,in/ructions to a woman be=e labor1 #bf4 ,in/ructions to nurses1 labor1 #adg4 ---- t$i\s labor1 #aea1 #agh4 ---- bree* pres5tations1 #ahd4 ---- knee or foot pres5tations #ahe4 ---- %\ld]1 body or head pres5tations1 #ada4 ---- face1 #ada4 ---- ineffici5t action ( ! ut]us1 #aea4 ---- excess ( liquor amnii1 #aeb1 #agi4 ---- p[]less labor1 #ahj4 ---- ob/ruct$ labor1 #aha4 ---- de=m$ pelvis1 #ahb4 ---- adh]5t plac5ta1 #afa4 ---- plac5tal pres5tation1 #aic ---- to wife & "m1 #ac4 ,in/ructions to nurse midwife1 #ade1 #aef1 #aib4 ---- to ! "m be=e labor1 #bf4 ,int]nal organs ( g5]ation1 #ff4 ---- ut]us1 #fe4 ---- ,fallopian tubes1 #fg4 ---- ov>ies1 #fh4 ---- vag9a1 #fh4 ---- ligam5ts ( ! womb1 #fi4 ,introduc+ ( ca!t]1 #gh4 ,introduction1 #i4 ,inv]sion ( ut]us1 #afh4 ,ipecac1 #bga4 ,irritable ut]us1 #cej4 ,irritation1 #bbi4 ,it*+s1 #bih4 ,jaundice1 #agf4 ,jelly wat]1 #caf4 ,jo9ts ( ! pelvis1 #ei4 ,knee *e/ position1 #hj4 ,labor1 difficult1 #agg4 ---- directions = conduct+1 #ci1 #adi1 #aef4 ---- false1 #cd4 ---- true1 symptoms (1 #cf4 ,lactation1 #afe4 ,laxatives1 #cdc4 ,lee*es1 #bbi4 ,leucorrha1 #cea4 ,light1 effects (1 #df4 ,lightn+1 #bij4 ,l9eo ilio pect9ea1 #fj4 ,l9im5ts1 #bbf4 ,l9im5t us$ 9 c]ebro sp9al m5+etis1 #ceg4 ,liquor amnii excessive1 #aeb4 ,li/]'s dress+1 #aff4 ,little ailm5ts1 #big4 ,lo*ia1 pr(use1 #afe4 ---- scanty1 #afd4 ---- fetid1 #afe4 ,lo*ial dis*>ge1 #de1 #afd4 ,lock$ jaw1 #bec4 ,long+s 9 pregnancy1 #ai4 ,lotion = pruritis1 #cfb4 ,lotion = t9ea capitis1 #cei4 ,lotions1 #ceg4 ,mad dog bites1 #bhh4 ,mamm>y abscess1 #aff1 #cfb4 ,mamm>y inflammation1 #afe4 ,mann] ( fe$+ infants1 #cac4 ,m>riage %\ld n be at too e>ly an age1 #ad4 ,m>%all ,hall's me?od1 #bhi4 ,measles1 #bgd4 ,meatus ( ! ure?ra1 #fd4 ,measures1 #fa4 ,me*anical ph5om5a ( labor1 #acc4 ,me*anical pres5tations & positions1 #ace4 ---- h[ di/+ui%$1 #abf4 ,meconium1 #aga4 ,m$dlesome midwif]y1 #aib4 ,m$ic9es1 class$1 #cca4 ---- 9 pregnancy1 #bh4 ,m$icat$ ba?1 #bej4 ,m5+itis1 #bah4 ,m5orrhagia symptoms & v>ieties1 #ib4 ---- treatm5t (1 #ic4 ,m5ses1 cessation (1 #gc4 ,m5/ruation1 ret>d$1 #gb4 ---- its disord]s1 #gc4 ---- pa9ful1 #ij1 #ia4 ---- pr(use1 #ib4 ,midwif]y1 #adj1 #ade4 ,milk1 z food1 #cab4 ---- fev]1 #afe4 ---- 9 ! brea/s ( new-born infants1 #aga4 ---- "m's influ5ce ( diet on1 #agb4 ---- porridge1 #cai4 ,misc>riage1 cause (1 #aba4 ---- flood+ 91 #aba1 #abc4 ---- prev5tion (1 #abb4 ---- treatm5t (1 #abc4 ,mism5/ruation1 #hg4 ,mi/akes 9 giv+ m$ic9e1 #bde4 ,mode ( adm9i/]+ m$ic9e1 #cbh4 ,morn+ sickness1 #aje4 ,morph9e1 poison+ by1 #big4 ,"m1 #ai4 ,mucilage ( />*1 #cbb4 ,mumps1 #bgd4 ,mu% & milk1 #cbj4 ,mu/>d pla/]s1 #bbf4 ,mutton bro?1 #cbf4 ,mutton s\p1 #cbe4 ,n>cotic poisons1 #bhf4 ,n>cotics1 #cec4 ,natural labor1 #adi4 ,nausea1 #ccg4 ,naval1 sor5ess (1 #agj4 ,naval /r+1 #aja4 ,naval /r+1 dress+ (1 #ec4 ,n]v\s disord]s1 #bbj4 ,n]v\s %ock1 #afc4 ,neuralgic dysm5orrha1 #hi4 ,night nurs+1 #bde4 ,night sweats1 #cda4 ,nipple1 crack$ & sore1 #cfj4 ---- retract$1 #da4 ---- to h>d51 #bf4 ,nose ble$1 #cja4 ,nutrici\s c(fee1 #cba4 ---- laxative1 #cba4 ,nurses1 duties (1 #cc4 ---- g5]al rules1 #bdc4 ---- qualifications (1 #cj ---- responsibilities (1 #cc4 ---- %\ld be well paid1 #ca4 ---- skill$1 #ade4 ,nurs+1 rules =1 #cc4 ,nux vomica z a poison1 #bhc1 #bhg4 ,oatmeal gruel1 #cah4 ,obs]vation ( symptoms1 #bba4 ,ob/ruct$ labor1 #aha4 ,obturator =am51 #eg4 ,oil1 #cjb4 ,o9tm5t = sk9 affections1 #cei4 ,op]ation cases1 #bea4 ,opium1 #bbd4 ---- = labor1 #aee4 ---- poison+ by1 #bhg4 ,op?almia1 #cgc4 ,ord9>y hurts1 #big4 ,organs ( g5]ation1 #fd4 ,os coccygis1 #ei4 ,ossa innom9ata1 #ef4 ,os sacrum1 #ee4 ,os t9c or os ut]i1 #ff4 ,outlet ( ! pelvic canal1 #fb4 ,ova1 #ih4 ,ov>ian neuralgia1 #hi1 #cec4 ,ov>ies1 #fh1 #fi1 #gd4 ,ovum1 its developm5t1 #ih4 ,oy/] bro?1 #cbd4 ,oy/]s1 #cab4 ,pa9s1 #abh1 #abi4 ,palpation = diagnosis1 #adj4 ,palpitation ( ! he>t1 #bf1 #ced4 ,panada1 #cah1 #cbb4 ,p>alysis1 #bag1 #bah4 ,p>egoric1 #bfh4 ,p>otitis1 or mumps1 #bhj4 ,p>turition1 #abc1 #abe4 ,passion1 ill effects ( dur+ pregnancy1 #ba4 ,pelvis1 #ee1 #fj1 #fb4 ,p]cussion1 #ajf4 ,p]9eum1 #fe4 ,p]iod ( ge/ation1 #abd4 ,p]sons asphyxiat$1 #bhh4 ,ph?isis1 tub]cul>1 #bgg4 ,phosphorus1 poison+ by1 #bhf4 ,physician %\ld be select$1 #bh4 ,physiology ( ftal life1 #aji4 ---- ( ut]us & ov>ies1 #gj4 ,physiological ph5om5a ( labor1 #abf4 ,piles 9 pregnancy1 #bd1 #bgc4 ,piles o9tm5t1 #cfa4 ,plac5ta1 #ajj1 #aja4 ---- adh]5t1 #aca1 #afj4 ---- previa1 #aic4 ,plac5tal pres5tations1 #aja1 #aic4 ,pleurisy1 #bbe4 ,pneumonia1 #bbj4 ,poa*$ eggs1 #cbd4 ,poisons & _! antidotes1 #bha1 #bhd4 ,position ( pati5t dur+ p>turition1 #adh4 ,position ( ! ftus 9 ut]o1 #ajg4 ,po/ p>tem hemorrhage1 #afa4 ,potus imp]ialis1 #cba4 ,p\ltices1 alum1 #bcc4 ---- bread1 #bcb4 ---- *>coal1 #bcd4 ---- conium1 #bcd4 ---- yea/1 #bcc4 ,p[]less labor1 #ahj4 ,precoci\s unions1 #ad4 ,precursory symptoms ( labor1 #ce1 #cf4 ---- ---- ! m5ses1 #ga4 ,pregnancy & conf9em5t1 #ac4 ---- disord]s incid5t to1 #bb1 #aci4 ---- duration (1 #abd4 ,premature infants1 #ed4 ---- labor1 #abj4 ,premonitory symptoms ( labor1 #abf4 ,prep>ation = labor1 ! b$1 #cg4 ---- ---- ---- ---- dress1 #cg4 ---- ---- ---- ---- room1 #ch4 ---- ( food1 #cji4 ,pres5tation ( ! face1 #ada1 #ahc4 ---- ---- feet or knees1 #ahe4 ---- ---- head1 #adj4 ---- ---- %\ld]1 #ahe1 #ahg4 ---- ---- side1 #ahe1 #ahg4 ---- ---- sup]ior extremities1 #ada1 #ahe4 ,pres5tation & positions1 #ace1 #abf4 ,process ( g5]ation1 #ic4 ,procid5tia1 #gf4 ,pr(use m5/ruations1 #ib4 ,prolapsis1 #gf4 ,pruritis vulva1 #bf1 #cfb4 ,pub]ty1 ! age (1 #ga4 ---- ! *ange x works1 #ga14 ,pubis1 #eh4 ,pu]p]al convulsions1 #aid4 ,pu]p]al mania1 #afi4 ,pu]p]al septicemia1 #afi4 ,pulse4 ,! rate1 #bjf4 ---- ---- regul>ity1 #bjg4 ---- ---- h>dness1 #bjg4 ,pure air1 #baa4 ,purgatives1 #cdb4 ,pus1 #aff4 ,pies1 #cac4 ,pyemia1 #bec4 ,qualities transmitt$ by p>5ts1 #cae4 ,quick5+1 #aaf4 ,qu9sy1 #bge4 ,quiet aft] conf9em5t1 #dc4 ,recipes = sick cook]y1 #cad4 ,reckon+1 h[ to make !1 #abd4 ,regim51 #bfb1 #cjb4 ,rem$ies = common use1 #bfb4 ,rem$ies to prev5t co/iv5ess1 #cjb4 ,removal ( ! plac5ta1 #ci4 ,reproduction1 #ic4 ,re/orative s\p = invalids1 #cbd4 ,respiration1 #bji4 ---- a diagno/ic symptom1 #baj4 ,ret5tion ( ! ur9e1 #dg1 #aeb1 #agd4 ,retr(lexion ( ! ut]us1 #hc4 ,rheumatism1 #cce1 #cdg1 #cec4 ,rice gruel1 #cah4 ,rice cream1 #cai4 ,rickets1 #bah1 #bai4 ,rigid os ut]i1 #aed4 ,rigid p]9eum1 #aee4 ,rigor mortis1 #bdb4 ,r+worm1 #cfb4 ,rubeola1 measles1 #bgd4 ,rules 9 nurs+1 #bdc4 ,rules ( diet = convalesc5ts1 #caj4 ,rupture ( ! naval1 #agj4 ,sacrum1 #ee4 ,sage tea1 #caf4 ,sagittal suture1 #ajh4 ,salt wat]1 #bii1 #cjj4 ,sangu9>ia p[d]1 #bfc4 ,saucepans1 #caj4 ,scalds1 #bib4 ,sc>lat9a or sc>let fev]1 #bgh4 ,sciatica1 #cce4 ,secretion ( milk1 #afe4 ,s$atives1 #bbd1 #cec4 ,septicemia1 #afi4 ,setons1 #bbi4 ,%ock1 #afc4 ,%[1 a sign ( labor1 #abh4 ,%[] ba?1 #bja4 ,sick heada*e1 #bgj4 ,sick room1 #ch4 ,signs ( approa*+ labor1 #ce1 #abg ,signs ( dea?1 #bdb4 ,signs ( pregnancy1 #aac1 #aah4 ,size ( ! pelvis1 #fa4 ,size ( ! ftus1 #ajf4 ---- ---- ---- head1 #ajg4 ,skill$ nurs+1 #ade4 ,sleep dur+ pregnancy1 #ba4 ---- position 91 #ba4 ,sleep+ rooms1 #bj1 #bab4 ,sleeplessness1 #cjc4 ,slight hurts & ailm5ts1 #bie4 ,slipp]y elm b>k tea1 #caf4 ,soda & wat]1 #cja4 ,soda m9t1 #cch4 ,solution ( *lor9at$ soda1 #cea4 ,sore m\?1 #age4 ,sore nipples1 #bg1 #cei1 #cfj4 ,s\p1 #cab1 #cba1 #cbd4 ,s\r /oma*1 #bgj1 #ccf4 ,s\r milk1 #caa4 ,_s vapor ba?1 #bdi4 ,sponge ba?s1 #de1 #bdi4 ,sponges1 #beb4 ,spra9s1 #big4 ,spuri\s labor pa9s1 #abd4 ,/ays1 #ai4 ,/rangury1 #cjb4 ,/rapp+1 #bed4 ,/upes1 #bca4 ,subacute rheumatism1 #cec4 ,suckl+ ! *ild1 #dh4 ,summ] compla9ts1 #bfh4 ,sun/roke1 #bhj4 ,suppositories1 #agc1 #ceb4 ,surgical cases1 #bea4 ,surgical nurs+1 #bea4 ,sutures1 sagittal1 #ajh4 ---- coronal1 #ajh4 ---- lambdoidal1 #ajh4 ,sweat+1 excessive1 #bih4 ,symphasis pubis1 #fa4 ,symptomotology1 #aif4 ,symptoms ( disease1 subjective1 #bjd1 #bjf4 ---- ---- objective1 #bjf4 ---- ---- "* ( ! pa91 #bje4 ---- ---- t5d]ness1 #bje4 ---- ---- it*+1 #bje4 ---- ---- nausea1 #bje4 ---- ---- ?ir/1 #bjf4 ---- ---- ! pulse1 #cjf4 ---- ---- ---- temp]ature1 #bjh1 #bae4 ---- ---- ---- respiration1 #bji4 ---- a/hma1 #bag ---- hydrocephalus1 #bah1 #bai4 ---- hy/]ia1 #bgh4 ---- e>a*e1 #bah4 ---- bra9 affections1 #bai4 ---- *orea1 #bai1 #bag4 ---- bron*itis1 #bbj4 ---- sun/roke1 #bhj4 ---- inflammation1 #bad4 ---- poison+1 #bhb4 ,syncopes fa9t+1 #bgj1 #bha4 ,syrup ( ipecac1 #bfg1 #bga4 ,table tea1 #cbj4 ,table ( abbreviations1 c41 #ccj4 ,tampons1 #hj1 #ha4 ,t>t> :ey1 #cag4 ,t> wat]1 #de1 #cjj4 ,tee?+1 #bif4 ,t$i\s labor1 #aea1 #agh4 ,temp]ature ( ! pati5t1 #bjg4 ---- ---- sick room1 #bac4 ---- ---- ba?s1 #bdh4 ---- h[ tak51 #bjh4 ,temp]am5ts1 #af4 ,temp]ate ba?1 #bdh4 ,tepid ba?s1 #bdh4 ,tetanus1 #bec4 ,! fir/ few mon?s aft] m>riage1 #af4 ,!rmomet]1 #bgf4 ,?roat diseases1 #bfd4 ,t5d]ness1 #bec4 ,t]m9ations ( inflammation1 #bae4 ,t91 poison+ by1 #bhe4 ,tie+ ! cord1 #ci4 ,t9ea capitis or scald head1 #cei4 ,t9cture ( iod9e1 #bbh4 ,?ir/1 #dd4 ,?ru%1 #age4 ,tongue1 coat$1 #bbj4 ,treatm5t ( infantile diseases1 #bag4 ,treatm5t ( inflammation 9 em]g5cies1 #bbd4 ---- ---- ---- 9 ! incipi5t /ages1 #bbc4 ---- ---- ---- by v]atrium1 #bbd4 ---- ---- ---- by ap]i5ts1 #bbd4 ---- ---- ---- by opium1 #bbd4 ---- ---- ---- by c\nt] irritants1 #bbe4 ---- ---- ---- by vesicants1 #bbe4 ---- ---- ---- by topical applications1 #bbe4 ---- ---- ---- by l9im5t1 #bbf4 ---- ---- ---- by mu/>d1 #bbf4 ---- ---- ---- by bli/]s & cupp+1 #bbg4 ---- ---- ---- by lee*es1 #bbi4 ---- ---- ---- by fom5tations1 #bca4 ,toa/1 #cbb4 ,toa/ wat]1 #caf4 ,tonics1 #cee4 ,tonic 9 neuralgia1 #cef4 ,too?a*e drops1 #ced4 ,t\*1 #abf4 ,turn ( life1 #gb4 ,tub] is*ii1 #eh4 ,tub]cul> ph?isis1 #bgg4 ,typhoid fev]1 #bgh4 ,typhus fev]1 #bgh4 ,ulc]1 ga/ric1 #ccd4 ,umbilical cord1 #aja4 ,umbilical art]y & ve91 #aja1 #aaa4 ,undilatable os ut]i1 #aed4 ,ure?ra1 #fd4 ,ur9>y & g5]ative organs1 #fe4 ,ur9e1 incont95ce (1 #cee4 ---- ret5tion (1 #dg4 ---- %\ld be exam9$1 #bi4 ,uses ( ! pelvis1 #fc4 ,ut]9e d]angem5ts1 #fe4 ,ut]us1 description (1 #fe1 #ff1 #fg1 #gj4 ---- displacem5t (1 #gf4 ---- antiflexion (1 #hd4 ---- anti-v]sion (1 #he4 ---- retr(lexion (1 #hc4 ---- retrov]sion (1 #he1 #ha4 ---- prolapsis (1 #gg4 ,ut]o ge/ation1 #ie4 ,vag9a1 #fh1 #adb4 ,vag9al cy/ocele1 #adb1 #ahb4 ,vag9al injection1 #cea4 ,vag9al t\*1 #adj4 ,vapor ba?s1 #bdh4 ,vegetable s\p1 #cba4 ,v5tilation1 #bj1 #bab4 ,v5tilation ( b$rooms1 #bac4 ,v]atrium viride1 #bbd1 #bfe4 ,v]sions ( ! ut]us1 #he4 ,vesical calculi1 #adb4 ,vesicants1 #bbe1 #bbg4 ,v9eg> :ey1 #cae4 ,vomit+1 #cbd4 ,vomit+ 9 pregnancy1 #bb4 ,w>m ba?s1 #bdh4 ,w>m wat]1 effects (1 #bej4 ,wa%+ ! *ild1 #dj1 #eb4 ,wat]s1 break+ ( !1 #aeb4 ,wat]1 cold1 #dd1 #bih4 ---- hot1 #big4 ,wat] b$1 #bdg4 ,wean+1 #cjh4 ,wet girdle1 #bii4 ,wet cups1 #bbi4 ,wet nurse1 #ea1 #agd4 ,wet pack1 #bdh4 ,wet %eet pack1 #bdh ,:ites or leucorrha1 #cee4 ,:oop+ c\gh1 #cjc1 #cci4 ,wit* hazel1 #bga4 ,woman1 & h] diseases1 #ge4 ,womb1 #ff4 ,worms1 #cej4 ,w\nds1 incis$1 #bed4 ---- contus$1 #bee4 ---- punctur$1 #bef4 ---- poison$1 #bef4 ,,! ,,end4 ---------------------------------------- -------------------------------- ,,transcrib]',s ,,notes #a4 ,p4 #bj1 *ang$ 8out to be0 to 8ought to be04 #b4 ,p4 #afj1 *ang$ 8d>k liv$ color0 to 8d>k livid color04 #c4 ,p4 #bgg1 *ang$ 8pulse is bel[ #ij0 to 8temp]ature is bel[ #ij04 #d4 ,made corrections m5tion$ 9 ! ,errata sections4 #e4 ,*ang$ all d\ble p]iod 7447 ditto m>ks 9 ! ,index to #b em da%es 7----74 #f4 ,sil5tly correct$ typographical errors4 #g4 ,reta9$ ana*roni/ic & non-/&>d spell+s z pr9t$4 #h4 ,enclos$ italics font 9 und]scores4