Having seen a great number of typhoid cases in a large hospital, I have had the opportunity of observing different modes of treatment and comparing results.
The following course I have found the most successful: Treat specific indications and give some intestinal antiseptic, but avoid cathartics, coal-tar products or any depressant. The following is a routine measure in all cases. Normal physiological salt solution, 8 to 12 ozs. per rectum retained, injected slowly every four hours. This stimulates all excretory organs, particularly the kidneys and liver, and helps throw off the toxins. It also keeps the temperature in check, and it is not necessary to do any sponging for fever. Then a soap-sud enema is given once daily to evacuate the bowels.
The most satisfactory diet is milk and lime water and most patients find it very agreeable. Two ounces each of milk and lime-water regularly every four hours night and day. Nothing else until the temperature has come down to normal.
J. F. FRIESEN, M. D.
Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.