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GENERAL-Absolute rest in bed. Abstinence from all solid food for a few days, allowing only ripe fruits, fruit juices, well-dextrinized (well-cooked) cereals, and malted foods. Avoid meats, animal broths, beef tea or extracts, eggs, oysters, cheese, and all foods rich in proteins.

COMBAT INFLAMMATORY PROCESS IN JOINTS-Secure active cutaneous circulation by Hot Blanket Pack and Sweating Wet Sheet Pack; hot Fomentations to the joints, followed by Heating Compress. Keep him sweating until acute pain ceases and temperature falls.

PREVENT EXTENSION OF THE DISEASE TO THE HEART, LUNGS, PLEURA, AND MENINGES-by promoting activity of the skin and kidneys, the building up the general vital resistance, and by carefully administered cold applications. The Hot Blanket Pack, Hot Enemas, Hot Trunk Pack, following each hot application by Cold Mitten Friction. Administered carefully to all portions of the body that are free from local inflammation.

ENCOURAGE ELIMINATION-The prolonged sweating bath - given by means of the Hot Blanket Pack - should be continued for several hours, and is a most valuable measure. He should not be taken out of the pack suddenly, but gradually; Cold Mitten Friction being applied to each part until good reaction occurs before uncovering another portion. After rubbing, the surface should be carefully protected by flannel blankets. Free water drinking and large Enema twice daily.

PAINS IN JOINTS-Hot Blanket Pack followed by dry wrapping (Dry Pack); Fomentation to joints, repeated every 2 hours; during the interval in between, a well-protected Heating Compress applied as soon as the Fomentation is removed. Smear joints with Vaseline daily.

FEVER-Hot Blanket Pack continued to full sweating, followed by a Sweating Wet Sheet Pack that is prolonged for several hours is the best means of lowering the temperature. When the temperature is very high, the Neutral Bath, at 920-950 F., may be employed. Ice Compress to head and neck. Cold Mitten Friction or Cold Towel Rub may be given after the Sweating Wet Sheet Pack or the Hot Blanket Pack, 2-3 times daily.

PROFUSE PERSPIRATION-Do not check during the early stage; simply wipe him with a dry cloth. If the temperature is very high (1040-1050 F.), the Graduated Bath may be given; the temperature should not be lowered below 850 F. As the temperature is lowered, he should be rubbed with sufficient vigor, to prevent chill. The Cool Enema may also be used in connection with the Fomentation to the back. Be careful not to check perspiration suddenly, nor at all until acute symptoms (of pain, high temperature, etc.) subside.

DURING CONVALESCENCE-Encourage blood making by Graduated Cold Baths, especially Cold Mitten Friction.

HYPERPYREXIA (ELEVATION OF SYSTEMIC TEMPERATURE ABOVE 1040-1060 F.)-(1) Prevent it by Ice Cap, Cold Mitten Friction at 500-400 F., or Cold Towel Rub at 600-500 F., 2-3 times a day, when temperature rises above 101.50 F. May precede cold application by very Hot Sponging. (2) Combat it when temperature rises above 101.50 F. by Cold Mitten Friction at 600 F., given every 2 hours and continuing until temperature falls to 1010 F. Continue application to each part until reddened, so as to prevent retrostasis. Graduated Baths (1020-850 F.) may be resorted to in obstinate cases, also the Cool Enema. In all cases apply Ice Cap and Ice Collar, to offset cerebral congestion and coma.

ENDOCARDITIS, PERICARDITIS (INFECTION OF HEART MEMBRANES)-The hot Fomentation (and it should not be very hot) should be applied over the heart for half a minute at intervals of 1 hour. This should be followed by the Ice bag or Cold Compress above the heart.

CEREBRAL RHEUMATISM-Ice to head; Prolonged Neutral Baths at 920 F.; Colonics at 800 F., 3 times a day; ice to head and neck; Cooling Wet Sheet Pack; Sweating Wet Sheet Pack, repeating 2-3 times a day.

TO PREVENT PERMANENT DAMAGE OF JOINTSSimple flexions (movements) of the joints as soon as the fever de- clines; short applications of Alternate Compress or Alternate Douche, 2-3 times daily, after convalescence begins, with a well-protected Heating Compress during the interval in between.

ARTICULAR AFFUSIONS-Alternate Compress or Alternate Douche 3 times a day, well-protected Heating Compress during the interval in between; massage; bandaging.

NODOSITIES-Revulsive Douche or Fomentations, 3 times a day; Heating Compress during interval in between until tenderness is removed; then Alternate Douche, 3 times a day, followed by well-protected Heating Compress; massage.

ARTHRITIS AND PHLEBITIS-Fomentation over affected part every 2-3 hours for 20 minutes; Heating Compress during interval in between, wrung very dry and protected with plastic covering.

NEURALGIA-Revulsive Compress, followed by dry cotton poultice; renew every hour or two.

NEURITIS-Complete rest of part; Fomentation every 2-3 hours, followed by well-protected Heating Compress.

TACHYCARDIA (RAPID HEART BEAT)-Cold Compress over heart for 15 minutes every hour; avoid hot food and drinks; Ice Bag over heart during hot applications to joints and other parts.

DIARRHEA-Neutral Enema at 950 F., after each bowel movement; cold Abdominal Compress at 600 F., during intervals in between, changed every hour.

GASTRALGIA-Hot and Cold Compress over stomach, heat to area above stomach, cold to spine. Hot water drinking; dry diet of well-dextrinized (well-cooked) cereals.

PERIOSTATIS and OSTEITIS-Very hot Fomentations for 15 minutes every 2 hours, Heating Compress during intervals in between, well-wrung and well-protected with flannel and plastic. If suppuration (pussing) occurs, open it with a knife.

URTICARIA-Sponging with very hot water; Hot salt or alkaline Sponge; Prolonged Neutral Bath.

CONTRAINDICATIONS-Avoid Cold Full Baths and Cold Douche.

GENERAL METHOD-Aid the elimination of acids by promoting activity of the skin. This is also the best means of relieving the articular pains. He should be drenched with water through both the stomach and rectum, to encourage profuse perspiration and prevent undue increase in the specific gravity of the blood. Tonic and fever-lowering measures must be used with great care, and so managed as to avoid retrostasis (a retrograding of his condition). Chilling him will increase the pain. The cold rubbings (frictions), applied to maintain general vital resistance, must be accompanied by hot applications to the joints, and, if necessary, more extensive hot applications to the spine or legs, to prevent chilling of the surface. Those hydrotherapy measures are the most efficient which aid heat elimination by dilating the surface vessels rather than by lowering the temperature of the skin.

This page was last modified on 2 December 2010, at 17:18.

URL: http://naturalencyclopedia.com/Acute_Articular_Rheumatism

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