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adjuvant alcohol alkaloid amylene anaemia antispasmodic appetite arising awake best hypnotic BIRMINGHAM black tea blood vessels body brain British Medical Journal bromides called cardiac causal cause of insomnia CAUSES AND CURE cerebral activity cerebral cells cerebral circulation chloral chloral hydrate Clinical Lecture coffee combination conscious Constipation Contributions to Practical cure of insomnia diagnosis discomfort disease dose effects especially experience feeling flatulence getting into bed gout healthy sleep hypnotic drugs indicatio intrinsic change Journ judicious kidney kind of insomnia malady medical practice ment Michael Foster muscle nervous system nervous temperament opium organic overwork pain paraldehyde particular pathological patient perhaps persons physician physiological physiology of sleep poisons Potassium bromide Practical Medicine prolonged mental strain psychic variety QUEEN'S HOSPITAL regard relative cerebral hyperaemia revised sleep badly sleeplessness slumber smaller cerebral arteries sufficient sustaining symptomatic insomnia tincture tion tissue treatment of insomnia variety of insomnia volition waking
Page 60 - ... This, however, is not absolutely necessary, as some persons breathe always through their mouths during sleep, and rest as sound as those who do not. Having taken a full inspiration, the lungs are then to be left to their own action — that is, the respiration is neither to be accelerated nor retarded. The attention must now be fixed Upon the action in which the patient is engaged. He must depict to himself that he seei the breath passing from his nostrils in a continuous stream...
Page 60 - We then suppose all these attempts have failed, and the patient — for he is indeed a " sufferer" who cannot sleep— still awake. Let him turn on his right side, place his head comfortably on the pillow, so that it exactly occupies the angle a line drawn from the head to the shoulder would form, and then, slightly closing his lips, take rather a full inspiration, breathing as much as he possibly can through the nostrils.
Page 19 - Though the phenomena of sleep are largely confined to the central nervous system, and especially to the cerebral hemispheres, the whole body shares in the condition. The pulse and breathing are slower; the intestine, the bladder, and other internal muscular mechanisms are more or less at rest, and the secreting organs are less active, some apparently being wholly quiescent; the secretion of mucus attending a nasal catarrh is largely diminished during slumber, and the sleeper on waking rubs his eyes...
Page 53 - For this indication we may give tincture of ergot or tincture of digitalis, one or both. In many cases of chronic wakefulness arising from prolonged mental 'strain, the patient is distinctly anaemic.
Page 53 - H*matinics arc indicated, of which the best are iron or arsenic, singly or combined. The diet must be generous, containing plenty of fish, meat, and eggs. The prescription of alcohol as a remedy in disease is often difficult and sometimes dangerous. To many people a " nightcap " of toddy is a superfluous, perhaps hurtful, luxury. It gives, however, perhaps better than anything else, rest and sleep to the worried brain of feeble persons whose blood is poor.
Page 49 - In the severer forms of psychic insomnia, the prompt use of a hypnotic will soon restore to the brain the power of sleeping, without further aid from drugs.
Page 50 - J to 2 dr. of this syrup may be given at bedtime in a wineglassful of dill, peppermint, or other aromatic water, and repeated in a half dose in two or three hours, if necessary. A combination of hypnotics is sometimes more successful than any of them singly ; in such combination each acts better in a smaller dose than otherwise. Chloral and bromide of sodium or of potassium may be given together ; or both may be combined with opium, thus : — B...
Page 54 - When alcohol is prescribed in the form of any of the fluids which contain it, in the treatment of insomnia, the reasons for the employment of the remedy should be explained, and it should be discontinued when the conditions which called for its exhibition have disappeared.
Page 21 - Symptomatic Insomnia attends a vast variety of morbid states, and is secondary to them, or is part of them. Pain, if severe enough, and from whatever cause arising ; pyrexial elevation of temperature ; frequent coughing, such as often occurs in pulmonary consumption ; dyspnoea, such, for instance, as results from obstructive dilatation of the cardiac cavities and appears to require an extraordinary vigilance...
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