11:39 PM
crutcrit
(1) At the first sign of pleurisy, the patient should observe a complete fast, abstaining from all liquid and solid foods. Nothing should be taken except plain water, hot or cold, as desired.
(2) Water may have bad taste, but at least three or four glasses should be taken daily for the first few days. The quantity of water should be gradually increased to five or six or more glasses each day. It would be helpful if during this period of fasting, a full hot enema is also taken once daily.
(3) A hot chest pack should be applied two or three times a day allowing it to remain for an hour or so each time. If the fever becomes high, the packs may be changed to cold ones. If, however, the reaction is not prompt and complete, it would be advisable to use the hot packs.
(4) Heat is always helpful for relieving the sharp pain associated with pleurisy. This should be applied for half an hour twice daily. The patient should practice deep breathing during this period. Adequate rest and abundance of fresh air are essential.
(5) In cases of dry pleurisy, further relief from pain can be obtained by strapping the chest. Heat is not used when the tapping is employed. A neutral immersion bath at 100 F for one hour daily has also been found beneficial in the treatment of pleurisy.
(6) After the acute symptoms have subsided, the patient may adopt a milk diet. IN this regimen, he should take 250 ml. of milk every two hours on the first day, every 1 1/2 hour on the second day, every hour on the third day and every three-quarters of an hour on the fourth day and onwards.
(7) The quantity of milk should not exceed four liters daily. The patient may also take one orange daily along with the milk diet.
(8) As soon as the patient has gained slightly in strength, he should undertake moderate exercise as a routine, avoiding fatigue. Air bath, sun bath and dry friction bath are of particular importance. If there is any particular disease, present along with the pleurisy whether as a causative or as a complicating condition, the same should also be given appropriate attention.
(9) Chronic pleurisy should be treated in the same manner as to the diet and the application of heat.
(10) All efforts should be made to increase the vitality, reduce toxemia, and restore normal freedom of chest movements. Several short fasts, at regular intervals, followed by milk diet may be necessary depending on the progress for complete recovery.
