[Fat and Blood by S. Weir Mitchell]@TWC D-Link bookFat and Blood CHAPTER X 15/39
Lately I have found that this current in a strength which would be very painful to the normal skin will in some instances relieve the feeling of pressure and dull discomfort about the rectum and perineum, and it has been successful when galvanism did no good.
In patients within reach of a static machine, this form may be used for the numbness if the others do not help it. For the attacks of pain, if general, a prolonged hot bath lasting from ten to twelve minutes, at a temperature of 100 deg.
F.or even more, should be first tried; if this fail, antipyrin, phenacetin, acetanilid, or cannabis indica may be used, or, as a last resort, morphia.
For the local pains hot water is also useful, and in the intervals I order applications of hot water to the tender points, as hot as can be borne, alternating with ice-water, each rapidly applied three or four times.
In severe attacks, and with all due caution to avoid habituation, cocaine injections may be given.
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