Choice Gleanings.

Treatment of Sciatica by Enteroclysis at High Temperature.

Annequit says that water at a very high temperature introduced into the intestine acts directly upon the branches of the sciatic nerve and of the sympathetic plexus as well as upon the pelvic ganglia. In accordance with this principle Annequit utilized injections into the intestine at high temperature in the treatment of sciatica. In addition to their effect upon the nerve these treatments also improve the digestive functions and diminish the process of intoxication. He recommends irrigations with water at 48°C. at first, which gradually should be increased to 55° or 56°C. The patient tolerates these well if the fluid is introduced very slowly and the irrigations suspended when spasm occurs. The receptacle should not be elevated more than 30 or 40 Cm. and should be wrapped in wool so as not to lose its heat too rapidly. A flexible rectal catheter is used. The best fluid is a physiological salt solution made by dissolving two teaspoonfuls of common salt in a litre of water. The treatment may be preceded by a small evacuating enema at lower temperature. The patient should lie on his right side with his knees flexed and later should turn upon his back to avoid cramps and to retain the fluid as long as possible. The treatment may be continued indefinitely without any bad results.—La Tribune Med.

Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.