A Treatise on the Eclectic Southern Practice of Medicine Page: 475 of 724
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BLEEDING AT THE NOSE.
the drugs, and when cold, add the alcohol. Macerate
for two weeks; express and filter through paper.
It may be made by adding together equal parts of the
tinctures of colchicum seed and black cohosh root.
Dose, ten to sixty drops, or more, as circumstances indi-
cate, every one, two, or four hours.
HEMORRHAGES.
EPISTAXIS.
Bleeding at the nose.-The mucous membrane of the
nose is decidedly the most frequent seat of hemorrhage;
there is a net work of blood vessels expanded on the
internal surface of the nostrils, which have a very thin
and delicate integument for their protection. Any thing
that has a tendency to produce congestion of these vessels,
or too great a determination of blood to the head, in
either case those delicate blood vessels of the nose are
easily ruptured.
In general the blood only escapes from one nostril;
the hemorrhage is generally preceded by a fullness or
sense of weight about the head; but if it is of an active
character, you frequently, before an attack, have signs
of a local disorder, such as vertigo, flushing in the face,
heat, and a disagreeable itching in the nostrils, a throb-
bing of the temporal arteries, redness of the eyes, some-
times disordered vision, buzzing in the ears, and not
unfrequently accompanied with coldness of feet and
hands, with chilly sensations, and almost sure to be
preceded by costiveness.475
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/475/: accessed April 18, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.