Revulsive Douche

JHK

from Dr JH Kellogg's Hydriatic Techniques...

Analgesic Revulsives Sudorific

  • A Scotch Douche but only one cycle, followed by friction. Thermic reaction is entirely suppressed.
  • Hot Douche as hot as the patient can bear (in local douches graduated up to 50-54°C) until skin is dusky-red (passive dilation), usually 2-4min
  • Cold Douche 2-15sec depending on temperature and irritability.
  • Irritable conditions require brief cold. Water at 10°C 3-4 sec, at 15-20°C 5-30sec (until circulatory reaction ie skin changes to scarlet).
  • If painful don't use cold.

Derivative Antiphlogistic in

To legs with simultaneous hot douche to epigastrium and spine opposite in

To parts below the umbilicus in

Sudorific in

Analgesic Fan, low pressure as a local application in

GKA

from Dr GK Abbott's Prescriptions...

  • 40-52°C, 2-5min, followed by cold 15-32°C 5-15sec
  • Derivative - if general due to cutaneous vasodilation
  • Reflex haemostatic - if local
  • Percussion NOT used