Rational therapy . r was to clean wounds and is now alsowidely employed to produce hyperemia. The most common formis a cup with a rubber ball at its end. Before use, the ball is partlyor entirely compressed and the cup is placed upon the body—therubber ball then distends, and exerting more or less suction, thinsthe air in- the glass, according to the degree of evacuationobtained. Instead, a suction syringe connected with the cup maybe used. Heating the air in a glass before placing it, is a methodstill in use by the laity. The apparatus must be thoroughly steril-ized before use and this should


Rational therapy . r was to clean wounds and is now alsowidely employed to produce hyperemia. The most common formis a cup with a rubber ball at its end. Before use, the ball is partlyor entirely compressed and the cup is placed upon the body—therubber ball then distends, and exerting more or less suction, thinsthe air in- the glass, according to the degree of evacuationobtained. Instead, a suction syringe connected with the cup maybe used. Heating the air in a glass before placing it, is a methodstill in use by the laity. The apparatus must be thoroughly steril-ized before use and this should be done by boiling. (Figure 4) A number of forms have been constructed and can be foundin the shop of every instrument maker to fit every portion of thebody and to allow sterilization without spoiling the rubber ball. That the cup actually produces hyperemia is proved by thered color of the skin when moderately used, which indicates anactive or mixed form of hyperemia, and by the deep blue colors HYPSR^IMIA. 293. Figure 4—Suction Cups. when the degree of evacution of the cup is great, indicating asevere passive hyperemia. Bier has re-introduced and modifiedthe apparatus employed by Junod and his followers since consisted of large cups which are made of glass or tin, twoin the form of boots, for legs and feet, and two cylinders, forarms and hands. After placing the extremity to be treated inthe apparatus, the openings were tightly closed with rubber cuffsand evacuation produced with a suction pump. The apparatuswas used in the treatment of a number of diseases, with the ideaof freeing internal diseased organs from congestion and drawingthe blood into the healthy arms and legs, and it was recommendedin the treatment of internal hemorrhages, instead of the binding ofthe extremities in common use, to keep a large portion of theblood out of the trunk.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjecttherapeutics, bookyea