Treatment of Malaria

Abstract

Sir,?In reference to August No. of The Indian Medical Gazette, page No. 331, I beg to submit herewith my experience on the treatment of malaria fever from July 18.S3 in connection with the epidemic duty at Nuddea where 1 was for six months and thence afterwards in various places of Bihar and Bengal. (Now I h ive been dealing with Terai fever since last II years.) During these 31 years of my service I have come in contact with not less than 80,000 fever cases of all varieties and shapes, and I have many opportunities to give a good trial of arsenic iodin, cinchona febrifuge, quinine and other antipyretics in all forms and shapes, but I cannot pronounce any better or more radical and effective remedy for the cure of malaria than quinine in solution administered both by mouth and intramuscular injection according to the virulency of the disease demanding one or other of them. I found that quinine hydrochlorate is readily absorbed and works rapidly than the sulphate, bromide or other various salts. I also observed that sluggish and lax state of liver and stomach with defective state of their natural secretions and constipated bowels prevent absorption even if it is given in solution formI noticed quinine pills and tabloids passing out entire with ficces without any change. Since 1904 I have been using Quinine Bihydrocliloi ate in tramuscularly in 9 grains doses twice a day in all cases of malignant tertian received from Terai. The blood of all fever cases are being examined microscopically under the guidance of Dr. AD.Humphry, the Civil Medical Officer, for purpose of diagnosis before administering any specific drugs... On two occasions intravenous injections of quinine have been used with good result in bad types of malignant fever with brain complications. ....

Cite this paper

@inproceedings{Das1983TreatmentOM, title={Treatment of Malaria}, author={Gokul M. Das}, booktitle={The Indian medical gazette}, year={1983} }