There are a number of subacute or subchronic hyper-plastic processes, especially involving the joints, that do not yield readily to ordinary therapeutic measures. For these Dr. William Ewart1 has proposed a plan of treatment that, in his hands, has yielded encouraging results. The procedure has the merit of simplicity, requires no special apparatus, and has the added advantage of freedom from danger under proper conditions. The part to be treated must first be rendered anemic; the patient assumes the recumbent posture, and the part is elevated and squeezed free of blood. An Esmarch tourniquet or a length of rubber tubing of suitable thickness is then applied. The tubing may be tightened around the member in single or in double loop over a slight protecting pad. The tube can either be drawn tight, the ends being held, or it may be coiled over itself to any degree of tightness. The
INTERRUPTION OF CIRCULATION AS A THERAPEUTIC MEASURE. JAMA. 1906;XLVI(13):961–962. doi:10.1001/jama.1906.02510400039011
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