« ZurückWeiter »
ministered, the occasions for the use distress and injury to the patient; of mechanical means will be found it is the drawing the coats of the to be much less frequent than has stomach forcibly within the tube ; been supposed to be necessary.
and when it is considered that the Should
we, however, be cofrinced surface thus drawn in may be subthat the welfare of our patient re- jected to a force equal to the pres. quires the stomach to be emptied sure of the atmosphere, it forms a mechanically, the means may be strong ground for the preference of both simple and efficient, viz., a more simple means, in the use of simple, well constructed syringe, which a want of dexterity does not with a flexible tube. Even the syr- endanger the patient. By either inge may be dispensed with, unless using the flexible tube as a syphon, it be desired to inject Auid forcibly or by a very moderate degree of into the stomach ; for the tube alone, pressure with the hand upon the reif of proper diwensions, when pass. gion of the stomach, the fluid coned down into the stomach is suffi- tents of the stomach may be made to cient to eracuate its contents, either flow through the tube in a full stream, by being used as a sypkon, or by a and the application of a greater very moderate pressure of the hand force, when the lesser is fully adeupon the region of the stomach. quate, is, to say the least, unnecessa
In injecting the stomach previous ry and useless. to withdrawing its contents, there is one precaution which must not be omitted, should the patient be in a
CHRONIC INFLAMMATION. state of insensibility, and be suppor
Chronic inflammation is frequentted with the head and shoulders ly produced through the influence of raised, as the most convenient posi- the mind on the body. Thus longtion for the operator. If the injec- continued grief will stop the secretion be continued beyond what the tion of the bile ; anxiety of mind stomach can contain, instead of the produces disease in the breasts. But Auid Aowing out by the lower ori- whatever is the cause of the arrest fice of tbe stomach, it is apt to rise of secretion, some congestion is the by the side of the tube. If the result; as enlargement of the liver, tube be very soft, a small piece of glands, or the joints ; the formation whalebone, similar to the handle of of common tumors, or those of a spea probang, may be inserted in the cific character, as fungus or scirrhus. tube, when it is introduced, to give it In diseases of a chronic kind, give firmness and elasticity, withdrawing calomel and opium; and I cannot the whalebonc when the tube is fuls point out to you a better example of ly iotroduced.
its good effects than is observable in If the simple syringe be used, it chronic inflammation of the joints, may be hall filled with tepid water, or testicle ; in the former case, when and when joined to the tube, the li assisted by counter-irritation, it is by quid may be injected; by raising the far the best remedy. The most comhandle of the syringe, so as to fill mon remedy, and probably, as a genthe syringe, double the quantity of eral one, the best that is administer. the Nuid injected may be withdrawn ed in chronic inflammation, is the pifrom the stomach : and this process lul. hydrarg. submur. comp.: it acts may be repeated as often as necessa- at the same time on the liver, intes. ry, till the stomach be persectly tines, and skin ; and if you can sucwashed, and its contents evacuated. ceed in restoring these, the disease
There is a danger in the use of will disappear, and its effects will either syringe or pump, in awkward be absorbed; for, by these medicines, hands, which may be productive of in proportion as you increase the se
cretion, you excite the action of the the moment, or rendering the system absorbent vessels.
afterwards irritable. Another excellent medicine, for the cure of chronic complaints, is the oxymuriate of mercury, (corro At a meeting of the French Acadsive sublimate,) dissolved io nitrous emy of Medicine, Messrs Gimelle, æther, and combined with tincture Hedelhofer, and Lisfranc, in reportof bark or of rhubarb, or with the ing on the essai sur la hernie crurale decoction of sarsaparilla; continue of Dr Manche, protested against his it for some time, watching its effects advice to divide the integuments pawith care, always keeping in mind rallel with the fold of the groin, inthat mercury, given to excess, will stead of making the first incision patend to increase rather than destroy rallel with the hernial sac; they, constitutional irritation: aš sarsapa- however, approved of his sentiments rilla seems to possess the power of in regard to the methods of freeing lessening irritability, we frequently the incarcerated intestine. The ingive it with mercury, and in this cision, for this purpose, is to be made, combination they are administered nor at the superior part of the ring with the greatest advantage. as is recommended by Gimbernat,
Chronic disorders in children re- pot at the inferior part of the openquire large doses of the hydrarg. e ing, according to the precept of Scarcreta and rhubarb mixed together, pa, but upwardly upon Poupart's ligand given every night and morning; ament, by one or two slight cuts. this compound is exceedingly mild, One of the committee had operated and will have a particularly benign twice in this way successfully, and influence. lo children, also, the ox- with much greater ease than by any ymuriate of mercury, dissolved in an of the other procedures in use. This ounce of the tincture of bark, and part of the report gave rise to a disgiven in doses of from half a drachm cussion, which went to show, that of to one drachm, twice a day, in wa- all the methods of operating for cruter, according to the age and consti- ral hernia, the best is that in which tation of the child, is a very valua. the ligament of Gimbernat is the ble medicine. It is said, that the ox- part divided, seeing it is attended ýmuriate is decomposed by the tinc- with no other risk than that of ture of bark; but whether it is so or wounding the obturalor artery, wher not, it is attended with so many good this vessel happens to run immedieffects, that I strongly recommend ately behind the ligament, and this it, particularly in diseases of the me- is a case which is extremely unsenteric glands. Calotel and rhu- common. barb, the hydrargyrus e creta and soda, are also medicines of much
SMALL Pox.-M. Villermé lately read power in the chronic diseases of a report to the Academie Royale de Medchildren.
ecine upon the number of deaths by small
pox from the 1st of January to the 1st of Lastly, in some cases, it is not ad. October, 1825, in each of the twelve disvisable to give these little creatures tricts of Paris. The total amount of deaths
irst is the district in mercury; a medicine composed of was 1264. The rhubarb and carbonare of iron, or of which the smallest number happened,
viz, eleven ; and the 12th that in which rhubarb, soda, and colomba, given the maximum occurred, viz. 599. It is in osteo, and in small doses will be the poorest quarters, therefore, or those more beneficial, as these act as ape. whose inhabitants particularly oppose the rients, improve the digestive func- practice of vaccination, that the small tions, increase the appetite, and re. pox makes the greatest havoc. Of the
1264 victims,764 were males, 500 females. store the general health, without This difference is owing to girls being the danger of exciting irritation at more frequently vaccinated than boys :
without doubt the hope of preserving per. Meckel's Manual, by the advice of geusonal charms unimpaired, is the motive tlemen of eminence in the profession, by which leads to the more frequent vacci- the celebrity which this Manual has obe nation of girls than boys.
tained in Europe, and by the consideration M. Villermé has ascertained that in the that the want of such a work must be 4th district the unvaccinated boys are in continually felt by every scientific memthe proportion of one to four, whilst the ber of the profession in this country, and girls are only in that of one to ten. that there is none of the kind uow exist
ing in the English language. WEEKLY REPORT OF DEATHS IN BOSTON.
G. BRADFORD. , Accidental, 1-Brain Fever, 3—BurstIng blood vessel, 1-Consumption, 6
The medical literature of this country Canker Rash, 1-Drowned, 1--Intempe- appears to want an accurate work on anrance, 1-Lung Fever, 2-Thistilo, i atomy, which comprehends the observa. Teething, 1–Tumor in the throat, i- tions and improvements of late years. In Unknown, 2-Stillborn, 2.
the French language, the productions of Boyer and Bichat are to be considered
admirable examples of exact description. MECKEL'S MANUAL.
The habits and taste of this country reROPOSALS for publishing by Sub- quire a work differing from these, in its
cription a Manual of General, De combining with anatomy an account of scriptive, and Pathological Anatomy, by the uses and the diseased changes of the J. F. MECKEL, Professor of Anatomy in parts described. Such a labour has been the University of Halle. Translated from executed in Germany, by Meckel of illusthe German, with additions, by A. J. L. trious name, and this has been lately JOURDAN and G. BRESCHET, members of adopted into the French language by the Royal Academy of Medicine at Paris, Messrs. Jourdan and Breschet.
With &c. Translated from the French, by G. these recommendations in its favour, and BRADFORD, M. D.
combining with them, as it does, the exAdvertisement of the French Editors. cellent qualities of the treatises of Soem
A work has long been desired, which mering, Boyer, Bichat, Portal, and the should comprise all the important facts best English authors, a translation of the in the sciences of general, descriptive, 6. Manual of Anatomy of Meckel would and pathological Anatomy and Physiolo- be a very desirable, and, I doubt not, a gy. Such a work required an acquaint- very successful publication. ance with these sciences equally exten
JOHN C. WARREN. sive and profound, and could not have Boston, J.une, 1826. been executed except by one of the first Extract from a notice of the French edianatomists of the age. M. Meckel, who tion of Meckel, contained in the Medicoso worthily sustains the hereditary medi Chirurgical Review, for July, 1825. cal celebrity of his family, and to whom "This is the best work on Anatomy evwe are indebted for many other works of er published.- Here would be an excelthe first order, has not feared to undertake lent book to translate." a work of such magnitude. His treatise of Anatomy, regarded as a classic in Ger The translation will be printed on a many, cannot but be received with equal new type and good paper, in three volfavour in our own country. It is one of umes, octavo, of from 600 to 650 pages the most valuable productions of the each. The price to subscribers will be school of Bichat,--of that Bichat, who $2,50 a volume, payable on delivery. has made France the envy of Europe, and Should the subscription authorize it, to whom M. Meckel renders the noblest the work will be put to press by the first tribute, that talents can pay to genius, the of August, and published in the course of tribute of admiration, without enthusiasm. the ensuing winter. We have endeavoured to add to the trans Cambridge, June 1, 1826. lation of the Manual every fact, with Subscription papers
are lest at the which the science has been enriched since Bookstores of Messrs. Cummings, Hil. its publication.
liard & Co. and H. Gray, Boston, and Paris, 1825.
William Hilliard, Cambridge, where genThe subscriber has been encouraged to tlemen disposed to patronize the work are undertake the translation of Professor requested to forward their names.
Published weekly, by John Cotton, Proprietor, at 184, Washington-St. corner of FranklinSt. to whom all communications must be addressed (post-paid). Price two dollars per annum, if paid in advance, but, if not paid within three months, two dollars and a half will be required, and this will, in no case, he deviatod from.
“ NON EST VIVERE, SED VALERE VITA.”
TUESDAY, JULY 11, 1826.
which were mitigated by the use of A new mode of applying galvanism is baths, leeches, and poultices. The recommended by M. Bailly, physician to next year, the pain in the whole the Hospital de la Pitié, and M. Meyraux. course of the deltoid muscle and the The doctrine is tested and the results give fore-arın became so severe, that the en in the following.cases frog a late num- patient was unable to move the joint. ber of the Archives Generales.
The pain subsequently became inRheumatic affection of the Thigh cur- tense, but the incapacity of moving ed by Galvanisin.
the arm, together with some degree À map of an advanced age, who of swelling continued, and resisted had been much addicted to venereal the employment of baths, blisters, excesses, had suffered several rheu- frictions, and simple acupuncturation, matic attacks.
About six months which last remedy was tried five ago, having exposed himself to damp times. When we saw the patient, weather, he was seized with a rheu. the muscles were much diminished matic affection through the whole in size, but the sensibility of the part course of the right thigh. At first appeared to be increased, for when the pain was rather of a dull, heavy the skin was pioched, the patient sufDatore, but after continuing it for fered acute pain, without, however, several months the pain became being able to move the aron. Two more acute, and increased until he needles were inserted at the origin was scarcely able to move the hip and terminations of the brachial plexjoint. A needle was planted in the us, and the galvanic communication middle of this joint, another was established. The action of the gal. placed io the interior surface, and a vanic pile consisted of four elements. galvanic communication established The areola was formed, the needles by two conducting threads. The were in an instant oxidated; a small sensation and contraction produced black point was observed in the centhrough the whole extent of the ar tre of ihe areola ; some small drops fected part demonstrated the passage of water escaped. The conducting of the galvanic fluid. The phenom. liquid was water, acidulated with a éna are more marked at the place sixteenth part of nitric acid. When where the positive unites with the the communication was established, negative fluid. This operation, re- the patient felt a pricking sensation; peated four times in the same way, there was not much contraction, but succeeded in easing the pain, and re- there was a sense of tension in all storing complete energy to the joint. the nervous ramifications. On conRheumatic affection of the Arm, with tinuing the current, the patient com
incapacity of moving it, cured by plained of insupportable pain, which Galvanism.
he compared to what is felt when R. H., aged 55, had been for ma- fire is applied to a part. We continy years subject to rheumatic affec- nued the operation for the space of tions. In 1819 he was seized with 25 minutes. Three days after, the se vere pains throughout the muscu- patient was sensible of returning lar system, and swellings of the joints, power in the arm, and by repeating
the operation, he was in twenty-five eyes. The orbicularis palpebrarum, days completely cured.
corrugator supercilii and frontal, It is a remarkable circumstance in were contracted every time we enthis case, that during the short time deavoured to establish the commuthe patient was submitted to the ac- nication with the rectangles, which tion of the galvanic Auid, the cellu- were only separated from each othlar tissue was observed to be aug- er by four elements. We attempted mented in volume, and the muscles to increase the interval by iwo addiwbich covered it to become develop- tional pairs, but the contraction and ed. This completely overthrows irritability became so violent, that one of the opinions of Bichat, who we were obliged to desist. The has said in his general anatomy, that patient was only galvanized for the alterations of the nutritive system space of twenty minutes, and did not are entirely independent of the ner. experience much relief on the folvous system. Indeed it seems high- lowing day. Three days after, the ly probable from this and other sim- first needle was placed in the direcilar cases, that we shall in many in- tion of the levator palpebre superistances be able to arrest the prog- oris, where the branch of the orbiress of atrophy, by the action of the ter-frontal perve commences, and the galvanic fluid on the muscular and second was carried towards all the nervous systems.
parts where the perve seems to terNeuralgia cured by Galvanism. minate ; the communication with the
A patient, aged 34, had suffered, pile was established as before. The for the last six months, a severe pain paio abated after this second operain the branches which the frontal tion, and after ten operations the
pa. perve distributes to the soft parts of tient was completely cured. the cranium, and the direction of the Chorea cured by Galvinism. trunk towards the bottom of the or A girl, after difficult dentition, bit. The pain varied in intensity at was affected with convulsions of the different times, but never entirely muscles of the right cheek, whicb intermitted, and had hitherto baffled soon extended to the shoulder of tbe all the treatment which had been same side. The disorder had resist. employed, such as local bleeding, ed all the treatment which had been frictions, and opiates. The circulate employed, and at the age of 7 years ing, digestive, and respiratory sys- the symptoms had become more viotems, in this patient, were in their lent. When she was brought to La natural state. When we first saw Pitié, she was in a debilitated state ; him, the violence of the pain had ex. the muscles on the right side were tended to the facial and sub-orbital much wasted ; the alternate contracnerves, and seemed to produce the tion and relaxation of the muscles in same effect in all their ramifications the face produced constant convul. as in those of the frontal.
sions and distortions. Galvanism A needle was introduced in the di- was first applied to this patient by rection of the cartilaginous pulley simple communication, without the of the great oblique muscle, within introduction of needles, but she dewhich passes the internal branch of rived do benefit from it; a needle the frontal, and another was placed was then introduced near the first on the middle of the corrugator su. and second cervical vertebræ, and percilii. The communication with another was placed near the division the galvanic pile was established, of the brachial plexus. Three elewhen the patient felt severe pain ments developed enough of the galin the bottom of the orbit, and expe- vanic fluid to produce decided conrienced various optical illusions, such tractions and a painful sensation. as the flashing of light before the The girl felt so much relieved by