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derable length into the different lieve, that one and all of these qualities of dietetic articles. It are capable of doing great injury is not, however, the part of the to the digestive organs and to the volume which is in our opinion constitutional vigor, if taken in exthe most useful ; and it is quite cess; and this excess is to be calimpossible that it can be founded culated not by the actual quantion data universally applicable : ty, but by the energies of the for, in the first place, no two sto- stomach. Consequently, whenmachs will digest the same food ever there is uneasiness after with equal ease,-nor will the eating, the stomach has been same stomach, even in apparent overloaded, whether much or lithealth, at all times enjoy the tle has been taken. With resame digestive energy. In the spect to the difference in the disecond place, by some delicate gestibility of food, the experistomachs the less digestible food ments of Gmelin and Tiedeman will be more readily assimilated have amply proved, what common than food more generally digesti- observation had taught before, ble. Thus many instances have namely, that the most easily difallen under our observation, in visible is also the most digestible which lobsters and other shellfish aliment; but that the degree of have been commonly eaten with- nutritiveness is generally in an out inconvenience, though the inverse ratio to that of digestibisame individuals have been easily lity: the most nutritive food is disordered by common aliment, the least easily assimilated. though taken moderately. We Again; we do not believe in the do not certainly mean to contend, opinion of those who interdict eithat there is no difference in ali- ther animal or vegetable food unments themselves ; or that there der all circumstances of indigesare no general rules by which tion : either one or other may be medical practitioners may direct perhaps properly prohibited, their patients; but that our know where either the habit is too inledge of the various kinds of food flammatory, or experience has is not so precise as to enable us shown that vegetables disagree ; to distinguish accurately between but in general both animal and articles of the same nature. . To vegetable food may be taken, as say the truth, we do not believe well when the powers of digestion that mutton is more digestible have been impaired, as when they than beef, or venison than mutton. enjoy a perfect state of health. We scarcely care whether our Only we would give this caution, patients take turkey or common that vegetables be thoroughly barndoor fowl ; and we are not cooked, and not brought, as somevery anxious that they should times they are, half raw to the prefer partridges to pheasants, or table. woodcocks to wild ducks. Nei In the latter part of this essay, ther do we believe, that there is Dr. Philip has stated more defimuch difference in the digestibi- nitely his doctrine of indigestion, lity of fish, provided they are directly asserting it to be a state eaten simply, and without their of fever. With the qualification usual accompaniments of butter he has added, it would be difficult and rich sauces. But we do be. to refute the opinion ; but we
doubt not that most readers will the more Protracted Cases of Inbe aware how very little, in many digestion,' we do not find anything circumstances, a state of indiges- very particularly worthy of retion agrees with fever. The de- mark, or which has not been noscription in the latter part of the ticed in the work itself. Dr. P. following extract is accurately most judiciously, however, dilates drawn ; but whether it be a spe- on the necessity of considering cies of indigestion or not, it is for every secreting surface in the the most part quite incurable by treatment of indigestion, and not medicine, and will generally take confining the attention to any one its own time. Stimulants mate- singly. The skin is as imporrially increase the disease, and tant an organ in supporting or depletion weakens without re- relieving this complaint as the lieving.
coat of the stomach They will also see clearly and intestines. The medicines that, however it may be modified which the author prefers for the in particular instances, this dis- purpose of correcting these surease of the whole system is ex- faces are the nitrate of potash, actly of the same nature as other tartarised antimony, and ammoaffections of the whole system nia. The following extract from arising from other causes of irri- the Appendix points out the cirtation ; that is, that it is a state cumstances under which the niof fever; a disease which admits trate of potash may be employed: of infinite variety, from a degree · The nitrate of potash is chiefhardly perceptible, to that which ly indicated when there is a tendestroys life.
dency to an increase of heat in • In longprotracted nervous fe- the evening, or during the night, ver, we sometimes find the func- and particularly to a burning in tions only deviating a little from the hands and feet ; and in such the healthy state. The patient, cases its good effects are both when he is still, feels very well; greatest and most quickly appahis appetite is moderate, he di- rent ; but they are not confined gests pretty well. The pulse is to such cases. When there is no a little tight, but not more fre- increase of heat, and even when quent perhaps than natural ; the the temperature is below the secreting surfaces are less free healthy standard, if this be not than usual, but their function is the case in a considerable debut little deranged. The patient gree, I still find this medicine to is listless, less capable of exer- add to the good effects of the altion, perhaps subject to occasion- terative course, provided there al fits of heat, particularly of the is an evident tightness of pulse, hands and feet, but can hardly be when examined in the way pointsaid to be ill, and wonders he ed out in my Treatise on Indigesdoes not get quite well. There is tion; but in such cases it is geneno physician who has not seen rally proper to combine it with those, in protracted cases of the some
medicine. Small milder forms of nervous fever, in doses of tincture of orangepeel, such a state as is here described.' or the compound tincture of car
In the essay on the Principles damoms, are those I have geneof the Medicinal Treatment in rally employed.'
The tartarised antimony acts ing of that which has supervened. principally on the skin, and may Besides, in proportion as the sysbe usefully administered when tem is debilitated, its healing the surface is arid, and there is powers, on which the success of much tendency to feverish exa- all our means depend, are imcerbations. The dose given by paired. Dr. Philip is from oneeighth to • The frequent obscurity of the the tenth of a grain. Colchicum symptoms, by which the state of is said to have an effect very the digestive organs is ascertainanalogous to that of antimony. ed in such cases, may also be The circumstances under which ranked among the sources of danammonia may be exhibited are ger; for in consequence of it, the well understood ; nor do we per- attention of the practitioner is ofceive anything different in the di- ten confined to the symptoms inrections of Dr. Philip from those dicating the inflammation of the of other authors.
brain, or lungs, not without surThe remarks on the influence prise that affections apparently if habitual indigestion on other dis- much less severe than those be eases are, as well might be antici- has been accustomed to see yield pated from Dr. Philip's experi- to his measures, should here reence and powers of observation, sist them. This naturally induces of very high value. The great him to increase their power, liability of dyspeptic patients to which unfortunately generally chronic inflammation, and the lit- makes a greater impression on tle capability such patients have the strength than on the disease. of resisting its effects, must be · The best chance of saving the known to all who observe while patient under such circumstances, they practise. With the ensuing is correcting, as quickly as we extract we conclude the present can, the increased derangement article, which we recommend to of the digestive organs, which is the attention of every practitioner supporting the new disease ; and of medicine, but particularly to it is of great consequence to efthose who regard bleeding and fect this by means as little debipurging as infallible remedies. litating as possible. The debility
• They are rarely attacked, for previously induced on the nervous example, with the acute inflam- system in such cases is always a mation of the brain and lungs to principal source of the danger ; which the more robust are sub- and it is impossible to restore its ject ; but in them, with milder vigor while the causes which imsymptoms, these diseases are of- pair it continue. Thus it is, that ten equally or more dangerous, inflammation of the brain in those which arises from several causes; who have suffered from longprothe previous debility; the means tracted disorder of the digestive of relief being more circumscrib- organs, so generally proves fatal; ed, for habitual dyspeptics, even and that the patient sometimes where they do not appear much sinks without the usual forerundebilitated, generally bear loss of ners of such a termination. blood ill; the continual irritation • Both diseases prey on the of the habitual disease, and the source of nervous power,
which digestive organs generally partak- is essential to life in every part
of our frame ; and death often The inflammation in the first
spesuddenly closes the scene, when cies, catarrhal ophthalmia, which a common observer can see no is the most common of all forms of cause for the extreme loss of ophthalmia, in adults, is almost enstrength which the patient has tirely confined to the conjunctiva evidently sustained. There are and meibomian follicles. few cases in this country whose cretion of the membrane is increaschanges are so rapid, and which, ed, and becomes opake, thick, and after a certain period, become so puriform, though in many cases it unmanageable, as the combination remains translucid. The redness we are here considering.'-Lond. is chiefly in the conjunctiva lining Med. Rep. and Review.
the eyelids, in mild cases, while the
vessels on the white of the eye can OPHTHALMIA.*
be moved in every direction, by Mr. Mackenzie, who is one of pressing the eyelid against the eyethe Surgeons to the Eye Infirmary ball with the finger, showing that of Glasgow, has published a paper they reside in the conjunctiva.” In on this subject, of which we shall severe cases chemosis takes place, give a short abstract. He divides and general antiphlogistic treatment the ophthalmia occurring in adults, is insufficient--the cornea may from atmospheric causes, into the burst, and vision be destroyed, if catarrbal, rheumatic, and catarrho- local means are neglected. Mr. rheumatic. These are German M. attributes this accident more to distinctions, too little attended to, mechanical pressure of the distendMr. M. thinks, in this country, anded conjunctiva of the eyelids and essentially necessary for the proper eyeball, than to excessive inflamtreatment of the disease. 6. The mation in the cornea itself. In this appropriate treatment of the rheu- species, the patient uniformly commatic ophthalmia is not at all plains of a feeling of sand in the adapted to the catarrhal ; while eye, which may therefore be rethe remedies which, in a few days, garded as diagnostic. There is subdue the catarrhal, will only ex- usually freedom from headache, asperate the rheumatic."
which is the reverse in the rhcuThe catarrhal genus affects the matic species, this last being acconjunctiva--the rheumatic affects companied by violent circumorbital the fibrous sclerotica and surround- pain, aggravated in the night. ing fibrous membranes"-the
The exciting causes are atmostarrhorheumatic affects both the pheric transitions, and especially conjunctiva and the sclerotica, the exposure to the night air, to cold symptoms being a union of those and to wet. The nature of the accompanying both. We fear Mr.
causes renders the disease someM. will have some difficulty in times epidemic. If neglected or persuading the routine practitioners improperly treated, it may contiof this country to adopt his minute nue for many weeks, and cause classification. Thus in conjuncti- much febrile excitement, as well vitis, as a genus, there are four spe- as local distress. The conjunctiva cies—the atmospherica-contagio- may become rough, and by its fricsa--leucorrhoica--gonorrhoica. tion over the cornea cause nebulæ * Mr. Mackenzie. Med. and Phys.
or even opacity. The discharge Journal, No. 4.
becomes puriform, and in this state
will communicate conjunctivitis to able time. For this purpose, the others by actual contact, and in a eyelid ought neither to be held still more severe and dangerous everted till the bleeding ceases, nor form than the original disease. Mr. allowed to fall back into continued M. thinks it probable that the contact with the eyeball, in either Egyptian ophthalmia among our sol- of which cases it will soon cease ; diers was at first “atmospheric but the eyelid ought to be alterpuromucous conjunctivitis, but that nately everted and permitted to reit afterwards degenerated into a turn to its natural position, by which contagious, perhaps infectious dis- means the divided vessels are recase.
filled, and thus a continual flow of Several examples of this change blood is produced. of character in the discharge are
" A brisk dose of calomel and given ; indeed, direct experiments jalap may be ordered, with occaby Guillié, proving the contagious sional doses of neutral salts. property of the matter.
“4. Determining to the skin is The catarrhal ophthalmia yields also useful ; which may be done by readily, in general, to very simple the warm pediluvium at bedtime, treatment-chiefly of a local and and by small doses of Spiritus Minstimulating kind.” Violent gene- dereri, or of any other mild diaphoral remedies, Mr. M. thinks, are retic, in combination with diluent absurd, and worse than useless. drinks. We shall give the indications of “5. In severe cases, a blister treatment in Mr. M.'s own words, to the back of the neck will be as we cannot abridge them without found useful, or blisters behind the injury to the author's sentiments.
“1. I very rarely find it neces (6 6. Even weak solutions of acesary to take away blood in catarrh- tate of lead, or of sulphate of zinc, al ophthalmia, either from a vein are prejudicial in this disease, ag. or by leeches. When there is more gravating the sensations as if sand than usual constitutional irritation, were in the eye, increasing the redthe taking away of from twelve to ness, and leading to opacities and twenty ounces of blood from the ulcers of the cornea. arm, will no doubt prove useful ; “7. On the contrary, the feelbut this will rarely be necessary, if ing of sand is uniformly relieved, the disease has not been neglected and the inflammation abated, by the for a number of days, or mistreated. use of the solution of the nitrate of
66 2. Scarification of the con- silver. The solution which I emjunctiva of the eyelids is necessary ploy contains from two to four only in cases in which there is some grains of the nitrate in one ounce of degree of chemosis, and a distinctly distilled water. A large drop is to puriform discharge. In such cases be applied to the eye once aday, it proves a valuable means of cure. by means of a camelhair pencil. One or two deep incisions being The instant that it touches the eye, made along the inner surface of the salt is decomposed, and the silthe upper or lower eyelid, a very ver precipitated over the conjuncconsiderable discharge of blood will tiva in the state of muriate. I have immediately take place ; and, if the sometimes alarmed other practieyelid be properly managed, blood tioners, by proposing to drop on the will continue to flow for a consider- surface of an eye highly vascular,