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ter his recovery, I called to see much persuasion he attempted to him, and inquired whether he con- take another dose, but it was so tinued to abstain from the use of unpleasant to him, that he only spirituous liquors. He answered succeeded in swallowing half of in the affirmative, and the same it. By this time, however, his information was given by his wife. desire for ardent spirit had ceased. He said he had felt, several A day or two after I was first times, as if he wanted something, called to the preceding case, anbut could not tell what; he other of the kind presented itself. thought of several articles of food, Case 2.-H. W., aged forty but it was nothing of this kind; he years, had always been an honest next thought of ardent spirit, but and industrious man, an inoffensive the mere idea excited disgust ; neighbor, and a kind and affectiouthis he seemed surprised at, as it ate husband. His wife informed never was the case before. He me that he had been in a frolic was still ignorant of any attempt about a week previous ; since having been made to overcome which time, he had done nothing his habit of intemperance. About but throw himself away, as she a week after this, his wife inform- expressed it. She expostulated ed me that when he came home with him, and endeavored to perthe preceding evening, he told suade him to abandon the course her some of the men, with whom he was pursuing ; but all to no he worked, had been drinking, purpose. He acknowledged his and that the odor of the liquor folly, and said he was convinced was so unpleasant to him that he he was injuring himself; but notcould scarcely refrain from vomit- withstanding all this, he confessed ing. This disinclination for all his total inability to refrain from spirituous liquors continued till drinking. I added a drachm of the 19th of August. On this day, sulphuric acid to a pint of whisafter considerable solicitation, he key, and requested his wife to was prevailed on by a companion give him a wineglassful every to visit a tavern, where they in- hour. His wife told him that as dulged pretty freely in the intoxi- he was conscious the brandy was cating draught. On the 23d, he injuring him, and yet could not retold me that his desire for ardent linquish its use, she had requested spirit had returned ; and request- me to put something in it to couned that I would again give him teract its injurious effects. This something to destroy this habit, information gratified him, and he which he acknowledged he was consented to take no liquor but unable to resist. I added a drachm what she gave him. She poured of the acid to a pint of brandy, out a wineglassful, and he took it and directed him to take four with much satisfaction. In an wineglassfuls a day. The third hour, she poured out a second, dose occasioned vomiting. After and though his desire for it was
not so great, he drank it. The much value in mania a potu. My know. next hour she poured out the ledge of its utility, in these cases, was third dose, he said he believed he originally derived from Dr. Physick; to did not want any more.
She told whom, so far as I know, the credit is due him it would not injure him, as of introducing it into the treatment of this disease.
the doctor had added something
to it to prevent its producing perance. It is a subject which is any effect of this kind. He still exceedingly interesting to every declined taking it, alleging that humane individual; and one which he felt no inclination for it. She involves the spiritual, as well as then proposed wine or porter; but temporal concerns of thousands of he persisted in refusing everything our fellow creatures. of the kind. Since that time he I cannot refrain from express. has had such a disgust for all spi- ing my regret, that we have no rituous liquors, that he has uni- institution for the relief of
persons formly refrained from their use. addicted to intemperance. NotThis was a striking case, and one withstanding the many charitable which unequivocally manifested and benevolent societies by which the efficacy of the sulphuric acid we are surrounded, the poor in eradicating the disposition to drunkard is forgotten, or perhaps indulge in the use of inebriating his vice is even encouraged indipotations. So great was the im- rectly by these very establishpression made on the mind of the ments. Could there be an Asyindividual, and so sensible was he lum for the reception of such perthat his relief was attributable to sons, their intemperate habits what was put in the liquor, that could unquestionably, in some inhe called on me in a few days to stances, be eradicated in one way express his gratitude for the im- or another. Let the medical faculportant service I had rendered ty once have a fair opportunity of him.
directing their exertions to the Case 3.-C. B. had been an in- suppression of intemperance, and temperate man for many years. we fear not an unfavorable result So freely had he indulged in the to their investigations. It would use of ardent spirit, that his con- give us unfeigned pleasure to see stitution was materially impaired. this subject engage the attention He commenced taking the reme- of those humane individuals, dy at the request of the gentle- whose numerous philanthropic man by whom he was employed. acts have rendered them a blessOne pint of gin containing a drachm ing to their country. Every one of the acid was sufficient to de- with whom we have conversed stroy his inclination for all kinds appears to be sensible of the imof ardent spirit.
portance of instituting a society The only cases, in which I have for the suppression of intemperhad an opportunity of ascertaining ance: nor is the practicability of the effects of the remedy, have establishing a society of this kind now been detailed, and I trust, less generally conceded. We with candor. Certain I am, that hope, therefore, that measures there has been no intention on my will be taken by our enterprising part to impose on others; and fu- citizens, to accomplish this design. ture trials must determine whe Philadelphia, Sept. 1, 1826. ther or not I have been deceived The preceding observations myself.
were written nearly a year ago, These facts I have been in- with a view to publication ; but duced to lay before the profession by the advice of an eminent memainly with a view of calling their dical friend, I was induced to attention to the subject of intem- withhold them from the public,
till I could obtain additional evi- these, it is not in my power to dence of the efficacy of the re- state ; the only one of which I medy. Having, in the mean time, have any knowledge, has been had many opportunities of pre- mentioned. scribing the remedy, I am now In a few cases, a single pint of prepared to make a more correct the medicated liquor is sufficient; estimate of its value.
sometimes a quart is necessary, With regard to the second and and occasionally several gallons third cases, the cure appears to are required to eradicate the babe complete; but I have not since bit of intemperance. met with an instance where so My usual practice is to add a small a quantity as was used in drachm of the acid to a pint of any the second case, had the desired description of liquor the patient effect. In the first there was a prefers : now and then I find it relapse several times; but a re- necessary to augment the quantity currence to the remedy invariably of acid to two drachms to the excited the desired disgust. 1 pint. The dose is a wineglassfv have met with several other every one, two, or three hours; cases, where a relapse ensued the interval between the doses at the expiration of three, four, being regulated by the quantity and six weeks; but in the greater of liquor the patient has previous number of cases, the disinclination ly been in the babit of taking; I to the use of ardent spirit has so always request that it may not be far continued. Some of the indi- iaken to the extent of producing viduals have not indulged in their intoxication. An individual, about former favorite beverage, for three weeks ago, instead of atthree, four, six, eight, ten, and tending to the directions, took a twelve months. A single case of quart of liquor, containing two complete failure has come to my drachms of the acid, in less than knowledge ; in this instance, the two hours, and requested bis wise use of the remedy was persisted to go for more, which she refused in for about a month, without oc- to do before the next day ; but or casioning the desired effect : the the ensuing day, he told her it dose, however, by this time, had was not necessary to get any become so extremely disagreea- more, as bis desire for ardent ble to him, that he declared he spirit had ceased. No bad effect would rather have his hand cut was occasioned by so large a off than continue to take it : still quantity being taken in so short 2 no effect was produced on his ap- period. petite for liqnor which did not In one instance where the recontain the acid : I was surprised medy was directed without the to find, in this case, that the dose knowledge of the individual, the was rendered comparatively pal- alteration in the taste of the liquor atable by the addition of a por- prevented its being taken : on tion of hop tea. Candor compels being informed of this circumme to say, that I have directed stance, I ordered a weak tincture the remedy in many cases, with- of ipecacuanba to be made, conout having been able to ascertain taining a drachm to the quart; the result. Whether or not there and as the taste of the liquor was have been failures among any of not perceptibly alterod, it was
taken without suspicions by this effects, I am inclined to believo means, a considerable degree of that it contains, at least somenausea was kept up, and vomiting times, a portion of emetic tartar. was occasionally excited: he con We are pleased to find that a tinued to take it, however, till he society has just been established, finished two quarts ; since which, in this city, for the purpose of be has felt no desire for ardent discouraging the nse of ardent spispirit; though it has repeatedly rit: from the conspicuous station been offered to him, he has uni- which many of its members hold formly refused it. I have suc. in society, joined to their well ceeded in four or five other cases known zeal in the promotion of with ipecacuanha ; indeed, I now objects of benevolence and public make it a rule to give the latter, utility, we anticipate much good where the patient refuses to take from their labors. It is quite the former, or where he is un- gratifying to observe so respectawilling to take any remedy; and I ble a number of medical gentleprefer it in these cases, because men in the list of managers. it can be given without the know The able report of a committee ledge of the individual, which is of the Board of Guardians of the often an important consideration ; Poor of the City and Districts of for I not unfrequently have appli- Philadelphia, recently published, cations from females, who are so contains the following important unfortunate as to have husbands remarks: addicted to intemperance, and yet " Another indispensable instituso infatuated as to refuse to take tion remains to be established; we anything which they aight sup- allude to an Asylum for the Inpose would deprive them of their temperate : this, if erected, and relish for spirituous potations. I properly conducted, would tend have succeeded in several cases to stop the progress of an increasof this description; and to this ing and destructive evil. If full day, the individuals have not been powers were granted to its diable to account for their disgust rectors, to arrest and detain these to ardent spirit. I commence its brutalized beings, otherwise deuse by directing a drachm of pul- voted to shame and reproach, a verized ipecacuanha to be infused more effectual blow would be inin a quart of any kind of ardent flicted on pauperism than could spirit, for ten or twelve hours ; be achieved by any other means ; after which the liquor is to be for drunkenness is the parent of decanted, and taken ad libitum : every crime, and disease and where a sufficient degree of nau- want its inseparable followers." sea is not excited, the proportion An asylum of this description, we of ipecacuanha is to be aug- are fully persuaded, would be mented.
productive of results the most I may here remark, that ipe- beneficial. cacuanha appears to be the active
W. D. BRINCKLE, M. D. constituent, in the remedy of Dr. Philadelphia, August 1st, 1827. Chambers, of New York, disguised with cochineal, gum ammoniac, From the Gaz. of Health, Lond., Sept., 1827. and some other unimportant arti For the following valuable comcles; and from its occasional harsh munication, we are indebted to
the experienced and scientific Dr. symptoms. Instances have ocKinglake, of Taunton.
curred of the kidneys having been Morbid Fallacies.--Three cases vastly augmented in size, and on have lately fallen under my no- the contrary, of having been ditice, in which the cavity of the minished and wasted almost to ar pericardium was wholly oblite- nihilation. Of the former derated by adhesive inflammation, scription, an example was rewhich had the effect of embar- cently afforded in this place, in rassing the action of the heart, which one of the kidneys had been so as greatly to enfeeble its con- gradually enlarging for upwards of tractile energy. An aching sen- twenty years, and had finally atsation was also experienced about tained, as proved by examination the pericardial region. The res- after death, so enormous a bulk, piration was occasionally quick- as to weigh rather more than nine ened and somewhat oppressed, pounds. The strange anomaly a with a strong tendency to fainting this occasion was, that though the on sudden or unusual exertion. patient was an experienced me
Dyspeptic symptoms, of the dical practitioner, no ailment was worst descriptions, with intestinal ever either felt, or suspected to constipation and a vitiated state exist in the region of the kidneys, of the biliary and the various en- but was uniformly and exclusively teric secretions almost constantly referred to that of the liver, irprevailed. These ailments were ducing the patient to observe, to indeed so prominently afflicting use his own expression, that he as to have induced a suspicion had been oppressed for many that the disordered feeling of the years with a heavy liver,' which, heart sympathetically emanated from its long duration and magnifrom them, leading to the fallacy tude, was held to be irremediable. of substituting the effect for the The urinary secretion was ex
tinct in the diseased kidney, but Each of these cases was under the other had undergone no strucclose medical observation for up- tural change, and seemed to have wards of twelve months, and sufficiently executed the natural eventually proved mortal. After office of both kidneys. In the death they were severally exa- circumstances stated, it is almost mined, when a universal adhesion incredible that the deception of the pericardium to the heart so should have been so complete as as to consolidate the two struc- to have persuaded the patient tures, was found to be the organic that the liver and not the kidney disease that had been chiefly cha- was the seat of the enlargement racterized by disordered feelings that had prominently intruded itof the digestive organs. No ma- self into the anterior part of the nifestation of disease presented in cavity of the abdomen. the other viscera, excepting a In another case, a diseased liplethoric fulness of vessels result- ver was supposed to exist under ing from a retarded and impeded circumstances that
had long circulation.
threatened to prove destructive. Iu renal disease, much uncer- At length, life was terminated, tainty and deception often arise in when on examination, the hepatic speculating on the concomitant organ was found to be in a healthy