A practical and pathological inquiry into the sources and effects of derangements of the digestive organs, embracing dejection and some other affections of the mind

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Teape and Son; published by Longman, Rees and Company, and T. and J. Underwood, 1828 - Digestive organs - 290 pages
 

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Page 105 - ... family, who cannot endure the same interval as their companions, but in attempting it are reduced to a state of extreme irritability and languor. " With respect to the administration of purgatives, there are three points to which I shall just advert. There will sometimes be fatal accumulation of faeces in the intestines, when both the patient and attendants report that the bowels are freely relieved. When the obstruction arises from a mechanical cause, as hernia or contraction, great caution...
Page 105 - ... undergo very long intervals between the seasons of taking nourishment without being distressed, and this is particularly the case with children. I do not advocate a system of repletion, nor the ridiculous practices of parents who allow their children to be almost constantly eating; yet the digestion of children is generally more rapid than that of adults; and how often do we see some children in a school, or family, who cannot endure the same interval as their companions, but in attempting it...
Page 104 - ... various causes may be alike, surely there must be some reference in the treatment to the cause itself, and likewise to the constitution. Sometimes bleeding will be requisite; sometimes active purging; sometimes perseverance in the mildest doses of mercurial remedies; sometimes bitters or tonics. At all times the diet must be most carefully regulated, but we should bear in mind that there are persons who cannot undergo very long intervals between the seasons of taking nourishment without being...
Page 49 - ... enlargement of the spleen is sometimes followed by Ascites ; but there will frequently be no dropsy of the abdomen, even where the spleen has been for a long time much enlarged. Where enlargement of the spleen has been connected with ague, it more frequently subsides than in any other case : where the enlargement has taken place independently of this cause, it hardly ever subsides of itself, or is materially diminished by medicine. According to my experience, mercury, administered both externally...
Page 9 - ... patient's sufferings, and by the effect of the means employed ; and, undoubtedly, it is of the highest importance that they should be distinguished." (P. 4.) In some cases, inflammation of the mucous membranes may proceed on insidiously even to ulceration, and escape detection without much attention. " In the treatment of those diseases which arise from an inflamed state of the mucous membrane, bleeding by leeches or cupping will be one of the most available remedies; and in cases of mere congestion...
Page 143 - ... of this affection to explain the increased dimness in the opposite eye. The abstraction of twelve ounces of blood by cupping was immediately ordered, a blister was afterwards applied to the nape of the neck, and grain doses of calomel, with some tartarized antimony, were directed to be taken every six hours. On Monday Mr. Travers saw him.
Page 163 - ... to the temples, and a blister to the back of the neck. Ten grains of nitre, with thirty drops of the following prescription : — Tinct. digital., Tinct. scillae, aa. 2 dr., Sp. a3ther. nitr., Vin antim. tart. aa. ^ oz. — Mix,
Page 104 - ... constitution in general, by mental affections, are also briefly touched upon. Having commented upon the various sources of derangement in the organs concerned in digestion, it is very properly insisted upon that no definite mode of treatment can be laid down. " To rely on the same medicines, to prescribe the same diet, to establish the same intervals of taking food, to enjoin the same exercises, is nothing else than empiricism. Even if we admit that the effect of the various causes may be alike,...
Page 37 - With this view, three grains of blue pill were given every four hours, and a blister was applied to the nape of the neck.
Page 4 - ... have been too frequently pointed out, and we believe are too generally understood, to require, upon the present occasion, a very lengthened notice. Congestion or chronic inflammation of the mucous membrane is not unfrequently productive of symptoms resembling those which arise from simple dyspepsia. " These affections may usually be distinguished by attentive inquiry into the history of the disease, by a careful investigation of the patient's sufferings, and by the effect of the means employed...

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