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the mother of eight children. The first of these were born four years after the large discharge of pus. A few years after the birth of her last child, the sore became more angry and painful, the vital powers seemed fast declining, and, says the Doctor, "the case at that time might have been most truly called a critical one." With the above account of the patient more at length before him, the Doctor, after a thorough examination, felt convinced that she had originally had an extra-uterine pregnancy, and he informed her to that effect. He then gave her tonics, a nutritious diet, and an antiphlogistic external treatment, under which she gained strength, and the sore became less irritable. Upon probing it, he found that he was striking upon something resembling loose bones, and he determined upon an extension of the wound by an incision, a Caesarean section. Cutting down in a longitudinal direction through the. skin, superficial fascia, and rectus muscle, so as to make the whole opening two' inches in length, the Doctor had the satisfaction of removing some twenty-five bones, most of them at the first sitting, the others some days afterwards. The long bones, he says, were easily extracted; with the broad ones he had some trouble, the aperture being small, and considerable hemorrhage attending the operation. The bones were far wasted, but you could easily see, he says, that they were those of a foetus. In conclusion he says: "The former treatment was continued until she was well and the wound had healed perfectly. I saw her in January, 1867, when she told me she was enjoying excellent health, with hope of becoming quite an old lady."—Transactions Pennsylvania Slate Medical Society.
Revalenta Arabica.—I shall perhaps greatly surprise your five hundred thousand readers by informing them that all the diseases which afflict humanity may be cured by powdered beans and lentils; for the marvellous Revalenta Arabica, the universal panacea, which "absorbs and eliminates all which is diseased in the system, and restores to perfect health the stomach, nerves, lungs, liver, glands, bladder, kidneys, brain, blood and mucous membranes," is nothing else than the flour of these substances.
Some ten years since, the manufacturer of the revalenta was convicted for selling goods under a false name; the judge deciding, "You deceive the public in leading them to believe that the Revalenta Arabica is a precious remedy, obtained from a distant country, while it is merely the flour of beans and lentils."
This was admitted by the house of Du Barry, in a law-suit which they have recently lost. They had sent to Austria one hundred and eighty-seven boxes of their merchandise, at the low rate of freight charged for provisions; but the railroad company, regarding the goods as being what was claimed for them, an article for the benefit of the sick, demanded the ordinary rato for transportation. The house of Du Barry then declared that the famous revalenta was only a mixture of lentils and beans, and therefore entitled to be carried as provisions.
Thus lentils and beans, according to the announcement of the virtues of the revalenta, cure all diseases, including "deafness, paralysis, gout, epilepsy, and even melancholy"—- which, perhaps, explains why school-boys, who are such large consumers of beans, are so* gay !—Boston Medical and Surgical Journal.
Epsom Salt In Citrate Of Magnesia Solution.—My attention has been directed to an article labeled "Effervescent Solution of Cit. Magnesia," extensively manufactured and sold by a firm in this city. An analysis of this preparation shows Epsom Salt amongst its constituents, and upon which its efficacy mainly depends.
Resulting from this investigation, I have constructed a formula with such additions and alterations as might seem to make it complete, when it may be desirable and necessary for the Physician to prescribe such an article. It is as follows:"
B/ Acid. Citric, - - - - foj (Av.)
Sulph., - - 6 ""
As it affords a permanent solution, any quantity desirable may be prepared at a time, or as called for, if preferred, by taking of the above solution, to each bottle, four fluid ounces; lemon syrup, ten drachms; bicarbonate of potash, one-half drachm; fill conveniently full of water, and securely cork.
The syrup and flavor, with the excess of acid, serves to cover very effectually the disagreeable taste of the sulphnte of magnesia. This solution, which contains about half the quantity of citrate of magnesia intended by the officinal formula, affords an active purgative in full doses, without the embarrassment occasionally produced upon the stomach by the officinal preparation, and to this may be added the advantages of permanence and economy afforded by this formula.—Am. Jour. Phar. '
Case 'of Poisoning By Chloroform.—The subject of this report was a young man, aged twenty-eight, of good constitution, though considerably broken down by hard drinking. On the morning of July 17th, he rose early, went out and procured two ounces of chloroform, returned to his room and swallowed the whole amount, undiluted. He had been drinking more than usual for several days, and was in very low spirits; and had several times, while partially intoxicated, expressed an intention of committing suicide. His family physician, Dr. W. P. Murphy, was summoned and saw him at seven o'clock, about three-quarters of an hour after the swallowing of the chloroform. I saw him a quarter of an hour later, and found him in a state of profound coma; the eyes fixed and glassy; the pupils of natural' size, but insensible to light; the pulse about eighty, full and strong, and,the breathing slightly stertorous. Signs of prostration were not apparent until about eight o'clock, (two hours after taking the dose,) when the circulation began gradually to fail; the pulse became more frequent and feeble; the respiration became gasping and stertorous; the extremities became gradually cool; the pupils dilated and skin assumed a purple and mottled color. At 11 A. M. the pulse was entirely absent at the wrist; the arms cold to the shoulders; the legs cold to the knees; the breathing very labored, and the whole body wet with a profuse clammy prespiration. From that time gradual signs of reaction commenced. When I saw him, no attempt had been made to evacuate the stomach. No stomach pump was at hand. When Dr. Murphy first saw him he was totally insensible and unable to swallow, and he judged that the stomach would not respond to the influence of an emetic, even could it have been introduced into it. Our treatment consisted of measures to counteract prostration—at first of sinapisms to the epigrastrium, dry heat, friction to the extremities, and the administration, per rectum, of brandy and carbonate.of ammonia. Later we employed hot brandy to the extremities, and hot turpentine to the spine, followed by vigorous rubbing. The enemata provoked copious alvine evacuations of dark bilious matter. Reaction was very gradual and feeble. At 2 p. M., he spoke, and then first began
to swallow. Iced mucilage of slippery elm was given him in small quantities, and small lumps of ice to swallow ad lib. At 6 p. M. he complained of a terrible burning pain in the stomach, and begged pitiously and incessantly for water, though more than a swallow would induce vomiting. He had passed a quantity of blood mixed with bilious matter from his bowels.
July 18, 7 a. M., pulse 130, and weak. He passed a restless night, though he took three 1 gr. opium pills at intervals. Had not slept more than ten minutes at a time. There was still occasional vomiting. Ice and occasional opium pills were continued.
July 19. Better; pulse 115, and fuller. Rested better, and there was no return of vomiting. Lime water and milk were ordered as nourishment. From this time forward he rapidly improved, and was out in a week. I have seen no reported case where recovery followed after so large a dose of chloroform as two ounces, unless the stomach was evacuated of its contents, as a part of the treatment.
In this case the evidence as to the amount swallowed is complete.—[J. E. Tefft, M. D., of Springfield, Mo., in the Western Journal of Medicine.]
Extremes In Medicine.—Prof. S. W. Gross, in his "Discourse Introductory to the Forty-third Course of Lectures in the Jefferson Medical College," after a careful review of the changes and improvements which have taken place in medical science in the past forty years, makes the following remarks which are replete with wisdom and strong practical sense:
"Extremes, whether in science or in politics, are dangerous, and, in general, short-lived, errors; and it does not require the prevision of prophesy to determine that the present mode of treatment, which has so completely enslaved the medical mind throughout the civilized world, must, in a comparatively short time, undergo important changes. It cannot be otherwise. The difference is too appalling; it is a chasm, not a bridge. Nature takes no leaps. In so great a problem the truth always lies in the middle, not at the outskirts. The lancet will again come in play, not so extensively or indiscriminately as in former times, but moderately and philisophically; and the present terrible system of stimulation, which sends its victims daily by thousands prematurely to the grave, and which fills our land with drunkenness and crime, cannot much longer maintain itself in the confidence and esteem of the reflecting members of a great and learned profession. A modified, improved, regenerated practice, based upon common sense, and a more sound clinical observation must take its place, and thus carry healing and blessings upon its wings to the nations of the earth. Those of us who have lived to see the workings of these two extremes, the extremes of excessive depletion on the one hand, and of excessive stimulation on the other, are living witnesses of the power of endurance of the human system, often under the most adverse circumstances. We can testify from personal observation, which many of the younger members of the profession cannot, to the fact that a man, burdened with disease, may live with hardly any blood in his body, on the one hand, and, on the other, that he need not necessarily perish when his system is saturated with alcohol."
CIRCULAR No 7, War Department, Surgeon General's Office, Washington, July 1, 1867. A Report on Amputations at the Hip-joint in Military Surgery. By George A. OTrs, Assistant Surgeon and Brevet Lieutenant Colonel, U. S. Army.
This report is an analytical investigation of all authenticated cases of amputation at the hip-joint, for the purpose of determining "in how far the experience acquired in the war of the rebellion has augmented our data for estimating the value of this operation," as a resource in military surgery. The report is divided into a "historical summary, an account of individual cases, a citation of the opinion of Surgeons, and a discussion of results."
From the historical summary we learn that S. F. Moraud, a French Surgeon, after having experimented upon inferior animals, was the first to proclaim the feasibility of this operation, in 1729. In 1748, Lacroix, of Orleans, completed an amputation which nature had nearly effected, in the case of a child fourteen years old, with sphacelus of the lower extremities. Four days afterward he disarticulated the right femur. The boy survived the second amputation eleven days. In 1773, Perault