Thus Dr. Stoker states that the remedies “may be arranged according to
their relative importance in the treatment of fever, in the following
order; viz. In mixed fever, 1. Cleanliness. 2. Ventilation. 3. Cool
regimen. 4. Plentiful dilution. 5. Purgatives. 6. Topical bleeding. 7.
Antimonial or James’s Powder. In Typhoid Fever. 1. Yeast or barm. 2.
Wine. 3. Aperients. 4. Emetics. 5. Blisters. 6. Tepid or cold
affusion. 7. Peruvian bark.”—_Pathological Observations &c., p. 111._
In neither of these catalogues is general bleeding mentioned at all:
in the first, topical bleeding is mentioned, but it is placed the last
but one in the list, while in the second, allusion even to topical
bleeding is wholly omitted. And Dr. Clanny states that the first
proposition relative to the cure is how to restore sanguification, or
how to afford fresh chyle to the blood; that although in full habits,
at the commencement of typhus fever, general blood-letting is often
attended with good effects, yet we should remember that if we take one
ounce too much, we may thereby prevent sanguification altogether; that
therefore it is better to have a sufficient quantity of lymphatic
blood in the system them to run the risk of having too little of the
pabulum vitæ, for the purpose of carrying on the functions of life,
and that in fact venesection is not called for in nine cases out of
ten of typhus fever. Let me caution young practitioners, he adds,
against the repeated use of the lancet, when the buffy coat shews
itself, for in many cases, which have come under my notice, I have
observed the buffy coat to be present after repeated bleedings, AND
WHICH COULD NOT BE ATTRIBUTED TO ANY OTHER CAUSE THAN
DEBILITY.—_Lecture on Fever, pp. 21–2–3._
Footnote 17:
It is remarkable that the word which expresses fever, both in the
Greek and the Latin languages, signifies to burn or to boil, and it is
probable that this state of the system is denoted in most modern
languages by some term bearing a similar meaning.
Footnote 18:
A Treatise on Fevers, &c. By A. P. Wilson Philip, M.D. p. 10.
Footnote 19:
Treatise on Fever, &c. By A. P. Wilson Philip, M.D. p. 12.
Footnote 20:
Sydenham’s Works, Chap. 3, p. 11.
Footnote 21:
Sir John Pringle on the Diseases of the Army, p. 66, &c.
Footnote 22:
In scarlatina the affection of the skin modifies the febrile symptoms,
as has just been said, considerably: in small-pox exceedingly. If, on
this account, any one enamoured of nosological distinctions should
wish to separate these varieties of disease, it might be done by
dividing continued fever into—
1. Continued fever without an eruption;
Synochus mitior, Typhus mitior,
—— gravior, —— gravior:
2. Continued fever with an eruption;
Scarlatina, Variola,
Synochodes, Synochodes,
Typhodes, Typhodes:
and so on of all the Exanthemata.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account