An inaugural dissertation on pulmonary consumption — John Shaqi
An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
Some weeks elapsed before the mercury produced any effect upon the
salivary glands, which was one of the objects aimed at. As soon as the
mouth became sensibly affected, the symptoms were generally mitigated.
A temporary suspension of the use of the remedies became necessary, in
consequence of the considerable effect produced by the mercury. When
the soreness of the mouth abated, small and less frequent doses of the
calomel were given so as to keep up a tenderness of the gums several
weeks longer. The affection of the chest became now entirely relieved,
and it was thought advisable to suspend the use of the mercurial
treatment, the effects of which were suffered to pass off, rather than
be relieved or cured.
From this time no medicines were employed, except a small quantity of
a weak infusion of colombo as a tonic. Long before the patient’s mouth
enabled her to eat, her appetite became craving. She was indulged in
eating moderately of such food as she had a particular desire for;
and she soon was enabled to take exercise without inconvenience. She
did not now complain of any pain in the chest, the cough left her,
the bowels became regular, there was no recurrence of night sweats,
she began to gain flesh, the countenance assumed the healthy aspect,
and the peevishness under which she had long laboured was effectually
cured. She now slept well, and gradually returning to her former
habits, is at the end of five months after discontinuing her remedies,
in perfect health.”
Digitalis is a remedy in Phthisis, which has excited much acrimonious
controversy among practitioners of medicine. As always happens in
these contests, it has been praised too highly by one party, and
condemned too severely by the other. When first introduced, it seemed
to promise the complete eradication of Consumption: and it almost
appeared that digitalis was as specific in the cure of that disease,
as mercury, in syphilis. Dr. Magennis of the Royal Navy Hospital
at Plymouth, England, published a paper, containing an account of
seventy-two cases of incipient or confirmed Consumption, in seamen and
marines, treated with digitalis. Of these, twenty-five with ulcerated
lungs recovered; and fifteen from the stage previous to ulceration.
Thirteen of the seventy-two in an early stage of ulceration were
discharged, greatly relieved; and nine in the previous stage. In ten
cases, the medicine failed; but in some of these it gave considerable
relief. Beddoes assures us, that three cases out of five of tubercular
consumption, in his practice, had recovered under the use of digitalis.
Kinglake insists that one in three cases of the tubercular stage of
Consumption, may be cured by this medicine. Dr. Currie informs us,
that digitalis may be used with safety and success in cases where the
lancet can no longer be employed. These results in the practice of men,
distinguished in their profession, although they may be somewhat warped
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