An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
If possible, we should anticipate the occurrence of hæmoptysis with
our remedies, and thus prevent the formation of a habit of spitting
blood, which when once established, is difficult to destroy. The usual
precursors of this symptom are, a saltish taste in the mouth, a sense
of irritation at the upper part of the trachea, and some oppression
and difficulty of breathing. At this time, before the hæmorrhage has
commenced, blood-letting and the rest of the remedies mentioned above
should be actively exhibited. “_Venienti occurrite morbo._”
A distressing cough at this period also requires the attention of
the physician. From its occurrence more particularly at night, it
disturbs the rest and adds much to the sufferings of the patient. It
should be alleviated by Opiates, accompanied with any of the mild
demulcent remedies, generally denominated Pectorals. Mudge’s Apparatus
for inhaling the steam of warm water, may also be used with relief,
especially on going to bed.
When all inflammation is gone and the second stage of Consumption has
decidedly formed, a different mode of treatment becomes necessary.
Little indeed is now to be hoped for from any treatment, as a radical
cure; but our patient is not to be abandoned; if he cannot be cured,
his sufferings may be materially mitigated, and he may be directed to
avoid such things as may increase his malady. Nor should we entirely
despair of performing a radical cure; for solitary cases are related by
many authors of consumptive patients being cured in every stage of the
disease. Many of these cases, perhaps, have been mistaken for Phthisis
Pulmonalis; but of some of them we cannot doubt. The authority from
which they come is too high to permit us to hesitate.
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