An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
Profuse evacuations, of any kind, may be the cause of Secondary
Phthisis. Hæmorrhages from the Nose, Lungs, Stomach, Kidneys and wounds
are all mentioned by Morton, as having induced Pulmonary disease. Mr.
Hey, in his work on Surgery, observes, that he has seen a great many
cases of pulmonary Consumption, the consequence of debility, induced
by violent hæmorrhages, and in persons who had no apparent tendency to
Consumption. In the same manner, loss of blood from Hæmorrhoids and
in Menorrhagia, may act as causes. Debilitating evacuations, by means
of Diarrhœa, Diabetes, Salivation, and Sweating, have had the same
effect. But the most frequent causes of this class are, immoderate
discharges by fluor albus, and too long suckling by delicate woman
of robust children. They are particularly mentioned by Morton and
Fothergill, and have been adverted to by most authors, who have written
since.
Chronic Catarrh, terminating in Phthisis, may be ranked also in this
class. The profuse and long continued discharge from the membrane
lining the trachea and bronchiæ, is the debilitating agent in that case.
Long continued Fevers, and particularly Intermittent fevers, not
unfrequently leave behind them, a state of debility, sufficient to
induce Consumption.
In the New-York Hospital, frequent instances occur of Consumption
induced by intemperance in the use of ardent spirits. This habit
destroys the tone of the stomach, which becomes primarily affected, and
in consequence the whole system becomes debilitated, terminating in
disease of the Lungs.
Secondary Consumption has also been induced by some other preceeding
diseases, such as Scurvy and Syphilis, and requires the attention of
the Physician, to the primary disease rather than to the affection of
the Lungs.
In the treatment of Pulmonary Consumption, arising from any of these or
analogous causes, our attention is first called to the removal of the
primary source of the disease. If it be Chlorosis, remedies, calculated
to cure that malady, must be prescribed. If profuse evacuations are the
cause, all the means in our power, must be employed in restraining
those evacuations. If the disease has been induced by the long
continued suckling of a vigorous child, by a delicate mother, another
nurse must be provided, or the child must be weaned. If Scurvy or
Syphilis have produced it, the proper remedies for those disorders must
be employed.
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