Mild and spare diet has a very considerable influence over this
disease, in almost every period, and contributes greatly to retard its
progress. It ought therefore rigidly to be conjoined with the bleeding
and issues, in the commencement of the disease, and will tend to abate
the action in the part, and promote its resolution. The diet ought to
consist of stewed apples, or prunes, panada, and weak broths, with
bread. It has even been proposed to prohibit almost entirely the use of
solid food, and to allow the patient nothing but water for the course
of several weeks. This was much recommended by M. Pouteau, who was led
to make trial of it by the success attending the empirical practice
of an ecclesiastic. It was afterwards enforced by Callison; and more
lately abstinence has been favourably mentioned by Mr. Pearson, who
relates some cases of cancer, or appearance of cancer, in the uterus,
in which it produced very astonishing effects, abating the pain,
diminishing the swelling, and re-establishing the general health.
By means of these remedies, we may sometimes succeed in removing by
degrees a schirrus, after it has evidently begun to inflame, and
threatens to become cancerous. But if, notwithstanding these remedies,
the disease evidently continues to increase, or if, in the course of
a few weeks, they do not produce an evident effect, we cannot with
propriety delay the operation, which is the most certain method of
cure, and one which succeeds in a majority of instances, if early and
properly performed; nor ought any other method of treatment to be
proposed in opposition to it, unless in the very commencement of the
inflammatory state; and it is in this period only that I propose the
above treatment, unless the patient absolutely decline the operation;
for when the skin becomes puckered, and the inflammation has continued
clearly for a considerable time, without any measures being taken to
remove it, the success of any local or general remedy is exceedingly
precarious, and delay is not only useless, but frequently dangerous. It
has, however, been doubted by some very ingenious surgeons, whether it
was proper to advise the operation at any period, they believing, from
the number of relapses, that it was almost useless; whilst others have
been against the early performance of it, on the principle, that some
parts already diseased might not have, at this period, become evidently
affected; and, therefore, might inadvertently be allowed to remain.
Public-domain text, read in full here on John Shaqi.
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