North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
We now proceed to notice the mode of treatment, recommended by our
author, for the different forms of dropsy. From what we have seen, it is
natural to conclude, that as Dr. AYRE regards the proximate cause of the
several forms of the effusion, or in other words, the _disease_, to be
the same under all its conditions, he will be of opinion, that "the same
general principles of treatment, are alike applicable to all--subject
only to such modifications, as arise from differences in the nature and
intensity of the remote cause, and those general or local relations of
the parts implicated in the serous effusion, with the diseases of the
organs, which incidentally produce it." Founding upon these views the
indications of cure, he states them to be; 1st. To remove the visceral,
or such other disease or state, which, when present, proves a remote
cause of the effusion; 2nd. To remove the morbidly increased action in
the serous membrane or tissue, which is its proximate cause. 3d. To
promote the absorption of the effused fluid.
Agreeably to Dr. A. the treatment of hydrocephalus internus, is
divisible into three general heads:
"The first, consisting of means to correct, with its causes,
that turgescent state of the brain, which may produce the
arterial re-action and effusion; the second, of those which
shall subdue the excitement, when formed; the third, to correct
or relieve, as far as it is practicable, the effects of the
effusion, and procure, if possible, its absorption."
With respect to the general causes, tending to produce that congestive
state of the brain, precursory to its inflammation, he remarks, that
they are of three kinds; 1st. Those acting through the general system,
and consisting of an irritation, from some obstructed or required
evacuation; 2nd. A local disease, seated in the head, or a local injury
inflicted on it; 3d. Chylopoietic disturbance, acting sympathetically
upon the brain. When the first of these causes appears to have been
instrumental, in occasioning this condition of the brain, it is plain
that it must be removed, and the obstructed emunctory corrected,--the
suppressed evacuation promoted, or a new and artificial one substituted.
When there exists any structural disease within the head, or a relic of
a former state of excitement, a serous inflammation may be reasonably
apprehended, and to avert it, the most rigid and undeviating attention
must be paid to regimen, whilst cupping and leeching must be employed,
and a seton fixed in the neck.
Public-domain text, read in full here on John Shaqi.
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