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
"For the object of the treatment, in these cases, is not to
remove, but to avert the inflammation, and which, from the
strong disposition to it, conferred by the organic disease, can
only be effected by avoiding, not merely the causes of
inflammation, but likewise, all those agents, which are
calculated, in any way, to increase the momentum of the
circulation." "Beyond those, the common precautions against
morbid irritations, little else can be done."
When the turgescent state of the brain, arises from a disturbance in the
digestive organs, it will be remedied, by means directed to this cause.
Our author locates the primary seat of this disturbance, in most cases,
in the liver; though he admits, it may occasionally be in the stomach
and intestines. He places great reliance for correcting and increasing
the secretion of bile, on small doses of calomel,--purging off the
contents of the intestines by aperient medicines; and recommends, at the
same time, the application of cups and leeches to the temples, as a
measure of precaution. He very properly lays considerable stress on the
necessity of combating this secondary affection of the head;
"For though the means applied, to correct the disorder in the
digestive organs, may be sufficient to remove the turgescent
state of the brain, which arose from it, yet, those means will
have little or no control over the excitement, which that
turgescent state has created; and still less can they avail in
subduing an excitement, that may even survive its remote cause,
and continue independently of it. By overlooking these facts,
much distrust and disappointment have arisen with many, who
confided in the opinion, delivered by some writers, of the
uniform prevalency of chylopoietic disturbance, as a cause of
this disease, and of the sufficiency of calomel to remove it."
When the inflammation exists, and is a sequel of some pre-existing
structural disease in the brain or membranes, all that can be reasonably
expected, is to _palliate_ it by the antiphlogistic plan; but when it is
idiopathic it may readily be cured, by the same remedies, graduated to
the age and strength of the patient and to the violence of the attack.
Dr. A. seems to rely principally on cups and leeches;--not excluding, in
some cases, bleeding from the arm. Blisters to the summit of the head
and afterwards a cold evaporating lotion to the temples, are also
recommended. As soon as, by these means, an impression is made on the
disease, mild diaphoretic medicines, assisted by the tepid bath, or the
pediluvium, maybe prescribed;--the bowels are to be kept open by small
doses of calomel, followed after two hours by a draught of some aperient
medicine,--the antiphlogistic regimen should be rigidly enforced, and
light and noise carefully excluded.
Public-domain text, read in full here on John Shaqi.
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