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
"Many practitioners give the mild preparations of mercury, and
particularly calomel, freely in this disease, under a notion of
its having some specific power in subduing it; but it never
should be so used, excepting in cases where the disease is
symptomatic of some functional disturbance in the liver and
other chylopoietic organs, where it is calculated, in
conjunction with the local bleeding, &c. to afford the most
important service."
With a view of pointing out some characteristic sign, by which to
distinguish those cases in which the affection of the bowels is primary
from those in which it is secondary, he remarks--
"The condition of the stools at the period when a child is
labouring under the disease, will afford to such persons but an
imperfect notion of its true nature; for the disturbance of the
brain will often create a disorder in the secretions, both of
the liver and the other chylopoietic organs, producing green
looking stools; and there is often a congestive state of the
brain for a short time preceding the full development of the
idiopathic excitement, which may, in like manner, by reacting
upon the liver, create a disorder there. In cases, however,
which are symptomatic of this cause, the chylopoietic
disturbance will be found to have existed several days or even
weeks; and the origin of the disorder, in like manner, may be
commonly traced to some irregularity of diet, or other obvious
causes, and frequently in infants to those which are connected
with premature weaning; and sometimes even the cerebral
disorder itself will have been only the last of a series of
effects in the system, to which such disturbance had given
rise."
Agreeably to Dr. A., it is not proper to discontinue those means,
immediately upon the occurrence of what appears to be symptoms of
effusion, since, frequently, these symptoms, as it respects the
effusion, will immediately manifest their fictitious character, and
disappear under a treatment no wise adapted to such a state, and with a
rapidity, too, which equally betrays their true nature. He notices,
though we believe not in its proper place, a modification of the disease
in which the effusion takes place in the cellular membrane of the
substance of the brain, and thinks this species more likely to be
recovered from than when the water accumulates in the ventricles. He
concludes this section by remarking, that
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