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
MUYS, in a little treatise entitled "Chirurgia Rationalis,"[6] published
in 1684, has an account of a disease, which is evidently supposed by
PEARSON to be that which he describes. This also, however, appears to
have been a "labrosulcium;" an ulcer between the lips and the incisor
teeth. There is but little to be gathered from his paper; as it is
principally occupied with an attempt to prove, that this ulcer is owing
to an accumulation of _acidity_ in the blood, increased, at this point,
by the putrescence of particles of food which collect there. He
illustrates this doctrine by an examination of a _burnt rag_ under a
microscope; and this he considers as in a state analogous to the
gangrene. "Opinionum commenta delet dies," &c. We give his treatment;
which is aimed at acidity.
R. Theriaci, [Symbol: dram]ijss
Ung. Egypt. [Symbol: dram]iss
Gum. Laccae, et
Spirit. Sal. _Armon._ aa [Symbol: scruple]ij
---- Cochleariae, [Symbol: dram]ij
_m._ ft. ung.
To be softened with a little alcohol, the part washed with the mixture
six times a day, and a rag moistened with the same compound left in the
ulcer. Here we take leave of the Chirurgia _Rationalis_.
In the 14th volume of the Memoirs of the French Royal Academy of
Surgery, are papers containing accounts of two cases, which have some
points in common with the disease of which we treat; but the identity of
at least one of which it is hard to establish. The first piece is
entitled, "_Sur la gangrene scorbutique des gencives dans les enfans.
Par feu M. Berthe._"[7] The author is described, in a note, as a young
surgeon of great promise, who was carried off by an early death. M.
BERTHE commences by quoting FABRICIUS HILDANUS; who describes a gangrene
of the gums, occuring principally at about 4 years of age, and of which
all the patients died. FABRICIUS takes the occasion to give a caution to
young surgeons, to avoid being too sanguine in predicting recovery from
gangrenes. Next a case is given us, drawn from M. SAVIARD, in which
death was the result. This author seems, subsequently, to have had
somewhat better success, but at the expense of horrible disfigurements;
such as great holes through the cheek, and the loss of a large piece of
the jaw; which, indeed, are described as having been worse than death.
In another case, recorded by M. POUPART, in the "Histoire de l'Academie
des Sciences," this affection terminated in death; preceded, however,
and in the opinion of the author, caused, by the production of two
tumours, one by the side of the tongue, the other inside of the cheek.
This is not at all unlike the progress, which will be hereafter
mentioned to have taken place in many of the Asylum cases.
M. BERTHE then remarks, that the greater number of instances of gangrene
of the gums had terminated unfavourably.
Public-domain text, read in full here on John Shaqi.
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