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
Dr. FRANK does not say much concerning the bark of pomegranate root,
which has come into vogue lately as a remedy for taenia. He refers to the
Med. Chirurg. Transact. Vol. XII. for accounts by some English
physicians, and remarks, that Dr. GOMEZ, the Portuguese physician, had
cured 14 cases with this bark.
Dr. POLLOCK (vide Ed. Med. and Surg. Journal, Oct. 1819) treated a
child, aged 14 months, with the decoction of bark of pomegranate root,
so far back as the year 1811. This infant, under the use of the
medicine, discharged at several times upwards of 30 feet of taenia
solium, and was cured. We learn also from the Med. Repository,[22] that
MM. DESLANDES, SOURYA, and BOURGEOISE, have employed pomegranate with
great success; that the decoction generally expelled the worm in two
hours; that it sometimes occasioned vomiting and griping pains; and that
it has been a common remedy for tape worm, in the East Indies, and among
the blacks of St. Domingo.
From the same source we are informed, that the French pharmaceutists
recommend, before boiling the bark, that it should be allowed to swell
(macerate) in cold water. [Symbol: ounce]ij of bark should be boiled in
lbij of water to [Symbol: ounce]xii. Of this decoction, [Symbol:
ounce]ij may be taken every half hour. The worm is here said to be
passed often in twelve hours instead of two. It may be necessary to
continue this plan four or five days, taking care to suspend the
medicine, in case any vertigo, or intestinal disease supervenes. A dose
of castor oil is recommended after the 4th bottle; even though the worm
be happily for the patient expelled.
In the Revue Medicale is a case, in which pomegranate succeeded in
discharging three ells of taenia; but the patient broke off the worm in
attempting to extract it with too much violence. This circumstance
recalls us to the consideration of Dr. FRANK'S communication. He
recommends much caution in the extraction of those portions of taenia,
which have remained partly in the intestine; and says that Dr. CAGNOLA
proposed touching the extruded portion with prussic acid, in hopes of
killing the whole animal by means of this violent poison. Dr. GARLEKE
adopted this plan on an extruded portion of four inches in length, and
in one hour afterwards the _whole animal came away dead_. Dr. F.
suggests, that the electric shock might weaken the taenia, so as to cause
it to let go its hold, and thus be unresistingly extracted. BRERA
recommended that the worm should be tied with a piece of silk. In this
manner, it is retracted into the bowel, but begins to descend again not
long afterwards. He dissuades from any attempt at forcible extraction,
which excites the most distressing sensations in the bowels, and causes
the risk of bringing on convulsions.
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