North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826 — John Shaqi
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
VAN SWEITEN, in the article devoted to the consideration of gangrene,[9]
has left us a far more exact description of the disease, into which we
are inquiring. Practising in a marshy country, he had frequent
opportunities of meeting with it; and his account of it, and his mode of
treatment, though brief, are every way worthy of the close, practical
inquirer into nature, and the sound medical philosopher. His description
is not unmixed with strong expressions of horror and commiseration at
its ravages. He describes it in a manner so similar to that in which it
now prevails, that no doubt can exist of the identity of the diseases.
He acknowledges, however, "rubedo, calor, dolor," among its symptoms.
Cochlearia, theriaca and similar articles, according to him, are almost
always injurious. If no foetor exist, (and, of coarse, no actual
mortification,) he applies a solution of sal ammoniac or nitre, with
some vinegar or lemon juice; sometimes as a lotion, sometimes by keeping
a rag imbued with it always in the ulcer. Hard rubbing he reprobates. If
the disease have made progress, and foetor exist, muriatic acid is
used: in the less aggravated stages, diluted with honey of roses and
water; in the worst cases, pure. This practice he states never to have
failed him, unless where the bone was affected.
In an early edition of Dr. UNDERWOOD'S Treatise on Diseases of Children,
in the library of the Pennsylvania Hospital, no mention is made of this
disease; although an article is devoted to "_gangrenous erosion of the
cheek_." The account is wholly borrowed from a work by Mr. DEASE, of
Dublin, "on the diseases of lying-in women," &c. also in the library.
Mr. DEASE describes this affection as occurring from 2 to 6 or 8 years
of age; especially in unhealthy children, including such as have been
subject to worms. The whole body often appeared cold upon the approach
of the disease. A black spot then occurred, but _without marks of
inflammation_, on one of the cheeks or lips. The whole cheek was
sometimes destroyed, and the lower jaw fell down upon the breast.
Muriatic acid, infusion of roses, the effervescing draught, and, in the
decline of the disease, bark, broths, jellies, and wine, besides
magnesia or rhubarb, to remove the putrid matters swallowed, were the
internal remedies employed. The parts were washed and injected with
muriatic acid, diluted with chamomile or sage tea; and afterwards
dressed with the acid, mixed with honey of roses, and, over this, a
carrot poultice. By this practice, Mr. DEASE lays claim to almost total
success.
In the Philadelphia republication of Dr. UNDERWOOD'S book, taken from
the sixth London edition, there is an article entitled Cancrum Oris. The
author appears to have read PEARSON'S account; but as his description
does not at all agree with the disease of which we are treating, nor
with that of Mr. PEARSON, we shall not stop longer to analyse it.
Public-domain text, read in full here on John Shaqi.
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