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
The remedies for this diseased state of the urine, found most successful
by Dr. PROUT, are,--opium, in from one to five grain doses, repeated two
or three times a day, until the unnatural irritability of the system is
relieved,--the same remedy in more moderate doses, in conjunction with
the mineral acids, cinchona, uva ursi, and the different preparations of
iron,--a large pitch, soap, or galbanum plaster to the loins,--and
setons or issues in the back, when the disease manifestly arises from
local injury. With respect to the bowels, Dr. PROUT remarks, that they
are very difficult to regulate. He has occasionally seen serious
consequences to arise from the exhibition of a small dose of calomel,
such as diarrhoea and debility, much aggravating the disease, and
endangering the life of the patient. For the regulation of the bowels,
small doses of castor oil, and laxative injections are most to be relied
on; while saline purgatives, more especially Rochelle salt and Seidlitz
powders, as containing vegetable and therefore destructible acid, must
be avoided.[24] Mercury, in all its forms, is also inadmissible.
"Alkaline remedies of every description, must be most carefully
avoided, their use in every point of view being most
mischievous when the phosphates are concerned. Indeed all
remedies that act as diuretics should, in general, be shunned,
and the patient should be prohibited from drinking too much.
With respect to drinks, in general, they should be of a
soothing, demulcent character, and prepared with distilled or
the softest water that can be procured; as hard waters are
literally poison in this form of disease."
The second division of the work under review treats of the mechanical
and organic diseases of the urinary organs. This portion of the subject
is handled with the same ability as the first. We regret, however, that
our space will not permit a further development of the author's views.
We trust, nevertheless, that we have imparted to our readers adequate
notions of the scope of the work, to render them sensible of its value
as a manual of urinary diseases. It is illustrated by a good coloured
plate, representing the principal varieties of urinary calculi.
The additions of Dr. COLHOUN consist of foot notes, and paragraphs
inserted in the text of the original work. We would not, however, wish
to be considered as approving of the course, for the most part pursued
by Dr. C., of inserting his amplifications in the text of the author,
merely distinguished by brackets. Besides the absence of sufficient
distinction between the matter of the author and commentator, the text
of the former is thus injuriously disjointed, and dependent sentences
sometimes widely separated.
In regard to the execution of the present edition, we regret to say that
it is wanting in typographical accuracy.
FOOTNOTES:
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