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 disease was judged by Mr. P. to be a chronic metrites, with
ulceration, and all the symptoms usually attending incipient cancer.
Guided by this belief, and notwithstanding the already long duration of
the disease, and the debility of the patient, the following treatment
was adopted--complete repose in the horizontal posture--leeches to the
vulva, repeated several times--vaginal injections, with emollient
decoctions--hip baths--very low diet. After persevering in this plan
twenty days, the patient appeared much better, and was allowed to sit
up. General baths were substituted for the partial ones. The same
treatment was continued, with the exception of the leeches, and at the
end of thirty days more, all the symptoms of the disease had completely
disappeared. Mrs. P. was allowed to spend the following spring in the
country, from whence she returned in very excellent health. She has
since continued to enjoy it, and has borne several children.
Cases nearly similar, are detailed by Mr. MARESCHAL, as having occurred
in the practice of professor LALLEMAND. The same gentleman, also gives
the history of two cases of external cancerous sores, in which the same
treatment was adopted. The patients having died during the progress of
the cure, of other diseases, an opportunity was offered, of examining by
dissection, the changes that had occurred in the parts. We cannot
enlarge on the subject in this place, and can only remark, that these
changes were such, as to lead us to hope, that less difficulty will be
experienced in the treatment of sores reputed cancerous, by the local
antiphlogistic plan, than is commonly supposed. At any rate, recommended
by such high authorities, the practice deserves a trial.
The Revue Medicale for February 1826, contains the details of a case
lately cured at La Pitie, by Mr. LISFRANC. The patient, a woman, aged 36
years, of a strong and good constitution, had suffered the removal of a
cancerous breast, 18 months previous to her admission into the Hospital,
on the 10th October, 1825. The following symptoms were observed. On the
whole surface of the cicatrix were felt a number of engorged ganglia,
and an induration situated on the large and small pectoral muscles, and
spreading from the clavicle to all the external and superior part of the
thorax, and as far as the axilla, where other swollen ganglia were felt.
The enlarged surface was elevated about half an inch above the level of
the chest. Severe lancinating pains were at short intervals felt by the
patient--which came on without any evident cause, and were particularly
severe on the least pressure of the swollen part.
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