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
"G.K..., a soldier aged 21 years, thin, tall, and who during his infancy
had been subject to ascarides, has occasionally voided during more than
10 years past, portions of taenia. He had used several purgative
medicines, by which several yards of this worm had been expelled; but
annoyed with so many attempts at obtaining its total expulsion, he had
ceased, three years before, the use of all sorts of anthelmintics. But
the phenomena resulting from the presence of the animal being
aggravated, the patient applied for advice to Dr. DE POMMER, who found
him labouring under the following symptoms:--Frequent pain in the
abdomen, and especially in the umbilical region, accompanied with a
sense of burning heat, and alternate distension and depression of the
abdomen. Appetite sometimes keener than in health; at others nearly
lost. In the morning before breakfast, the patient was seized with
extraordinary weakness, and general uneasiness, accompanied with
trembling of the limbs, ineffectual attempts to vomit, a sense of
constriction in the throat, and a profuse salivation. All these symptoms
disappeared after K... had taken food; but reappeared two hours after.
Milk and farinaceous aliments were the only articles of which he could
make use without an aggravation of his disease. The pulse was febrile;
sleep good, but attended with dreams. The pupils were in the natural
state. From the symptoms, and from the history of the case, Dr. P. was
induced to make use of the oil of turpentine in the following manner.
The patient was ordered in the morning, before breakfast, three table
spoonsfuls of the remedy, at half an hour's interval. The first doses
produced only a few borborygma. Two more table spoonfuls occasioned a
vomiting of mucous matter. Three more table spoonfuls were exhibited,
and followed by a stool of solid faeces, mixed with which were five small
pieces of taenia. The patient not finding himself incommoded, took in the
space of an hour, three more table spoonfuls of the remedy, after which
he experienced some pain in the head, and vomited about one pint of
bilious liquid. An hour after, the same quantity of the medicine was
taken, and followed again by vomiting, but after a repose of half an
hour K... discharged, per anum, firm and greenish faeces, and with them
five ells of taenia. The urine discharged had the smell of violets. He
again took a few spoonfuls of the vermifuge, which were not followed,
however, with any faecal discharge, and only with some vomiting of mucus,
and slight vertigo. In the afternoon the patient felt well, and
experienced a great appetite, in which he indulged. From this moment he
recovered, and has ever since enjoyed good health. The quantity of the
remedy used was six ounces."
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