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
31. _Cure of Urinary Calculi by means of the internal use of the
Bicarbonate of Soda._--At a late meeting of the Academy of Medicine, Mr.
ROBIQUET read a memoir on the use of this salt in cases of urinary
calculi. Having learnt from Mr. DARCET, that the use of the waters of
Vichy changes the quality of the urine from acid to alkaline, Mr. R.
conjectured, that this effect should be attributed to the bicarbonate of
soda contained in them; and from this circumstance, he was led to
administer this salt internally, in cases of calculi composed of uric
acid. In July last, he made the experiment on a man 74 years of age, who
had laboured under symptoms of the disease since the month of February,
and in whom, by means of the sound, a small and soft calculus had been
detected. Mr. R. ordered him 10 grains of the bicarbonate in the course
of the day, dissolved in two pounds of water--prescribing at the same
time, hip baths, injections, &c. At the end of fifteen days, much
benefit had already resulted from this treatment; and in a month, the
patient appeared to be cured. Nevertheless, the remedy was continued
until November, when the patient passed through the urethra, a small
calculus composed of uric acid, which appeared to have been the nucleus
of a much larger one, the exterior strata of which had been worn off.
From that period, the patient has not experienced any unpleasant
symptom; but the sound was not resorted to, to ascertain whether the
first calculus before felt, could be detected.--_Archives Generales,
February, 1826._
32. _Attempt to cure Abdominal Dropsy, by exciting Peritoneal
Inflammation._--In the number of the London Medical and Physical Journal
for April, 1826, a case of ascites is related by H. R. OSWALD, Esq. in
which the cure was attempted to be effected, by exciting peritoneal
inflammation. The following symptoms were noticed at the time of
application for advice: the abdomen measured nearly six feet in
circumference, was exceedingly hard and tense; but not tender. The
patient "could hardly walk across her cabin from dyspnoea and
debility, and the weight and tension of the tumour; which caused her to
bend the body much forward, leaning her hands on her knees. The
emaciation was very considerable; the appetite good; thirst
considerable; tongue clean; pulse 120, and small; skin dry, harsh, and
rough; bowels habitually costive; urine scanty." "This affection
commenced about twelve months ago, after an obstruction of the
catamenia for nearly a year, arising, as was supposed, from exposure to
cold. The swelling was preceded by lancinating pains in the abdominal
and lower part of the thoracic cavities, but which, after a few months,
ceased entirely; and the disease had, in a chronic manner, gradually
arrived at its present oppressive form."
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