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
_Fourth day of treatment_, being 2nd of Aug. 1825. Pulsations more
central; tumour very sensibly diminished; pulse less strong and reduced
from 86 to 74 in the minute; the menses, which had been suppressed for
two months, appeared on the 31st ulto. and still flow. _Prescription_,
V. S. [Symbol: ounce]xviij. next day, twelve leeches, on the lateral
parts of the tumour; gr. xxiv. of digitalis in three applications
through the day. Continue ut supra.
Aug. 8th. Patient tranquil; pulse 60, full, not active; face not
flushed, but preserving a delicate tinge of red; headach now slight; no
nausea; menses continued until the 6th inst. _Prescription_, V. S.
[Symbol: ounce]xij.--fifteen leeches to-morrow; increase digitalis to
gr. xxviij. daily; the rest, ut supra. The tumour has diminished at
least one-fourth.
Aug. 12th. Tumour reduced to 3-5ths of its former volume; pulse at 56;
her nights are comfortable; has some headach, and lately, cardialgia;
complains of hunger and weakness, and from the fatigue of her
assistants, the pressure was made with a bandage less effectually than
before. This was allowed, as the pulsations are weakened, and more and
more central, while the elevation of the tumour is trifling. For fear
her health might be injured, she was permitted to rise a little from
bed, and to add to her rice water, some light jellies, (cremes) made
from the same grain. V. S. [Symbol: ounce]x. and every 2nd day, eight
leeches around the tumour; digitalis increased to 32 grains daily; warm
pediluvium for one hour, morning and evening; silence as complete as
possible.
Aug. 18th. No tumour visible; pulsations can yet be felt; the skin is
thickened; pulse at the wrist is at 50. V. S. [Symbol: ounce]viij.--six
leeches every 4th day until menstrual period; digitalis reduced to gr.
xx. and still to the same parts; continue the pressure; allow some rice
jelly, vermicelli soup, gentle exercise; silence to be preserved,
continue pediluvium, and relieve constipation by simple enemata.
In 15 days, Dr. SOUCHIER again visited his patient. It required an
experienced hand to distinguish, at the spot where the artery was
cicatrized, an elevation rather more evident, than over the rest of the
artery. Pulse 48 per minute; hunger great, and the remedies now
unpleasant. Most of them were suspended, and fruit and the white flesh
of poultry added to her diet list. The digitalis reduced to 12 grains a
day. Compression, silence, and moderate exercise, to be continued as
before. The menses appeared at the expiration of twenty-five days, and
were more abundant than at the last period.
At the end of a month, no trace of the tumour was discoverable. The
young lady had carefully increased her nutriment and exercise without
inconvenience, and all remedial measures were now omitted.
During the months of December and January last, she remained free from
any inconvenience from the tumour, and the union of the parietes of the
artery was therefore regarded as complete.
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