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
_Prevention._--Our precautionary measures should be directed to the
predisposed or commencing state already described; to the prevention and
cure of fevers, to the removal of "febricula," and other internal
disorders, and to the general restoration of strength. Finally, its
commencing stage should be watched, and promptly met; and success, I
believe, will always attend our endeavours.
At the Children's Asylum, all the weakly children were made to take
bitters, of different descriptions; and Dr. SYLVESTER'S antiscorbutic
drink, composed of cream of tartar and juniper berries, infused in
water. As the disease declined in the house, under this administration
of bitters, it is highly probable that they had a preventive agency. I
much question, however, whether Dr. SYLVESTER'S drink was productive of
any advantage.
One question of some importance yet remains. _Has mercury any agency in
producing this affection?_ The salivary glands have never been observed
to be affected in it. Dr. PARRISH informs me, that, after a strict
examination, he has come to the conclusion that the previous use of
mercury does not bring on, or aggravate this complaint, as he has
noticed it. I have made the same observation; and, not being peculiarly
sparing of the use of calomel in fevers, have had opportunities to
verify it. I think I can add, that, in some cases, by shortening and
moderating an attack of fever, calomel has been useful in preventing the
ulceration. Given during the progress of one, and that a fatal case, it
did not appear to aggravate it.
There is no evidence whatever tending to excite the suspicion of
_contagion_.
_Treatment._--A variety of remedies had been tried within my knowledge;
most of them with but little success, and one or two with somewhat
better. Feeling much disappointed with the results of my practice, in
the small number of cases which fell under my care in the spring months
at the Asylum, as well as elsewhere, I wished to exchange with another
physician for a period when the disease was more prevalent; for the
purpose of studying it, and making comparative trials of different
remedies. Dr. JOS. G. NANCREDE was so polite as to indulge me. Having
then a large number of patients under my care, I was enabled to make
more extensive observations, and with more precision; the results of
which course gave me the first satisfaction I had ever felt relative to
this disease. Trials were made of every thing that was suggested by
friends, and generally upon 4 or 5 selected patients at a time. Thus,
choosing them in the ulcerative stage, and having several at a time
before our eyes, the result was seen in a very few days, much sooner
than if patients had been successively subjected to the remedies; and no
material time was lost in appealing to the article which appeared to
answer best.
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