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 precursory fever in small-pox is seldom marked by the same common
inflammatory symptoms as that in measles; and does not seem, by its
actual violence, to urge the physician to deplete with freedom, if he
only have regard to the existing condition, rather than to the impending
danger and complication. The diversity in the two diseases consists not
so much in the greater intensity of the latter, as in the more decided
gastro-enteritic derangement in the former. Experience has not yet
sanctioned the benefit of copious bleeding from the arm, in incipient
disease, or irritation verging to inflammation of the intestinal
surface, as in small-pox; while its efficacy is admitted in measles. But
conceding its doubtful character, local bleeding, as by cupping, and
leeching on the abdomen, might be serviceably employed in the form of
disease now under consideration; as we know it to have been in other
febrile affections, where the same parts were diseased. Topical
depletion does unquestionably exercise the best effect on membranous
inflammation. In addition to cool air, we may with some confidence have
applied at this time to the skin, cool, if not cold, affusions; while
cold or cool drinks, and these of mucilaginous kind, would constitute
the principal ingestae and medicines. Our own experience was little
favourable to the efficacy of cold water, applied to the surface during
the eruptive stage; and we apprehend, that, if decided benefit can grow
out of its use, it must be during the first or precursory fever, before
the formation of vesicles has commenced, when every thing is to be
attempted to sooth irritation, and prevent febrile reaction.
The first period over, the eruption on the skin now appears, and
constitutes a leading and exceedingly important symptom of the disease.
This eruption, like many others the product of gastric derangement,
acts for a time as a counter-irritant, and as such affords temporary
relief to the internal organs; but when continued, as in the farther
progress of the disease, it, in common with all irritants on the skin,
returns with interest to the digestive tube, the irritation which it
first received from this latter.
Public-domain text, read in full here on John Shaqi.
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