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
Still more will this inflammation persist, if it have gone to the extent
of forming new parts, whether phlegmons or pustules. The intensity of
the inflammation may be somewhat moderated, but it cannot be conquered
now as at the commencement, or during the first period, or that of
invasion. We cannot, from our own experience, speak favourably of the
remedy in the second, or eruptive stage. It did not answer our
expectations, though employed in subjects apparently the best
constituted to derive the good effects proposed from it. We must at the
same time grant, that it was complicated with other remedies. Of topical
bleeding, we are unable to speak, not having seen it tried. In this
period of the disease, it must be of very difficult execution. Still
less reason have we to boast of the good effects of purging. Though the
skin may for a while be relieved by the watery secretions from the
intestinal canal; yet the irritation of the latter, consequent on
purging, is soon communicated to the cutaneous surface with the effect
of aggravating the eruption. To the class of stimuli or stimulating
diaphoretics, the same objections apply with increased force. As on the
one hand, in cases of high fever, seeming to call for great depletion,
the surfaces are often not relieved by general bleeding, but retain
their own vitality; so on the other, in cases of apparent prostration,
and feebleness of circulation, they often retain all their morbid
activity, and will of course be materially injured by stimulation,
either of hot air to the skin, or heating drinks to the gastric and
intestinal surface. Of the various diaphoretics employed, we had reason
to be least dissatisfied with the combination of opium and ipecacuanha
in small doses. In some few cases, tartrate of antimony and cream of
tartar, dissolved in rice or barley water, and the solution used as a
drink, seemed to be beneficial. Several grains of the former were thus
taken in the 24 hours, without its producing vomiting or purging. But in
very many other instances of the disease, this medicine had no
ameliorating effects. Calomel alone, or in combination with opium, was
given, and in a few cases caused _ptyalism_. We did not lose persons
thus affected, but we cannot speak with any confidence of the propriety
of the treatment.
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