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
In conjunction with general and local bleeding, fomentations were had
recourse to in almost every case, and applied to the epigastrium in the
form of poultices, or flannels wrung out of warm emollient decoctions.
In order to excite perspiration and to determine action to the surface,
a tepid bath was occasionally prescribed, and in some cases afforded
considerable relief; but as it was an inconvenient remedy, pediluvia,
and hot bricks on which water, or water mixed with vinegar was poured,
were substituted. In cases, however, in which much arterial action
existed, these last means were not prescribed, until the pulse had been
brought down by the lancet, and other remedies presently to be
mentioned.
On the subject of emetics, I shall not enlarge; as I can safely assert,
that I very seldom saw a patient recover from yellow fever, to whom
tartarized antimony, or any other active remedy of the same class, had
been administered. Of the impropriety and danger of this practice in the
present disease, I was early convinced from a careful analysis of the
symptoms, indicating an acute irritation of the stomach and upper
portion of the small intestines, and from the circumstance, that, of the
first family in which I was called to prescribe, five members, to whom
emetics had been administered, had already fallen victims to the fever,
under the care of a very respectable physician, and that three
succeeding ones, who were treated agreeably to my view of the pathology
of the disease, recovered. From these facts and reflections, I was
induced to watch the effects of these remedies in subsequent cases, in
my own practice, and in the practice of other physicians, and was soon
led, from this extended experience, to abandon totally the use of tartar
emetic in the treatment of this malady. Ipecacuanha in emetic doses was
also tried by me; but although, thus administered, it did not occasion
the bad effects resulting from the exhibition of the preceding article,
yet it was often productive of harm, and never of benefit. These
remarks, however, apply more particularly to the use of tartar emetic
during the state of excitement of the fever, and not to that of collapse
which sometimes precede it, and in which it is recommended by some
physicians of the southern states. In this condition of the system, I
have never resorted to it, and, I must confess, could not easily be
persuaded to do so; suspecting that even in such cases, the digestive
organs are already too far implicated, to justify the use of so powerful
and acrid a remedy.
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