Observations on M. Laennec's method of forming a diagnosis of the diseases of the chest by means of the stethoscope, and of percussion; and upon some points of the French practice of medicineScudamore, Charles
Science
Observations on M. Laennec's method of forming a diagnosis of the diseases of the chest by means of the stethoscope, and of percussion; and upon some points of the French practice of medicine
Scudamore, Charles
Chest -- Diseases -- Diagnosis; Laennec, R. T. H. (René Théophile Hyacinthe), 1781-1826
Our acquaintance with the _gastro-enterite_, is a key to the whole
pathology of this Professor, who has taken a great lead in Paris, and
formed a school of his peculiar doctrines. He considers that all the
essential fevers of authors are only various forms of sympathetic
phenomena, arising out of a gastro-enterite; that all the pretended
nervous affections of the stomach are the result of a chronic
gastrite; that the various dangerous disorders of the brain, for the
most part, owe their origin to the state of the digestive passages,
irritated with chronic disease; that in all the febrile phlegmasiæ,
the stomach and small intestines are irritated in the commencement,
if not during the whole progress of the malady; that the gout
depends commonly on a chronic _gastro-enterite_, “which prepares and
supports the irritation of the joints.”
He considers that _gastrite_ rarely exists alone, and that it is
almost constantly joined with an inflammation of the small intestines.
He does not admit that there is any essential difference in the
nature of gout and rheumatism.
This is a very concise epitome of the doctrines of M. Broussais, and
is offered only as an outline.
The practice which is founded on this view of most of the diseases
of the body is remarkably simple, and may be almost included in
the free and repeated application of leeches to the most affected
part of the abdomen; the use of fomentations and poultices to the
seat of irritation; of emollient lavemens; of tisanes calculated to
allay irritation; of the mildest nutriment, as veal broth with rice;
also the greatest care is used to avoid every irritating material,
whether medicinal or dietetic; and, to favour all these means by
entire repose and time. The gravest fevers of the East and of the
West; the plague itself; the fevers of our own country, continued or
intermittent, typhoid or inflammatory, and the phlegmasiæ, appear to
be all arranged under the same general principle of treatment.
From the observations which I had the opportunity of making at the
hospitals in Paris, and from the attention I have since devoted to
the examination of these doctrines, I am far more inclined to borrow,
occasionally, from the opinions of M. Broussais, than implicitly to
follow his theory or practice.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account