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 — John Shaqi
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
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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
The nurse may safely act the part of the pharmacien in this
department, but, at the same time, should be directed by the
physician as to the preparation of suitable drinks. With this
qualification, the attention of the French physician in nicely
regulating the regimen of the sick chamber, is worthy of our
imitation. The effect of the most useful and appropriate medicines
will often be frustrated, unless a corresponding care in the plan of
diet be strictly observed.
To this mode of practical medicine peculiar to the French, which I
have here criticised as not worthy of the skilful physician, there
are some striking exceptions.
At the excellent Hospital St. Louis, chiefly appropriated to the
treatment of the various diseases of the skin, and principally under
the direction of Alibert and Biett, arsenical and other active
preparations are administered without apprehension. They prefer small
doses of arsenical solution, twice a-day for a continuance, to the
use of large doses for a short time. Tincture of cantharides, in the
dose of twenty drops twice a-day, is one of their favourite remedies,
alternately with arsenic, in the treatment of the order Squamæ.
Before employing such medicines, however, they are careful to remove
all inflammatory action from the system.
Subcarbonate of ammonia, dissolved in water, in the proportion of
two drams to a pint and a half, and given in this quantity daily, is
found useful in certain states of cutaneous irritation, apparently
caused by a free employment of mercury for syphilis.
The inveterate disease called _lupus_ is very successfully treated by
the application of an arsenical caustic. They allow the part to form
a crust, before they apply a poultice or any emollient dressing.
Neither expence nor trouble is spared in making the artificial
medicated baths. The alkaline bath, prepared by dissolving the
subcarbonate of soda in the proportion of two pounds to the necessary
quantity of water, is extremely useful when the skin is affected
with scales.
The douche de vapeur affords great benefit in some obstinate local
affections of the skin, when it is necessary to stimulate the vessels
so as to bring about an entire change of action. This description of
douche often proves useful in chronic rheumatism, and in sciatica,
when existing in the chronic form.
I had the opportunity of witnessing the administration of tartar
emetic in large doses, as a daily medicine, to patients under the
care of M. Laennec. His method is to begin with one, two, or four
grains, as the total quantity for the twenty-four hours.
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