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
According to what I have learned from others, and from my own
personal observation, I should state that the diseases which arise
from repletion, as apoplexy and gout, occur more frequently in this
country than in France. I am persuaded also, that the latter disease
has increased amongst the middle classes of society in this country,
with the progress of luxury and refinement.
The quantity of solid meat consumed at the English table, and the
use of heavy malt liquors, together with strong wines not sparingly
taken, may be contrasted with the extenuated dishes of the French,
and their beverage of lemonade, vin ordinaire, and weak though
grateful wines.
I am aware that the French generally eat a greater variety, and take
a larger quantity of food than the English; but their meats are
stewed, their soups are not heavy, and their vegetables are well
dressed. Oil is a plentiful ingredient in many of their dishes, and
they scarcely use spices. Altogether their food appears calculated to
pass the digestive organs readily; and when the nature of the liquors
and some other circumstances are considered, the total regimen is
not, I apprehend, so much suited to produce repletion and its evils,
as that commonly pursued in this country.
In London, the extreme lateness of the hours both for dining and
evening amusement is obviously unfavourable to the constitution. In
Paris, fashion in this respect is more rational; and the custom of
remaining a short time at the dinner table, after the repast, and the
period of conviviality consequently being abridged, much difference
of result must follow in regard to the health of the inhabitants of
these great cities. The French people are far less inclined to be
sedentary than the English, and appear to be active and cheerful both
by nature and habit. I conclude, therefore, from these and other
causes which might be mentioned, that the medical system of practice
must, of necessity, vary considerably in the two countries.
Paris is altogether less humid than London; and the superior
clearness of its atmosphere is in great measure to be attributed to
the use of wood fires.
A general notion is entertained that the water of Paris is
deleterious to strangers, as producing disorder of the stomach and
bowels. Not denying the fact of such indisposition occurring to those
who visit Paris for a short time, I may still question the nature of
the cause.
I have examined the filtered[12] water of the Seine, and obtained
the following results:
Its specific gravity is 1.0002.
Solution of muriate of barytes added to the water produces an
immediate but slight milkiness.
Oxalate of ammonia causes, in a few seconds, a considerable
milkiness.
Nitrate of silver does not occasion any immediate change; but,
after standing several minutes, an effect is just perceptible.
Lime water does not disturb the transparency of the water.
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