Pharmacologia: Fourth American, from the Seventh London EditionParis, John Ayrton
Science
Pharmacologia: Fourth American, from the Seventh London Edition
Paris, John Ayrton
Pharmacognosy; Pharmacology; Pharmacy
That diminished absorption, and the consequent accumulation of serous
fluids in the cellular texture, and different cavities, frequently
depends upon general debility is very obvious, whence fevers, whether of
the intermittent, or continued kind, which have been long protracted,
are followed by _œdematous_ swellings. In states of extreme debility the
exhalant vessels would seem, from their laxity, to permit the thinner
parts of the blood to pass too readily through them; this is proved by
the circumstance that palsied limbs, in which such a laxity may be
presumed to exist, are frequently affected with _œdema_, and the truth
of this explanation is still farther corroborated by the advantages
which accrue on these occasions from the mechanical support of pressure
from bandages. In such cases, those remedies which are capable of
renovating the vigour of the body can alone prove of any signal service.
Dr. Blackall presents us with an illustrative case of this nature, on
the authority of Mr. Johnson of Exeter, in which the tonic powers of
well fermented bread occasioned in the space of a few hours an effect so
powerfully diuretic, as to have cured sailors on board of the Asia East
Indiaman, who had been attacked with Dropsy, in consequence of the use
of damaged Rice.
Thus then do Diuretics, in some cases, CURE BY EVACUATING, while in
others, as in the instance above cited, they EVACUATE BY CURING.
A case has lately occurred in my own practice, which not only affords a
striking illustration of the present views, but is well calculated to
convey to the inexperienced practitioner a very instructive lesson of
caution. A man of the age of thirty-five, of the most dissolute habits,
was attacked after a debauch of several days’ continuance, with
inflammatory symptoms in the chest; a very large quantity of blood was
suddenly abstracted, and the bleeding was repeated after the interval of
a few hours. The respiration became laborious, and I was desired to
visit the patient; I found that little or no urine had been evacuated
since the attack, and that there were evident symptoms of effusion, the
legs were swollen, and the difficulty of breathing was rapidly
increasing. Under these circumstances I directed a large dose of
_Ammonia_ with some stimulating diuretics, which were to be repeated at
short intervals. On the following day the distressing symptoms had
subsided, a large quantity of urine had passed, and the patient
expressed himself greatly relieved; unfortunately, however, in
consequence of a slight increase of his distress in the evening, an
injudicious friend in attendance, took more blood from the arm—the
dropsical effusions rapidly increased, and life was extinguished in the
course of three days by confirmed Hydrothorax.
3. _By producing Catharsis, and thereby increasing the action of the
Exhalants_ directly, _and that of the absorbents_ indirectly.
Public-domain text, read in full here on John Shaqi.
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