Philosophical transactions, Vol. L. Part II. For the year 1758.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.Various
History
Philosophical transactions, Vol. L. Part II. For the year 1758.: Giving some account of the present undertakings, studies, and labours, of the ingenious, in many considerable parts of the world.
Various
Science -- Periodicals
was some reason to suspect, and indeed to hope, that tho’ the pulse
had been perfectly calm during the whole time of the delirium, there
was something of the fever still at the bottom of this complaint.
From these indications, obscure as they were, it was judged proper to
make a trial of the bark; which was accordingly ordered to be taken
immediately, and to be repeated every two hours. This method succeeded
beyond what could have been imagined; insomuch that it was observable,
even by the attendants on this gentleman, that his mind came evidently
more and more to itself after every dose: and in the evening, after he
had taken six drachms, his urine grew thick, and dropt a lateritious
sediment; and, excepting the weakness naturally consequent on such
violent emotions as he had undergone, both of mind and body, he was
as well as ever he had been in his life. He hath repeated the bark at
proper intervals, as is usual after intermittent fevers, and continues
to this day perfectly well.
The use of the bark, in the most irregular intermittent disorders, is
very happily so well known in this island, that it might perhaps have
been thought needless to have recited any case merely in confirmation
of this practice: and I am too well aware of the insufficiency of
every thing, but a number of facts on which to found any philosophical
truth, to presume to rest any thing on one single instance only. But
the case above related is of so very extraordinary a kind, as to make
it worthy of being mentioned, both on its own account, and for that
analogy, which being found by experience to subsist between diseases,
affords the surest method of reasoning on practical subjects. The two
remarkable circumstances of this case are, the delirium’s coming on,
and continuing, without any exacerbation of the pulse; and the bark’s
proving so speedy and effectual a remedy, tho’ given at a time, when
there was no appearance of any remission of the symptom, which it
was intended to remove. It hath been thought, that a quick pulse is
so essential to the definition of a fever, as to be a pathognomonic
symptom of it. But experience is against this notion: perhaps the
present case is a proof of the contrary; however this be, there have
not been wanting instances, in which, towards the end of a fever, the
pulse has grown quiet, without the abatement of any other symptom, and
the patient hath generally lain comatose, and with the appearance of
one, who hath taken a large quantity of opium. Galen, in the third book
of the Presages of the Pulse, mentions this symptom, and pronounces
it to be almost a fatal sign: and the same thing hath happened in
more instances than one, which have come to my knowlege. May not then
the above-recited case lead to this useful inquiry, Whether in fevers
of every kind, when the pulse is quiet, the bark is not proper to be
given, and likely to prove a remedy? In this case it proved absolutely
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