The History of the Medical Department of Transylvania University — John Shaqi
The History of the Medical Department of Transylvania UniversityPeter, Robert
History
The History of the Medical Department of Transylvania University
Peter, Robert
Medicine -- Kentucky; Medicine -- Kentucky -- History; Transylvania University. Medical Department
To convince myself of this decomposing action of cream of tartar on
calomel, I placed about a drachm of calomel in each of two small
beaker glasses. In the one I put pure distilled water, in the other I
added to the water about a drachm of cream of tartar. Heating them to
about blood heat and allowing them to stand for a few hours, I
filtered both liquids from the undissolved calomel. Ammonium sulphide,
added to the filtered fluids, threw down from that which contained the
cream of tartar a sensible amount of dark mercurial sulphide, while
that which contained pure water gave no notable reaction. Evidently
the cream of tartar had caused the decomposition of some of the
insoluble calomel and had produced a soluble mercurial compound. All
soluble compounds of mercury are active poisons in small doses,
while, as was fully proven by Doctor Cooke's extraordinary practice
with this substance, pure unchanged calomel is one of the most
insoluble substances. Consequently it sometimes proved harmless in
very large doses, as was the case when the copious watery discharges
of cholera had removed most of the salts of the blood.
The Doctor took no note of possible agencies which might make his
master remedy occasionally poisonous, and scouted the careful practice
of some of the older physicians in causing their patients to abstain
from the use of common salt while taking calomel, a recommendation
based upon valid experience, no doubt, which science has verified.
The Doctor rose to two ounces, or tablespoonful doses, during the
prevalence of Asiatic cholera in Lexington, but he did not confine
this treatment to that fearful disease. The present writer has
preserved one of the last of his mammoth doses--one of a dozen of the
same weight (about an ounce)--which he prescribed for a medical
student of the session of 1836-37, the subject of pneumonia, and who
took eleven such doses in regular succession before he died.
In Doctor Cooke's earlier practice, and in the treatment of less
severe cases, he relied greatly on his famous pills--well known in the
region of Lexington as "Cooke's Pills"--composed of equal parts of
calomel, aloes, and rhubarb; or on tincture of aloes and the lancet,
with the occasional use of a few other remedies. These constituted his
sole armament with which to encounter disease. For he was a man of the
strictest and most earnest honesty, sincerity, and zeal, and withal so
wedded to his logical convictions that he would at any time have died
a martyr to his well-matured beliefs. Indeed, according to the
testimony of his friend, the late Lunsford P. Yandell, he seems thus
to have been to some extent a martyr to his own theory and practice.
Public-domain text, read in full here on John Shaqi.
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