The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
She was subject to attacks of bronchitis occasionally, but, at the time
of treatment, the general health was in fair condition; the prominent
complaint was the difficulty of breathing.
On July 5, 1868, she inhaled a mixture of 3 pints of oxygen with 30 of
air: the results were favourable. Within a few days the dose was
doubled, 6 pints to 60: soon the proportion of 8 to 60 was used: and
later, 12 to 60, and with this dose we seemed to obtain such good
effects that I did not think it necessary to increase it. The
inhalations were taken at intervals of three or four days for a space of
six weeks; after each one, the lady experienced marked relief, which she
expressed as being able to take a deep breath and get sufficient air—a
feeling not known for years; as being able to move with comparative
ease, feeling buoyant, and more like healthy persons should feel, than
she ever remembered.
The only definite effect upon secretion was a more copious and facile
expectoration, always produced, and lasting for a day or two; the effect
upon the circulation was not marked at the time, but some palpitation
occurred, generally in the nights which followed the taking of the
larger doses; no other unpleasant symptoms whatever.
In attacks of exaggerated dyspnœa, as they occur sometimes in the
emphysematous, and in those peculiar, nervous, irritable states apt to
be induced by mental causes in the subjects of weak hearts, I have known
her come into my consulting-room, inhale for half an hour, and express
herself cheerful and composed. Nor was this the effect of fancy; for, at
first, the lady had a prejudice against the plan; now she esteems it
highly, nor has she ever found relief at all comparable to this, from
the many medicines prescribed at various times by various practitioners.
CASE II. is of the same nature, and occurred in a gentleman of 24, who
had had good health till twelve months before, when he noticed for the
first time wheezing, and afterwards cough, traceable partly to the dusty
nature of his business, partly to wearing damp clothes. The chest
symptoms continued so bad as to confine him to the house for three or
four months; afterwards, he seemed gradually to recover under the use of
tonics and cod oil, and the influence of a warmer climate, and when he
came to me in January 1869 for the first time, he looked well; however,
he complained of debility, of constant dyspnœa on exertion, and of
exaggerated attacks of it occurring suddenly at times, of some cough and
of glutinous expectoration; if he attempted to live well, as he had been
told to do—meaning especially the taking of wine—he usually got an
attack of epistaxis.
Physical examination revealed a sibilus at the end of inspiration, and a
rhonchus with expiration over all the right lung, except the apex; the
chest was very fully developed and abnormally resonant.
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