The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
I prescribed for him inhalations of oxygen in the proportion of 12 pints
to 60 of air, and he took these twice in the week for five weeks; after
each one he expressed himself in much the same manner as the last
patient, was conscious of a general feeling of renewed health, of a
greater power of breathing, and of facility of expectoration; great
improvement took place in his condition, and I think it must be credited
principally to the gas; for, although I ordered him 10 to 20 drops of
tinct. lobeliæ at night-time, and later on tinct. fer. acetatis and
frictions with the linim. tereb. acet., yet it is to be borne in mind
that he had previously had a fair trial of expectorants, tonics, and
even change of air, without anything like equivalent relief.
CASE III. _Phthisis pulmonalis._—Mrs. W——, æt. 31, who had lost her
father and sisters of consumption, consulted me in Dec. 1867. For the
last six months had had cough, for the last three had emaciated, and at
this time had the prostration, night sweats, diarrhœa, and hectic of the
third stage of phthisis; hæmoptysis had occurred several times: the
expectoration was generally purulent. There were violent pains,
especially over left chest, and examination revealed a fine crepitus at
apex of left lung. The patient was treated with ordinary medicines, and
improved gradually. Opium in the form of an atomized spray was found to
be the best medicine for relieving cough, and procuring sleep; tincture
of steel and carbolic acid used in the same manner relieved, to a
certain extent, the profuse expectoration; and although the case became
complicated with a peri-uterine hæmatocele, in February 1868 she rallied
from this also.
It was July 1868 before she could walk as far as my house. Her principal
symptoms then were debility, pains in the chest, cough, and copious
muco-purulent sputum. At this time she began inhalations of oxygen in
the proportion of 6 pints to 60 of air, increasing by degrees to 12
pints. She took eight inhalations at intervals of two days, and then
found the above symptoms so much relieved as to be able to omit all
treatment for a time. She herself attributed great benefit to the gas,
and was taking no other special medicine at the time. Since then she has
borne fairly well the cares of a large family. She has gained flesh, and
though there is still a frequent cough, and sputum, and a mucous râle
about the left apex (I examined the chest two days ago), the progress of
the disease is arrested for a time at least.
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