The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
CASE IX.—A lady of 21, after a period of great mental anxiety and of
close application to business, began to feel extreme depression,
drowsiness, anorexia, headache, nausea, and interscapular pain; the
pulse was slow, the face pale; there were palpitation and dyspnœa
without signs of organic disease. The symptoms had lasted about two
months, when I first saw her in July 1868. She took alkalies, aperients,
and appropriate medicines, and on the 12th took inhalation, 7 pints in
60. Here again the same remarkable effect was produced, in relieving
headache before the end of the quantity. She continued to inhale a
little larger dose every third day for a fortnight, without taking any
medicine for the latter part of the time. She has remained fairly well
ever since, and voluntarily expressed the great benefit which she
derived from the gas, especially as to relieving a sense of constriction
across the chest and dyspnœa.
Both these cases were tolerably acute, and occurred in persons of
naturally “sanguine” temperament, but it is necessary to record that
another case which I have treated more recently,—a young lady of
“bilious” temperament, who suffered from hepatic congestion in a more
chronic form,—found no special effect whatever from inhalations taken on
alternate days, for a fortnight.
CASE X. was one of albuminuria in a lady of 57. The disease had
commenced four years before, and her health had been markedly impaired
for the last twelve months (dating from an attack of vertigo, and loss
of consciousness). Last winter she had had bronchitis. She was a lady
highly connected, and had been under the care of several eminent London
physicians, who had concurred in advising her to go into the country for
a time, and I was sent for to see her in November last, when she had
already been at a country-house in this neighbourhood for some months.
She was feeble, with pallid face and injected cheeks; extremities
œdematous; dyspnœa to a great extent on the slightest exertion; tendency
to fainting and giddiness; urine deposited urates, and gave a cloud of
albumen with the usual tests. Almost the only remedy which had not been
given to her was this gas. I requested her to write and ask her
physician if he concurred in its use; he wrote back to say “by all
means,” and on November 18 she began with 14 pints in 60 of air. The
pulse was 78 at commencing, and did not vary. She took it six times at
intervals of three days. I had anticipated good from it, but there was
really no marked effect. She thought, in fact, that her headache was
rather worse afterwards, but I think that was better accounted for by
the carriage drive to my house and the extra excitement.
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