The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
=Perchloride of Iron in Post-partum Hæmorrhage.=—Mr. Hugh Norris
corroborates the testimony of the various obstetricians who have spoken
so favourably of this styptic. Injections of strong solution of the salt
instantly arrest the hæmorrhage in this dangerous class of cases. He
noticed also that the perchloride has a peculiar corrugating effect on
the superficial muscular fibres, as well as on the mucous surfaces. He
has noticed in less than five minutes after injection that the sphincter
vaginæ, which had previously allowed the passage of the hand, became so
contracted that it barely admitted a single finger. From this he
concludes that one of its beneficial effects in these cases is the
contraction of the muscular fibres of the uterus. He lays down the
following conclusions in reference to this preparation:—(1) We possess
no topical styptic in efficacy at all approaching the perchloride of
iron; its effects being certain, perfect, and instantaneous. (2) In
_post-partum_ hæmorrhages, a solution of this salt, applied in the form
of an intrauterine injection, is of the utmost value both in immediately
arresting the flow of blood and also in causing a permanent contraction
of the recently emptied uterus. Its presence in the cavity of the uterus
_post-partum_ is not only not injurious, but on the contrary, from its
well-known antiseptic properties, may frequently be productive of
positive benefit in more ways than one. Mr. Norris employs a saturated
(?) solution of the perchloride. All clots must first be removed, and
the long tube of the syringe should be introduced thoroughly into the
uterus before injection. (Ibid.)
=The Cure and Prevention of Scurvy.=—In a paper in the _Lancet_, Mr.
Archer Farr starts a doctrine which is yet, we think, to be proved, viz.
that scurvy is not caused by the absence of certain alkalies and the
presence of others. Indeed, he refers scurvy to the absence on
ship-board of proper flesh-food, and he thinks that by supplying flesh
in thoroughly good condition scurvy may be avoided. Lime-juice acts, he
says, by taking the place of the gastric juice and digesting the food,
and thus promoting the nutrition of the body (!). (See _Lancet_, March
27.)
=Treatment of the Vomiting of Pregnancy.=—Mr. John Harrisson recommends
that in these cases hypodermic injection of morphia be tried. He gives
the report of a very decided and serious case, in which nearly every
conceivable remedy had been employed in vain. He then tried the
subcutaneous injection of acetate of morphia, in doses of one-sixth of a
grain, three times a day, and this instantly arrested the vomiting. (See
_British Medical Journal_, April 3.)
Extracts from British and Foreign Journals.
Public-domain text, read in full here on John Shaqi.
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