The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
slighter symptoms of ptyalism never failed to occur by the third or
fourth day, and the severer phenomena by the eighth or ninth; so that,
with few exceptions, the administration of 2 or 2½ grains in this way
produced such a strong development of salivation that the treatment had
to be interrupted. (_Deutsches Archiv f. klin. Med._ V. 3 and 4.)
=The Treatment of Diabetes.=—Dr. Leube gives an elaborate report of two
cases of diabetes in which he made the most careful daily observations
of the quantity of water, of sugar, &c. He arrives at the following
therapeutic conclusions:—Pure meat diet (with only _almond_ bread) was
the most powerful means of reducing the sugar excretion. Of drugs which
were tried, _arsenic_ had by far the most remarkable effect in reducing
the sugar. Saikowsky discovered, some three years ago, that the
continuous administration of arsenic for several days to animals
entirely removed all glycogen from the liver; and that then neither
puncture of the fourth ventricle nor curara poisoning would produce
diabetes at all. Leube made the therapeutical application of the drug
which these experiments suggest. He administered Fowler’s solution in
doses equivalent to about ⅓ grain of arsenic daily. The effects were
most striking during the period when the patients were taking a _mixed_
diet. With mixed diet, and without arsenic, the daily average of sugar
was 570 grammes in one case; arsenic reduced it to 352 grammes, on the
average of 79 day and night observations; and substantially the same
result was obtained in the other case. The use of this drug would appear
to promise results of real importance. (_Deutsches Archiv f. klin. Med._
V. 3 and 4.)
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