The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
=Carbolate of Lime in Pertussis.=—Dr. Snow, of Providence, has suggested
the use of carbolate of lime in hooping-cough, and in all cases it has
apparently produced a marked effect in diminishing the frequency and
severity of the paroxysms. Small quantities of the carbolate of lime are
placed in saucers in the room where the child sleeps; merely sufficient
to make the odour perceptible. (_New York Medical Record._)
=Bromide of Potassium and Antimony in Puerperal Convulsions.=—Dr. T. N.
Simmons reports the history of a case of puerperal convulsions, in which
the efficacy of these remedies was evident. A primipara, while in
labour, with the head of the child in the inferior strait, was seized
with a violent convulsion, which was followed by four others, with an
interval of about 15 minutes between each. Chloroform proving of no
benefit, bromide of potassium was administered, beginning with a dose of
40 grains in combination with half a grain of antimony. In combination
with the bromide one-half grain of the antimony was given every hour and
a half or two hours, until three grains of the antimony were taken.
After the first dose there was a return of four paroxysms. The first
occurred within an hour, the second in two hours, the third between
three and four hours, and the fourth in eight hours. Their intensity and
duration were also diminished in the order of their recurrence.
Convalescence was rapid. (_N. O. Journal of Medicine._)
=An Acidulated Solution of Pepsine as a Solvent for False Membrane in
Diphtheria.=—Dr. W. H. Doughty has communicated to the _Richmond and
Louisville Medical Journal_ an article upon this subject, with a history
of a case in which he was entirely satisfied with the efficacy of
pepsine in diphtheria. The patient was about 25 years of age, of feeble
general health from intermittent fever. He presented himself with sore
throat. For the affection cauterization was resorted to, and a gargle of
chlorate of potash ordered. The throat became very much inflamed and
swollen, and the glands about the neck enlarged. About the fourth day
exudation of membrane was observed under the tongue, a portion of which
was removed with forceps. The swelling increased, and the membrane
continued to re-form. Quinine and stimulants were freely used, with
inhalations of lime-water. On the fifth day commenced the application of
pepsine to the membrane, keeping up the same general treatment. Pepsine
was used in the following proportion: ℞ pepsine ℨj; acid muriatic,
dilute, gtt. x; water q. s. ad ℥iij.: M. and filter. This was applied by
means of a hair pencil continuously. A few hours from the commencement
of the application, “the mouth, as far as visible, is cleaner and
better.” On the next day the patient feels better; no appearance of
exudation; mouth is clean, but continues to discharge broken-down opaque
masses from the throat, and thinks he must have suffocated but for the
solution employed.
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