The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
The breathing is comparatively easy and cough less.
Patient died on the seventh day, of asthma.
=Impermeable Dressings in Eczema.=—In an article on this subject in Mr.
Erasmus Wilson’s “Journal,” Mr. Alfred Pullar makes the following
remarks on the value of this mode of dressing:—“The method of local
treatment first brought into notice by Professor Hardy at the Saint
Louis Hospital in Paris, consists in covering the diseased parts
completely with vulcanized india-rubber cloth (_toile caoutchouquée_).
The material used for this purpose is ordinary cotton cloth covered with
a solution of caoutchouc and subsequently vulcanised: by this means it
is rendered impermeable to watery fluids, and acquires on one side a
smooth surface. The therapeutical effects resulting from a covering such
as that described would seem to depend essentially upon two
conditions:—_First_, the exclusion of the air. As it has been proved by
experience that the influence of the atmosphere increases the
inflammation of the diseased surface, its complete exclusion fulfils an
important indication in the treatment: this is accomplished by the
india-rubber covering, which also protects the abnormally sensitive skin
from variations of temperature. _Second_, the retention of the
secretions of the skin. These—exuded in considerable quantity, and
_unchanged_ by the atmosphere—are retained in contact with the skin, and
seem to act by relaxing the inflamed structures. Whilst visiting Hardy’s
wards at the Saint Louis Hospital, I had the privilege of seeing several
cases of eczema treated by this means (these cases being chiefly eczema
of the limbs in old people). The impermeable dressing was so applied as
to cover completely the affected parts, and was removed, from time to
time, in order to be cleaned and re-applied. Under this treatment, the
painful symptoms of the disease were greatly relieved; and the morbid
surface gradually assumed a more healthy appearance.” (_Journal of
Cutaneous Medicine_, April.)
=Tetanus treated with Calabar Bean.=—Drs. Boslin and Curron (_Chicago
Medical Journal_) have treated a case of acute traumatic tetanus of
violent character with large doses of morphia and calabar bean. For a
portion of the time, a grain and a half of morphia and three grains of
the powdered bean in glycerine were given every hour, with the manifest
effect of quieting the patient and relieving the spasm. The patient
recovered.
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