The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to SeamenFalck, N. D. (Nikolai Detlef)
Science
The Seaman's Medical Instructor: In a Course of Lectures on Accidents and Diseases Incident to Seamen
Falck, N. D. (Nikolai Detlef)
First aid in illness and injury -- Early works to 1800; Medicine, Popular -- Early works to 1800
These few distinctions of the pulse we will let suffice, as they, when
properly attended to, will in all cases enable us to make a true
distinction between health and the different stages of sickness, and
accordingly direct us to a true method of cure.
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SECT. II.
_Of the Effects of Bleeding_
There is, perhaps, not a greater remedy in medicine than bleeding; but
good and effectual as it is, yet I will venture to say, there is none
more pernicious than this, if injudiciously applied. As I value the life
of my fellow creatures, I would at all times caution them against the
injudicious application of this operation, being persuaded, that more
have lost their lives by the lancet, than by the sword, and pestilence
itself. Not to be tedious on this important subject, I shall give here
some very few rules, whereby a patient may be judged in a proper state
for bleeding; and likewise, where that operation ought to be avoided:
for all the service we can possibly hope and receive from bleeding, is
to lessen the quantity of blood, by which the whole body becomes
relaxed, consequently less liable to the inflammatory irritation, that a
too great quantity of blood might occasion; but on the contrary, if the
solids are but weak, and the blood poor, we only augment the evil by
bleeding, which we would wish to remove, as thereby the system becomes
weakened, and not able to disengage itself from the obnoxiousness it is
incumbered with; and thus proves the very destruction it was intended to
remedy. The notion of drawing off the bad blood by bleeding, is very
erroneous and absurd; the whole is too intimately mixed, and will ever
generate the same again till the disease is removed.
_Bleeding is requisite_
1st. When a strong robust person, of a full and sanguine complexion, by
accident receives a heavy contusion; a broken limb; or wound, whereby
the parts become inflamed; a fever like to ensue; and that the pulse
becomes hard and full, the veins distended, &c. &c.
2dly. When such a person receives a great shock, fall, terror, or any
other strong emotion of the mind; whereby the blood becomes rarefied, or
threatens a fever.
3dly. In the beginning of pleurisy, peripneumony, sudden and violent
fevers, great colds, &c. as also scalding, burning, apoplexies,
convulsions, palpitations, suffocations, and all such dangerous violent
disorders; in these cases only bleeding is useful, and then it ought to
be performed immediately, and with great moderation: six or eight ounces
is enough from the strongest man; if requisite, it may be easily
repeated, but if overdone, it is not so easily replenished.
_Bleeding in general is hurtful_
1st. In agues, notwithstanding the violent paroxysm of the hot fit,
because the solids are here too much relaxed.
Public-domain text, read in full here on John Shaqi.
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