« PreviousContinue »
Acetic Acid as a Disinfectant. A correspondent signing himself “ Artz'' Dr. F. Engelmann, being much impressed sends to the Canada Lancet the following pro- by the numerous fatal cases which are constantly fessional aphorisms of Amedee Latour.
occurring from the employment of intra-uterine 1. Life is short, patients fastidious, and the injections in obstetrical practice, and feeling brethren deceptive. 2. Practice is a field of that there is doubt whether they ought not to which tact is the manure. 3. Patients are be given up, brings before the profession an comparable to flannel--neither can be quitted antiseptic which he has used for the last two without danger. 4. The physician who absents years in a large number of cases, and which has himself runs the same risk as the lover who given him excellent results-acetic acid. Some leaves his mistress; he is pretty sure to find years ago he was led to use and to recommend himself supplanted. 5. Would you rid yourself the employment of acetic acid in diphtheria, of a tiresome patient, present your bill. 6. The
and he is convinced that it possesses antiseptic patient who pays his attendant is but exacting; properties in as high a degree as carbolic acid he who does not is a despot. 7. The physi- | itself, and has at the same time the great advancian who depends upon the gratitude of his tage of being non-injurious, even when used in patient for his fee is like the traveller who a tolerably concentrated form; besides, it has waited upon the bank of a river until it would a decidedly styptic effect, and this is an addifinish flowing that he might cross to the other tional advantage in obstetric practice. Again, side. 8. Modesty, simplicity, truthfulness ! acetic acid is very diffusible, thus penetrating cleansing virtues, everywhere but at the bed- the tissues to a much greater extent than most side; there simplicity is construed as hesitation, other antiseptics. Corrosive sublimate, as is modesty as want of confidence, truth as impo. well known, forms insoluble albuminoid comliteness. 9. To keep within the limits of a pounds on the surface, and thus does not act dignified assurance without falling into the upon the deeper parts of the tissues. In one ridiculous vauntings of the boaster constitutes respect acetic acid is similar to corrosive sublithe supreme talent of the physician. 10. Re. mate-yiz. : in its action on instruments; but member always to appear to be doing some- the latter is the more prejudicial of the two. thing—above all, when you are doing nothing. The forceps may remain for a quarter of an 11. With equal, and even inferior, talent, the hour in a three per cent. solution of acetic acid cleanly and genteelly-dressed physician has a without being injured. The irrigator is, howgreat advantage over the untidy one.
ever, liable to be affected by the prolonged use of acetic acid solutions. It should be remarked that the hands must be washed twice after using
acetic acid, as of course soap will not dissolve Benzoate of Soda in Uremia.
where this is present. The skin is rendered Starting from Conheim's theory of uremia, peculiarly soft and pleasant to the feel. As to and from the fact that benzoate of soda inhibits the strength to be used, Dr. Engleman as a rule the formation of urea within the system, Dr. employs a three per cent. solution, but he has A. S. Partzeosky, of Moscow, administered this sometimes employed a solution as strong as five substance in ten cases of uremia. The drug per cent, ; this, however, is apt to cause a was given every hour, in daily doses of one to smarting sensation in any spot where the surtwo drachms—nine cases recovered, one died. face is broken. All the cases in which acetic Analysis of the cases leads to the conclusion acid was used recovered without abnormal rise that benzoate of soda cuts short uremic attacks, of temperature.—Lancet. the convulsive phenomena gradually disappearing and giving way to a deep sleep, which in the majority of cases terminates by passing into full consciousness. Given on the first appear
A Cold. ance of symptoms, the salt may prevent any The sole exciting cause of ordinary catarrh further development of the attack. Albumin- is cold, acting either directly on the bronchiouria mostly disappears altogether.-British pulmonary tract, or on some portion of the cuMedical Journal.
taneous surface generally. Catarrhal congestion, or hay-fever, is due to the action of an
organic vegetable matter. When catarrh is " And so your little sister is dead, Bobby ?" epidemic, it comes under the denomination of said the visitor to Bobby, whose sister died the influenza, which is undoubtedly a zymotic disnight before. " Yes, ma'am.” "And al. ease, ranking with measles, and whoopingready in heaven?" "No, ma'am; she doesn't cough. But ordinary catarrh has no such imstart 'till to-morrow afternoon at two o'clock." i portance. It is a “cold,” and nothing more.
VARIETIES OF INSENSIBILITY.
Prepared by Louis Lewis, M.D., M.R.C.S.
Predisposing-Heredity, corpulence, sen-
Pupils dilated (in danger contracted), eyes Horizontal posture, with head raised; cold to head, hot
Exciting.–Pressure on brain, abuse of staring, flushed, distorted face, teeth closed, slow, bottles to feet, sinapisms to legs; turpentine enema ;
full pulse, incoherent speech, stetorus breathing leeches to anus, temples or nostrils; dry cupping to nuchæ; (Effusion of blood or serum
(usually), epistaxis, partial paralysis of face, croton oil (m ij in mucilage), calomel, tincture of aconite, within the cranium.)
eating, mental overstrain, extreme muscugestion, cold bathing after intemperate body, palate or sphincters; high temperature, or of veratrum (me v), or ergotine (gr. 4) subcutane
may smell of liquor. lar efforts, suppression of menses.
ously; bleeding (when the pulse is bounding).
Horizontal position, with head raised (except in embo-
lism); cold effusion, frictions upwards, rythmical pressure
over abdomen, artificial respiration, sinapisms over heart
Pupils dilated, eyes projecting and injected, and ankles; ammonia and whiskey subcutaneously; gal.
suspension, especially in chloroform-poisoning, tracheotomy,
In asphyxia of new-born, slapping with wet cloths; hot
and ice-cold water, alternately; artificial respiration, gal-
Pupils dilated, features shrunken, pallor, clammy Horizontal posture, with head rather low; hot bottles to
: skin, impaired vision, sighing respiration, feeble feet and legs, warmth to epigastrium; frictions, nitroglycer
pulse, hiccough, nausea, vomiting, rigors, con ine (gr. Ita), ammonia to nostrils; beef tea and brandy; galnervous system.)
tensive urinary extravasation. (Sudden shock to general rhage, mental emoion, excessive cold, ex-vulsions, partial or complete loss of conscious- vanism; ether (3 j) or quinine (gr. vj) or morphia and atro
ness, sphincters relaxed, low temperature. pia (9. s.) or tincture of digitalis (m xij) subcutaneously.
Horizontal posture, with head raised; cold effusion, sina-
pisms, stimulant enema, stomach-pump (if poison sus.
ria, paralysis, uremia, typhus fever, jaun- Pupils dilated (except in extreme danger or pected), artificial respiration, galvanism, warmth to extremi
dice, injury or diseases of the brain or in opium poisoning), stupor, loss of motion, sen- ties,catheterization,flying blisters, bleeding; croton oil (m 1j).
In opium poisoning, strong coffee, flaggilation, artificial
burns, rupiure of internal organs, hemorGeneral injuries; gunshot wounds
One or both pupils contracted at first, then
Horizontal posture, with head raised ice to shaved
Pressure on brain by fractured bone, much dilated. "Eyes staring and insensitive, head, turpentine enema, croton oil (m 'ij) in mucilage,
" flaccid limbs, complete insensibility, sterterous catheterization, trepining, aspiration or perforation if abinjuries, causing intra-cranial inflamma: sphincters relaxed, paralysis of side of face or
scess is diagnosed; removal of tumors or other pressure. without external pressure.) tion, body, blood or serum from nose, ears or mouth,
In children, avoidance of operation if no brain symptoms indicating injury to base of skull.
pulse, shallow respiration, deafness, loss of mo
Horizontal posture, with head raised; hot blankets, and
tion, vomiting, partial unconsciousness, rigors, hot bottles to feet legs and sides; frictions, blisters to
In protracted cases, setons to nuche.
In concussion of the spine, hiccough (if phre. In concussion of spine, prone position; counter irritation
and perhaps of one or both arms, or paraplegia.
Pupils dilated and oscillating, eyes rolling,
unconsciousness, head turned aside, bitten tongue, teeth, sinapisms to nuchæ and calves of legs, removal of
pressure, brain disease, polypus or suppu frothy mucos, sinking at epigastrium, subjecting spicula or pressing bone by trephine, pressure over caro
ration in ear, tumors, tape or other worms, sensations in'limbs, clenched hands, violent mus- tids, nitrate of amyl inhalations, nitro-glycerin, antipyrin,
In children's convulsion, hot baths, cold to head, spinal
In mild attacks oniy transient bewilderment. ice-bag; bromide of ammonium (about gr. iij every ten
Pupils dilated, photophobia, twitching of
Horizontal posture; cold effusion, abdominal pressure, (Perversion of nervous func- life , concussiomofspine, puberty, suppres . movements, incomplete insensibility, agitation compression of ovaries ; nitrate of amyl or chloroform in
halations, tincture of musk orvalerian. tions.)
Pupils contracted at first, afterwards dilated; Horizontal posture, with head raised; cold effusion, zinc
helplessness, partial or complete insensibility, or mustard emetics, stomach-pump, turpentine or salt and
surface, temporary paralysis, often involuntary ammonia, pilocarpine (gr. y), or strychnia (gr. 3), or
micturition, odor of liquor, low temperature, caffeine (gr. iij), subcutaneously.
Pupils dilated, pallor, cold, clammy perspira- Horizontal posture, with head low; cold effusion, stimu-
tion; vertigo, shallow respiration, almost imper- lating enema, frictions, ammonia tonostrils, snuffs, sina-
ceptible pulse, partial or total insensibility, sud- pisms, turpentine stupes over heart, nitro-glycerin (gr. Tão), (Deficiency of blood to brain
extreme heat or pain, surgical operations, den in outset,' short of duration; cold extremi- galvanism, tinc ture of sumbul (M v), or hydrobromate of from heart failure.)
quinine (gr. iv in hot water), subcutaneously; artificial In hysterical syncope, pulse natural.
respiration. In extreme cases, transfusion.
Horizontal posture, with head raised; cold effusion (ex-
cept when skin is cold), ice to head, spine or in rectum;
blisters to nuchæ, chloroform, bromide of ammonia enema,
quent micturition, pulse rapid, often full; high (gr. xx), antipyrin (= j), or quinine (gr. vj), subcutane-
ously; nitro-glycerin (gr. táo) every ten minutes; digitalis.
Horizontal posture, with head raised; cold to head, sina.
poultices of digitalis leaves to abdomen, trasnfusion. vasion of urine, suppression. Treatment of Cancer.
In children attacks occur mostly at night.
ties, flaccid limbs, vomiting.
they are getting to be entirely too numerous." The case of the Emperor Frederick has natu- Those who hold this view lose sight of the fact rally again directed the attention of the profes that compulsory attendance upon society meetsion to the medical treatment of cancer. Neu- | ings is a thing unknown. Every one will admit dörfer has just published an interesting little that it is possible for a physician to devote so pamphlet on the subject. Carcinosis, the much time and attention to society work as to author says, is very probably just as curable as seriously affect his private practice, but a syphilis or phthisis. The excision of a car- smaller number of patients are lost in this cinoma, as of a hard chancre, is, as a rule, not way than by the stay-at-home plan. far-reaching enough to prevent the infiltration
The Maryland Medical Journal says: “By of the surrounding tissues with the specific the thoughtful, live physician, the question, microbes and cells. He believes that the med- does it pay to belong to a medical society?' icinal treatment of cancer should be tried more will always be answered in the affirmative." extensively than has been the case hitherto. This, however, is not apparent to many, as the The rind of condurango and China turpentine remuneration, in dollars and cents, comes in an have often given promising results. There are indirect way. The Journal continues thus : also, as in phthisis, climates favorable for cure.
“ The amount of practical information which On the plateau of Mexico and at the Cape of a physician may gain from the discussions of an Good Hope, for instance, cancer is an excep
active society is beyond all calculation." tional disease. The principal office for the
Nor does the medical society teach him less surgeon, in Neudörfer's opinion, is not the ex- about himself. It gives him opportunity to tirpation of the neoplasm, but the medicinal compare himself with his fellows, to silently treatment of the cancer-cachexia, which is the note the points in which he is deficient. It chief factor in bringing about the death. The trains him to greater accuracy in the study of treatment of cancer is naturally much like that his cases, and greater care in their treatment, of phthisis. Creasote, which has been found especially if from time to time he brings the to stimulate the nutrition of the blood-corpus- more interesting ones among them to the notice cles, is of equal value in cancer and in phthisis. of the society. He has obtained decided results in the treat
Here and there may be found an active, ment of cancer with the following preparation : pushing city practitioner who is a member of B Creasoʻi puri,
no society, but this is a rare exception. Our Sodii bicarb.,
best workers are society men.- Weekly Medicat Olei morrhuæ.
.äā f 3 v Review. M. Put in 100 gelatine capsules. Take three capsules three times daily after each meal.
In a state of typical health, the functions of A very eligible substitute for creasote is creo- the body are regularly performed, without the lin, as it is not only cheaper than the latter, but individual's attention being specially called to is also a stimulant of digestion. He prescribes : | them. He should scarcely be aware that he B Creolin......
. m xv has a stomach, heart or lungs. His urine Ext. glycyrrhizæ, q. s. ut ft. pil. No. 1oo. should be clear and inoffensive, and its specific Sig. Three pills three times daily. Locally, Dr. Neudörfer prescribes, with the gravity should range in the immediate neigh
borhood of 1020.
His usual temperature above pills:
should be close to 98 degrees Fahrenheit, and R Creolin, Ichythyol,
should not vary. He should breathe about Iodide of potash..
twenty times to the minute. He should look Vaselin,
his age, but not more. People who look much Lanolin.....
.ãā gr. XV younger than their age show a tendency to M. F. ung. Sig. Rub into the part three times times daily.
accumulate too much fat, and are apt to have
weak hearts. The hair of a healthy person Neudörfer boasts of three actual “ cures" of
may fall out before its time, but it should not cancer obtained with this treatment. Berlin Letter in Medical and Surgical Reporter.
turn prematurely gray. His eyelids should not be puffy, and the corners of his eyes should
not be wrinkled. His complexion may be Some Advantages of Membership in Medical sallow, or dusky, or florid, without detriment; Societies.
but a transparent skin, a marble-white skin, There is, perhaps, no other one thing that or a tallowy-white skin are indicative of a conduces so much to the advancement of medi- tendency to phthisis, or anemia, or cancer. cal science as does the active working medical A clear eye, not too brilliant, and a clean, society. Now and then we hear it said, “The firm tongue, seldom accompany disease or even profession is going wild over medical societies ; ) disordered function.
......āā gr. xj
Other Forms of Intoxication.
occur, with intense thirst and prostration. Its Beer, wine and liquors do not constitute the habitual use impairs the intellect. only inducements open to those who seek tem Nitrous oxide gas produces an exhilarating porary exhilaration or utopian repose from in. intoxication, when administered short of toxicating agents. Many drugs are capable of anesthesia. In some it causes uncontrollable producing like effects; and though they may laughter, in others a form of hallucination not be quite so palatable, they are frequently resembling nightmare. It does not usually made subservient to the wishes of those who cause vomiting. When administered with a cannot or will not get “drunk" through the view to its anesthetic action, immunity from ordinary channels.
pain is most likely induced throngh oxidation Belladonna, in a large dose (and sometimes of the nervous centres, by robbing the blood of in small repeated doses), produces a character. its free oxygen (for the oxygen of nitrous istic intoxication-Aushed face, congested eyes,
oxide is in combination with nitrogen, whereas daliated pupils, loss of visual accommodation, air is a mixture of nitrogen with free oxygen). horseness of voice, drunken, uncertain gait Opium acts very much like alcohol in the (from paralysis of motor nerves), wild, extra human system, both being primarily stimulating vagant fancies, and more or less delirium. and subsequently narcotic; and both are at Sometimes the ordinary avocations are per once narcotic in a large dose. Opium causes formed in a dreamy sonambulistic way, after the confused ideas, reverie, pleasurable delirium, manner of the hypnotic condition. These and voluptuous listlessness; a sort of a “fool's effects of belladonna are peculiar to man, and paradise,” from which, however, the patient he is sometimes foolish enough to invoke them. can generally be aroused to transact business, Other donkeys, and mules and horses are insus unless “ too far gone." Unfortunately, he exceptible either to its inebriating or any of its periences no aster-inconvenience from an occaphysiological actions. Children are remarka. sional indulgence in smoking opium; but its bly tolerant of this drug, when employed habitual use has most disastrous effects. medicinally
Cocaine causes a pleasing cerebral excitement, Stramonium and Datura Tatula produce with partial anesthesia. Large doses are toxic, effects very similar to those of belladona producing total anesthesia, tetanic convulsions,
Nicotine causes twitchings, tetantic movments, mydriasis, high temperature, sensory paralysis, palpitation, cold perspiration, dyspnea, tremor, and arrest of respiratory movements. and general weakness; and if pushed to larger
Chloric ether (spirits of chloroform) gives quantities, contraction of the pupils, amblyopia rise to a gay intoxication, with much joviality and paralysis. It rapidly causes salivation in and a peculiar brilliancy of the eyes. Many cats. These symptons are hardly those of in esthetic persons use it secretly, who would shudtoxication; but excessive use of tobacco some der at the idea of common intoxicants. times produces effects hardly distinguishable Aromatic spirits of ammonia (sal volatile) from drunkenness.
has similar attributes, and is also much used Conium (or Hemlock) will occasion a condi
“sub-rosa.” Sulphuric ether sometimes causes tion that might pass muster for intoxication;
a singular delusion on the part of the person
who inhales it. He thinks he has solved the faltering, gait and loss of command over movements, drooping of the eyelids, dyspnea, and
great mystery, the secret of life. convulsions, but little or no mental aberration. parently revealed to him, yet he cannot carry The hind legs of rabbits and some similar ani
its recollection into his waking moments, and is mals are paralyzed by conium; but frogs are
staggered at the thought of the revelation he almost insusceptible. Temporary blindness has
has had to leave unrevealed. been produced in man. This plant has been
“ Pulque" (aqua- micl) is a Mexican drink, mistaken for parsley.
extracted from the American Agave or Magucy,
of which there are very many varieties, but Cannabis Indica (or Indian Hemp) gives only a few yield this product. Others produce rise to a merry form of intoxication somewhat “aquardiente," potash, sugar and gum. Pulque resembling the effects of nitrous oxide gas. is a light colored liquor and contains principally He is monarch of all he surveys, gossips and alcohol, gluten, and water. It is much used as sings, rubs his hands gleefully, and considers a tonic, in gastric disturbances, and in amenorhimself a “ first-rate fellow.” Sometimes there rhea. In larger quantities, it causes a letharg; is outrageous delirium, sometimes sexual furor. intoxication, with stertorous breathing, rese's After a while sleep (or even a cataleptic condi- bling the drunkenness resulting from too mm. tion) ensues, with dreams of perfect bliss. On beer. the other hand, nausea and vomiting may Absinthe is the oil of wormwood mixed
It is all apo