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THE

MEDICAL ANALECTIC

A

MONTHLY EPITOME OF PROGRESS IN ALL DIVISIONS

OF MEDICO-CHIRURGICAL PRACTICE

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MEDICAL ANALECTIC

MAR 31 1888
MONTHLY EPITOME OF PROGRESS IN ALL DIVISIONS OF
MEDICO-CHIRURGICAL PRACTICE

RARY AS

EDITED BY

R. W. AMIDON, M.D.

Vol. IV., No. 1.

January, 1887.

WHOLE No. 37

LEADING ARTICLES. Bergeon asserts that gaseous enemata pro

duce a rapid lowering of the temperature, On the Therapeutic Utility of Gas- a slowing of the pulse, a checking of eous Enemata.-In a preliminary note sweats, cough, and expectoration to such attention was called to this new method as an extent that patients may often be called practised by its inventor, Bergeon. At that convalescentin from fifteen to twenty days. time he had employed the method only in Cornil,' in an article on the same subpulmonary phthisis, making use of sulphur-ject, explains a simple way of generating ous mineral water. In a later communica- and using the gas. Carbonic acid gas is tion: he advocates its use in other disor- generated in a strong flask by the action of ders of the respiratory tract. Having to dilute sulphuric acid on bicarbonate of care for many phthisical patients, many of soda, whence it is conducted into a gaswhom have laryngeal phthisis of various holder of any sort capable of storing several sorts, he has been struck by the poor re- litres of the gas. From this receptacle it sults of local treatment of the same, aside can at any time be passed by means of from the very disagreeable and often pain- tubes through sulphurous or any medicated ful nature of local applications. Such water, and then by other tubes be introlocal treatment he has abandoned and has duced into the bowels of the patient. Corsubstituted gaseous enemata, by which nil thinks the crucial test of the method is means he claims that he always secures by thus treating animals rendered tubercucessation of pain, relief of spasm, and lous, and says he has many such experifinally complete cicatrizations of ulcers. ments already started. He cites a typical case * as follows : This Chantemesse has had some favorable patient had sought treatment ten months results with this treatment in his hospital before for an aphonia due to destruction of service during September and October. the vocal cords ; the patient at the time was According to him asthmatic attacks are in the last stages of hereditary consumption. cured by enemata of CO, charged with sulThe pains in the throat were so violent pho-carbonaceous vapors. He treated nine that the patient ate nothing for three days, patients with general and local signs of to avoid the agony caused by movements pulmonary tuberculosis and bacilli in the of deglutition. A few days' treatment by sputa, with great amelioration of symptoms, gaseous enemata relieved the pains, and in The weight of the body increased rapidly, two or three weeks the ulcers commenced while the cough and expectoration markedto heal. Cicatrization had been maintained ly diminished. The bacilli continued to eight months, in spite of the state of the be present in the sputa. One of these lungs, which were the seat of large excava- patients gained nine pounds in a month tions.

and a half. In acute phthisis, phthisis of pneumonic De la Roche' has experimented with origin, and galloping tubercular phthisis, and elaborated Bergeon's method. The where the prognosis is generally so grave, first results of the treatment he expects to

see are a lowering of temperature, the re1 THE MEDICAL ANALECTIC, Sept., 1886, p. 431. turn of natural sleep, the cessation of * Gaz, des. Hop., Aug. 17, 1886. La France Méd., Nov. 13, 1886.

5 La France Méd., Nov. 13, 1886. • The patient was presented for examination by La France Méd., Nov. 13, 1886. members.

Lyon Médical, Nov. 28, 1886.

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