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the child sank and died. I certainly then thought, that had the medicine been given before the disease had proceeded so far, it would have saved the child, although at the expense of a portion of the cheek. The only external application was a poultice, wetted with a weak solution of the chloride of lime.
That the foetid smell from these sores should be removed quickly by this salt is not surprising, as doubtless in the struggles with the child to oblige it to swallow, the sores were frequently brought in contact with the medicine, when of course it acted as a topical application, and destroyed the smell, as the chlorates are known to do when applied to external sores; but that there should be so speedy an improvement in every particular feature of the case has always struck me with astonishment, and not until many successive cases occurred to me, did I give a full credence to the power of it; but the experience of nearly twenty years, during which time I have again and again administered it, and I may say with almost invariably good result, if given before the child has been much exhausted,—leave me no room to doubt its peculiar value in these and some other analogous diseases. I am also borne out in this opinion by the experience of two or three medical friends, who were induced to try it on my suggestion. At some future day I may, perhaps, be allowed to lay before the Society my experience of this remedy in the other diseases to which I have alluded—when I hope to be better prepared to offer some explanation as to the manner in which it operates so quickly and beneficially.
Since this paper was read, the following case occurred in St. George's Hospital, under the care of Mr. Caesar Hawkins,—to whom I am indebted for it.
Selina Gingham, seven years of age, was admitted into St. George's Hospital May 12th, having suffered from ulceration in the mouth, for at least seven weeks, during five of which she had been under treatment at a dispensary, which had not prevented the disease from slowly spreading; it is probable that the ulcers had existed for some time before they were discovered, as her breath had been observed to be very offensive; she had had measles a year before, but appeared to be in very fair health, and had not suffered from any privations.
The external surface of the right cheek appeared somewhat swelled and stiff, when she tried to act with the muscles of that side, but was not inflamed: on the inside the whole mucous surface of the cheek and lips, opposite to the gums of both jaws, was ulcerated and covered by a thin ash-coloured slough, the ulcer extending from the central incisors to the last molares. The gums of both jaws were soft and spongy, and dark coloured and swollen, and a little loosened from the teeth, and bled slightly when touched, and the teeth themselves were encrusted with offensive sordes and detached lymph and slough: —the edge of the tongue, where it came in contact with the teeth and gums, was in the same state of superficial ulceration as the cheek. The secretion was very offensive, but the ulcers were not painful.
13th. Having been admitted after my visit yesterday, I did not see her till to-day, and the ulcers had spread slightly since the previous day. The mouth was ordered to be washed with a gargle, containing one-twentieth of solution of chloride of lime; a powder consisting of three grains of hydrarg. cum creta and ten of rhubarb was given to her, and she was directed to take a scruple of chlorate of potash thrice daily in pimento water.
15th. The ulcer along the cheek was healed, except a narrow line between the teeth, and the tongue was quite healed, and the gums were much improved in appearance.
17th. Only a small ulcer remains opposite to the last molar tooth.
19th. The gums were again inclined to bleed, and were a little swollen, and the tongue was much loaded; a small vesicle had formed again on the lip. The aperient powder was repeated, and the dose of chlorate increased to half 'a drachm.
22nd. Sore perfectly healed, and the appearance of the gums nearly natural.
The chlorate was continued two or three days more, and the girl left the hospital on the 31st; and I heard a few days ago that she continued well.
The ulceration in this case was in a form that I have often cured by ordinary means, and it never had any tendency to rapid sloughing; my impression is, however, that the very marked improvement effected in two days was greater than I had ever before seen from other plans of treatment, and I am induced to anticipate much from this medicine, in more urgent cases of this serious and troublesome complaint.
I am, &c.
Grosvenor Street, June 21, 1843.
P.S.—The child came to my house on the 5th of July, having a slight return of her complaint, in a small part of the surface previously affected; for this I prescribed the chlorate of potash again, and when she showed herself on the 13th, it was quite healed.
ULCERATION OF THE PULMONARY ARTERY
INTO AN ABSCESS OF THE LUNGS.
WITH REMARKS BY JOHN DALRYMPLE, Esq.
Bt WILLIAM CROWFOOT, Jun., Es«., Beccles. Communicated By JOHN DALRYMPLE, Esq.,
SURGEON TO THE LONDON OPHTHALMIC HOSPITAL.
READ APRIL 11th, 1843.
Mr. L. B., aged 36, of short stature, strumous diathesis, and the member of a large family, several of whom have died of pulmonary consumption, had from childhood suffered from difficult breathing, the consequence of repeated attacks of inflammation of the respiratory organs, to which he had always been peculiarly subject. In the autumn and winter of 1841 he suffered from cough with mucopurulent expectoration, frequently tinged with blood,