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The treatment under Glands, Swollen, should be followed. But b...
Limbs Disjointed Or Sprained
In the case of an overstretch, or sprain, which has resulted i...
Putrid Symptoms Gargle Solution Of Chloride Of Soda Drink: Chlorate Of Potass Liquor Calcii-chloridi
Should _putrid symptoms_ make their appearance (21), I would ...
How And Why We Breathe
Life is Shown by Breathing. If you wanted to find out whether...
Treatment Of Pseudo-anginas
The treatment of these pseudo-angibas depends, of course, on ...
Ulcers Case Xxii
J. Copeland, blacksmith, aged 38, came to me with many deep ...
The Development Of My Own Constipation
The history of my own constipation, though it especially rela...
See Pain. ...
Prejudice Of Physicians Against The Water-cure
The greatest, and the most serious, difficulty lies in the pr...
Our Relations With Others
EVERY one will admit that our relations to others sho...
The Surgical Dissection Of The Axillary And Brachial Regions Displaying The Relative Order Of Their Contained Parts
All surgical regions have only artificial boundaries; and the...
How Nuts should be Used. Another form of fat is the meat of ...
Rupture And Trauma Of The Esophagus
These may be spontaneous or may ensue from the passage of an ...
See Urinary Troubles. ...
There are cases in which the outer skin has been taken off by ...
Ulcers Case Xxix
The peculiarity of the present case arose from neglect in eva...
Deformities Of The Urinary Bladder The Operations Of Sounding For Stone Of Catheterism And Of Puncturing The Bladder Above The Pubes
The urinary bladder presents two kinds of deformity--viz., co...
According to my experience, though this disease may not be en...
The various articles under Nerves and Nervousness should be re...
Often a state of the nerves exists, without any apparent unhea...
The Expletive Method Blood-letting
Category: TREATMENT OF SCARLET-FEVER.
Source: Hydriatic Treatment Of Scarlet Fever In Its Different Forms
has been advocated by some of the best authorities, and there cannot be
a doubt but that it must have rendered good service in cases of violent
reaction, or else men like de Haen, Wendt, Willan, Morton, Alcock,
Dewees, Dawson, Dewar, Hammond, &c., would not have pronounced
themselves in favor of it. However it requires nice discrimination and a
great deal of experience, as in any case where it does no good it is apt
to do a great deal of harm, by weakening the patient and thus depriving
him of that power which he so much needs in struggling against the enemy
invading his system. Besides, the expletive method has found many
antagonists of weight: Simon, Williams, Tweedie, Allison and others have
shown the danger of a general and indiscriminate use of it. Williams,
in his comparison of the epidemics of scarlatina from 1763 to 1834, has
come to the conclusion that the possibility of a cure in cases of
blood-letting, compared with the cases where the patients have not been
bled, is like 1:4; i. e. four patients have died after blood-letting,
when only one died without bleeding. "Experience has equally shown, says
Dr. Allison, that the expectation entertained by Dr. Armstrong and
others, that by early depletion the congestive or malignant form of the
disease may be made to assume the more healthy form of inflammation and
fever, is hardly ever realized; and in many cases, although the pulse
has been full and the eruption florid in the beginning, _blood-letting
(even local blood-letting) has been followed by a rapid change of the
fever to a typhoid type, and manifestly aggravated the danger_."--My own
experience would prompt me to declare myself against blood-letting in
general, even if I had not a sufficient quantity of water at hand to
manage the violent or irregular reaction of a case. Blood-letting, in
any case of eruptive fever, and with few exceptions in almost every
other case, appears to me like pulling down the house to extinguish the
fire. A little experience in hydriatics, a few buckets of water, with a
couple of linen sheets and blankets, will answer all the indications and
remove the danger without sending the patient from Scylla into
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