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Medical ArticlesSkin Care OfAmong the vast majority of people air and water far too seldom... Vitamins For An Older Healthy Person Someone who is beyond 35 to 40 years of age should still feel... Hepatitis Inflammation Of Liver Use the B D current, with what force the patient can bear. Pl... Fever Scarlet Or Scarlatina As a first precaution, when an epidemic of this exists, childr... Polar Antagonism When the conducting cords are of equal length, as commonly th... Colic The symptoms of this are cramping pains in the abdomen, witho... Burns Case Xxxiii A little girl, aged 10, scalded her breast a week ago and has... Fever Intermitting For this the treatment may be given as in gastric fever, and, ... Rhus Tox applied, with water at the strength of thirty drops of the _t... Earache - Otalgia This may arise from various causes, but a common one is sudde... The Effect Of Athletics On The Heart We can no longer neglect the seriousness of the effects of c... Benign Growths Primary In The Tracheobronchial Tree Extension of papillomata from the larynx into the cervical tr... Heartburn See Acidity in Stomach. ... The Temples Of Esculapius It has been truly said that temples were the first hospital... Remedial Virtues Ascribed To Relics A relic has been defined as an object held in reverence or ... Diphtheria Chronic postdiphtheritic stenosis may be of the panic, spasm... Favorable Symptoms are the following: Absence of internal inflammation; a bright... Ulcers Case Xxii J. Copeland, blacksmith, aged 38, came to me with many deep ... Examination Of The Trachea And Bronchi All bronchial orifices must be identified seriatim; because ... Treating With Electrolytic Currents For decomposing and carrying off unnatural growths, as fistul... |
The Expletive Method Blood-lettingCategory: 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 Charybdis. Next: The Anti-gastric Method Previous: Unfavorable Symptoms
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