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Animal Fats

The Digestibility of Fats. We have now come to the last group...

Papillomata Of The Larynx In Children

Of all benign growths in the larynx papilloma is the most fre...

Unconsciousness

There are two opposite causes of unconsciousness. One is conge...

Kidney Complaints

See Urinary Troubles. ...

Malignant Endocarditis Ulcerative Endocarditis

Since we have learned that bacteria are probably at the botto...

The Surgical Dissection Of The Principal Bloodvessels And Nerves Of The Iliac And Femoral Regions

Through the groin, as through the axilla, the principal blood...

Nourishment Cold In

If a person is in fever, and is burning with internal heat, a ...

Period Of Eruption Or Appearing Of The Rash

Commonly, on the second day, towards evening, sometimes on th...

Penetrating Projectiles

Foreign bodies that have penetrated the chest wall and lodge...

Treatment Of Scarlatina Anginosa Or Sore-throat Scarlet-fever

In _scarlatina anginosa_, or _sore-throat scarlet-fever_, whi...

Water Hot

The frequent prescription in these papers of hot water, to be ...

Cancer In Face

Treat as far as possible as recommended for breast cancer. ...

St Vitus' Dance

This proceeds from a simple irritation of the spinal nerves, a...

Hoarseness

This arises generally, from inflammation of the mucous membra...

Small Pox - Variola

This disease begins with pain in the head and back, chilly se...

Paroxysm Management

The immediate conditions to meet are the rapid fluttering hea...

Diagnosis Of Foreign Body In The Air Or Food Passages

The questions arising are: I. Is a foreign body present? ...

Cicatricial Stenosis Of The Esophagus

Etiology.--The accidental swallowing of caustic alkali in sol...

Fits

See Convulsions; Nervous Attack. ...

Balsamo

One of the most notorious charlatans of the eighteenth centur...



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
Charybdis.





Next: The Anti-gastric Method

Previous: Unfavorable Symptoms



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