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By this term we mean not only the sensible perspiration which ...
From The Hygienic Dictionary
Diagnosis.  In the United States, making a diagnosis impli...
General Directions Of The Current
Negative affections, as a general rule, are best treated with...
See Band, Flannel. ...
From The Hygienic Dictionary
Vitamins.  The staple foods may not contain the same nutr...
Children In Fever
Fevered children, whether in any actual fever, as scarlet, typ...
Sleep And Rest
Why We Need Rest. A most important element in a life of healt...
Bruises Case Xviii
Mrs. C. aged 40, was detained on a journey by a bruised wound...
Food And Mental Power
Unsuitable or ill-cooked food has a most serious effect on the...
Auricular Fibrillation Treatment
The condition may be stopped by relieving the heart and circu...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
The most striking symptom of diphtheria is the growth of a sub...
Strangulation Or Hanging
Often accidentally caused in children or intoxicated persons. ...
In serious cases of this trouble, the patient awakes some time...
Electrical Classification Of Diseases
There are two, and only two, primary classes of disease--thos...
Tuberculosis Of The Tracheobronchial Tree
The bronchoscopic study of tuberculosis is very interesting,...
Esophagoscopy For Foreign Body
Essentials Of A Successful, Safe Fast
1. Fast in a bright airy room, with exceptionally good ventil...
Rules For Insertion Of The Catheter For Insufflation Anesthesia
1. The patient should be fully under the anesthetic by the ...
Diet And Corpulence
A tendency to obesity should always be carefully checked by at...
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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