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The Sixth Sense. Though we usually speak of having five sens...
The Blood Vessels
Where the Body Does its Real Eating. When once the food has b...
The Surgical Dissection Of The Wrist And Hand
A member of such vast importance as the human hand necessaril...
of children, where there is a discharge of yellow and watery ...
The Direction Of The Body In Locomotion
LIFTING brings us to the use of the entire body, whic...
Practice On The Rubber-tube Manikin
This must be carried out in two ways. 1. General practice...
The Unrelenting Boredom Of Fasting
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The Popularity of Beverages. For some curious reason, the h...
The cough is a spasmodic action of nerves which are otherwise ...
Cicatricial Stenosis Of The Esophagus
Etiology.--The accidental swallowing of caustic alkali in sol...
When the nervous system is in a certain state, all impressions...
The Roentgenographic Signs Of Expiratory-valve-like Bronchial Obstruction
The roentgenray signs in expiratory valve-like obstruction of...
Introduction Of The Bronchoscope
No one should do bronchoscopy until he is able to expose the ...
From The Hygienic Dictionary
Autointoxication.  the accumulations on the bowel wall be...
In Excessive Heat And Continuous Delirium A Half-bath May Be Given
also, every time the packing sheet is changed. The rule is that...
Rules For The Application Of Water In Typhoid Cases
As a general rule, in typhoid cases, bathing should form one ...
Limb Saving A
The proper growth of the body in any part depends on the power...
Site Of Lodgment
The majority of foreign bodies in the air passages occur in ...
The spatular end of the laryngoscope should now be tipped ba...
Rules For Direct Laryngoscopy
1. The laryngoscope must always be held in the left hand, nev...
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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