Medical cases, selected from the records of the Public Dispensary at Edinburgh : with remarks and observations

발행: 1784년

분량: 452페이지

출처: archive.org

분류: 미분류

201쪽

AN OBSERVATION S. 189

The menstruat evacuation hadio been Wantiniabout twent monilis an Phadlitile hesitation in referrinito this thesim- patre appetite, inlesi ness, oppremo atthe praecordia, and headach of hicli me

complained.

own Do the sirsi vie Phad of thisi casse, Ι was disposse to for a disserentidea with regar to the terminatio oscit

be more obstinate an ascit had atready resisted severat of the most powerfui reme- dies,

202쪽

cu re his, there fore, I considere esto belli great objec os attention in practice. concluded that the renewal of the distacharge was no to e ooked for from herestorinio genera health; for the patientia no no symptor os dropsical tendenc o mark of inanition thecontrary, me a affected illi symptonas of ulnes a the menstrua period and froin these me had osten obtained relies byblood-letting. a inferred, heresere, thata due accumulation in the uterus a not

theresere, that the chie liopes of a reco-Very were rom a restoratio of that action of the uterus, hicha suppos necesse far to the menstrua evacuation.

203쪽

AN OBSERVATION S. 191

With this vlew, was resolvedio mahe thepresent case a subjectis tria o electricity. This is a remed whicli, in many of themos obstinate cases, has latet been found 1uccesssul anxiis operation is, I apprehend totali to e referre. to an actiono the livin fibres It is ellonownlio much electricitHdoes in restorinis ensibilit and the power of motion to ther paris. I may theres ore restore the menstrua flux in two ways; itheri an immediate actionis the moxin fibres, thus inducing that contraction whici, supposie necessary, o by restoring the capabilityos motion a the regula periods. In theforme case, the cure,ill e an instantaneous effect of the operation in the lat-ter, it mill no occur ilicit has been used for some time, perhaps even nostili after theelectricit has been intermitted. On these

principies, then, I resolve to give it afuit tria in the present case And while I persisted in the use of it, Pintended gra- duali to increasse both the number and stringili of theliochs.

204쪽

19 MEDICA L CASES

A flow of the menses, however, id not appear on therars exhibition of the electricity although it a fron theliopes of excitin immediate action, that

passe through the region of the uterus. n his, however, I wasio much dis- appotnted for after o long an obstruction, though an immediate o mighthave alien place, et it was hardi to beexpected. I resolved theres ore, stili topersis in the use of it: ut in his Ι was unexpectedi interrupte fio an accident happening totur machine, after thepatient ad been electrifie foris hortlime only. I directed however, the continuatio of the electricity in opes of havin the machine oon mended and that Lmight no in the mea time seem inactive, Pordere heroo have hal an unce of the sacred elixi everseuening. This medicine siue continued without thesisse of the electricity, s seu nighis; and aesthe end of that time the menses ap- Peared, asile imagined Dom in medicine

205쪽

AN OBSERVATION S. 19s

in a medicine possesse of ver active

ted a producing oosenesis, there is littereason o suppos iniit Was capable of re movinian affection o obstinate anil, must ista, Linould rather e disposed toascribe the restorationis the disicharge tothe precedinius of the electricity for, wherei other medicine has been sed, cures effected by electricit have no ta-hen place in ome instances, ill a se Mys after it Was intermitted. I consider, theres ore, electricity, in his instance, shavin restored a dispositio in the uterusto action; andri suppos that the floruhappene at a period hen his action, a regulate by the law of the nervous

system, mould have naturali 7 occurre l. I would not, however, preten to allege, that the elixi had n influence Fro iis action o the intestines, particulari onthe rectum, it ma have ad some mare

in induciniand supporting the disicharge:

206쪽

is MEDICA L CASE s

ye I cani no means imagine it capableo removinian obstructibn whichias subsisted fori long a period, and which hadbefore ressiste the influence of the ostaestive medicines, speciali whena conside the mali extent to hicli it was here

But even admittin this to e the case, it et asstoriis no certain proos that the re- 1loration of the flux was the essech Delectrici ty It is by o means impossiblethat his may have depende upon circumstances of a nature totali diflerent, with whicli the patient herset was ither unacquainted or at least of hicli siue didno choos to informis I cannot here- fore pretendo spea in a very possitive manner: et rom at the circumstancestahe together, I must imagine that herestoration of the menstrua disicharge was

the essec os electricity Considering it to

curet whether ita uuneces Carycio do

207쪽

AN OBSERVATION S. 9s

anythin farther o secure a regula re-

turn of the menses t or,hether it an be considerei as obtained ni foro single period must wn that illi respect

to ait ill the usua termis disicharge; and is it then appear, I wil conside nothin farther a necessary. Initio not Iinali again have recourse to electricity, and prosecute the plan whici, at first intended. I the electricit induce a disse charge a seconestinae, I mallie contente lwith orderinia repetition oscit for a dayo tW previous to the period hen themenstrua disicharge is expected. An Iliope suci meastures may prove effectuali securinia regula return of it. Is theelectricit shal entiret fati, e may et expect that the disicharge ma a times occurs although, must wn Phave litile hopes that it hali ver ecome regular. At

208쪽

MEDICA L CASEA

A the fame time, here are other emine

lli tincture of blac hellebore pushingati a great an extent a Pthin ca bedone illi fas et o prudenCe.

The menstrua diicharge illi his patient returne about the eginning of Marcii, an eontinuesto flo genti forthe pace of three days. Ioon after his,asieinifree fro ali her symptoms, shewas dis isse seo farther attendance atthe Dispensary But o many monilis after arda, siue agat applied for auistancea themispensary She was a that time subjected to a paralytic affectio of the inferior extremities, thelower both of senseand motionaeing very considerably diminis hed. This was also attende Wit an obstructio of the menstrua disicharge,

209쪽

and a return of her forme symptoms. The electricit was again ordered in thes a me manne a besere. It was continueddail for the pace of severat,eeks. During that period the menstrua dis charge again returned, ut noto the usual extent. The paralytic assectionis herclegs,however, as entiret removed after whicli her attendance at the Dispensarywas discontinued. XIV.

210쪽

as MEDICA L CASES

than natural and me has frequently in

the orning an inclination to vomit. Herieti is regular, and her appetite na

tural

pea red. At that timesthe duines of hearinisti s commenced. The wellinio herabdomen has heen observed for two orthree ear and last summe siue passed long round wormis the lumbricolas hind. She nows no cause for her complainis; and he has taken o medicines illi avi e to the remova of them. Mercurii corro e sublimati granum unum, De in aquae fontanae unciis duo bus, dein adde micae sanas quantitatem

fissicientem, ut a cataplasma, partibus

o foris capitis imponendum. Repetatur tale cataplasma ter in septimana. Februar I. Severa paris of the drys cui f

SEARCH

MENU NAVIGATION