A dictionary of practical medicine : comprising general pathology, the nature and treatment of diseases ... with numerous prescriptions ... a classification of diseases ... a copious bibliography, with references; and an appendix of approved formulae / ... By James Copland.

James Copland

Date:: 1844-58

Credit: A dictionary of practical medicine : comprising general pathology, the nature and treatment of diseases ... with numerous prescriptions ... a classification of diseases ... a copious bibliography, with references; and an appendix of approved formulae / ... By James Copland. Source: Wellcome Collection.

Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.

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$are the most successful of any means I nave em- ployed, in resisting the progress of this morbid for- mation. The ioJuret or iodide of iron, and the iodide of potassium, should be selected, and taken internally in small or moderate doses. The external use of iodine is often injurious. In a case of this disease, affecting chiefly the stomach and some others of the abdominal viscera, lately under my care, a combination of the acetate of morphia and kreosote palliated the urgent symptoms after other means had failed. In the still more recent case of a lady from Wales, who came to town on account of malignant disease of the stomach, that probably partook of the fungoid character, from the size of the tumour and other symptoms, this combination proved serviceable. This lady had been treated with great discrimination by ]\Ir. Serph of Welshpool. During her stay in London, the acetate of morphia in a dilute aro- matic spirit always afforded relief; but, when the disease had advanced further, and after her return home, it had but little effect. Mr. Serph, therefore, at my request, gave her the following during the paroxysms of suffering, with great benefit: — No. 227. R Morphife Acetatis gr. ij.; Kreosote 11\ xij. ; Pulv. Glycyrrh. et Pulv. Acaciae, aa q. s. ut fiat massa asqualis, quam divide in Pil. xij. Capiat unam, omni hora, urgeuti dolore. 23. When the diseased part appears about to ul- cerate, and afterwards especially, it should be pro- tected from external injury or irritation; and if the bleeding from it be copious, or the discharge of- fensive, a solution of kreosote in weak pyroligneous acid or spirits of turpentine will prove the most efficient styptic and corrigent. The chloride of lime may likewise be employed. In addition to the other tonics just enumerated, the chlorate of potash may be tried in the decoction of cinchona. If iodine be prescribed, it should be continued for a long time. The iodide of potassium may be given in the compound decoction of sarsaparilla; with conium, aconitum, or any other narcotic, if much pain be felt. During the course of treatment, the secretions and excretions should be regularly promoted ; and if the bowels be sluggish, their actions ought to be promoted by a tonic or sto- machic aperient repeated according to circum- stances. The other means, which have been recommended in the article Cancer (which see), are equally appropriate in this, and other malig- nant formations. BiBLlOG. AND Refer J. Burns, Dissert, on Inflam- mation, vol. ii. p. 302 Iley, Practical Observat. on .Surgery. Lond. 8vo. 1803.—J. Ahernethy, Surg. Observ- ations. Lond. 1S04.—S. IVardrop, Observat. on Fungus Ha>matodps or Soft Cancer, 8vo. ed. 1809.; and his edi- tion of the Works of Dr. Baillic, vol. ii.—Lacnnec, Diet, des Sciences Medicales, art. Enccphaloidcs—A. Monro, Morbid Anatomy of the Human OuUct, Ike. Kdin. 1811. — C. Bell, Surgical Observat. part iv. —G. Lnnustiiff, in 'f r.ins. of Med. and Chir. Soc. vol. viii. p. i.— IVardrop, Earlc, and Laivrence, in Il)id. vols. ili. and viii.—Hodj^ltin, in Ibid. vol. xv. p. 2(;-'> C. Bell, in Ibid. vol. xii—Koui, Relation d'un Voyage a Londres en 1814. — Maunoir, Mem. sur leg Fongus MeduU. et Iloemat. ■ Genfiv. 1820. Cruvcilhicr. Essai sur I'Anatom. Pathol, t. i. p. 82.; and Anat. Pathol. Ike. liv. iv, viii. — BaricUy, Obscrv. Sing. Fungi Medul. in Cordo, 8vo. Halle, 1821 — Bns- clicl et Fi:rrus, Diet, de Med. t. iv. — Bcrard et Bfgin, Diet, de Med. Prat. art. Cancer, t. iv—A. Scarpa, in Archives Gen. de Med. t. x. p. 277.— Andral, Anat. Pa- thol, t. i. p. 219 J. A. Recamicr, Recherclnis sur le Trait, du Cancer, &c. 2 vols. Paris, Hvp. 1829.—/i. Cooper, Lectures, in Lancet, vol. ii. p. 399.; and Illus- trations of Diseases of the Breast. Lond. -Ito. 1829.— J. J. Lobttciti, Trait<5 d' Anat. Pathol, t. i. p. 419—ii. Home, On the Format, of Tumours, &c. 8vo. Lond 1830.—fF. Kerr, in Cyclop, of Pract. Med. vol. ii. p. 298. — B. Carswell, in Ibid. vol. iii. p. (3.57.; and Illustrations of the Elementary Forms of Disease, fascic. ii. and iii. FURUNCULAR ERUPTIONS. —Syn. Fu- runcuLar Inflammations; Fiiriiiicles. Furuii- cuii; Furunculus, Sauvages. Pnyma, Willan, Good. Thlysis FuruncuLusa, Young. Classif. — 3. Class, 2. Order (Good). 7. Order, 1. Genus (Willan). IV. Class, IV. Order (A%ithor). 1. Defin.—Inflammation of the cellular appen- dices penetrating the reticular texture of the corion, arising from disorder of the digestive 07-gans, and modifed in character by the state of constitutional power, and the condition of the circulating fluids. 2. The true skin or corion is penetrated by small conical prolongations derived from the cel- lular tissue underneath. With'these, the vessels and nerves proceed to the superficies of the corion to form the papillar tissue and vascular rete. VVhen inflammation commences in one or more of these prolongations, furunculus or Ijoil, hor- deolum or sty, and anthrax or carbuncle, are the results ; but in these, the surrounding true skin, with the subjacent cellular tissue, participate to a greater or less extent with the progress of in- flammation. M. Rayer remarks, that, left to themselves, these affections always terminate ih the mortification, and subsequent expulsion, of one or more of the small cellular cones of the dermal tissue, which are then designated by the title of cores. This termination is generally ascribed to the resistance oflered by the fibrous corion to the expansion of the cone of inflamed cellular tissue, and to the consequent strangula- tion of it; but the cores are probably the con- densed tissue surrounding the matter which is formed in the inflamed tumour, and which is thrown oflP after-this matter is discharged. --It is even possible, that the inflammation in this affec- tion commences in the vessels themselves which accompany the cellular elongations or cones; and that the disease is actually a limited angeitis, or arteritis, of one small branch, the cellular sub- stance sloughing in consequence of its supply of blood being cut ott', from an impervious state of some of the minute ramifications. 3. The varieties of furuncle are generally de- pendent upon disordered states of the digestive functions, and the characters which they assume vary with the states of vital action and of the cir- culating fluids. When furuncle occurs in a tole- rably sound constitution, and healthy condition of the blood, it assumes a sthenic character, and constitutes furunculus or the common boil, or sty when it is seated in the eyelid. But, when it affects the aged or debilitated, or previously dis- eased, or the cachectic, or those in whom the circulating fluids are impure, and the vital actions languid or imperfect, it puts on an asthenic form, and gives rise to two varieties ; one of which has been noticed only by M. Guersent and myself, and which may be caUcd Asthenic]Furuncle ; the other has been usually named Anthrax or Car- buncle. I. Sthenic Furuncle—Boil; Furuncle; Phyma Furunculus, Good ; Furoncle, Clov,, Fr. j Die Beule, Germ. 4. This species is characterised by stnall in. Jlummuiory swelling of the skin and subjacent eel J$