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Selected monographs.

Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

  • Cover
  • Title Page
  • Table of Contents
  • Index
  • Preface
  • Table of Contents
  • Index
  • Cover
    238/440 (page 220)
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    The most remai'kablo statements, perhaps, of any, are those of Professor Bouillaud, who, employing his -bleeding formula (viz. small bleedings repeated two or three times daily, sometimes oven during the adynamic stage, when the patients presented fuhginous teeth and tongue, and the last degree of prostration^^), and including only those cases that were somewhat serious, found a mortality among his patients of one in 6-5.^ Again, at one of the meetings in March, 1837,^ he declared, that, counting all the cases, he had lost only one in 24, and excluding all the slight cases, one in 16 or 17. Who that is acquainted with typhus, and has seen the sudden and alarming asthenia that often follows the abstraction of a few ounces of blood during a state of great excitement and oppression, but must feel convinced that, treated after M. Bouillaud^s method, 99 out of every I GO would die ? Gauthier do Claubry, while he concludes, from his own experience of typhus, and the statements of numerous distinguished authors whom he cites that blood- letting (p. 153) may be useful, if not absolutely indispensable in certain cases, indifferent in a great number, hurtful in many others (an opinion he • shares with Pringle, Hilden- brand, and the immense majority of British physicians), con- fesses (p. 167) that the general opinion is in favour of its use in typhoid fever; and besides referring to the constant employment of it in the beginning of typhoid fever by Louis and Chomel, states, that twenty years of an extensive practice, and of observations made in the hospitals of a large city, as also a comparison of the results of the private practice of a great number of physicians,^^ have led him to adopt a similar treatment. As to the use of purgatives, I may. state that while in Glasgow they were generally used in typhus, the marked difference in the state of the bowels in typhoid fever led to the general use of opium, either alone, or com- bined with mercury and chalk. All, in short, that we can infer from the practice at present in use is, that the treatment generally proscribed in the one is generally adopted in the other disease. On a review, then, of all that has been advanced, it would ' ' Sdance de I'Acad^mie,' October i6th, 1835. See ' Bulletins de I'Acaddmie,' vol. i, p. 520.
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