A practical essay on the history and treatment of beriberi / By John Grant Malcolmson.
- Malcolmson, John Grant, -1844.
- Date:
- 1835
Licence: Public Domain Mark
Credit: A practical essay on the history and treatment of beriberi / By John Grant Malcolmson. Source: Wellcome Collection.
Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.
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![bile. Pulse 100 small and regular, skin soft, foul taste of copper, gums hardly iore. Calomel, gr. x, opii gr. ij,h. », 20th. An easy night but did not sleep. Three natural stools with a slight mixture of mucus, urine much increased, made 65 oz. since yesterday morning, less puffiness ot face and he looks bet- ter. Pulse 92, small and pretty tirm. Habeat tinct. digital. Ssster die. Ves- pere. Feels worse. Five stools of scybalous, and pale watery feces and mucus tinged with blood. Pulse quick and small, cold sweats, breathing the same. Kept calomel, et opii h. s. Enema emollient, statim. 2lst. No stool since he had the pill, three before that of yellow feces mixed with muddy coloured dejections and mucUs, sweated much but had a good|night, urine 2]t 6 oz. pretty natural. Pulse 92, gums not yet sore, breathes with more difficulty on his back- and having turned on it in his sleep felt oppressed. Ol. ricini gss. Rept. tinct. digital, bis die. Milk diet. Habt. h. s. calomel., opii, aa, gr. ij. 23rd. Two small thin pale stools with an irregular spot or two like blood on the surface, urine 2ib, clear. Pulse 80. Much cedema of abdomen ; on lying on ids back, feels as if a weight were pressed on the pit of stomach, there was formerly tenderness here. Rept. tinct. digital, bis die et pil. h. s. Cont. unguent. 28th; Urine 2ft 8 oz., gums very sore, spits none, nausea in the evening. Cont. pil. ©mitt, tinct. digital. 29th. Urine 3Hi 10 oz. natural, teels much better, rested well, 3 stools. F ulseBO. Omitt. medicament. 30th. Asleep yesterday, stools more natural, less frequent and there is no abdominal pain. Respiration rather freer. Pulse smaller. Feels very weak and sense of weakness and of cold across his loins. Eats very little. Sweats. Urine free. Vespere. Slight head- ach for two or three days, worse this evening, stools yellowish, frothy vvith a little slime, slight warmth of skin of head and body. Enema purgans statim. 5th October. Has continued much the same; coughs occanonally and uses ammoniac, tinct. camphor, corap. and squills; liniments and bandages to the legs. 24th. Has taken the treeak farook pills for fourteen days and thinks the swellings are less tense and feels himself lighter and better, respiration freer but part of the change is to be ascribed to the weather which is fine, thighs and legs are tense and greatly swollen and abdomen much distended with fluid. Less cedema of the trunk but it extends to neck, face puffy but less so and there seems no swelling of arms. Respiration not quite free on the back but much more so than some time ago. Bowels loose, stools sometimes white, at others green or brick dust coloured. Pulse 94 to 100, small, tongue red, smooth with irregular sulci, back weak, no deposit in uiine, chest sounds pretty well and respiratory murmur distinct, slight aegophony posteriorly; sound on per- cussion and respiratory murmur naturalaround the cardiac region. 26th. Feels much worse, frequent purging with nausea and vomiting, signs of effusion into the thorax with acute pain in the lumbar region. Pulse 100. CEdema of face and hiccup, urine free. Omitt. pil. Applicent. hirudin, xij part, dolent. B: aether, sulphur., aether, nitric, aa, 3ss, tinct. opii gtt. xxx, mist, camphor, ^ss. 8 a. m. Vomited the draught. Rept. haust.,cum tinct. opii gtt. xxx etsine mist, camphor. Vesp. Retained the second draught, no stool, no urine, pulse rapid, some slight dyspnoea, R Liquor, acet. ammon. 3j, spt. aether, nitric. 2j, aquae gss. 27th. Passed a better night, no vomiting, purging, or pain of loins but a general feeling of acute pain and tenderness over the abdomen, pulse the same as yesterday, passed about half a pint of a dark reddish urine, tongue smooth. 27th.Diedatll A. M. Dissection. Head and spine. Veins of the dura arid pia mater congested. Substance of the brain, especially the cortex and cerebellum, rather soft. About an ounce and a half of water in the ventricles. During the dissection much serous fluid flowed from the cellular substance, which was every where distended with the dropsical effusion ; there was also considerable congestion of the veins, from the cut extremities of which the blood flowed. This was most remarkable over the superior vertebrae, and the state of the parts exte- rior to the theca spinalis could not in consequence be satisfactorily ascertain- ed. A coagulura of blood of a dark colour and slightly elastic, with some deep coloured serum, was found in the lumbar region completely surrounding the cord and a slight appearance of the same kind extended as high as the cervical vertebrae. The cord was not diseased. Thorax, The iaferior portion of both lungs adhered to the diaphragm by](https://iiif.wellcomecollection.org/image/b21364503_0368.jp2/full/800%2C/0/default.jpg)
