The elements of a new materia medica and therapeutics : Based upon an entirely new collection of drug-provings and clinical experience / By E.E. Marcy, J.C. Peters & Otto Füllgraff.

  • Marcy, E. E. (Erastus Edgerton), 1815-1900.
Date:
[1850?]
Catalogue details

Licence: Public Domain Mark

Credit: The elements of a new materia medica and therapeutics : Based upon an entirely new collection of drug-provings and clinical experience / By E.E. Marcy, J.C. Peters & Otto Füllgraff. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    the Nitrate is strongly recommended by Trousseau. It is also spoken of in high terms by Berger. Dr. E. Watson relates several cases cured by the application of a solution of the Nitrate to the glottis in the manner advised in croup. (44. 46.) In croup a strong solution of the Nitrate of Silver was first employ- ed by Prof. Mackenzie of Glasgow; more recently it has been suc- cessfully employed by Dr. Horace Green, Kesteven, Blakeman, and Bryan. The last physician employed a stronger solution than the others. A small piece of sponge attached to a piece of whalebone, is to be dipped into the solution and the tongue being depressed by the handle of a spoon, it is to be applied freely for a few seconds to the larynx. Great immediate relief and subsequent cure are said to have followed its application in several cases. The employment of the solid Nitrate instead of the solution, not only in croup, but in all laryn- geal, and pharyngeal inflammations is recommended by Dr. Peronneau of Paris. Dr. Hatin also employed it in many cases, and in the ma- jority with decided advantage. An assistant is directed to place the child on his knees; with one hand he fixes the hands; with the other he holds the head firmly. The operator places himself in front, hold- ing in the left hand an instrument to keep the mouth open and depress the tongue. In the right hand he holds a porte-pierre,bent like a sound, containing a piece of the caustic projecting some lines. The tongue being depressed, the tube containing the Nitrate, is passed into the posterior fauces, and rapidly passed over all points for a second or two. The operation is to be repeated twice; the second almost im- mediately after the first. It is said to afford almost immediate relief. Moist warm air diffused through the chamber, and the application of hot water externally to the throat, greatly aid the above measures, and should never be omitted. (44. 46.) In diphtheritis the local application of a solution of the Nitrate as above, is strongly advised by Dr. West, Mr. Brown and others. (44.46.) In cynanche-maligna, Prof. Mackenzie spoke highly of the efficacy of applying a solution of Ai'gent.-nit. to the mucous membrane of the throat. It may be applied with a camel's-hair brush, once or twice a day, according to the severity of the symptoms. (44.) In hypertrophy of the tonsils, the application of the solid Nitrate is advised by Mr. Cusack. It is to be applied to successive portions of. the surface, so as to produce a succession of small eschars. By this means a cure is effected in about six months. (44. 46.) In scarlatina Dr. Brown advises the application of a solution of the Nitrate to the fauces, whether ulceration be] present or not. It is to be used once or twice daily. He states that previous to adopting this treatment, he lost half his cases, but subsequently during the same epidemic he lost only one in fifty. (44. 46.). Appetite.—Persistent, nauseous metallic taste. Excessive thirst (in animals). Loss ef appetite. Disgust. (32.) Stomach.—Nausea and vomiting ; black vomit. Haemorrhage from the stomach. Transient warmth in the stomach ; burning heat in the