Volume 1

Von Ziemssen's Handbook of general therapeutics.

Date:
1885-1887
Catalogue details

Licence: Public Domain Mark

Credit: Von Ziemssen's Handbook of general therapeutics. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    418/442 (page 392)
    the left apex, moderate dulness, weakened breathing, and Tocal fremitus w,th shght accentuation of the second sound at the pulmonary ZL B^' h trea ment several purely hysterical attacks occurred. The glt k- ness m the legs and mcreased tendon reflex improved greatly under the use o strychma After six weeks' residence in the Institute she was lo mul better as to be able to dance; her weight had increaaed 3-5 kilos. and the rales had disappeared from the längs, bat the enigmatical elevation of the eveuin. temperatm-e to 38° R. remained.i ° I have described in detail a case of bronchitis in a scrofulous boy with Clus ers of large glands in his neck, Conjunctivitis, and constant diarrhoea. \V Ithin two months he was completely cured and gained 2-5 kilos Of six cases of pleurisy five were improved. The sixth, in which th»re was a large eHusiou of several years' standing, remained in the same state, and was advised to undergo surgical treatment. _ The most briUiant results were achieved in many cases of gastric and intestmal catarrli, the increase in weight reaching 5 to 7 kilos. Especially worthy of notice was one of chronic diarrhoea, which persisted after an attack of epidemic djsentery. For four years the patient had tried diflerent modes of treatment, but the slightest indiscretion in diet invariably brought on the diarrhcBa. Six weeks after the commencement of the koumiss eure he had gained 4 Mlos., and could take any kind of food with impunity. I have published another case in which a severe gastric. catarrh, with morning sick- uess and complete loss of appetite, enlargement of the liver without ascites, considerable emaciation, constant inability to sleep, and premature sclerosis of the arteries existed in consequence of chronic alcoholism. While under treatment the patient took no wine, sleep and appetite returned, and he gained 2 kilos. in one month. Of two cases of chronic cystitis one was dependent on a gonorrhoea which was at first increased by the koumiss, but later disappeared. The eecond case had been very much neglected and had existed for over two years ; it remained unimproved. Ansemic subjects formed the last category, and in these I endeavoured to ascertain so far as pos.'^ible the original cause in each case. In threö it was clearly a malarial iufection, and quinine was given along with the koumiss; but the repuguance of the patient to koumiss during theparoxysms presented a difficulty in the treatment. In one case the antemia was the consequence of profuse epistaxis, the patient was greatly exhausted and suffered also from chorea. Fearing a return of the epistaxis, we began the treatment with only half a glass, and ai the end of four weeks only two bottles were reached, but the residt was brilliant. The patient improved visibly and gained 3 kilos. in weight. The severe nem-otic Symptoms also disappeared completely; but the most astonishing results were attained in cases of antemia dependent on disturbances of general nutrition. The appe- ' [There must be a mistake here. 38° R. = 1] 7° F., which is impossible. He doubtless means 33° R. - 106° F., which was her temperature before.—Trans- lator.]