Treatise on the immediate cause, and the specific treatment of pulmonary phthisis : and tubercular diseases / by J. Francis Churchill.
- John Francis Churchill
- Date:
- [1859]
Licence: Public Domain Mark
Credit: Treatise on the immediate cause, and the specific treatment of pulmonary phthisis : and tubercular diseases / by J. Francis Churchill. 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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![All the symptoms—cough, sweating, feebleness, etc., have disappeared, and her mother says she has never seemed better in her life. From this time the dose of the salt was increased to a grain and a half each day. March 8th.—Examined her chest, and found still a little feebleness of the vesic ular breathing at the apex of the left lung; but the resonance, on percussion, seemed to me about equal on each side. Suspended the treatment for two days. March 10th.—[The patient was attacked with a severe dysentery, from over- indulgence in fruit, and a cold taken during the night. Under proper treatment, during which the hypophosphites were discontinued, she recovered in a few days.] —Tkans. March 14th.—Says she is well and wishes to get up. Yesterday had a natural evacuation; no pain over abdomen; no fever; pulse 100. Gave soup, and rice and milk. March 16th.—Sleeps well; does not cough, and has no sweating. March 17th.—Auscultation shows still a little feebleness of the respiratory mur- mur at the apex of left lung. Resonance equal on the two sides. Commenced again the use of the hypophosphites at a dose of three-fourths of a grain, which I increased by the addition of a quarter of a grain each day until I had reached two grains. March lid.—Seems perfectly well. Her mother assures me that she has never seemed so strong and lively since she was born. Her appetite is excellent. By auscultation I found still a little feebleness of the respiratory murmur at the apex of the left lung; but much less than a short time ago, and perhaps not more than the normal difference between the two sides. The treatment was continued up to the 26th of the month. I did not see her after this, because, being necessary for me to leave the city, her mother decided on returning to New York. I have had no further tidings from her. CASE NO. III. Don F P : 42 years old ; native of Havana. This gentleman, whom I have been attending nearly a year, visited me on the 9th of Juno, 1855. He has suffered for several yeara. There is a large-sized cavity occupying nearly two- thirds of the left lung, surrounded, especially at its inferior side, with tubercles in process of softening. The disease has been slow, but constant, in its progress. Tho weakness, diffi- culty of breathing, cough, and expectoration, have little by little increased. I have tried various remedies in his case, but without obtaining any satisfactory result. The treatment from which he has seemed to derive the most relief, and has been employed the longest, consists of inhalations of atropine, after the plan spoken of in the first case, with small doses of iron and the tincture of digitalis. He has taken at various times cod liver oil, as well by my direction, as before his coming to me, by advice of one of my friends; but the use of this occasioned, after a short time, severe hemoptysis, which compelled him to discontinue it. I wish here to state that this remedy has never seemed to produce, in warm climates,](https://iiif.wellcomecollection.org/image/b21030066_0031.jp2/full/800%2C/0/default.jpg)
