Lectures on clinical medicine, delivered in the Hospital Saint-Jacques, of Paris / by P. Jousset ; translated, with copious notes and additions, by R. Ludlam.

  • Pierre Jousset
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on clinical medicine, delivered in the Hospital Saint-Jacques, of Paris / by P. Jousset ; translated, with copious notes and additions, by R. Ludlam. Source: Wellcome Collection.

    70/540 page 48
    *0 THE MKDIUAL UHNIU. ous and very intractable vomiting, an affection often met with in liysteria. She vomits after her supper, either immediately or within an hour, or an hour and a-half. Unlike the vomit- ing that arises from indigestion, and which is so painful, she does not suffer at all from nausea or uneasiness,— does not even grow pale. As a rule, such attacks of vomiting as this girl has are very rebellious to treatment. I knew a lady who was attacked with this kind of vomiting at the age of seven years, at the first appearance of her menses, and at forty these attacks still persisted. During all these years she had vomited daily, excepting (which is remarkable) when she was pregnant. Fortunately for the women afflicted in this way, they are not much enfeebled by these repeated attacks, and their general health is pretty good. Here are the notes of the case under review: Case Xl. — Mile. Rose, aged fourteen years, entered the hospital on the 10th of February, and left it on the 2.5th of February. This young girl has not yet menstruated. We have received her in ward 11, ]S^o. 3, in order to study the fits of vomiting to which she is subject, and which are characterized by a lack of pain and the absence of nausea. The attacks come without premonition. I must not omit to mention that the pa- tient has an hysterical mother; nor to say that the girl herself is subject to perfectly well-defined attacks of hysteria. The vomiting is remittent. The epigastric region is not painful. There are no signs of engorgement, nor of a tumor. In this, as in the greater number of analogous cases, nux vomica^ ipecac.^ ferrum and hryonia have all failed, and it will probably be necessary to resort to hydropathy. However, I will add that if we have not been able to relieve the vomiting, we have been more fortunate respecting. the menses, which latter have ap- peared for the first time under the influence of pulsatilla, 12th dil., and of ferrum, 12th dil., six globules in twelve spoonfuls of water, given alternately three spoonfuls each day. The crowded condition of the hospital at this season of the year makes it impossible for us longer to retain this patient in our wards.
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