Cases of intermittent fever, in which bleeding was employed in the cold stage / by John Mackintosh.
- Mackintosh John, -1837.
- Date:
- [1828]
Licence: Public Domain Mark
Credit: Cases of intermittent fever, in which bleeding was employed in the cold stage / by John Mackintosh. 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.
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![bled in the cold stage, and the following report was made at the time : The cold fit was severe, accompanied by violent pain in the head and belly, and op- pression at pracordia, heat 95°, pulse 105, weak and irregular, respiration hur- ried and difficult. When the cold fit had continued for ten minutes, a vein was opened, the blood trickled down the arm at first, but afterwards came in a good stream. When about eight ounces of blood were taken, the pains every where ceased, the tremors became slighter and slighter, and were complete- ly stopped before sixteen ounces were abstracted. He felt a slight tendency to syncope, and the arm was tied up. He spoke a great deal of the sudden and complete relief which he had experienced, and contrasted his present situation with the pains and oppression he had had in previous paroxysms, which always continued till the sweating stage had gone on for a considerable time. His pulse now beat 75, strong and full, heat 100°. No hot or sweating stage follow- ed the bleeding. Four hours after the bleeding, he was again visited ; pulse ] 10, of good strength, skin hot from pressure of bed-clothes, which were now carefully removed, to his great relief. 23d.—Says he has not been so well since first attacked; feels, if any thing, rather stronger, slept well, bowels open, appetite pretty good, and had no re- turn of the disease. Had no medicines but laxatives and infusion of quassia. Case XII.—Bombardier James Armstrong, aged 19, is tall, spare, and pale, says he always enjoyed good health till fourteen days before he left Woolwich, when he was seized with intermittent fever. After the first fit he had no return for nine days, which he attributes to the use of bark which was prescribed for him in the General Hospital. But when taking the bark and whde yet in hospital, he was again attacked, and had a paroxysm every day for four successive days. He still continued to take the bark in the intervals He was removed from the hospital on Wednesday the ] 1th July, to embark with his company for Leith Fort. He escaped a paroxysm on the following day, but' had one on Friday the 13th, and every day since. 20th July 1827.—Presented himself at the hospital this mornino-. States that the paroxysm came on at 7 A. M. which was very severe, particularly in the cold stage. Says he suffered most from headache, and a trembling feelin- together with a tightness at his breast. Feels now considerable prostration of strength ; has no appetite, tongue white, not much loaded ; thirst; bowels have been very open for four or five days ; pulse 100, and full. 21st September At five this morning, was seized with a paroxysm. He describes the cold stage as being the most severe yet experienced. A smart hot stage followed, with excruciating headache. The sweating stage is now rimes relieved. A laxative taken yesterday has operated four Bft2^;~Par^ySm, Camu °n {? 7 this morniDg- Was bled in the cold stage, after it was allowed to be well formed. He says the fit was very violent, and that Ins sufferings were produced by severe pain of head, difficulty of breathing and fghtness across the chest. Pulse so quick, irregular and small, as not to be counted. When about an ounce of blood was abstracted, he felt much relieved • immediately afterwards the rigor ceased suddenly, the sense of cold gave way to a comfortable feeling, and all the other painful sensations vanished : and not more than eight ounces of blood were drawn. In the course of a quarter of an hour, said he was sensible of a little heat and slight thirst. Was visited four hours after the bleeding. Says he feels quite well, and declares he never felt so well or so free from uneasiness in so short a time after any previous attack and that he lias no feeling of debility, which he used to have. I should have mention r'sit inn 'C 'T 7«de/nhe ^ngve in the cold stasc was 105°' heat taken a* this 901 p ' and strong- Has ,,ad no st°o1 l0-day- Jd'—At Evenly minutes before eight this morning felta slight chill succeed ed by a flush of he,t but> tQ usc his ^ ^ (( fc ^cceed. Jour K ° SW6ating ' the Wh0le 0nly lasted for ab°t three quartos ofn h°«* • in former paroxysms, the cold fit alone lasted two or three hours, and t c](https://iiif.wellcomecollection.org/image/b21696925_0013.jp2/full/800%2C/0/default.jpg)
