First lines of the practice of physic (Volume 2).

  • William Cullen
Date:
1805
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Licence: Public Domain Mark

Credit: First lines of the practice of physic (Volume 2). Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    be observed, that when in any case of apoplexy, it can be perceived that one side of the body is more affected with the loss of motion than the other, the blood-letting, if possible should be made on the side opposite to that most affected.* 1132.] Another remedy to be employed is purging, to be immediately attempted by acrid glysters ;f and, at the same time, if any power of swallowing remain, by drastic pur- gatives given by the mouth. These, however, lest they may excite vomiting, should be given in divided portions at proper intervals.^ 1133.] Vomiting has been commended by some practi- tioners and writers: but, apprehending that this might im- pel the blood with too much violence into the vessels of the head, I have never employed it. 1134.] Another remedy to be immediately employed is blistering ; and I judge that this is more effectual when ap- plied to the head, or near to it, than when it is applied to the lower extremities. This remedy I do not consider as a stimulant, or capable of making any considerable revulsion; but, applied to the head, I suppose it useful in taking off the hemorrhagic disposition so often prevailing there. 1135.] It has been usual with practitioners, together with * Dissections shew that the congestions producing apoplexy are always on the side not affect- ed ; and hence the propriety of the direction. + Acrid glysters arc, R. Elect, lenitiv. §i. Sal. cathartic, amar. oiiss. Aq. tepid. §xi. M. f. Enema. R. Sapon. alb. Siss. Solve in aq. tepid. %x.; cui adde Syr. e spina cerv. §ii. M. f. Enema. R. Pulp, colocynth. 3iii. Coque per horse quadrantem in aq. font, q. s. ad colaturas §xii. ; cui adde Ol. olivar. 51. M. f. Enema. t The drastic purges are, in thjesc cases, to be given in draughts, rather than in pills or bi>- luses. The following form may be used : R. Pulv. jalap. 3i- Rad. zinzib. 9i. Infus. sem. lini Biii. M. The dose of this mixture is two spoonfuls every two hours till it operate, or we may use one *f the formula mentioned in the note on article 1079. especially the last, repeating it ever)' .two hours till it produces an effect.
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