Volume 1
Researches into the causes, nature, and treatment of the more prevalent diseases of India, and of warm climates generally. Illustrated with cases, post mortem examinations, and numerous coloured engravings of morbid structures / by James Annesley.
- Annesley, James, Sir, 1780-1847.
- Date:
- 1828
Licence: Public Domain Mark
Credit: Researches into the causes, nature, and treatment of the more prevalent diseases of India, and of warm climates generally. Illustrated with cases, post mortem examinations, and numerous coloured engravings of morbid structures / by James Annesley. Source: Wellcome Collection.
820/832 (page 38)
![not unlike a scorbutic affection. — Garg. alum., and give the diluted nitrous acid again. Repet. pilul. capscici. Evening. — Considerable bleeding from his nose; three pounds of urine drawn off. — Cont. ut antea. March 1st.— Has passed a great deal of black, viscid matter by stool involuntarily; he can scarcely answer questions; pulse calm, soft, and about 80; he cannot be prevailed upon to take nourishment; there are several black, dry scabs upon the lips and nose.—Apply the nitro-muriatic lotion to the sores, and use it as a gargle. 2d.—The nitro-muriatic lotion has had an excellent effect in removing a considerable quantity of black, bloody matter from the gums and tongue, and the sores on the nose and lips appear cleaned by it; voids his urine in very small quantity ; three pounds and a half were drawn off. The symptoms did not vary in any degree, and he sunk under them on the 8th March. The skin became almost black, and continued so during the last fortnight.of his illness; and the whole period of his being in hospital, the motions were morbid, crude, sometimes green, and black. The most distressing symptom was the retention of urine. The spongy nature of his gums must have been the consequence of debility and loss of power in the extreme vessels. The symptoms shewed general disturbance in the constitution, but did not mark any specific form of disease : even the most distressing symptoms gave little correct information as to the precise nature of the case. The object was to remove morbid accumulations, to correct the morbid state of the liver and the secretions, and to support his strength. His almost abhorrence to food and nourishment opposed the latter; and although the former indication was acted upon, there was at no time any improvement visible. On Examination after Death, (see Plate XXI.) the liver was very much enlarged, and perfectly black ; and when cut into, exhibited a similar appearance. The gall-bladder was amazingly enlarged, and full of black or dark-green ropy bile. The colon was contracted in a most extraordinary manner throughout its course to the rectum, thickened in its coats, and lined with viscid matter. Two intro- susceptions were discovered in the small intestines, in one of which seven inches of the gut were contained in four inches; so that the passage must have been completely closed. The bladder was not diseased, but more flaccid than it usually is. The thoracic viscera were healthy. Case CXXXII. — Acute Hepatitis; Abscess opening into the Colon. — Recovery. [See the Section on Abscess of the Liver, p. 516.] Anthony Brapson, Eighth Company, setat. 22, admitted 9th November, 1816, at Kurnool. Com¬ plains of pain in his head and side; eyes reddish ; pulse small, 108; tongue foul; bowels costive; nausea. — Apply twenty leeches to his side. Haust. emet. 10th.—Rather better this morning; the pain in his side much easier; pain in th'e head still continues; tongue foul; pulse 99 ; breathes with difficulty. — V. S. ad fvj. Apply twelve leeches to the abdomen, and eight leeches to each temple. 01. ricini, ^iij. Enema purg. Vespere.—Pulse 120, strong; difficulty of breathing; tongue red. — Apply twenty leeches to the chest. V. S. ad |xviij. Calom. gr. xv. h. S, 01. ricini, fiij. p. m. s. Mist, salin. repet.](https://iiif.wellcomecollection.org/image/b30455960_0001_0862.jp2/full/800%2C/0/default.jpg)