Address on the treatment of pulmonary consumption, delivered at the Glasgow Pathological and Clinical Society, 14th November, 1882 : with a note of a visit to Davos-Platz / by Dr. M'Call Anderson, Professor of Clinical Medicine in the University of Glasgow, President of the Society.

  • Thomas McCall Anderson
Date:
1883
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Licence: Public Domain Mark

Credit: Address on the treatment of pulmonary consumption, delivered at the Glasgow Pathological and Clinical Society, 14th November, 1882 : with a note of a visit to Davos-Platz / by Dr. M'Call Anderson, Professor of Clinical Medicine in the University of Glasgow, President of the Society. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    H a small part of the body should be sponged at a time, care being taken not to expose the skin to the air. It may be repeated if required every two hours, and he holds it to be infallible. (?) Oxide of zinc and phosphate of lime given in doses of grs. x and 3i respectively, and quinine and sul- phuric acid in ordinary tonic doses have proved compara- tively useless, while small doses (grs. iii) of Dover’s powder, ergotine (grs. ii to iv) and agaricus (grs. x to xx), on the other hand, are more effectual; and we can speak most highly of the use of a saturated watery solution (about I in 180) of picrotoxine, the alkaloid of Cocculus Indicus. Dr. Murrell recommends $i of this solution to be mixed with ^viii of water, of which he gives from 5i to 5iv at bed time, or 3iii to 3v during the day, the last dose being taken at night.* We have found, however, that this remedy is much more effectual when given subcutaneously, the initial dose being 5 min. of the undiluted saturated solution, which may be gradually increased either until the desired effect is produced, or until there is some evidence of its disagree- ing. But of all remedies that which has proved most certainly efficacious is the active principle of belladonna— atropia. It may be given by the mouth, in pill or solution, at bed time, the initial dose being TV grain, but it is often necessary to increase the strength, which it is quite safe to do so long as the disagreeable physiological effects of the drug (dryness of the throat, dilatation of the pupils, dimness of vision, &c.) are not apparent. It is, however, preferable, when possible, to give it subcutaneously, and the solution which we are in the habit of using is gr. i of sulphate of atropia dissolved in 500 mins, of water, the initial dose being uiv (tJo gr.). The following case, from among many others, illustrates the value both of picrotoxine and of atropia. * The Practitioner. October, 1879.
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