On the Mont Dore cure and the proper way to use it : in the rheumatic, gouty, scrofulous, syphilitic, tuberculous, dartrous, and other morbid constitutional states; also in asthma, consumption, bronchitis, emphysema, naso-pulmonary catarrh, and other affections of the throat, chest and mucous membranes / by Horace Dobell.

Date:: 1881

Credit: On the Mont Dore cure and the proper way to use it : in the rheumatic, gouty, scrofulous, syphilitic, tuberculous, dartrous, and other morbid constitutional states; also in asthma, consumption, bronchitis, emphysema, naso-pulmonary catarrh, and other affections of the throat, chest and mucous membranes / by Horace Dobell. 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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creatnre, into a pliimii, tolerably robust, and cheerful womnn. — Dublin Quarterly Journal of Medical Science. Dr. Dobell's services to medical science and literature are well known. . . To him also the profession owes tlie introduction of • Pancreatic Emulsion of Fat' in the treatment of consumption.—Indian Afei/ical Gazette. The properties of the pancreatic fluid have been well described hy Dr. Doboll in a paper recently read before the Royal Society of fjondon; and it would seem that the fluid has not only the remarkable property of omnlsifying oil and fat, and so rendering them capable of absorption, bnc it has also the power of dissolving starch by converting it into glucose. In this respect its action is like that of .saliva, but it is much more energetic ; for, in its fresh sbite, one part of the pancreas will dissolve eight partsof starch, and even after it has emulsified fat it will dissolve two parts of starch. It is, therefore, a powerful agent of digestion.—Dr.Letheby, Cantor Lecture, Sorieti/ oj Arts, 1868. Of all the new remedial agents which are now being employed by tlie medical profession, the Pancreatic Emulsions, introduced bj' Dr. Dobell, are ijcrhaps the most noteworthy. . . The satisfactory results which have already been obtained with them iu the tre.itment of consumption, tn-IU induce all physicians who kec]) pace witli the age to give them a fair trial. . . Another preparation, recommended by Dr. Dobell, is Pancreatine.—Chemist and Druggist. From'he Gazette Hebdomadaike de Medicine et de Chirtjrgie. Deuxibme Serie, Tome V.. 1868. Pans. •' Dr. Dobell has continued with great energy his researches on the utility of fatty emulsions, obtained by the aid of the pancreatic juice, iu all cases where nutrition is seriously impeded, and more particularlj' in pulmonary consumption. After a series of papers on the subject published in the ' Lancet,' it occurred to him to collect the experiences of those English medical men who had made use of his formula, and the reiilics received form the instructive document which has just been published and is now before us. A schedule of questions was submitted by him, so that the answers, whether favourable or unfavourable, may be seen at once. The questions put were these:— 1.—In how many cases of consumption have you prescribed the Pancreatic Emul- sion prepared by Savory & MoouEy 2.—In what doses, at what intervals after food and for how long a time did you administer it in each case ? 3.—Wiat is your oi)inion of its effects upon —1. Dige.stion ? 2. Nutrition? 3. Weiglit of patient ? •' 4.—Have you found that patients can take the Emulsion when they cannot take cod-liver oil y '• 5.—What is your opinion of the effects of the Emulsion in—1. The true first stage of consumption (pre-tubercular) V 2. The stage of tuberculization ? 3. The stiige of softening V 4. The .stage of e.Kcavation V Thirty-two medical men replied to those questions, and in a manner generally favourable. One of theui. indeed, stylos this treatment'a splendid invention;' but the testimony of others, though less enthusiiistic, shows not less clearly that they have found in the ' Pancreatic Emulsion ' an ofilcacious means of restoring impaired digestion and nutrition. The author him.-^elf has made use of it in the hospitals in many thou.sand cases. Ho gives the Emulsion in doses of from one to four teaspoon- fuls, one or two hours after the principal meal, and for a continuance of at least two months. It is taken in either milk or water, and he .sonielinies adds a small quantity of brandy or rum. He attributes to this Emulsion the property of digesting fatty matters and starch, and of stimulating the stomach. It supplies at the same time fatty matters for combustion and for histogenesis. La.stly, it maintains the normal weight of the patient, or increases it if diminished. He has proved that the Emulsion is well taken in most ca.ses where it has been impossible to administer cod-liver oil, but as far as possible he combines these two remedies. He thinks that during the stage of threatened disease these means will have a lasting cflicacy. In 45 indi- viduals who had arrived at the stage of tubercular deposit-*, he had proved in 44 an amendment of general symptoms; in 33 the physical signs were improved. 13 had remained stationary, and in one case they were aggravated. Out of 69 patients at the stage of softening, in 59 there had been a visible progress in the general health, and in 52 equally visible improvement in the physical signs. Lastly, out of 78 cases where there was a cavity in the lung, in 55 nutrition was restored, and in 35 the improvement was proved by percussion and by the car. Notwithstanding these results. Dr. Dobell wisely repels the idea th.at Pancreatic Emulsion is a specific for phthisis. He is entirely justilied iu saying that to repair the ravages of want of nutrition is to give every favourable opportunity to nature, and to prolong the life of the patients. To sum up. I hold that this remedy should be tried by us. To prevent consumptive patients from growing thin is the end the therapeutik should always have iu view, and there are not too many means of effect- ing his object. 1 will conclude by noticing a case of tumour of the epigastric region attributable to a disease of the pancreas, with stools charged with undigested fatty matters, and which lias been cured under treatment by this emulsion. Iho

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