Nitro-glycerine as a remedy for angina pectoris / by William Murrell.

  • William Murrell
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Nitro-glycerine as a remedy for angina pectoris / by William Murrell. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    now, and that is a great bother to her. Any little exertion is enough, as, for example, putting on her jacket or reaching up to the clothes line. Stooping down to lift anything brings them on, but not simply stooping down, as in pulling on her boots. Leaning back is certain to bring them on; the least excitement will do so—in fact, anything that worries or upsets her. They are not in any way influenced by food. Cold feet will not bring them on, nor will a hot room. These attacks commenced at the beginning of last summer (1877), but were not so bad as they are now. They worried her a good deal, lasted on and off for two or three months, and then went away. She cannot tell at all what brought them on. Tbey returned on the following November, and have been getting worse ever since. Now she usually has seven or eight attacks a day, but the number depends very much on what she has to do. For some time past they have been gradually increasing in frequency, and are now far more readily excited than formerly. Her general health is fairly good. She has had a bad cough every winter for the last eighteen years. What with the cough and the children, she has never been very strong. She has never suffered from gout or anything like it. Patient's father died of gout and bronchitis. He had suffered from gout since he was twenty- one, and had large chalk stones. He was addicted to drink all his life more or less. His father and brother died of asthma. Patient's mother died in confinement, and she has no brothers or sisters. She lost one of her children from bronchitis and another from consumption. None of them ever had fits or St. Vitus's dance. On a physical examination, marked arterial degeneration is noticed. There is slight emphysema. There are no signs of aneurism and none of valvular mischief. Urine normal. Here, again, little doubt was entertained respecting the diagnosis. It was not a typical case of angina pectoris per- haps, but it assimilated more closely to that type of disease than to any other. There could be no doubt about the reality of the patient's sufferings. After a preliminary course of camphor-water, the patient commenced taking the nitro-glycerine on February 4th. She was ordered one drop of the one per cent, solution in half an ounce of water every four hours. In three days she reported that the pains had occurred less frequently; that they did not last so long. The pains were much shorter, and there was a good bit of difference. She complained that the medicine had given her If such a strange sensation. It gave
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