A short note on peritoneoclysis, hypodermoclysis, and vesicoclysis in cholera : a paper read before the Bombay Medical and Physical Society, February 6, 1885 / by Cameron Macdowall.

  • Macdowall, Cameron Joseph Francis Stuart, 1832-
Date:
[1886]
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Licence: Public Domain Mark

Credit: A short note on peritoneoclysis, hypodermoclysis, and vesicoclysis in cholera : a paper read before the Bombay Medical and Physical Society, February 6, 1885 / by Cameron Macdowall. 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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    was the first to suggest. It appears, however, that Dr. Benj amin Ward Richardson had tried it with success in a single case of cholera, the last he saw, as far back as 1854. I immediately wrote to the Lancet acquiescing in Dr. Richardson's statements, and congratulating myself on having hit on the same idea as himself, and on one that had proved successful in his hands, although he had only an opportunity of trying it once. I may remark that I was very kindly received by Dr. Richard- son when at home, and he showed me the hollow probe which he had used. He had also experimented, not in cholera cases, however, on causing water to be absorbed by injecting it into the cellular tissues, and into the urinary bladder. This last he had found less efi'ectual as a means for causing the absorption of water. It was lately recommended in the Lancet by Drs. Purvis and Cooney, and Dr. Purvis also, it appears, thought of peritoneoclysis independently, {See Appendix.) Intra-peritoneal injections of large quantities of defibrinated blood* have been employed successfully in France, Italy, and Germany as a remedy in pernicious anaemia by Dubar and Remy, Mosler, Golgi, Bizzozero, etc., etc.jf and it was seeing this fact recorded in the French and German journals, and afterwards in the Lancet, that made me think of it for cholera. It should be remarked that only one case of its causing fatal inflammation on being too soon repeated is on record. I confess, however, the simpler and safer plan of in- jecting large quantities of warm medicated or plain water, milk, defibrinated blood, etc., into the cellular tissues of the limbs, thus causing an artificial anasarca, * 400 grammes = x oz.; also albumen in solution ' well borne and inoffensive and absorbed.' Milk should be tried (?). t Who also injected the spleen, see Revue de Mcdecine, 10th June, 1881, quoting Deutsches Archiv; also Hamond, Kusmaul, Leyden, Kaczorowski of Posen, Deutsches Med, Wochtnschrift, 1880.