Clinical lecture on the treatment of acute rheumatism, pericarditis, and pneumonia, by the eliminative method / by B. Wills Richardson.

  • Richardson, Benjamin Wills.
Date:
1861
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lecture on the treatment of acute rheumatism, pericarditis, and pneumonia, by the eliminative method / by B. Wills Richardson. 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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    34th day: Both lungs free from morbid sounds. In- stead of the sulphate of quinine she was now given three grains of citrate of iron and quinine three times daily. Wine reduced to eight ounces in the twenty-four hours. 36th day: Convalescent. No morbid sound in the posterior part of the chest; cardiac region carefully ex- amined without the discovery of any indication of valvular lesion^. The only symptom to lead to the inference that a morbid process had been going on in this locality being some slight dulness on percussion, probably the result of thickening of the pericardium by inflammatory products. As she has a great aversion to cod-liver oil, we ordered her an ounce of the following mixture three times daily:— 3J. Glycerime §j. Cit. ferri et quininse, gr. xxiv. Aquae gvii. Misce. In the commencement of my observations I told you that, as far as practicable, I was resolved to try the treatment by elimination in this case, but as some of my junior hearers may not yet have studied this mode of treating rheumatism, I must make it the subject of a few remarks. The object of this treatment is u to promote the elimination of morbid matter by the various emunctories,” such as the skin, the kidneys, and the bowels. u To use antacid remedies, and to give large quantities of fluid for the free dilution of the materies morbi, and to supply the waste caused by the drainage from diaphoresis and diuresis.” Now, in the case before us, in order to promote the action of the skin we used the combination of opium, hippo, and saltpetre, recommended for this purpose by Drs. Todd and Copland, and which I may remind you is very similar to the original constitution of Dr. Dover’s powder, and