An account of some of the most important diseases peculiar to women / by Robert Gooch.

  • Gooch, Robert, 1784-1830.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: An account of some of the most important diseases peculiar to women / by Robert Gooch. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    space of time between forty-eight hours and one week; that the appearances on dissection were redness of the peritoneum, adhesion of the intes- tines, effusion of serum, mingled with pus and lymph. He thought that the inflammation was erysipelatous and the fever typhoid. When the inflammatory symptoms were distinct, he permit- ted a few ounces of blood to be drawn, but if the symptoms were typhoid, bleeding was positively injurious—he mentioned it as the assertion of many medical men, that all the patients who were bled died. Whenever the fever was typhoid, he recommended bark, and mentioned two cases, apparently hopeless, which recovered by taking daily a gallon of the decoction. Among the London physicians, Dr. Denman was the chief believer in the inflammatory nature of puerperal fever, and in the safety and absolute ne- cessity of bleeding, provided it was used early and actively. There can be no doubt he meant that puerperal fever of which peritoneal inflamma- tion is an essential part; and if I understand him rightly, he believed, that whenever the peritoneum was affected in that way which terminates in the effusion of serum and lymph, it was always with that form of inflammation, which bears, and re- quires bleeding. His mode of treating the dis- ease seems to have been this: First, at the com- mencement of the disease, by a full bleeding from the arm, and if the effect of it was beneficial, by another bleeding after a few hours ; if the con- stitution of the patient was feeble, he preferred