A treatise on hooping-cough : its complications, pathology, and terminations : with its successful treatment by a new remedy / by George D. Gibb.

  • Gibb, Sir George Duncan, 1821-1876.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on hooping-cough : its complications, pathology, and terminations : with its successful treatment by a new remedy / by George D. Gibb. 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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    Should the convulsions frequently recur, but with their severity mitigated by treatment, it has been recommended to establish a permanent drain by a seton of two or three threads in the arm. We must not overlook two plans strongly recom- mended by Dr. Johnson to arrest the tendency to their frequent recurrence. “ One is a total altera- tion of the child’s diet, and the other is change of air. When the child affected is at the breast, defectiveness in quantity or quality will usually be detected in the nurse's milk. Often it will be found that she has menstruated, or, as sometimes happens, without the discharge actually occurring, she has experienced sensations similar to those which attend the accession of the catamenia. In such cases the milk almost uniformly disagrees, and hence it is a good rule, whenever the convul- sive attacks withstand ordinary treatment, to inquire into the state of the nurse, and, if there be any ground of suspicion, to have a young and healthy one procured. Change of air often in the most remarkable manner puts a stojD to the recur- rence of convulsions, and will be found particularly beneficial in those cases of spasm of the glottis to which we have alluded.” If a child has been in convulsions for hours together, and should lay stretched out and motion- less, the limbs being stiff with permanent caiqDopedal flexures, as occurred in a case under Dr. Roe's care.