Pub Date : 1852-09-29DOI: 10.1136/bmj.s1-16.20.494
E J Tilt
{"title":"On the Diagnosis of Chronic Ovarian Tumours.","authors":"E J Tilt","doi":"10.1136/bmj.s1-16.20.494","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.20.494","url":null,"abstract":"","PeriodicalId":74586,"journal":{"name":"Provincial medical & surgical journal","volume":"16 20","pages":"494-8"},"PeriodicalIF":0.0,"publicationDate":"1852-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s1-16.20.494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29267314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-15DOI: 10.1136/bmj.s1-16.19.467
Merei
{"title":"Lectures on the Diseases of Children: Delivered in the Chatham Street School of Medicine, Manchester.","authors":"Merei","doi":"10.1136/bmj.s1-16.19.467","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.19.467","url":null,"abstract":"","PeriodicalId":74586,"journal":{"name":"Provincial medical & surgical journal","volume":"16 19","pages":"467-9"},"PeriodicalIF":0.0,"publicationDate":"1852-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s1-16.19.467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29250588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-15DOI: 10.1136/bmj.s1-16.19.471
E Sheppard
the elements of its own increase, and while the developing process has a resemblance in this respect to that of a voluntary muscle, there is no power in the heart, as in the arm, of securing rest, and the consequence is, a disproportionate increase of bulk in the overactive organ. The purpose of treatment, therefore, is to imitate the -effects of rest an a voluntary muscle, and this is fully effected by the remedy prescribed above. It must be -evident that a careful diagnosis is an important antecedent of treatment in these cases. Where fatty degeneration is supposed to be blended with the hypertrophied tissue, there is already a disposition to leipothymia, which should counter-indicate the use of the acid, and reasons might easily be adduced why no success could be anticipated from its employment when the heart is flabby as well as enlarged, and its tissue is infiltrated with the products of inflammation. These points are to be judged of by general as well as special diagnosis, and by the previous history. The causes of a true hypertrophy are often accidental, arising most frequently from overeffort of the muscular system, and from the extension of rheumatism; these occur often in the healthy, and their effects are peculiarly susceptible of cure; but where the endocardium or the valves have undergone change the bruit remains after ,the preternatural impulse is arrested. I will conclude by observing that the most promising ,:ases are those whiclh, while classed as presenting pathological phenonmena, not only from errors of relative proportion of the part affected to the entire organ, but from the numerous disturbing causes which they introduce, must be viewed as resulting through physiological phenomena. There is probably as little relative difference between the hard muscular limb of a trained man, and true hypertrophy of the heart from mechanical obstruction, on the one hand, as there is between the flabby, voluntary, and involuntary muscles of the anzemic patient on the other. Indeed it maybe shown that, in ordinary development from the foetal to the mature life of the heart, a law is observed similar to that which governs its hypertrophic increase. It is in fact found, that the various parts of this organ attain their due proportions in connection with the increased demand made upon them; the ventricles enlarge as the Eustachian valve becomes closed, the auricles having their development arrested as the foramen of Botal becomes opened, or in other words, the conversion of the ventricles from a single to a double organ, is attended from the third to the fifth month, with the establishment of that due proportion between the ventricles and auricles-Gwing to the increased activity of the former-which, in early foetal life, was wanting, affording a normal instance of an hypertrophy proceeding in one portion in relation to another, in the same organ. At the fifth month of foetal life the left ventricle is more capacious than its fellow, but the thi
{"title":"On the Treatment of Diarrhoea and Dysentery by Sulphuric Acid.","authors":"E Sheppard","doi":"10.1136/bmj.s1-16.19.471","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.19.471","url":null,"abstract":"the elements of its own increase, and while the developing process has a resemblance in this respect to that of a voluntary muscle, there is no power in the heart, as in the arm, of securing rest, and the consequence is, a disproportionate increase of bulk in the overactive organ. The purpose of treatment, therefore, is to imitate the -effects of rest an a voluntary muscle, and this is fully effected by the remedy prescribed above. It must be -evident that a careful diagnosis is an important antecedent of treatment in these cases. Where fatty degeneration is supposed to be blended with the hypertrophied tissue, there is already a disposition to leipothymia, which should counter-indicate the use of the acid, and reasons might easily be adduced why no success could be anticipated from its employment when the heart is flabby as well as enlarged, and its tissue is infiltrated with the products of inflammation. These points are to be judged of by general as well as special diagnosis, and by the previous history. The causes of a true hypertrophy are often accidental, arising most frequently from overeffort of the muscular system, and from the extension of rheumatism; these occur often in the healthy, and their effects are peculiarly susceptible of cure; but where the endocardium or the valves have undergone change the bruit remains after ,the preternatural impulse is arrested. I will conclude by observing that the most promising ,:ases are those whiclh, while classed as presenting pathological phenonmena, not only from errors of relative proportion of the part affected to the entire organ, but from the numerous disturbing causes which they introduce, must be viewed as resulting through physiological phenomena. There is probably as little relative difference between the hard muscular limb of a trained man, and true hypertrophy of the heart from mechanical obstruction, on the one hand, as there is between the flabby, voluntary, and involuntary muscles of the anzemic patient on the other. Indeed it maybe shown that, in ordinary development from the foetal to the mature life of the heart, a law is observed similar to that which governs its hypertrophic increase. It is in fact found, that the various parts of this organ attain their due proportions in connection with the increased demand made upon them; the ventricles enlarge as the Eustachian valve becomes closed, the auricles having their development arrested as the foramen of Botal becomes opened, or in other words, the conversion of the ventricles from a single to a double organ, is attended from the third to the fifth month, with the establishment of that due proportion between the ventricles and auricles-Gwing to the increased activity of the former-which, in early foetal life, was wanting, affording a normal instance of an hypertrophy proceeding in one portion in relation to another, in the same organ. At the fifth month of foetal life the left ventricle is more capacious than its fellow, but the thi","PeriodicalId":74586,"journal":{"name":"Provincial medical & surgical journal","volume":"16 19","pages":"471-3"},"PeriodicalIF":0.0,"publicationDate":"1852-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s1-16.19.471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29267308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-15DOI: 10.1136/bmj.s1-16.19.473
A Paul
{"title":"Case of Cancer of the Pylorus: Undetected during Life.","authors":"A Paul","doi":"10.1136/bmj.s1-16.19.473","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.19.473","url":null,"abstract":"","PeriodicalId":74586,"journal":{"name":"Provincial medical & surgical journal","volume":"16 19","pages":"473-4"},"PeriodicalIF":0.0,"publicationDate":"1852-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s1-16.19.473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29267309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1852-09-15DOI: 10.1136/bmj.s1-16.19.470
T G Hake
I AM desirous of drawing attelntion to the treatment of heart disease by means of inhalation. All remedies are in a certain sense applied with a view to effect local changes; but it has not been sufficiently considered that by means of eudosmosis it is easy to bring our remedies into direct contact with the lining membrane of the left heart and aorta, as well as with the capillaries of the pulmonary tissue. A sedative, (for example, fox-glove or hydrocyanic acid,) suspended in the vapour of water, or in atmospheric air, and inhaled, must pass by a well-known law into the capillaries of the lungs, and accompany the newly-aerated blood which they contain through the pulmonary veins to the left auricle. The result of-this process of treatment is direct, as respects the left auricle and ventricle only; but it is this side of the heart principally which becomes affected by disease, particularly by that form of it-namely, hypertrophy, which is susceptible of relief or cure by the means to be presently pointed out. While it is impossible to cure hypertrophy of the heart in an advanced stage,* it is of great importance to know that it may be cured easily in an early form, especially when it is remembered that the affection, at first slight, is progressive, and is attended with peculiar distress to the patient from its invasion. The method pursued by me in the treatment of this disease is the following:-I order from five to ten drops, the increase being gradual, of diluted hydrocyanic acid to be inhaled three times a day in the vapour of hot water, at the hours of eleven, three, and seven, or midway between meals. The patient is directed to lie down for one hour after each inhalation of the acid. The.effect of the treatment is at once to subdue the increased impulse of the heart for the space of an hour or more after its application, and the mere rest thus acquired by the organ conduces to restore it to health. Faintness is experienced by the patient for some time after inhaling the acid, not to a sufficient degree to be distressing, yet to such an extent as to render the recumbent position advisable. In mild cases, at the end of four or six weeks, the periodical arrest of impulse produced in the heart becomes peristent, but this improvement is attended with distressing feelings of faintness, and a return of palpitation on the occurrence of exciting causes. But at this period of the treatment the organic affection has given way, the hypertrophy, or 6ver nutrition is checked, and it only remains to restore tone to the nervous system of the
{"title":"On the Treatment of Incipient Hypertrophy of the Heart.","authors":"T G Hake","doi":"10.1136/bmj.s1-16.19.470","DOIUrl":"https://doi.org/10.1136/bmj.s1-16.19.470","url":null,"abstract":"I AM desirous of drawing attelntion to the treatment of heart disease by means of inhalation. All remedies are in a certain sense applied with a view to effect local changes; but it has not been sufficiently considered that by means of eudosmosis it is easy to bring our remedies into direct contact with the lining membrane of the left heart and aorta, as well as with the capillaries of the pulmonary tissue. A sedative, (for example, fox-glove or hydrocyanic acid,) suspended in the vapour of water, or in atmospheric air, and inhaled, must pass by a well-known law into the capillaries of the lungs, and accompany the newly-aerated blood which they contain through the pulmonary veins to the left auricle. The result of-this process of treatment is direct, as respects the left auricle and ventricle only; but it is this side of the heart principally which becomes affected by disease, particularly by that form of it-namely, hypertrophy, which is susceptible of relief or cure by the means to be presently pointed out. While it is impossible to cure hypertrophy of the heart in an advanced stage,* it is of great importance to know that it may be cured easily in an early form, especially when it is remembered that the affection, at first slight, is progressive, and is attended with peculiar distress to the patient from its invasion. The method pursued by me in the treatment of this disease is the following:-I order from five to ten drops, the increase being gradual, of diluted hydrocyanic acid to be inhaled three times a day in the vapour of hot water, at the hours of eleven, three, and seven, or midway between meals. The patient is directed to lie down for one hour after each inhalation of the acid. The.effect of the treatment is at once to subdue the increased impulse of the heart for the space of an hour or more after its application, and the mere rest thus acquired by the organ conduces to restore it to health. Faintness is experienced by the patient for some time after inhaling the acid, not to a sufficient degree to be distressing, yet to such an extent as to render the recumbent position advisable. In mild cases, at the end of four or six weeks, the periodical arrest of impulse produced in the heart becomes peristent, but this improvement is attended with distressing feelings of faintness, and a return of palpitation on the occurrence of exciting causes. But at this period of the treatment the organic affection has given way, the hypertrophy, or 6ver nutrition is checked, and it only remains to restore tone to the nervous system of the","PeriodicalId":74586,"journal":{"name":"Provincial medical & surgical journal","volume":"16 19","pages":"470-1"},"PeriodicalIF":0.0,"publicationDate":"1852-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s1-16.19.470","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29267307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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