Gambar halaman
PDF
ePub

but two years, it has enrolled all the regular will restore the hair. Arnica oil is also an physicians of the county excepting three, and admirable remedy to promote the growth of its sessions are marked by a degree of interest hair. A small quantity well rubbed into the and good feeling which promises well for its scalp three or four times a week, can be tried future usefulness.

with expectation of benefit.-Clinical Reporter. F. M. WILEY, Secretary.

THE result of extensive experiments in the THERAPEUTIC NOTES.

German army as to the best treatment for excessive sweating of the feet has been to

prove the great superiority of chromic acid Dr. J. C. Wilson, of Philadelphia, in a recent over all other applications. Of 18,000 cases in number of the Medical Neurs, gives the follow- which chromic acid was used 42 per cent. ing as a remedy,par excellence,in scarlet fever: were reported “cured," 50 per cent. "improvChloral Hydrate,

grs. xxx.

ed,” and only 8 per cent. "unrelieved." The Syr. lactcuarii (Aubergier,)

method is first to bathe the feet, and after beAquæ,

āā Zisss. ing thoroughly dried a 5 per cent. solution of M. Sig. A teaspoonful in iced water every the acid is applied with a brush. Two or two, three, or four hours.

three applications suffice as a rule, but the The above is the dose for a child of two or treatment has sometimes to be repeated after three years' of age.

Increase according to a fortnight. age, adolescents taking five grains.

This he gives with no other treatment ex- ANTIFEBRINE IN TONSILLITIS AND SCARcept inunction from the outbreak until defer- LATINAL, SORE THROAT.-Dr. Sahli has found vescence. His experience with the drug ex- from personal experience and froin numerous tends over a period of seven years. It quiets observations on patients, that moderate doses delirium and restlessness; acts slightly as an of the antifebrine, seven grains, will almost antiseptic, and prevents by its antiseptic and invariably give great ease in cases of acute diuretic properties albuminuria. Each dose tonsillitis.- Weekly Medical Reviews should be followed by the administration of nourishment.

LAVAGE for irritation of the stomach should

be given a trial in every case of chronic dysPARAIDEHYDE AS A HYPNOTIC.—The uses pepsia which does not yield readily to the of the above drug are, I believe, becoming ex- ordinary method of treatment. tensively known, and its qualities appreciated.

DR. J. K. COOK. I find it a perfectly safe, and, if given in large enough doses, a very effective remedy. The CHLORLAMID, a combination of chloral and usually known dose is practically useless, formamid, is recommended as a powerful, reanything less than one drachm and a-half pro- liable and harmless hypnotic. From fifteen ducing little or no effect. The immediate ob- to thirty grains is a dose. served effects are quiet and refreshing sleep. It is of the greatest use in all forms of man- QUINSY.-In the early stages of quinsy, iacal excitement, with extreme restlessness, chloral liydrate is nearly a specific, three or and in cases of restlessness with dementia, four grains to the ounce of glycerine being whether paralytic or otherwise.-Lancet. used as a gargle. It is locally antiseptic,

astringent and sedative.- Medical Record. CHLORAL FOR DANDRUFF.--A solution of chloral hydrate, five grains to the ounce of A BACILLUS has been discovered in sections water, will clear the hair of dandruff, and pre- of warts, which is always present in the prickle vent its falling out from that cause. In many layer. It has distinctive qualities as regards instances where the patient is nearly bald, the its capacity for color, and is found both beapplication of the above mentioned solution tween and in the cells.- Journ. . M. A.

Känsas Medical Journal. eighth day. If bled later than the second day

.25 Cents.

Address

723 Kansas Avenue.

eighth day. If bled later than the second day death was the result. It was extremely fatal

and in some cities the entire population was PUBLISHED MONTHLY. affected.

In 1580, a severe epidemic spread from the SUBSCRIPTION PRICE, INCLUDING POSTAGE: south-east over Asia, Africa and Europe. In Per Annum, in advance.

82 00 Italy, Spain and England it raged simultaSingle Copies.........

neously during the latter part of August and Subscription may begin at any time. The safest mode of remitttance is by bank check or postal money order the early part of September, and often apdrawn to the order of the undersigned. When neither is peared in distant places at the same time. Its accessible, remittances may be made at the risk of the pub- force was expended chiefly upon the respiralishers, by forwarding in REGISTERED LETTER. Kansas Medical Journal,

tory organs, shortness of breath continuing

far into convalescense, which was marked by Editorial Committee :

free perspiration. Recovery, though tedious, W.L SCHENCK, M. D., Osage City, Kas. J. E. MINSEY, M. D., Topeka, Kas.

was the rule, excepting where the practice of S. G, STEWART, M, D., Topeka Kansas.

depletion prevailed.

There has been no regularity in the recurTOPEKA, KANSAS, FEBRUARY, 1890.

rence of the epidemics or in their extent.

They have been endemic, epidemic and panTHE Business Office of the KANSAS MEDI-demic, and seem to have been little affected by CAL JOURNAL is now located at 723 Kansas season, climate or location, at times prevailing avenue, up stairs.

simultaneously in the opposite climates of the

two sides of the equator, on different contiEpidemic Catarrh.

nents and in mid-ocean, and they have been

of every grade of severity, the mildest causing The epidemic through which the world has many deaths from complication with diseases just passed, though mild in most localities, is from which the patient might have recovered worthy a careful record and study. It is prob- but for the complication, it proving the straw able that epidemics of catarrh, under various that broke the camel's back." names, have visited the earth at irregular in- The epidemics have usually traveled in a tervals since the creation of warm-blooded direction opposite the movement of the earth · animals, sometimes affecting only the mon- upon its axis, and spread as though some inarchs of creation, at others the inferior ani- fluence that could not keep pace with the mals, often both. We find recorded evidence earth's motion had been left behind. But they of their existence as far back as 400 years B. have not always moved westward, nor with C., and systematic accounts of their presence the wind, nor aiong lines of travel, and before since 1510. The epidemic of that year started the advent of locomotion by steam seem to from Malta and spread rapidly north and west have moved with the same rapidity that has over Europe. Its prominent symptoms were since marked its movements, and occurring severe pain in the head, restlessness, hoarse. then as now simultaneously in cities and rural ness, difficulty of breathing, a straining cough, districts. Whilst most epidemies have spent often so violent as to threaten suffocation, fol- their force in from four to six weeks, there are lowed in a few days by a free expectoration of exceptions, such as in 1831, when the disease viscid mucus, and by loss of appetite and lingered in Paris for a whole year. At the strength. It was seldom fatal save in infancy. onset of an epidemic, many are simultaneously

In 1557. an epidemic started in Asia and attacked. It rapidly reaches its acme and sudrapidly overran all Europe. It was accom- denly disappears, leaving no sporadic cases. panied with slight pain in the side, some As yet we can only speculate upon its etiology, cough, difficulty of breathing, and fever. Un- and are compelled to acknowledge, despite all less bled at the onset, those who suffered the that has been written upon its many epidemics, pain in the side usually died on the seventh or that its cause and mode of dissemination are unknown. As neither individual isolation nor Called December 18th, 1889, to see Mrs. D, the isolation of location have afforded protec- American, aged 32, bilious temperament, but tion, its spread must be considered independ- nervous and frequently invalided from uterine ent of contagion. While instances are record-disease. Home comfortable, clean and healthed that seem to indicate contagion, and while ily located, weather mild and pleasant, and good men have believed it contagious, the general health good. Patient had had a chill general conclusion is that it is not, and that its during the night and complained of intense cause is not reproduced within the body. pain through the forehead and in the knees, While we are compelled to acknowledge a with a general ache of the limbs and body. specific cause, called into activity by some Temperature 103°, pulse 133, tongue coated, specific influence, we are also compelled to slight soreness of throat, bowels constipated, acknowledge that neither have been demon- nausea and vomiting, complexion sallow, strated.

brows corrugated with a general expression of The present epidemic is chiefly remarkable pain. As yet we had hardly heard of the onfor the absence of many of the prominent con- coming epidemic, and did not diagnose epiditions of former epidemics, and, while many demic catarrh. We supposed we had a remitof them have been wide-spread and rapid in tent with catarrhal complication, and pretheir diffusion, this has been somewhat phe- scribed Hydrarg, sub-mur, gr. iij.; pulv. epicac, nomenal in these respects. While other epi- gr. 72, followed in three hours with a seidlitz demies have been characterized by catarrhal, powder. R. Fl. ext. Gelsemii f. 3j.; Norbronchial and pulmonary symptoms-coryza, wood's verat, viridi gtts. viij.; Potas. citras. 3ij. sneezing, sore throat, hoarseness, cough, short- Brom. Potass., 5j.; simple syr., 3j.; aquæ dist., ness of breath and pain in side--these have qs. ad. 3ij. M. Sig. D., a teaspoonful every been exceptional in the present epidemic. It hour while fever, and R. Sulph. quiniæ, Dj; has been markedly and simultaneously pan- Brom. potass. Dij. M. Ft. caps. No. 7. Sig. demic. We had scarcely heard of its presence D. One at 6, 7, 8, 9 and 10 next morning. in Europe before it was in New York, Chica

Dec. 19, 10 a. m. Temperature 102, pulse go, Kansas City and Osage City. In the last

100, bowels moved but nausea continues. named place, the attacks, though sudden, were Continued treatment, directing the remaining usually preceded by a short malaria, the onset capsula to be taken on the following morning often heralded by a more or less pronounced and an epispastic over the stomach. Convachill, and in children not infrequently by con- lescent and discharged on the fourth day. vulsions. Frontal headache, often intense,

January 1, 1890, 9 a. m. Called to see Ella was always present. Pain in the knees, hips E., Swede, aged 24. Was in usual health the and back, sometimes very severe, was com previous evening, had a chill during the night.

Fever, present in most cases, was mild, Temperature 104°, pulse 140, skin hot and dry. often, however, with a temperature of 103 and Pain in forehead severe, pain in knees and 104° and a pulse of 120 to 140, and when high hips very severe and tender on pressure, usually accompanied with delirium. Pulse

tongue coated, bowels constipated, nausea and often irregular and intermittant. Skin hot

vomiting. Ordered sinapism to epigastrium, and dry when the fever was active, but fre

a small dose of calomel, a seidlitz powder in 3, quently normal or moist. Face usually flushed. hours, and eight grains of salycil. soda every Urine slightly changed, the usual sparsity, three hours, and during fever. R. Brom. potass. ivor and excess of urates and uric acid that marks fever. Tongue slightly covered with a Norwood's verat. gtts. viij., simple syr. 3j.,

citrat. potass, aa Jij. Fl. ext. gelsemii, gtts. xxx. light colored coat. Appetite impaired or want

aquæ dist., qs. ad 5ij. M. S. D. A dessert ing. Nausea and vomiting common. Bowels slightly constipated. The symptoms at the spoonful every hour while fever.

January 2, 10 a. m. Pulse go, temperature ouset of the disease often grave enough to por 100, skin moist. little pain anywhere. Contend serious results.

The characteristics of the disease may be tinued bromide mixture once in three hours. seen best through the report of a few cases: January 3. Convalescent; directed a grain of

mon.

quinine and three of brom. potass. in a cap. and four children. They occupied a small, three times a day.

illy ventilated, dark and extremely dirty room, January 1, 10 a. m. John Ec, Swede, robust with cracks in the floor that permitted the acbutcher. Had a chill during night, followed cumulation of the filth beneath. They all lay by fever and delirium. Intense pain in fore- on a bed on the floor, and had the appearance head, aching in limbs and back, with slight of being on short rations. The father had insoreness of throat. R. Sulpho carbolate soda 3j. tense pain in the head, high fever and delirium. Brom. potass, Jiv. Spts. nitre dulc. 5ij. F1. The mother had high fever, vomited frequentext. gelsemii, zi. Norwood's verat. gtts. viij. ly and had a kind of hysterical insanity. 'The glycerine, 3j. Aquæ Dist. qs. 5ij. M. S. oldest child, aged 9 years, had an occasional D. Half table spoonful every hour while convulsion; the other children, headache and fever. January 2. Convalescent and dis- mild fever. Reporting them to those messencharged.

gers of mercy, the Grand Army Relief Corps, January 2, 8 p. m. Saw a child 14 months for cleansing, and prescribing about as indiold. Had fever during the day, and had been cated above, they were discharged on the in a convulsion since 7: 30. Anæsthetized third day. This was the only instance where with chloroform and gave a full dose of bro- we found a whole family taken simultaneousmid. potass. and chloral by enema, left three ly, and we report it to show that though not grains bromide potass. to be taken every hour a filth disease, like other diseases it fattens on during the night if awake. No more fever or filth. Many cases are too mild for treatment, convulsions. No further treatment.

and a marked peculiarity of the epidemic was January 3. N. S. Taken during the night that cases of the gravest import melted away with intense pain in the ear.

like dew beneath the sun, either under the

Applied a little sulph. atropia in glycerine on absorbent cot- treatment indicated above, antiperine antifiton. January 4, 8 a. m. Pain in forehead se brine, hydrobromic acid and quinine, or merevere, general aching and active fever and nau- ly prudential measures. In Kansas the epi

Gave bromo cafiene every two hours, demic appeared in the midst of general health, and every hour while fever, a teaspoonful of and at the elose of the mildest December the following: R. Fl.ext, gelsemii fsj. Nor- known for more than two score of years. wood's verat. gtts. xvj.; Fl. Ext. belladonna, The mean temperature being 44.78 degrees, gtts. iv; Potass. citras, 5ij.; aquæ dist.

which was 15.32 degrees above the December qs.

ad. 3ij. M. January 5. Convalescent.

average, with a rainfall of 0.08 inch, which

was 1.54 inches below the average for the January 6, 9 a. m. Called to see Milton F.,

month, and a mean cloudiness of 3.33 per aged 14 years. Previous health good. Had complained of headache during the evening such conditions it is not a little difficult to de

cent. clearer than usual in December. Under previous, had chilled during the night, and

termine causation. During the early part of when seen was comatose, eyes bloodshot, and the patient irresponsive. Put five grains of January there was a sudden change in temcalomelon tongue, sinapisms over epigastrium perature and moisture which will account for and upper spine and gave bromides per rectum. the presence of the epidemic.

without Jan. 7. Could be roused but delirious, pulse 130, temperature 102, frequent vomiting. Prescribed, Fl. Ext. Gelsem. gtts. iij. Norwood's The Kansas Iledical Catalogue, Vol. 1, No. verat. gtts. j.; Fl. Ext. ipecac gtts. 14; Potass. 1, a monthly journal published at Fort Scott, citras gr. viij. Brom. potass. grs. V.; aquæ dist. Kas., and edited by F. F. Dickman, formerly 5ss. Every hour while fever.

editor of the Kansas City Medical Index, asJanuary 8. No fever, no headache, 110 vom- sisted by Drs. J. B. Carver and J. M. Poiniting. Says he is well but has no legs-weak. dexter, is on our table. It has a pretty face R. Sulph. quin. grs. iij.; Brom. Potass. grs. and wears nice clothes, and like Kansas proxr. M. Ft. chart. 3. S. D. One 3 times a day. ductions in general, it is a creditable periodi

January 8, Saw J, V. and family, self, wife cal.

sea.

Influenza.

THE Southern Medical Record now in its

twentieth year, and published in Atlanta, Ga., We are undergoing a visitation of influenza, has changed hands. Drs. T. S. Powell and or "la grippe." Many have been prostrated R. H. Ward retiring, and Dr. H. Howell asby it. The symptoms are much the same in suming control as business manager, with Drs. all cases. There is an absence of the severe A. W. Griggs, Wm. Perrin Nicolson and Frank catarrhal symptoms that were characteristic O. Stockton as editors. The valedictory of of the epidemic of 1847, and later in 1873. the retiring editors is very pretty, sentimental The prodromal symptoms are of short dura- and appropriate. The salutatory of the trio tion (two or three hours), and consists of shiv- of new editors contains the true spirit of ering; headache, generally frontal, followed by progress. The last proposition which is "We fever; pains in the muscles of the trunk and will urge the establishment of inebriate asylimbs; sharp pains in the chest like pleuritic lums to suppress and prevent crime and repains; temperature from 100° to 104° F.; eyes claim and restore to society such unfortunates congested, slight catarrhal trouble, bronchial as may be possibly cured," is highly comand intestinal. These symptoms, with greater mendable in Georgia, but would come under or less severity, continue about two days—the the head of preventive medicine in Kansas. pains in head subside and the fever falls, and Begin on the cause brethren, as you would the patient is left quite weak. In some cases in stamping out any disease and your efforts the violent symptoms continue longer, seldom will be more availing. The KANSAS MEDICAL more than four or five days. Relapses are JOURNAL, extends greetings and a God speed very common, and an attack of pneumonia is with a desire to x. apt to supervenie; this, in many epidemics, has been very fatal. The young, and old, and

A QUOTATION from the Med. Zeitung, in invalids, are usually most seriously affected. the Times and Register, describes the method The most effectual treatment is a hot foot

of induction of artificial labor as recently bath, the application of mustard to the spine brought out by Pugliatti, but practised by the

translator for many years, viz., the introducand over the chest; the bowels should be kept open with mild catharties; hot drinks. tion of an aseptic elastic bougie into the such as hot milk, &c.; antipyrin to relieve the uterus, as though it were not generally known. pain-this is not required in large doses, from To correct such a misapprehension on the 22 grains for children to 15 grains for adults, part of any, I would state that this is the repeated in two hours if necessary; quiniæ in method described and recommended by Profs. free doses, if prostration is great : stimulants. Reynolds and Richardson at Harvard for whisky, ammonia, &c. The patient should many years past, and it looks as though our be cautioned against early exposure.

Italian friends were behind the times rather than setting the fashion.

W. D. B. THE Medical Mirror, due notice of its conception having been given some months ANTISEPTIC CARPENTERY.—The American ago, has been born. From its appearance it druggist says, “there appears to be such a thing went to full term. It is not according to the as a diagnosis of disease in wood, and the stereotyped formula. Its mechanical make up botanical physicians profess to know that it is very good. The artistic display is unique. may be botanic or sporadic. Dry rot is callThe reading matter is up to the times. The ed contagious, and it is said that the germ of editorials remind us of the honeymoon of a that disease may be communicated to sound man with his second wife, which is accounted wood by tools which have been at work in for by the editor resuming. Many kind words diseased. It is thought possibly that the are spoken which will ever be remembered theory accounts for many otherwise incompreand the only break is on page 49. Taken all hensible breakages of timber. The suggesin all it is worthy its editor and may it con- tion is that sound timber should not be cut tinue to reflect so long as there is anything to with the saw that has passed through wood mirror.

J. E. M. affected by dry rot without cleaning."

« SebelumnyaLanjutkan »