inegar.
20th, He continued nearly in the same state: when roused from his
dozing, he generally gave a sensible answer to the questions asked him;
but he immediately relapsed, and repeated his muttering. His skin was
dry, and harsh, but without _petechiae_. He sometimes voided his urine
and _faeces_ into the bed, but generally had sense enough to ask for the
bed-pan: as he now nauseated the bark in substance, it was exchanged
for Huxham's tincture, of which he took a table spoonful every two hours
in a cup full of cold water: he drank sometimes a little of the tincture
of roses, but his common liquors were red wine and water, or rice-water
and brandy acidulated with elixir of vitriol: before drinking, he was
commonly requested to rinse his mouth with water to which a little honey
and vinegar had been added. His looseness rather increased, and the
stools were watery, black, and foetid: It was judged necessary to
moderate this discharge, which seemed to sink him, by mixing a drachm of
the _theriaca Andromachi_ with each clyster.
21st. The same putrid symptoms remained, and a _subsultus tendinum_ came
on: his stools were more foetid; and so hot, that the nurse assured me
she could not apply her hand to the bed-pan, immediately after they were
discharged, without feeling pain on this account: The medicine and
clysters were repeated.
Reflecting upon the disagreeable necessity we seemed to lie under of
confining this putrid matter in the intestines, lest the evacuation
should destroy the _vis vitae_ before there was time to correct its bad
quality, and overcome its bad effects, by the means we were using; I
considered, that, if this putrid ferment could be more immediately
corrected, a stop would probably be put to the flux, which seemed to
arise from, or at least to be encreased by it; and the _fomes_ of the
disease would likewise be in a great measure removed. I thought nothing
was so likely to effect this, as the introduction of fixed air into the
alimentary canal, which, from the experiments of Dr. Macbride, and
those you have made since his publication, appears to be the most
powerful corrector of putrefaction hitherto known. I recollected what
you had recommended to me as deserving to be tried in putrid diseases, I
mean, the injection of this kind of air by way of clyster, and judged
that in the present case such a method was clearly indicated.
The next morning I mentioned my reflections to Dr. Hird and Dr.
Crowt
|