19th. Mrs. R----, of B----, AEt. 47. Supposed Asthma, of
eighteen months duration. She had kept her room for four months, and
could not lie down without great disturbance; was very thin, and had
totally lost all inclination for food. She was directed to take two
gr. of pulv. fol. Digital. night and morning for five days, and
infusum amarum, at the hours of eleven and five. In the course of a
week she was much relieved, and could remain in bed all night. After a
few days interval she took the Digitalis for five days more, and was
soon after that well enough to come down stairs and conduct her family
affairs.
In _April_ 1785, she had a slight return, but not such as to confine
her to her chamber. She experienced the same relief from the same
medicine, but continuing it for seven days without interruption, it
excited nausea.
CASE CXLIII.
_October_ 28th. Mr. A----, subject to nephritis calculosa: After an
attack of that kind, had still a troublesome sense of weight about his
loins, now and then rising to pain, and a degree of dysuria, together
with a want of appetite. These symptoms not readily yielding to the
usual methods of treatment, I directed an infusion of Digitalis. The
fourth dose caused a copious flow of urine; the sixth made him sick,
and he was more or less sick at times for three days; but felt no more
of his complaints.
I don't believe it is at all necessary to bring on sickness in these
cases, but an unexpected absence from town prevented me from seeing
him time enough to stop the exhibition of the medicine.
CASE CXLIV.
_October_ 31st. Mrs. C----, of W----, AEt. 67. Asthma, and very thick
hard legs of long continuance. The last month or two her breath worse
than usual, her belly swollen, her thighs anasarcous, and her urine in
small quantity. After trying garlic, squill, and purgatives without
advantage, I directed the Digital. Infus. After taking about five
ounces, her urine from thick and turbid, changed to clear and amber
coloured, its quantity considerably increased, and her breathing easy.
Contrary to my orders, but impelled by the relief she had found, she
finished the remaining three ounces of the infusion, which made her
very sick, and the free flow of urine immediately ceased. No medicine
was administered for a fortnight, during which time her complaints
increased. I then directed an infusion of tobacco, which affected her
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