upture. In
respect to the first, I knew an instance where a damasin stone, after a
long period of time, found its way out of the body near the groin. I knew
another child, who vomited some damasin stones, which had lain for near
twenty hours, and given great pain about the navel, by the exhibition of an
emetic given in repeated doses for about an hour. The swallowing of
plum-stones in large quantities, and even of cherry-stones, is annually
fatal to many children. In respect to the introsusception and hernia, see
Ileus, Class I. 3. 1. 6.
M. M. Repeated venesection. Calomel from ten to twenty grains given in
small pills as in Ileus; these means used early in the disease generally
succeed. After these evacuations a blister contributes to stop the
vomiting. Warm bath. Crude mercury. Aloes one grain-pill every hour will
frequently stay in the stomach. Glauber's salt dissolved in pepper-mint
water given by repeated spoonfuls.
When the patient is much reduced, opium in very small doses may be given,
as a quarter of a grain, as recommended in pleurisy. If the pain suddenly
ceases, and the patient continues to vomit up whatever is given him, it is
generally fatal; as it indicates, that a mortification of the bowel is
already formed. Some authors have advised to join cathartic medicines with
an opiate in inflammation of the bowels, as recommended in colica
saturnina. This may succeed in slighter cases, but is a dangerous practice
in general; since, if the obstruction be not removed by the evacuation, the
stimulus of the opium is liable to increase the action of the vessels, and
produce mortification of the bowel, as I think I have seen more than once.
12. _Hepatitis._ Inflammation of the liver is attended with strong quick
pulse; tension and pain of the right side; often pungent as in pleurisy,
oftner dull. A pain is said to affect the clavicle, and top of the right
shoulder; with difficulty in lying on the left side; difficult respiration;
dry cough; vomiting; hiccough.
There is another hepatitis mentioned by authors, in which the fever, and
other symptoms, are wanting, or are less violent; as described in Class II.
1. 4. 12. and which is probably sometimes relieved by eruptions of the
face; as in those who are habituated to the intemperate use of fermented
liquors.
M. M. Hepatic inflammation is very liable to terminate in suppuration, and
the patient is destroyed by the continuance of a fever with sizy blood, but
wit
|