Case, No. 23. ANGUS COWAN, æt. 9, healthy boy, Complains of headach, vertigo, tinnitus aurium, pain of chest, with frequent cough; pain of epigastrium, and over the whole of the abdomen, with frequent stools; severe pain of loins; much prostration of strength; general pains; occasional nausea; rigours and flushings. Look anxious; breathing hurried. Pulse 144, firm and sharp; tongue white and moist; skin hot and dry; thirst urgent; sleeps ill. Has been exposed to the contagion of fever. Has used no remedies. Emittatur sanguis e brachio prout ferat. Capiat potionis carbonatis calcis 3 fs post singulas sellas, : 28th, 4th day.—3 xij of blood drawn, which is sizy; look very greatly improved; respiration calm he is entirely free from ailment, with the exception of a little uneasiness of abdomen. Pulse 92, full and firm; tongue white but moist; surface soft; stools still frequent. Habeat sulphatis magnesia 3 iv. 29th, 5th day.-Convalescent. Omittantur medicamenta. 31st.-Dismissed cured. Case, No. 24. JOHN M'CONNAL, æt. 9. July 3. 7th day of fever, Complains of headach, vertigo, intolerance of light; pain at præcordia, and over the whole abdomen, aggravated by full inspiration, pressure or coughing; feels weak; much general soreness; nausea, occasional vomiting and rigours; countenance anxious; breathing oppressed; some flushing of face. Pulse 124, sharp; tongue white and dry; bowels rather costive; appetite bad; thirst urgent; sleeps ill: assigns no cause for ailments. Has used no remedies. Emittantur e brachio sanguinis 3 xij: Habeat sulphatis magnesiæ 3 v ex aqua, 4th, 8th day.A good night; countenance much improved; feels great relief to all his symptoms. Pulse about 120, somewhat sharp; tongue pretty clean, and moist ; four stools; blood not sizy. Continuentur medicamenta. 5th, 9th day.-Pulse is still quick, but tongue is clean and moist; has had three stools, and he has no complaint but some uneasiness of abdomen. Continuentur medicamenta. 6th, 10th day.-Pain of abdomen gone; completely convalescent. 15th.-Dismissed cured. THE HE following six cases are given as examples of the safety and utility of bloodletting in old subjects. Case, NO. 25. JAMES BROUGH, æt. 53, May 1. 3d day of fever, Was seized suddenly on the 29th ult. with violent shivering, headach, vomiting, and pain of left hypochondrium ; the other symptoms are now much abated; but pain of hypochondrium continues acute, and is much aggravated by pressure, coughing, and full inspiration; vomiting is frequent, and nausea distressing. Is also affected with occasional short dry cough, pain of loins, much loss of strength, lassitude, and general soreness: countenance and respiration oppressed; eyes slightly suffused. Pulse 108, full and firm; tongue white but moist ; skin hot and dry; bowels reported regular from medicine; appetite bad; thirst urgent; sleeps ill. Had a dose of physic yesterday. Has used no other remedies. Emittantur e brachio sanguinis 3 xxiv. Habeat haustum salinum effervescentem, nausea vel vomitu urgente, Decoctum avenæ pro potu, Cras mane sulphatis magnesiæ 3 vi ex aqua. 2d, 4th day.—A pretty good night; countenance im proved; no complaint, but of pain of left hypochondrium ; which though considerably relieved, still gives a good deal of uneasiness. Pulse 100, soft; tongue white, but moist; four or five stools; blood very sizy. Emittantur porro sanguinis 3 xviij, 3d, 5th day.-Pain of side much relieved, but not gone; has occasional short dry cough; no other complaint. Pulse 80, soft; tongue a little white, but moist; five or six stools; blister not applied; blood sizy. Imponatur vesicatorium lateri qua dolet. 4th, 6th day.-Blister discharged well; pain of side further relieved, but cough is rather aggravated. Pulse 92, of good strength; tongue moist, but a little foul; bowels regular. -Continuentur medicamenta. 5th, 7th day.-No complaint; functions natural. Omittantur medicamenta. 9th.-Common diet. 15th.-Dismissed cured. Case, No. 26. WILLIAM JACKSON, æt. 60, Coachman, spare, emaciated habit, April 15. Is incoherent, and can give no distinct account of ailments. Complains only of much prostration of strength; pain of loins and of lower abdomen; face flushed; eyes much suffused. Pulse 115, pretty full; tongue parched; surface hot but moist; bowels costive; no appetite, urgent thirst; sleeps ill. His present complaints are reported to be of a fortnight's standing, but he has been in an indifferent state of health for six months past. Emittantur e brachio sanguinis 3 xviij; et, Capillitio abraso, applicentur panna lintea aqua gelida madefacta. q. p. Injiciatur enema commune. Cras mane capiat sulphatis magnesiæ 3 vi ex aqua. 16th.-An indifferent night; breathing is hurried; no particular complaint; is more sensible. Pulse 100, soft; tongue dry; one stool from the injection; thirst continues; but he took some breakfast. Continuetur decoctum avenæ. 17th.-Passed a pretty good night; breathing still hurried, but he makes no complaint; countenance greatly improved; thirst gone, and he takes his food. Pulse 100, soft; tongue foul; bowels regular. Continuetur decoctum avenæ. |