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them as to beings of a superior order !” She concludes, “ Alas! what is dinner to this interesting affair ? ---Say, rash and inconsiderate reader, where has Richardson wrought up a scene like this?
ART. VI. Medical Observations and Enquiries, vol. vi. By a Society
of Physicians. [Concluded from our Review of November laft.] Case of a spasmadic Inability of Deglutition, caused (corrige
cured) by Mercurial Unētion. By 7. H. Sequira, M. D. THIS dangerous fymptom came on after a train of ner
vous complaints. When a variety of medicines had been ineffe&tually exhibited, a mercurial cerate was applied to the patient's neck, and two drachms of the unguent. cærul. fort. were rubbed in for three fucceffive days ; this treatment gradually restored the power of swallowing, and all the other symptoms vanished, says the author, as if by a charm. Tbe Use of cold Bathing in the Locked Jaw. By W. Wright,
M.D. F. R. S.
In this article we have an account of fix cases, successful. ly treated by the external application of cold water, a practice that has, of late indeed been talked of among physicians, but is by no means established. The water was forcibly thrown upon the patients, and the cold bath ordered several times a-day. Dr. Wright observes that he has never failed to effect a cure by this method. The causes, from which the spasm proceeded, deserve attention. The first patient had a ftroke of the sun. The second was beaten severely about the cheeks and temples. In the third instance the disease was apparently brought on by the uncommon warmth of the weather; at least no other cause could be assigned. The fourth patient had the sole of his foot wounded by a rusty nail. The fifth had slept all night in the cold air. The sixth was attacked with unusual violence by the joint evil. In this country the locked jaw originates from no cause more frequently than from an extensive burn. Will the same practice be equally successful in thefe cases ? Case of a singular Cough, by Archibald Douglas, M. D. Incontinence of Urine, cured by the Use of the Flexible Cathe
ter, by G. Mitchell. A Letter to Dr. Fothergill on the Benefit of a resuscitated Sa
livation, in the Cure of certain anomalous Symptoms, from Dr. Dobson.
A young lady took Plummer's pills in small doses, till a night salivation came on, which ceased again in a few hours, the immediately felt a fense of weight, fullness and uneasiness
under the xiphoid cartilage. These symptoms grew more and more troublefoine, till at last, when the attempted to swallow any thing, violent retchings instantly ensued. All these symptoms were soon removed by a free use of mercurials. The History of an extraordinary Affection of the Brain, in
a Letter to Dr. Hunter, from Drs. Smith and Wall, and Mr. Langford.
A bony concretion connected together the dura and pia mater, and the substance of the brain. The mischief seemed to spring from a blow on the hinder part of the head, received many years
before, a new proof, as it is well obferved, that every blow on the head, however flight the injury may appear at the time, ought to be an object of serious attention, and the effects ought to be obviated by reft, venæsection, medicines, and regimen.” Observations on the Cure of Fluxes, by small Doses of Ipecacu
anha, by Dr. Fothergill.
In an habitual diarrhea depending on some irritating acrimony of the juices, accompanied with great weakness and irritability of the bowels, Dr. F. recommends the following process.
“ Let a grain, one and a half, or two, of Ipecac. be given in Aq. Alexit. fimp. or any other vehicle, in bed, in a morning.-This will sometimes act as an emetic, and bring up bile ; fometimes it proves cathartic, and gives a few motions downwards extraordinary. In either case, a small bason of thin gruel may be taken, gently to promote its operation.
• At night an anodyne should be given, if there be nothing to forbid it; rather a warm and cordial one, than a simple anodyne. Confect. Damocrat. Theriac. - Androm, or Philonium, as the case may seem to require.
By this means an undisturbed night is generally obtained, at least the dose of the anodyne ought to be such as to ensure it. The ipecacuanha may be repeated or omitted the next morning, according to its operation the preceeding day. If vehement, either upwards or downwards, omit it till the morning following; but repeat the anodyne at bed time.
' It most commonly happens, that a very few doses of these medicines, with proper attention to regimen, gradually restrain these difcharges. And the same process, at longer intervals between the doses of ipecacuanha, generally put a stop to them, both fafely and effectually.'
He thinks the disorder has been often increased by the same medicine adminiftered in too large doses. He adds that strict regard must be had to the quantity of food. Case of a flatulent Tumour on the Head opened and cured. By
Mr. Lloyd, Surgeon.
These observations, which the author collected from expe
rience, in his own person, during a period of near thirty years, are highly deferving of attention. The following corollaries, as far as a single case can warrant general conclufions, feem to flow from the author's account of himself.
J. Gouty persons should take as much exercise as possible, in defiance of pain, as soon as the inflammatory stage is over. To the neglect of this precaution the author imputes the weakness of the joints that succeeds fits of the gout.
2. Leeches may be advantageously employed to abate inflammation. • 3. Emetics may be liberally administered at the approach of the gout, with the utmost fafety.
4. The bark is of great use when given in the intervals of the fever, and sometimes removes the symptoms.
5. If the part affected be exposed to the air, or wrapped only in the flighteft manner possible, the patient will escape great part of the pain usually attending fits of the gout, nor will any bad consequence ensue.
In these propositions we can discern nothing that is palpably absurd or inconsistent with the dictates of fair experience, though they lead to a practice very different from the common treatment of the gout. They are even, in many respects analogous to the most approved method of treating infiammations. Every one who has inspected, however slightly, the history of medicine, knows what superstitious precepts and mischievous cautions formerly regulated the conduct of the physician, and in particular by what mounds and fences the access of cool air was for many ages prevented. It may now perhaps be only blind custom that wraps the gouty limb in a dozen folds of flannel. Dangerous Effects from Eating a Quantity of ripe Berries of
Belladonna, in a Letter from Mr. Brumwell.
The effects mentioned in this article are neatly the same with those which are already upon record, as produced by the fame cause. Case of a Feather or Pen, Twelve Inches long, which was ex
tracted from the Desophagus. By Mr. King of Dublin.
It was extracted by the whalebone probe, which had a thread passed through the spunge, Case of a diseased Kidney, in · Letter from Mr. Pearfon of Doncaster.
This diseased kidney belonged to a boy four years and a half old, and weighed fixteen pounds and a half. The ureter was obliterated. An Instance of the good Effects of Opium in a dangerous Case of
Retention of Urine. By J. Pearson, Surgeon to the Locke
urine; and the usual treatment affording no relief, the author
We doubt whether this article will supply many important additions to what has been already written on the subject. On the Uncertainty of the Signs of Murder, in the Case of Ba
stard Children. By the late Dr. Hunter.
Every friend of humanity will rejoice at finding this most interesting topic of forensic medicine discussed by a writer fo well qualified both by anatomical skill, and experience in midwifery. They will be equally pleased to hear, that of suspected mothers, a far smaller number than is commonly imagined is guilty of this most enormous of all crimes. But by what process of reasoning does the author bring out this strange inference ? cries the multitude, exasperated by the popular clamour of a cruel and unnatural murder? The following quotation will give the reader a pretty good insight into the ideas of Dr. Hunter. But as the fubject is of such general concern, we cannot but express a wish to see this paper printed separately, and dispersed as widely as possible.
Here let us suppose a case which every body will allow to be very possible. An unmarried woman, becoming pregnant, is striving to conceal her flame, and laying the best scheme that she can devise, for saving her own life and that of the child, and at the same time concealing the secret-but her plan is at once disconcerted, by her being unexpectedly and suddenly taken ill by herself, and delivered of a dead child. If the law punishes such a woman with death for not publishing her shame, does it not require more from human nature than weak human nature can bear? In a case so circuinstanced, surely the only crime is the having been pregnant, which the law does not mean to punish with death ; and the attempt to conceal it by fair means should not be punishable by death, as that attempt seems to arise from a priuciple of virtuous shame.
• Having shewn that the secreting of the child amounts at most to fufpicion only, let us return to the most important question of all, viz. If in the case of a concealed birth, it be clearly made out that the child had breathed, may we infer that it was murdered? Certainly not. It is certainly a circumstance, like the last, which amounts only to fufpicion. To prove this important truth to the satisfaction of the reader, it may be thought fit to assert the following facts, which I know from experience to be true, and which will be confirmed by every person who has been much employed in midwifery. 1. If a child makes but one gasp, and instantly dies, the lungs
will swim in water as readily as if it breathed longer, and had theri been strangled.
• 2. A child will very commonly breathe as soon as its mouth is born, or protruded from the mothers and in that case may lose its life before its body be born ; especially when there happens to be a conliderable interval of time between what we may call the birth of the child's head, and the protrufion of it's body. And if this may happen where the best alliitance is at hand, it is still more likely to happen when there is none; that is, where the woman is delivered by herself.
3. We frequently fee children born, who fron cireumstances in their constitution, or in the nature of the labour, are but barely alive; and after breathing a minute or two, or an hour or two, die in spite of all our attention. And why may not that misfortune happen to a woman who is brought to bed by herself?
4. Sometimes a child is born so weak, that if it be left to itself, after breathing or sobbing, it might probably die, yet may be roused to life by blowing into its lungs, applying warmth and volatiles, rubbing it, &c. &c. But in the cases which we have been confidering, such means of saving life are not to be expected.
5. When a woman is delivered by herself, a strong child may be born perfectly alive, and die in a very few minutes for want of breath; either by being upon its face in a pool made by the natural discharges, or upon wet cloaths ; or by the wet things over it collapfing and excluding air, or drawn close to its mouth and nose by the fuction of breathing. An unhappy woman delivered by herself, distracted in her mind, and exhausted in her body, will not have strength or recollection enough to fly instantly to the relief of the child. To illustrate this important truth, I ihall give a Mort case.
A lady, at a pretty distant quarter of the town, was taken with labour-pains in the night-time. Her nurfe, who slept in the house, and her servants, were called up, and I was sent for. Her labour proved hasty, and the child was born before my arrival. The child cried instantly, and she felt it moving strongly. Expecting every moment to see me come into her bed-chamber, and being afraid that the child might be someway injured, if an unskilful person should take upon her the office of a midwife upon the occasion, she would not permit the nurse to touch the child, but kept herself in a very fatiguing posture that the child might not be pressed upon, or smothered. I found it lying on its face, in a pool which was made by the discharges; and so compleatly dead, that all my endeavours to rouse it to life proved in vain.
• These facts deserve a serious confideration from the public : and as I am under a conviction of mind, that, when generally known, they may be the means of saving some unhappy and innocent women, I regard the publication of them as an indispensible duty. Three Cafes of Mal-conformation in the Heart. By the same.
Three very remarkable cases; they are illustrated by a plate. The successful Cure of a severe Disorder of the Stomach, by milk taken in small quantities at once. By the same.