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This disorder consisted in a severe pain of the "stomach, frequent and violent vomitings, great weakness and wasting of Heth. It was of some months itanding, and had exceedingly emaciated the patient. He had been grasped by the waistcoat, at the pit of the stomach, and thaken rudely. Three eminent physicians had in vain tried various remedies before 'he was brought to Dr. Hunter. No fulness, hardness, or tumor whatever could be discovered, though the patient's body was examined with attention in various poftures.
We shall give Dr. Hunter's directions for the treatment of this obfcure and dangerous complaint in his own words : they will not only exhibit the train of his thoughts, but will also afford an agreeable specimen of that familiar Socratic manner, by which he used to render instruction fo pleasing.
I told him, the patient's father, that there were two things which I would recommend.. The first was not so important, indeed, yet I thought it might be useful, and certainly could do no harm. It was to have his son well rubbed, for half an hour together, with warm oil and a warm hand, before a fire, over and all around his ftomach, every morning and evening. The oil, perhaps, would do little more than make the friction harmless as well as easy; and the friction would both footh pain, and be a healthful exercise to a weak body.
"The second thing that I was to propose I imagined to be of the utmost consequence. It was something which I had particularly attended to in the disorders of the stomach, especially vomitings. It was carefully to avoid offending a very weak stomach, either with the quantity or quality of what is taken down; and yet to get enough retained for supporting life. I need not tell you, Sir, said I, that your fon cannot live long without taking fome nourishment: he must be supported to allow of any chance in his favour. You think that for some time he has kept nothing of what he swallowed; but a small part must have remained, elfe he could not have lived till now. think, then, that it would have been better for him if he had only taken the very small quantities which remained with him, and were converted to nourishment ? It would have answered the end of supporting life as well, and perhaps have saved him such conitant diftress of being sick and of vomiting. The nourishment which he takes should not only be in very Imall quantity at a time, but in quality the most inofferifive to a weak stomach that can be found. Milk is that kind of nourishment. It is what providence has contrived for supporting animals in the most tender Itage of life. Take your son home, and as soon as he has rested a little, give him one ipoonful of milk. If he keeps it some time without sickness or vomiting, repeat the meal : and so on. If he vomits it, after a little rest try him with a smaller quantity, yiz. with a desert or even a teaspoonful. If he can but bear the smallest quantity, you will be sure Eng. Rev. Jan. 1785. VOL. V.
Do not you
of being able to give him nourishment. Let it be the fole business of one person to feed him. If you succeed in the beginning, persevere with great caution, and proceed very gradually to a greater quantity, and to other fluid food, especially to what his own fancy may invite him ; such as smooth grueb or panada, milk boiled with a little four of wheat or rice, thin chocolate and milk, any broth without fat, or with a little jelly of rice or barley in it, &c. &c.'
The title of this article has already told the reader that the event was fortunate. In the next paper Mr. Hey, of Leeds, relates four cases faccessfully treated in the same manner, excepting that he departed, probably without necessity, from the fimplicity of Dr. Hunter's plan, by giving the following draught, three times a-day.
B! Aq. font. 3vi.
aromar. gutt. xxx. M. f. Haust. Café of recovering from apparent Death, in consequence of tak.
ing a large Dose of Opium. By T. Whateley, Surgeon, Old Ftwry.
A man near 40 years old, swallowed two pieces of opiun, about two drachms each, with a defign to destroy himself. Half an hour afterwards Mr. Whateley saw him, and in the course of three quarters of an hour gave him fifteen grains of Tartar emetic, with a large quantity of warm water and camomile tea ; but in vain. He grew more and more infenGble, was sometimes delirious and unable to ftand, at others disposed to sleep ; his speech faultered, and his countenance changed. He next took six grains of merc. emet. flav, and in an hour afterwards twelve grains of tartar emetic, which, with warm liquids, excited vomitings several times, and greatly relieved him, though he was ftill disposed to sleep. Mr. Whateley now left him to the care of another person, who happening to go from himn for two or three minutes, found him apparently dead ; and Mr Whateley being again called, could perceive no sign of life, except a small irregular pulse. Air was immediately introduced into his lungs with a pair of berlows, at first ineffectually; but by repeated efforts he was brought to life. More emetics were now administered, and the utmost care was taken to prevent him from falling asleep. By these ineans he was happily recovered. Mr. Whateley justly, remarks, that when solid opium is taken, much longer attention to the patient is requisite than when it is swallowed in a liquid form, fince it will generally be evacuated, as in the present instance, only as it is diffolved.
Account of the Epidemic Disease of 1775. By Drs. Fothergill, Pringle, Heberden, Baker, Reynolds, Cuming, Glass, Am, White, Haygarth, Pulteney, Thomson, Campbell, and Mr. Skene.
This very general disorder, according to the accounts before us, appeared first in Dorsetshire, in which county Dr. Pulteney was seized with it at Blandford, in the middle of October ; and at Dorchester Dr. Cuming saw a person affected with it on the 15th of that month, but it did not become general sooner, indeed scarce so soon as in London, viz, about the roth of November ; at Lancaster it was three weeks later in its appearance than in the metropolis, though at York it seems to have begun quite as early. At Exeter, Birmingham, and Chester it was a week or nine days later. The symptoms, according to Dr. Fothergill, came on generally in the following order, giddiness, sore throat, cough, running at the nose, watery eyes, flight nausea, frequent calls to make water, and sometimes a diarrhæa. Next fevera ish heat, pain in various parts; the tongue moist, skin not remarkably
, hot or dry; pulse fuller, quicker, and harder than might be expected with such a state of the skin. Stools; whether spontaneous or procured by purgatives, black or of a deep yellow. In a few days all the symptoms, except the cough, abated. Those foonest grew well who had plentiful defluxions, black bilious stools, high-coloured urine, or profuse sweats soon after seizure.
The cure was generally foon effe&ted by warm, diluting; cooling medicines. Bleeding and blisters were in some cases necessary; the blood was fizy, but did not exhibit the cuplike appearance of inflammatory disorders. Anodynes, after the proper evacuations, were very useful. Towards its decline the disease assumed the type of an intermittent; which the bark did not generally cure, though some mild cathartic removed it.
In old afthmatic persons it induced a peripneumoniy, whiclt often proved fatal. A few died phrenetic.
The accounts of the other physicians agree for the most part with this sketch, though in a few particulars, as might be expected; there is some difagreement. Sir G. Baker lays that many were suddenly seized with great giddiness and ina tense pain in the head'; that the blood was not always fizy, and that the cup-like appearance occurred in several cases, whicha last obfervation is also inade by Dr. Reynolds. Drs. Glass and Caming saw a few patients with floughs of the malignant kind on their tonfils; and the former remarks that fwellings of the tonfils and submaxillary glands were not unfrequent. Dr. Ah obferves that it never appeared neceffary
to take any blood away. He is the only physician whom we have noticed as speaking in favour of emetics. Dr. White, of York, faw no crisis by a spontaneous diarrhæa; and bleeding, he says, did hurt; an apothecary told him that he never saw so many bad effects follow bleeding as in this epidemic.
Respecting the cause of the disease, all the authors, except Sir John Pringle and Dr. Glass, are filent. The following paffage of the former deserves to be quoted.
• I think you do well to record the state of the weather ; but I think the conclusion ought to be, that the sensible qualities of the air had most probably no share in producing this epidemic, I should be tempted to say, that they had evidently no part ; for we hear of the fame distemper having been in Italy, France, and in the Low Countries ; and, I doubt not, in other parts of Europe, had we inquired. But it cannot be supposed that the state of the atmo1phere, either as to weight, heat, or moisture, was the fame every where. And in the fame country have we not seen it rage district or city, whilst others, at no great distance, were totally free? Yet between the sound and the sickly there could be no considerable meteorological difference. My conclusion, therefore, should be, that such Epidemics (of which there have been four in my remembrance) do not depend on any principles we are yet acquainted with, but
upon some others, to be investigated, and by such means as Dr. Fothergill very properly and most commendably proposes to be done by the united inquiries of his brethren.' An Account of a fatal Disease of the Stomach ; by Dr. Morris,
With a relation of the Appearances on opening the Body. By Mr. Watson.
The pylorus in this patient was an inch thick, and projected into the duodenum, as the os tincæ does into the vagina : it was almost totally obstructed by tubercles, which lay both within and about it. This remarkable disease is illuftrated by an engraving.
We have thus pointed out what is most curious and important in this volume. It will, we trust, appear from our account that it is inferior to none of the preceding. But while we acknowledge its excellence, we cannot but reflect with some concern, how much of its value it derives from departed merit. When will the loss of Hunter and Fothergill, be supplied to the Society?
Longùm nofiris dolor & honor, In publications like the present, elegance of composition js doubtlefs an object of inferior confideration ; yet among writers who must have enjoyed the benefit of a liberal education, it is surprizing to find such a general want of accuracy and neatness of stile. Many typographical errors like
wise occur, among which there are several that obscure or change the sense ; these would have been more easily excused, if care had been taken to subjoin a list of them with correction's.
We must not conclude without briefly remarking the frequent references to doctrines, which, confidering how formidably they have been attacked, and how weakly defended, one should expect, would have been entirely put to flight. Thus the physician who communicates to Dr. Macbride an instance of anguis pectoris successfully treated, tells him that it was his intention to correct or drain off the irritating fluid. and Dr. Fothergill talks of acrimony with as much confidence as Boerhaave used to do.
Art. VII. A Discourse on the Inflitution of a Society for enquiring
into the History Civil, and Natural, the Antiquitie, Arts, Sciences, and Literature of Afia, delivered at Calcutta, January 15, 1784. A Charge to the Grand Jury at Calcutta, December 4, 1783; and a Hymn to Camdeo, translated from the Hindú into Persian: and from the Persian, into English. By Sir William Jones. 4to. London. Is. 6d. Payne and Son. T is a signal honour to Sir William Jones, that he was
called upon to open a new inftitution fo liberal as that of the Asiatic Society. His discourse is worthy of the occasion; and breathes that spirit of patriotisın, and that ardour for knowledge, which have constantly distinguished this celebrated scholar. The investigations of this new and promising Society are to be bounded only by the geographical limits of
The field for their researches is not only immense, but fertile in every topic that can excite curiosity and entertainment. They are not confined to Hindoitan. They are to carry a penetrating eye to the ancient and wonderful empire of China; to that of Japan; to the interesting country of Tibet, and the vast regions of Tartary ; to the beautiful provinces of Persia, and to the unmeasured deserts of Arabia.
While a space so unbounded is to engage the attentions and care of the Asiatic Society, the topics of their inquiry are vaft, and without measure. They are to examine what. ever is performed by man, or produced by nature, within the limits they have prescribed to themselves. They are to exhibit accounts of natural productions; to unfold the genuine records of empires and states ; to embrace the circle of pure and mixed mathematics ; to hold out speculations and facts concerning ethics and law; and to unbend in the fofter