On the efficacy of the secale cornutum in haemorrhage and leucorrhoea, and on its effects in gonorrhoea / by G. Negri.

  • Negri, Gaetano.
Date:
[1833]
Catalogue details

Licence: Public Domain Mark

Credit: On the efficacy of the secale cornutum in haemorrhage and leucorrhoea, and on its effects in gonorrhoea / by G. Negri. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Her pulse appeared stronger, and her coun- tenance more animated and florid than before. She omitted once taking her powders for a short time, and the sensation of sickness and the pain in hoc side returned, but was very soon relieved by having recourse to the same remedy. The powders were continued, but only night and morning, from the 1st to tlie 14th of April. On the 15th they were entirely omitted, as our patient felt herself quite well. April 29th she was discharged cured, and has not yet returned. Case VII—As another instance of litema- temesis, we shall relate, with Dr. Macmichael’s permission, one which occurred in the Mid- dlesex hospital. Lucy Haselton, tetat. 21, single, w'as ad- mitted into the Middlesex Hospital on the 21st of September, 1830, under Dr. Mac- michael’s care, King's Ward. She was complaining principally of great ten- derness over the right hypochondrium, ex- tending towards the epigastrium; she had sickness, with vomiting of a dark fluid mixed with blood, partly coagulated. Local bleed- ing, and different astringent remedies were employed without success. On the 27th of November, Dr. Macmichael was kind enough to prescribe for her, at our suggestion, the following powder. R. Pulv. secalis cornuti gr. vi. ter die sumend. 29th. The patient was better, and the same remedy was continued. 30th. The hmmorrhage having ceased, and the pain over her right side greatly diminished, she was discharged, and only kept as an out- patient. The powder w'as ordered to be taken only twice a day. December 2nd. She stated she had not seen any more blood, and was going on well. Case VIII—Hcematemesis with enlarged spleen.—Eliza M‘Culloch, tetat. 10, admitted on the 3rd of October, 1833. About four years ago she had haemorrhage, which was considered to come from the lungs, and has continued at intervals ever since. The blood is generally of a red colour, and is never mixed withfood. The haemorrhage is usually preceded by pain and uneasiness at the scro- biculus cordis, and nausea ; the blood comes up in a way different from expectoration, by an effort similar to vomiting; she has after- wards a very unpleasant taste in her mouth. The fluid brought up in this way has been repeatedly brought to us. Being collected in a glass vessel, had more the appearance of a bloody lymph than of pure blood. It remained quite fluid, and had a peculiar disagreeable odour. The quantity emitted at eacli time has never been very considerable. She has pain on pressure being made at the scrobiculus cordis, and if on the right ex- tremity of the stomach, the pain runs across to the left. At the left hypochondriac region there is great prominence, and she complains of frequent pain there. She has often rigors at night, and afterwards perspires very much. She never had a cough or expectoration for any length of time; she is subject to violent fits of passion. Her illness has not weakened her much ; her appetite is good, and she sleeps well; her complexion is flushed. Although she had been admitted on the 3rd of October, it was only on the 17th we ordered about three grains of the secale cornutum to be taken every second hour. 21st. The vomiting of blood is diminished, and did not suffer any inconvenience from the regular use of her medicine.—Pergat. 24th. The vomiting of blood still continues as much as before. R. Pulv. secalis cornuti gr. vi., terlia qua- que hora sumend. November 4th. She has not brought up any blood for the last three days. The pow- ders'were then repeated, to be taken only night and morning. November 11th. She has had no more htemorrhage, although she has not taken any more of the powders for the last few days. She feels quite well; and having carefully examined the left hypochondrium, under her dress, no more prominence could be felt or seen on that side. She was then discharged cured. Case IX.—Hcemorrhagefrom the rectum. —Mary Smith, ret. 30, was admitted on the 29th of April, 1833. Had then a chronic diarrhoea, and afterwards haemorrhage from the rectum took place after each motion; this has continued for a fortnight, and she thinks she has passed more than a tablespoonful of clear blood after each stool. The diarrhcea was very much reduced, principally under the use of small doses of hydrargyrum cum creta and pulv. ipecacuanhae. On the 17th of June, having for the first time complained of this haemorrhage, and being on this day more copious thau usually, we thought proper to try in this case the effect of the ergot of rye. Six grains of the powder were ordered to be taken every three hours. June 18th. The patient was a great deal better. She told us that from the time she began to take the medicine, she had no more haemorrhage, although she had trvo motions tliis morning. The medicine was continued, but at longer intervals. On the 27th of June she was discharged cured. Case X Epistaxis—Sarah Hodges, art. 62, of a leuco-phlcgmatic habit, was admitted on the 19th of August, 1833. She was seized with epistaxis on Thursday evening, three days previous to her admission. On the fol- lowing evening (Friday), at about eight o’clock a. m., the hemorrhage returned, and con-