On a successful method of treating acute rheumatism by large and frequent doses of bicarbonate and potash / by Alfred Baring Garrod.

  • Garrod, Alfred Baring, 1819-1907.
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: On a successful method of treating acute rheumatism by large and frequent doses of bicarbonate and potash / by Alfred Baring Garrod. 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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    Urine passed early in the morning, strongly acid^ copious urate deposit; no albumen. Commenced on the afternoon of the 23rd the following treatment: R Potassaj Bicarbonatis, 3j, Aquaj, 3j ; ft. haustus. To be taken every three hours. Three leeches to left side. To-day was ordered to repeat the medicine every two hours. October 26th.—Pulse 110, rather hard; tongue furred, red at the tip; skin hot, no marked perspirations; bowels open yesterday. Knees and ankles much improved; com- plains most of left wrist, which is hot and swollen, and the dorsum of hand is red; little finger also affected; right wrist less painful than left. Cough troublesome ; friction- sound heard over left side, but no pain in the side at pre- sent. Urine strongly alkaline. 28th.—Pulse 85, small and not hard; appetite returning, tongue but very slightly furred, no thirst. Complains of no joint-afiection, and can move limbs freely; cough much better; pleural friction still heard; urine strongly alkaline. To take the medicine four times a day only. 31st.—Continues free from all joint-affection, and seems quite well. Some friction still heard. To take medicine night and morning only. This patient was afterwards ordered some infusion of columba wdth the ammonio-citrate of iron, as she was rather ansemiated, and in a few days discharged quite weU. It will be observed that the joint-affection and febrile symptoms in this case lasted only five days under the treat- ment, and that their total dm'ation did not exceed eight days. The heart did not appear to be in any degree affected, and the only complication to the articular disease was the slight inflammation of the left pleura. Case ii.—James St. George, set. 20, born of English