Koumiss : its mode of preparation and its remedial value / by William Pepper.

Date:
[1878]
Catalogue details

Licence: Public Domain Mark

Credit: Koumiss : its mode of preparation and its remedial value / by William Pepper. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    phthisis. In this form of pulmonary diseaser which, in this climate, is by far the most fre- quent variety of so-called consumption, the pulmonary trouble is often complicated with gastro-hepatic catarrh, either in a subacute form, or in the form of acute attacks recurring at irregular intervals. I think that all careful observers must have noticed how frequently in such cases milk disagrees, and oil cannot be taken. The difficulty of getting these patients to digest a sufficient amount of nourishing, fat- making food is, indeed, one of the most serious points in their treatment. I can confidently advise the use of koumiss in this condition. The patient can usually make three light and simple meals, and in addition half a pint of koumiss can be taken early in the morning, between breakfast and dinner, between dinner and supper, and toward bedtime. A special advan- tage to be here noted is, that when taken at night it not only agrees well, but exerts a mild soporific influence. It is probable that the high reputation enjoyed by koumiss as a remedy in phthisis in some distant parts of the world is due to its excellent action in many cases of the class I have alluded to. As an illustration of another condition not rarely met with in phthisical patients, I may quote the case of T. W., aged 24, who applied to me with extensive disseminated disease in the left lung, with a glazed, moist tongue, fre-