The principles of midwifery : including the diseases of women and children / by John Burns.

  • John Burns
Date:
1811
Catalogue details

Licence: Public Domain Mark

Credit: The principles of midwifery : including the diseases of women and children / by John Burns. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    Dr Butter purges and bleeds only where there is well marked inflammation, and is satisfied often with taking only three ounces of blood at a time, whtm there is an exacerbation. Dr Manning very rarely bleeds, but trusts to emetics and purges, and em- ploys Dr Denman's antimonial, which is two grains of tartar emetic, mixed with of crab's eyes, and the dose is from three to ten grains. Dr.Walsh forbids venesection, and advises emetics, followed by opiates an<J cordials. Dr Hulm trusts to clysters, purges, and diaphoretics, and does not bleed unless there be pain in the hypogastrium, accompanied with violent stitches, and a resisting pulse. Even then he bleeds sparingly. M. Doulcet advises repeated emetics, followed by oily potions, and bark, combined with camphor. Mr Whyte is against blood-letting. He gives at first a gentle emetic, fol. lowed by a laxative and diaphoretics. Then he gives bark, with vitriolic acid, and supports the strength. Dr Joseph Clark trusts chiefly to saline purges and fomentations. Dr John Clarke, in Jiis excellent Essays, forbids venesection, and advises bark as freely as the stomach will bear it. Opium is also to be given, together •with a moderate quantity of wine, along with sago. If there be much purg- ing, the bark is to be omitted, till some rhubarb be given, or a vomit, if there be little pain in the belly. Dr Kirkland bleeds only if the patient have had little uterine discharge, and the pulse indicate it. He employs laxatives, and in the end bark and camphor. Dr Hull considers this disease as simple peritoneal inflammation, which may affect three classes, the robust, the feeble, and those who are in an inter- mediate state. In the first he bleeds and purges, in the second he begins with emetics and ends wnth bark, and in the third he bleeds with great caution. Dr Hamilton advises puerperal to be treated as putrid fever. Guinot, Allan, and others, recommend carbonate'of potash, in doses of tes er fifteen grains. M. Vigarous joins with those who consider this as not a fever sui generis, but one varying according to circumstances. Ic frequently begins, he says, before delivery, but becomes formed about thp third day after it. He has five different species. 1st, The gastrobilious, proceeding from aceumula- liom of bile during pregnane}'. The essential symptom of this species is in- tense pain in the hypogastrium. He advises first ipecacuanha, which he trusts to chiefly, and then clysters, laxatives, and saline julap. 2d, The putrid bili- ous. This is occasioned by bleeding, or neglecting evacuants in the former species; or even without improper treatment, the fever may from the first b« so violent, that bilious matter is absorbed. It is marked by great debility, small or intermitting pulse, tumor of the hypogastrium, with sharp pain and putrid symptoms, aphthae, vomiting, foetid stools, &c. He advises vomits, laxatives, and bark in great doses, with mineral acids, and clysters containing camphor, d, The pituitous fever, attended with vomiting of pituita. Thj
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