Arteriosclerosis : a summary view / by the late T. Clifford Allbutt.

  • Allbutt, T. Clifford (Thomas Clifford), 1836-1925.
Date:
1925
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Licence: In copyright

Credit: Arteriosclerosis : a summary view / by the late T. Clifford Allbutt. Source: Wellcome Collection.

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    degrees only might do immediate harm. Such treat¬ ment should be very cautiously approached. Antiseptics for the intestines, to counteract supposed meat poisons, if given by the mouth are by general agreement of little service ; but in simple hyperpiesia Dr. Bain speaks well of washing out the colon with an alkaline sulphur watery in the renal cases he found no benefit from it.^ From Metchnikoff’s lactic methodjwe gain nothing (p. 84); indeed, Dr. Leding- ham has demonstrated its fallacies. Diathermy—‘‘ d’Arsonvalisation ” (by the auto¬ condensation method ”) is, I believe, the most valuable immediate aid we possess for hyperpiesia. It is said that radium emanations have the same virtue. It is true that diathermy does not—so far as we know—counteract the direct cause or causes of the malady ; but until we know the primary causes we may be thankful to counteract the secondary. To restore order, we can only hit at what heads in the rebel crowd we see, whether of ringleaders or not; crude doctoring no doubt, yet often efficacious. However, diathermy needs cautious watching and adapting, and few radiologists can or will devote to 1 In the Lancet of Aug. 23, 1924, Dr. Istvan (in Dusznyak’s clinic) combated hyperpiesia (whether renal or not was not stated) with sulphur solutions given by intramuscular injection. One c.cm. of solution, containing 0-0001 gm. sulphur, is injected into the gluteal region, followed by a second in two or three days, and so forward at longer intervals ; but the doses are increased gradually to 5 or even 10 c.cm. The injections are painful and generally cause some pyrexia, which is said to be beneficial. Four or five injections, however, are usually sufficient. By relaxation of angiospasm the blood pressure is considerably reduced and so remains, and symptoms are mitigated, or even abolished.