Practical observations on the remedial properties of Simaba cedron, and on its employment as a substitute for quinine / by Samuel S. Purple.

  • Purple, Samuel S. (Samuel Smith), 1822-1900.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on the remedial properties of Simaba cedron, and on its employment as a substitute for quinine / by Samuel S. Purple. 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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    1854.] pains in the facial and inferior maxillary nerves. These, un- der the use of carbonate of iron and vegetable tonics, almost entirely disappeared, and from this time until the succeeding October, with the exception of an occasional chill, or ague paroxysm, he continued to attend to his usual business. In the latter part of September, 1853, Mr. S. spent about a week on Staten Island, and, immediately on his return to this city, was seized with the tertian form of intermittent fever, for the cure of which, in the course of four weeks, he took an ipecac, emetic, quinine, Fowler’s solution, nux vomica, and pil. hydrar., followed again by quinine, with but slight, or temporary benefit. His general health having now become considerably reduced, he was almost ready to despair of a cure being effected in his case. On the 2d of November, I was first consulted in regard to the treatment of the case, and, as he had but two days pre- vious taken an emetico-cathartic, and there was but little cliylopoietic derangement, he was immediately put upon the use of cedron in powder, and in twenty grain doses, every four hours in the froth of porter, with directions to suspend the remedy only during the hot stages of the disease. For four days he steadily persevered in the use of cedron, and at the end of this period, as there was a marked improvement —;the paroxysms of fever having nearly ceased, and as there was present slight diarrhea, accompanied with griping pains in the bow'els—the cedron was diminished to ten grain doses, each dose of which was combined with fifteen drops of tinct. opii camph. This treatment was continued for three days, when all evidence of paroxysmal symptoms had disappeared. Mr. S. was now ordered ten grains of cedron every morning, with a view to its tonic effect, for I had become satisfied that it possessed decided tonic properties, especially in those states of the system which call for the use of columba, gen- tian, arid other vegetable tonics. Under this treatment, he gradually and permanently convalesced, and has since had no return of the disease. Case 4.—A. N., aged 19 years, of marked bilious temper*