Malarious fever / By E. Hare, Esq., Inspector General of Hospitals, Bengal.

  • Hare, E. (Edward), 1812-1897.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Malarious fever / By E. Hare, Esq., Inspector General of Hospitals, Bengal. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

    26/84 (page 14)
    Put Bark above in the place of Calomel, and you have the exact assertion of Lind Hunter, and Clark. Put Cinchonism from Quinine in.place of Ptyalism, and you have modern ex- perience. Again, page 52, he says.-- Once every day then, the dose of Calomel usually given every 4 or 6 hours, should be combined with a purgative, which will be sure to brin<r down a copious alvine evacuation. This will greatly relieve u ^PP^^^^^o^ tension of the epigastrium, as well as the headache. Indeed, so striking is the amelioration of - symptoms, after these intestinal evacuations, that in two or three instances, I was tempted to follow them up, and try - if they might not supercede the necessity of impregnating the system with mercury. I trode here on tender ground, and I was forced to measure back my steps, and have re- - course in the end to that powerful and invaluable medi- cme; but in one case I was too late. Warned by this, when- ever I combined a purgative with the Calomel, I directed a niercurial fi iction or two to be employed during their opera- tion, to prevent a halt in the pursuit of my ulterior and principal object, Ptyalism.^ There is no nice calculation here to decide as above quoted, from a Classified List of Medicines, which is physio- logically adapted, after careful weighing of the symptoms, to the case in hand. The direction is simple and unique, - salivate,-''' as it was in the former system pour in the Bark. It was therefore purely treatment by an antidote. Mercury had, however, been constantly used in the treat- ment of Tropical Fever before Dr. Johnson's time. Wade, in 1791, wrote strongly in favor of mercuriaHzation, and Dr. Chisholm in 1792. Dr. Robert Jackson says, in 1798, page 293 : - Calomel alone, or with the addition of dif- - ferent purgatives, has been long employed as an evacuant in the cure of recent Fever, particularly of the remitting - kind, and often with superior advantage; but the discovery of its virtues as a general remedy, and on the grounds of salivation, is due to Dr. Chisholm.''-' Milne, 1803, says, page 63 : He first gave 5-grain doses of Calomel, but, at the instigation of Mr. Liddell, he increased the quantity; and ^'icae doses I should have shuddered at * Dr. Miu-tiu, p. 382.