Volume 3

St. Andrews Medical Graduates' Association : transactions, [1869-1871] / edited by W. Sedgwick.

Date:
1870-1872
Catalogue details

Licence: Public Domain Mark

Credit: St. Andrews Medical Graduates' Association : transactions, [1869-1871] / edited by W. Sedgwick. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    228/286 (page 198)
    Unfavourable Signs.—Excessive increase of the pains, constant sleeplessness, and violent palpitation of the heart. Length of Treatment.—Four to five weeks. ' GOUT. Spring.—As in rheumatism. The baths as warm as possible. I have seen no evidence of absorption of real chalk stones. [During my visit, I saw two cases where a gouty deposit had apparently decreased in size ; this was probably from absorption of the inflammatory thickening surrounding the earthy concretion. In weakly patients, I think that the alkaline bath only should be used.—L.W.S.] Favourable Signs.—Much as in rheumatism. The acid reaction of the urine is especially to be marked, (and for this the Lucius water is of especial efficacy,) as its diminution is a de- monstration of the improved blood-composition, and consequently of a weakening of the gouty diathesis. Abundant urinary deposits are, as in rheumatism, to be desired. Unfavourable Signs.—As in rheumatism, and as set forth in the general remarks. Length of Treatment.—Four to six weeks. SECONDARY SYPHILIS. Spring.—Pure alkaline waters are altogether useless in this disorder. Specially I refer to Carlsbad, so much acknowledged and praised by the otherwise nihilistic Vienna school as a therapeutic agent. There have come before me at Tarasp a few cases of syphilis, and in these I have used an admixture of sodium iodide with the Lucius water, and the result was not unsatisfactory, but I cannot relate any beneficial action of the Tarasp water alone. In the management of syphilis the health apparatus of a mineral spring can only be reckoned, in my conviction, amongst the adjuvantia, and for this purpose places with favourable climatic circumstances, and springs which contain iodine or bromine, as for instance Tarasp, should be chosen. Length of Treatment.—Not under four weeks. CANCER. In this disease, Tarasp is positively contra-indicated.