A dictionary of treatment, or, Therapeutic index : including medical and surgical therapeutics / by William Whitla.

  • Whitla, William, 1851-1933.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: A dictionary of treatment, or, Therapeutic index : including medical and surgical therapeutics / by William Whitla. Source: Wellcome Collection.

    51/968 (page 43)
    size of the tumour, but Broadbent has shown that it is not by acting upon the muscular fibre. 2. The injection of coagulating liquids, chiefly the Perchloride of Iron. For internal aneurism this is unjustifiable, as there is danger of emboli and the risk of setting up sloughing in the sac and inflam- mation in surrounding parts. (It may, however, be useful in small varicose and cirsoid aneurisms.) 3. Acupuncture by fine needles, or the introduction of foreign bodies into the sac to cause coagulation—as Horse Hair, Steel Wire, Watch Springs, Catgut, &c. The results have been most unsatisfactory, and nearly always fatal. 4. Galvanopuncture. This is carried out in a variety of ways. The best method being the insertion into the sac of two needles insulated ^yith vulcanite except near to their points, the uncoated parts within the sac being so inserted as to be a considerable distance apart, the needles are then connected with the wires of a battery giving a low tension current, and the electric fluid permitted to flow between the needle points till coagulation of the blood in the sac results, as evidenced by the alteration in the shape and pulsation of the tumour. Sometimes only the needle connected with one pole, either negative or positive, is inserted whilst the opposite pole is applied outside the sac or to the skin in its vicinity. Some cases of cure have, undoubtedly, followed this method of treating internal aneurisms; but, upon the whole, the results are far from satisfactory, and fatal inflammation, sloughing, and haemorrhage, have followed. It has been suggested that Lecithin might be injected into the outer coats of the aneurism, with the view of favouring coagulation. This substance is found as a constituent of the red blood corpuscle - it may be regarded as a glycero-phosphate of neurin. ' The pam of internal aneurisms may be lessened by narcotics like Opium, Morphia, and Indian Hemp; and large doses of Iodide of Potassium sometimes give relief and render life bearable. 5 grs of Antipyrme or 3 grs. of Antifebrin often relieve distress in a remarkable vvay without producing any bad consequences, and their administration may be continued for a long time Where the aneurism is upon any of the limbs within easy reach there IS good chance of a cure by some of the following methods-— 1. Pressure upon the main trunk—Digital or Instrumental. 2. Rapid Pressure under Ansesthetics. 3. Local Pressure upon the Sac. 4. Ligature—Proximal and Distal. 5. Extirpation. 6. Manipulation. A^^f^^^SH^^'^^^-®®® Lymphangitis. ANGINA PECTORIS. Attention should be directed to measures with a view to cut short tne at acks, and, secondly, to remedies for administration during tne attack with a view to prevent its recurrence.