Report made to the Academy of Medicine on the use of Gélis and Conté's dragees of lactate of iron / by a committee composed of Drs. Fouquier, Bally, Bouillaud, reporter.

  • Académie de médecine (France)
Date:
[1865?]
Catalogue details

Licence: Public Domain Mark

Credit: Report made to the Academy of Medicine on the use of Gélis and Conté's dragees of lactate of iron / by a committee composed of Drs. Fouquier, Bally, Bouillaud, reporter. 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.

    10/20 (page 10)
    The number of Dragee9 was progressively raised to twelve in twenty-four hours. The llth December, being satisfied with the improvement she felt, and impatient to leave the hospital, she urgently requested her discharge, although her courses had not appeared. However, she affirmed that she felt quite well; her appetite, which was null on her admis- sion, had so much improved that she wanted to be always eating. She felt strong; her cheeks were well colored; she went up and down stairs without feeling either shortness of breath or palpitations. The veins beneath the skin became apparent and of a blue lint, which was evidently caused by the healthy color of the blood in them; the pulse was no longer low and variable. A slight noise was heard at intervals in the carotid arteries. Amenorrhoea; consecutive chlorosis.—Dr. Fouquier. Caroline B... was admitted to Ste. Anne’s ward on 2ist November: age 21 years, constitu- tion lymphatic, hair light, courses began at 16, and continued until she was 18 ; at that time a complete suppression took place in consequence of her having had the imprudence to dip her hands in cold water in winter, when her menses were flowing. This suppression conti- nued for eighteen months, and was accompanied by all the symptoms of chlorosis. Jn tlie nineteenth month after, the menstrual discharge appeared inconsequence of the use of ferruginous preparations, wormwood, saffron, and other emmenagogues. Ferru- ginous water would not remain on the stomach, but was vomited; after having reappeared in the following month the menstrual discharge was again suppressed, and did not reap- pear till four months afterwards. Actual state: face puffed, loss of appetite, constipation, palpitation of the heart after the least exercise, noise of blowing at the first sound of the heart, continued noise in the carotid arteries, headache, giddiness, pains and swelling in the inferior members, slight tendency to fever. The 22nd, six Dragees of Lactate of Iron. The 24th, appetite augmented (six Dragees). The 261h, appetite good ; fever and headache have ceased (8 Dragees). The 29tli, menstrual discharge appeared of good color (io Dragees). The 30th, suborbitary nevralgia radiating towards the temple (12 Dragees). The 4th December, appetite continues; arterial noises almost imperceptible and intermit- tent instead of continuous; no giddiness, no palpitations. The 6th December, discharged, perfectly cured. Chlorosis, very decided; Amenorrhoea following a confinement; communi- cated by Dr. Hardy, Head-Physician of La Charile. A lady, aged 21, was confined in November, 1839; very serious phlebitis of the inferior members (mercurial frictions), serious stomatitis; slow recovery, chlorotie state very decid- ed, face pale and puffed, palpiiaiions and shortness of breath after the slightest exercise, gastralgia, general weakness, impossibility of walking even very short distances; the cata- menial discharge did not appear, though it had always been regular previous to her pregnancy. Six months alter her confinement, an abundant hemorrhoidal flux came on, and from that time Ibis additional loss of blood occurs at Ihe proper period for the menstrual discharge, all the symptoms above-mentioned continuing the same. During Ihe summer, passed in the country, an improvement took place. In the autumn on her return to Paris, the symptoms of chlorosis reappeared with greater intensity; thp patient was unable to make two steps in the street without slopping to take breath; pain in the anterior region of the chest, loss of color in the face, frequent giddiness, noise in the head, buzzing in the ears. The 1st December, 1839, a dose of eight grains of Lactate of Iron (eight Dragees) to be con- tinued every day. Three days after, increase of appetite; eight days after that, remarkable return of color to the face ; great rebel experienced. Fifteen da>s afterwards the patient was able to walk a considerable distance: ihe I2lh December, when she expected the hemorrhoidal flux in addition to the menstrual discharge.it did not appear, and no indisposi- tion occurred in consequence. At (he beginning of January, 1840, the symptoms of chlorosis had disappeared; no gastralgia, the skin had regained its natural co|or, no difficulty of breathing, no palpitations, no pain in the chest; the patient was Able to walk long distances without fatigue. The 10th January, about fourteen months after her confine rent, the normal menstrual discharge reappeared.