Clinical researches on the therapeutic action of chloride of ammonium in the treatment of hepatic disease / by William Stewart.

  • Stewart, William.
Date:
1879
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Licence: Public Domain Mark

Credit: Clinical researches on the therapeutic action of chloride of ammonium in the treatment of hepatic disease / by William Stewart. Source: Wellcome Collection.

    15/106 (page 3)
    liver congestion and acute hepatitis, and at length in 1870, in a pamphlet published in Eangoon, British Burmah, I laid before the profession my views on the subject; and in it and subsequent papers published in the Indian medical journals I arrived at the con- clusions embodied in the following statements :— 1. That congestion of the liver and acute hepatitis, when brought under treatment in the early stages, may be as effectually controlled and cured by the administration of the chloride of ammonium as dys- entery by ipecacuanha or ague by quinine. 2. That the only contra-indication to its use is a combined hot and dry state of the skin ; but that, the skin being made moist by suitable means, its admin- istration should be at once commenced, and continued as long as local sense of pain, tenderness, or other uneasiness exists, or till it no longer produces any sensible effects, and in smaller doses for some time longer.1 3. That the occurrence of suppuration is no reason for abandoning the use of the ammonium chloride. On the contrary, as it is a consequence of, and is accompanied by, hepatic congestion, pain and tenderness, and more or less pyrexia of an irritative or hectic type, with tendency to dysentery, it best meets the indications of the disease, not only by its special action on the portal circulation, by which the liver is relieved, its functions improved, and dysentery prevented, but by exerting a life-saving influence when persistently administered, and in protracted 1 See Appendix, page 89. B 2