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A letter of fixteen pages on this subject, might be supposed somewhat prolix, yet whatever may seem digressive, appears pertinent at the same time. We can recollect, that within a year or two fince, a resolution was taken in Sweden, to change their copper boilers for iron pots, in order to preserve the health of the men; but we do not remember, whether the former were supposed to conduce to the scurvy or not.
The second, is the history of an Emphysema, or windy Tumour, of an enormous size, by Dr. Hunter.
The case, which terminated happily, is very circumstantially and accurately described, together with the treatment of 'it, in six or
The remarks annexed to it, on the cellular membrane, are truly curious, and must be fatisfactory to his anatomical and physiological readers. They employ about forty-four pages, and we are not inclined to wish them fewer.
The third, contains some farther observations upon the Use of Corrosive Sublimate. This implies a reference to what had been affirmed of this antivenereal remedy in the first volume. It contains four letters from three reputable Surgeons, attesting the great success of it in many cases. The fourth, is a letter from Dr. Alexander Russel on the same subject. It contains eight cases of patients recovered by the same medicine; ose cures had stood at the time of the Doctor's writing it, from four months to upwards of
The fifth, is a happy Reduction of that extraordinary and unusual Disocation, viz. of the Thigh-bone, by Mr. Travis, the writer of the first.
The fixth, contains two medical cases, which terminated in death, from Dr. Johnstone of Kidderminster. The first was a disorder of the Stomach and Viscera, in a person of fixty. The second was the case of an Epileptic, of ten years old, dying in the paroxysm. The dissection of both the bodies is annexed; and by a reflection on the extraordinary fulnefs of the arteries (those in the substance of the brain being visibly diftended with blood) and the large sinusles of the brain, which may be considered as veins, being entirely empty, Dr. Johnstone starts this very rational queryWhether in such epileptic insults, as bleeding is recommend ed for, arteriotomy hould not be preferred to venesection ?
The seventh is a curious case, communicated by Dr. Pye, of the effect of an accidental vomiting, consequent upon a
Paracentesis, or tapping.
The most fingular appearance in this case was the strange consultence of the Auid discharged, which, the Doctor says, congealed on the floor to such a degree, that the servant took up, by shovel-fulls, what was discharged by the wound of the trocar. The fupervening vomiting, however, had given some hopes of the patient's recovery (the case being dated March 1, 1758) but the Doctor says, that after taking sundry quack medicines, and being tapped twice more, the died in Hampshire the ist of November following.
The eighth, is the cure of a Locked Jaw, communicated by Dr. Macau.ay. The case is circumstantially related in a kind of medical diary; and the cure is afcribed to opium, asisted by the warm bath. This convulsive difease did not arise, as usual, from any wound of a tendinous or ligamentous part.
The ninth article, is a letter from Mr. Ramsay, surgeon, on the Use of Copper Vessels at Sea. It contains some cases related at length, and several in a summary way, of nervous and convulsive symptoms occurring in ships of war, which the writer afcribes to the verdigreale contracted by the foul coppers. It may be considered as an inforcement of the first article, except with regard to the sea scurvy, which Mr. Ramfav does not attribute to the use of copper veffels, but to other causes happening at sea.
The tenth, gives the Amputation of a Leg without any attending Hæmorrhage, by Mr. Antrobus, Surgeon at Liverpool. This amputation was in consequence of a mortifcation of the left foot : but as a separation of the gangrened part, and a good suppuration was effected by topical applications and the Bark, in a few days, we think it were to be wished, the amputation had been deferred, if the bones of the foot had not been found carious; to see whether Nature, properly afifted, might not have faved the limb. The want of a hæmorrhage, however, was an extraordinary circumstance, and thewed an extreme languor of the circulation.. Nevertheless, the patient recovered, having a digestion on, the stump the fourth day from the operation.
In the eleventh, Mr. Baine, Apothecary, gives his own: cafe in near seventeen pages : but as it commences in 1730, when he was thirteen years old, is continued to 1757, and may be called the annals of his fickness, it might plead for some extent. The case was an obstinate pain in the kidneys,
which was cured, after several remissions and intervals of it, by the Bath-water, boiling hot, and cooled to its natural heat at the pump, by the addition of Pyrmont water: but he foon found that common water boiling hot, with the like addition of Pyrmont, had an equally falutary effect. The case, upon the whole, is pretty well detailed, and there is no small honesty and candour in an Apothecary's acknowleging the general inefficacy of his gallypots: Two other cases are annexed to this article, confirming the fuccess of the same remedy in two of Mr. Baine's patients.
The twelfth, contains the process of making ther. (a kind of dulcified spirit of vitriol) by Dr. Morris, with fanie remarks, shewing the preference of his method to that.sf some French chemists. A few very summary cases are annexed. Thewing its efficacy, by external application, in one rheumatic, and one gouty instance. It has been used internally, he says, with success, in the hooping cough, by Dr. Conyers, at the Foundling Hospital ; and he does not recollect one cafe out of twenty, in which it failed of curing the tooth ach, by applying a tea-spoonful to the affected jaw, and repeating it till the pain ceases, which generally happens on the second application. This is the medicine and method by which the late Dr. Ward frequently removed the head-ach.
The thirteenth, is a very accurate and judicious account of an epidemical distemper at Edinburgh, and other parts in the south of Scotland, in the autumn of 1758, by Dr. Wnytt. It seemed to have some resemblance to our late epidemic Colds, as they were called. The learned author mentions, by the way, a bad fpecies of the small-pox, which destroyed eight out of twenty-eight in Fife ; while three or four died in some parts of Teviotdale, for one that recovered. To this article is annexed a letter to Dr. Whytt, on this epidemic, by Dr. Alves of Inverness : another from Dr. Millar at Kello to Dr. Pringle: another to the fame gentleman from Dr. Simfon, Chandos Professor at St. Andrews, who calls it an epidemic Cold, and cured it chiefly by confinement to a warm room, and encouraging a plentiful perspiration. He says, he loft none, but knew several old people who died, as he thinks, for want of care. He avoided bleeding, thinking it hurtful in this disease, tho' necessary in fome subsequent Night inflammatory disorders in 1759. The account of this epidemic is concluded by a letter to Dr. Pringle, from Dr. Stedman of Dumferline.' This gentleman bled in it (prudently enough) only where particular constitutions and symptoms append to
indicate it, observing, it was not mortal near him ; but adding, that many died at some miles distance; and he imagines, in some measure, through plentiful and repeated bleedings, from a conclusion; that it was highly inflammatory. He gives a very remarkable instance of this mistake, in the case of a young gentleman of the age of eighteen ; to whom he was called on the eighth day, when he had been bled fix times. He looked wild, with a propansity to rave, a starting of the tendons, and a wavering pulse, with a somewhat stiff, but unfizy, state of the Crasamentum. More bleeding, however, was infifted on, which Dr. Stedman (as the event plainly shaýa-prudently opposed ; and calling in another Physician, gave the patient some wine as a cordial, which, agreeing wil, was gradually increased, until he drank two bottles of Madeira in three days; after which he perspired freely, and recovered. This seems, indeed, to have been the natural outlet of this epidemic, and this cordial was a judicious expedient for unbleeding the patient, as far as it was possible.
The fourteenth, gives extracts of several letters from Dr. Whytt, (including others to himself) addressed to Dr. Pringle, and containing the cures of several inveterate cases by the Sublimate Solution. It extends to nineteen pages, including further extracts from Dr. Whytt's letters, printed in the manner of notes.
The fifteenth, is a Latin Letter from Baron Van Swieten to Dr. Sylvester, on the efficacy of the same remedy in curing an Opacity of the Eyes. It relates, in substance, that having known a venercal patient cured of an Opacity of the Cornea, joined to other pocky symptoms, by the solution, he ordered it to a noble youth who was blind, from an entire opacity of the Cornia in both eyes; not fro:n the least venereal taint, but in consequence of an Ophthalmia improperly treated. As the Corneas became pellucid from the ule of this remedy, the Baron could discern, that both the crystalline lenses, or humours, were still more opake: but this obstacle also was removed at the end of eighteen months. He was obliged, however, sometimes, to suspend the use of it for a week or two, to oppose the Ophthalmy, (into which his patient began now and then to relapse) by bleeding, bathing, and purging. His cyes were continually washed with a mixture of spirit of fal ammoniac and distilled vinegar, united to a perfect faturation, and diluted with rose or elder-flower water. Dr. Van Swieten adds, his noble patient now enjoys perfect health.
The tongue and
The sixteenth, contains an account of the Oleum Ricini, or Castor Oil, and its effects in bilious disorders, by Dr. Frazer of Antigua. This oil is expressed from the large feed of an annual plant growing in the West Indies, and the warmer parts of North-America. One of its technical names is Palma Chrifti, its very large leaf being divided into five deep segments, exhibiting a rude likeness of a hand, with the fingers at their greatest distance froin each other. It has been corruptly called the Agnus Castus (whence Castor Oil perhaps) but is commonly called the Oil-leaf, applied fometimes for the head-ach, and often used in dressing blisters : Dr. Frazer particularly recommends it in the dry beliy-ach, and says, infants may take a tea spoonful fafely, Cor an effectual expulfion of the Meconium.
The seventeenth, contains a violent scorbutic case, by Mr. Pugh surgeon at Chelmsford. It was attended with a great swelling, and Negroe blackness (as he terms it) of the legs, thighs, and inside of the arms. He says, the edges of the
gums were also black, all which appearances were greatly alleviated by fomentation, with the assistance of the Bark and elixir of vitriol; but the lamenels continued with an increasing hardness, &c: which were finalıy cured with a pint of milk turned into whey, by four ounces of the juice. of Water-cresles, half taken daily night and morning, and eating daily two Seville, and three or four sweet oranges.
The eighteenth, by Dr. Pye, exhibits some successful instances of the external use of the grossly powdered Bark, quilted into a waistcoat. This waistcoat is to be without sleeves, to be lined with a thin open-sort of callico, and to be applied immediately to the naked body. The cases in which it succeeded were eleven out of twelve. The ist, an Intermittent attended with a cough; the 2d, periodical convulsions ; the 3d, a remitting fever; the 4th, 5th, 6th, 7th, 8th, and gth, Intermittents. In the icth, which we suppose to have been an Intermittent, tho’ it is not specified, it failed. The uth was a Quartan succeeding a Tertian. February the 22d, the fit was very violent. A waistcoat was applied the 23d, A Night paroxysm of but two hours, instead of eight or nine, came on the 25th. On the 28th the Patient was perfectly well. March ist, the waistcoat was renewed : he continued perfectly well the oth: but upon enquiry, June 13, he had had three or four Night returns, but now is very well. The 12th instance was in a remitting fever after the measles, with peripneumonic symptoms ; in which the waistcoat fucceeded;