Southern Medical and Surgical Journal - Georgia Regents University

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—786 Secale Cornutumfor the Eyes. [November,within the first twenty-four hours—a circumstance which hehas frequently verified since. The first case that came underhis care was an example of exophthalmos, accompanied withenlargement of the thyroid gland and hypertrophy of the heart.After a few weeks' use of the secale, the hypertrophy ofthe heart and thyroid, as well as the projection of the eye, muchdiminish. The patient however left off the medicine, and theexophthalmos returned worse than ever. Since that period hehas employed the secale in various cases in which increasingcontractility of the muscles of the bloodvessels or other tissuesseemed to be indicated. It was found of especial advantage ina disturbed state of the accommodation-power of the eye, especiallyinduced by over-taxing the organ on small objects withan insufficient amount of light. Children from some of theschools have furnished the author with many instances, and theyhave always been relieved by the secale. He relates a case inwhich impaired vision was always brought on by sewing orreading, and wherein the signs of some amount of chronic congestionwere visible. Belief rapidly followed, and when the affectionrecurred some months after, it was as speedily relieved.He has also found the secale of great use in several cases ofacute or chronic inflammation of the eye, and especially inblepharitis and the pustular conjuDctivitis of children, the caseproving much more rapid, and relapse being much less rare,than when local means alone are relied upon. No benefithas been derived from it in granular conjunctivitis and trachoma.Proceeding upon the theory of its stimulant action upon thevaso-motoric nerves, the author has extended the employmentof the secale to other local disturbances of the economy ;and,as already observed, he has had frequent occasions of observingits transitory influence in hypertrophy of the heart, withouthaving any reason to believe that it is of any permanent utilityin affections of this organ, the heart always returning to its formersize soon after the use of the secale has ceased. In manycases of both chronic and acute hyperemia it has proved ofgreat service, and especially in cases of galactorrhea, and in indurations,tumefactions, and catarrhal affections of the uterus.Also, it has been very useful in enlarged spleen from intermittentfever, and when large doses of quinine have failed. It isespecially indicated in the cases of relapsing intermittent dependingupon enlarged spleen. In erysipelatous affections, it hasoften done good service applied externally as a cataplasm. Theauthor formerly gave ten grains ter die, but now gives but five,combining it with magnesia, or, when chlorosis is present, withChir. Review, and Am. Jour, of Med.iron.Sciences.[Brit, and For. Med_.
1859.] Divisions for the Cure of Deformities. 787The Reparative Process in Human Tendons after SubcutaneousDivisions for tlie Cure of Deformities.W. Adams, Esq., read before the Royal Medical and ChirurgicalSociety (June 28) a paper on this subject, illustrated by aseries of specimens and drawings from fifteen post-mortem examinations.Specimens of reunited tendons after division wereexhibited from ten cases, and also drawings, made by Ford, ofthe recent appearances in thirteen cases, at periods between fourdays and three years after the operations. These specimens hadbeen collected by Mr. Adams during the last eight years, andwere principally from patients operated upon at the Royal OrthopaedicHospital ; but for two specimens he was indebted toMr. Erichsen and Mr. Curling. After alluding to our presentscanty information on the subject, and describing the recent appearancesin fifteen cases, the author gave a general summary ofthe reparative process, describing—1st. The immediate resultsof the operation. 2dly. The commencement and nature of thereparative process. 3dly. The general appearance and structureof the newly-formed connective tissue, or new tendon. And4thly. The junction of the new with the old tendon. This wasfollowed by an account of the circumstances which may interferewith the perfection of the reparative process, or entirelyprevent it, so that non-union of the divided tendon may result.Complete failure of union had been witnessed by the authoronly in the posterior tibial tendon, but it appeared that there isconsiderable risk of such an occurrence whenever tendons aredivided in or near to dense tubular sheaths. It was shown thatimperfect union might result either from some constitutional defectin the reparative powers of the patient, or from injudiciousafter-treatment in a variety of ways, but principally from tooearly and too rapid mechanical extension. The conclusionswhich the author considered to be established by the above seriesof cases were arranged under nine different heads. It wasstated that tendon is one of the few structures of the body capableof reproduction or regeneration, and that the newly -formedtissue acquires within a few months of its formation the structuralcharacters of the old tendon so perfectly, as that, under themicroscope, it is with difficulty distinguishable from it; but itdoes not acquire through its substance the uniformly opaque,pearly lustre of old tendon ; in the mass it retains a greyishtranslucent appearance, so that the recent section affords an easymethod of distinguishing the new from the old tendon. Thegreatest length of perfectly formed new tendon which the authorhad seen was two inches and a quarter, and this was in thetendo-Achillis of an adult, a year and a half after it had beendivided by Mr. Curling. That the process by which new ten-
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Page 23 and 24: 1869.] Lecture upon Cerebral Fever.
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Page 39 and 40: :—:1859.] Diphtheria. 761by its o
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Page 43 and 44: ——1859.] Diarrhoea of Infants a
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Page 59 and 60: 1859.] Dr. 0. C. Gibbs. Summary. 78
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Page 67 and 68: ;1859.] Incision in Anthrax. 789Inc
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Page 71 and 72: ———and1859.] Miscellaneous. 7
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Southern Medical and Surgical Journal - Georgia Regents University

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