l.] /;«//. )j Southern Confederacy, WOAr& nic in th>Fngranesa nt and /?< mdttent Fevere.— In five3 it was observed that in spite of and during the employment of arsenic, the simple fever became aggravated remittent,sub-continued and pernicious a fortiori, then, thismedicine would have no action npon a fever already of thischaracter.>-.— Arsenic is not for a moment to be regardeda^ a substitute for sulphate of quinine. It will probably finda limited place in the treatment of indigenous intermittentfevers, but it has absolutely no pretensions against the recentendemo-epidemic fevers of hot countries. We are scarcelyauthorized to employ it except in the fevers which resist allthe preparations of bark.Uncertainty and contradiction reignover almost all points relative to arsenic. It is a medicinewhich we cannot yet handle with the double certainty of obtainingthe effect desired, and of avoiding the dangers connectedwith its administration."These results of the carefnl observations of M. Jaequot, arcworthy of most carefnl consideration by the physicians of theSouth, on account of the similarity of the heldof experimentwith a large portion -o/ the South; and they are especiallyworthy of most careful examination, from their antagonism tothe most astonishing results which M. Bondin, of Paris, claimst have accomplished with arsenic in the treatment of intermittentfever.M. Boudin affirms that in 4,000 cases of intermittentfever treated with arsenic, in the hospitals of Marseil!ailles and Paris, from 1843 to 1851, he had nothad occasion to resort in a >ingle instance to sulphate of quinine;and out of 311 cases treated at Versailles in a period of39 months, If. Boudin had but <strong>10</strong> relapsIt may well be asked whether the intermittent fevenPar [lies do not differ greatly in B
780 Joseph Jokes, on (he Indigenous [<strong>October</strong>,LKiATI Ki: OF THE EXTREMITIES IX INTEE-MiFEENT FEVERS.J have had no faith in and consequently no experience with thismode of treating intermittent fever. The following summaryof a valuable article by Drs. J. DeBrauw and II. J. Braers,taken from the North American Medico-Chirurgical Review,of March, 1859, presents this method of treatment in a strong,and, in fact, the most favorable light which I have yet seen :'•According to Drs. DeBrauw and Braers, the ligature ofthe extremities is a measure which has been already employedby ancient physicians to aid the treatment of intermittentlever, but has unjustly nearly fallen into oblivion. AlreadyPinius, (Hist. Nat. xxviii, G) knew this antiperiodic, as Pittsclioft(Hufelands Journ. ii, 3, <strong>pp</strong> 47, 48) states, and in TanSweeten's Commentaries to Boerhaave* Aphorisms, the 'levisbrevisque compresseo venarum in arbutus,' is strongly recommendedas a means to relieve the burning heat of fever. Dr.V. Hildebrand, however, declares the remedy, in his InstitutionesPractico-Medicce, to be unreliable, and in many respectsunsafe, and recommends caution in the use of it.JosFrank, (Prax. Med. TTniv. Precepta,) speaks of it in a verysuperficial manner, like many others, particularly more recentauthors. One of the most enthusiastic commenders of thismethod is George Ecllie, (Duncan's Medical Commentaries,vol. xix,) who, during the seige of Willemstadt, by the Frencharmy, in 1793, cured many cases ofintermittent fever (whichhad resisted the use of quinine) completely, by compression ofthe extremities. Upon this recommendation several physiciansin England—for instance, Veitch and "Wallich, (Mediz..National Zeitung, July, 1798, and in the Netherlands, (Age~mene Yaderl. Lettervefningen, 1808, 5)—tried this methodwith signal success. Of the more recent communications onthis subject, that of Prof. Chladni, (Ilufeland's Journal, xlii,p. 138) is worth particular attention. This celebrated savantbeing attacked il] L813 by an obstinate intermittent fever,used the remedy with much advantage. He discusses it. asquite innocuous, and explains its curative influence by f]\o
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