Southern Medical and Surgical Journal - Georgia Regents University

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;1849.] O'Keeffe, on the Properties of Dogwood Bark, 1517th, 1, P. M. Has taken the Ext. ; exacerbation returnedabout 8 last night; was delirious ; all the symptoms of the previousparoxysm were somewhat aggravated ;vomited frequentlyand copiously ; thirst urgent—drank cold water ad lihituin.The pulse now is full and frequent ; skin warm and soft, beinginclined to perspire ;the face :head-ache severe, with neuralgic pains inexquisite tenderness in the cervical and upper dorsalspine—shrinks from the slightest pressure on that region ;tendernessin the epigastric, with a dull, heavy sensation in theright hypochondriac regions ;tongue dark, coated in the centre,red at the tip and edges ; eyes suffused and yellowish ; hasvomited twice since morning ; bowels constipated. Ordered :hot mustard pediluvium every two hours ;strong sinapisms tothe spine, and over the epigastrium ; one laxative pill to-night16 grs. Cornus every hour till 80 grs. are taken.18th, 11, A. M. Prescription strictly followed; had a mitigationof all the symptoms commencing about 5, P. M. yesterday;commenced perspiring after taking the second dose of theExt., which continued all night ; slept tolerably well—complainingof slight head-ache and sick stomach. This is herpresent state : pulse weak, and 90 per minute ; skin moist, andnatural in temperature ; tongue clearing off; slight pain in thehead, with great exhaustion; bowels costive. A compoundpowder of Aloes 2 grs., Calomel 3 grs., and Rhubarb 10 grs.4 grs. Ext. Cor. every hour till 48 grs. are taken ; diet, ricegruel, and chicken soup.19th. Has taken all the medicine ; has had one stool ; had acomfortable night's rest; pulse natural; perspired freely aftertaking the Ext. Cor. ; has slight pain in the head ; bowels stillconstipated. Ordered : Cream of Tartar and Jalap, on alternatenights, to keep the bowels regular ;diet, as before.20th. Faund her up, and attending to her ordinary avocations.Convalescence may be dated from this period.Case III. Mrs. T., aged 45, of delicate habit, good constitution,complained of tenderness in the legs and feet on the nightof the 27th Sept. ; to this tenderness succeeded lancinatingpains, with heat, swelling and redness. 28th. Felt a generaluneasiness, with some fever ;pains in the back and shouldersgreat restlessness, and want of sleep.
;:1 6 O'Keeffe, on the Proper^ties of Dogwood Bark. [January,29th, 4, P. M. First visit : had a severe chill about 8 thismorning ;pulse full, strong and frequent : skin hot and drycountenance flushed ; tongue parched, and coated white ; severehead-ache ;pains in the back and extremities ;pain in the epigastricregion ; the inflamed state of the legs and feet unabated,the slightest pressure on the legs producing the most exquisitepain, amounting to faintness; thirst urgent. Prescribed: Calomel,15 grs., incorporated with one laxative pill ; sinapism tothe whole length of the spine ; cold water, ademesem ; 15 grs.Ext. Cor. at 4, A. M. SOth, repeated every hour till 60 grs. aretaken; an infusion of Salts and Senna to-morrow morning.30th, 12, M. Prescription followed : has had several copiousstools ; vomited pretty freely last night ; slept but little ;had amitigation of all the symptoms, commencing about 3 this morning,the pain in the legs excepted ; exacerbation returned between8 and 9, with increased intensity ; has vomited severaltimes; head-ache violent, with delirium; excruciating pain inthe legs and feet ;pulse full and strong, 135; skin intensely hotand dry ; tongue parched and coated ;pain in the back andshoulders—cannot move without distressing pain; respirationhurried and oppressed ;great tenderness in the epigastric andboth hypochondriac regions ; vomits frequently. Orderedundiluted sinapisms to the spine and abdomen ; cold aflusiontothe head frequently ; cold water in large quantities, to promotevomiting.9, P. M. No abatement of the foregoing symptoms, vomitingexcepted ; has vomited but once since the application ofsinapism over the abdomen. 16 grs. Ext. Cor. at 2, A. M.,Oct. 1st, repeated every hour till 80 grs. are taken.Oct. 1st, 12, M. Has taken the medicine; had a remissionabout 1, A. M. ; has not had a return since. The pulse now issoft, and 98; skin warm and moist; swelling and tenderness inthe legs much relieved; slight pain in the head ;pain in theback and stomach all disappeared ; bowels torpid. Three laxativepills ;A grs. Ext. Cor. every hour until AS grs. are taken.2nd. Has taken all the medicine ; all febrile symptoms disappeared—onlyslight tenderness in the right leg.From this time, Mrs. T. continued to improve steadily tillconvalescence was complete.
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