;1849.] Ajnerican <strong>Medical</strong> Association.the statement may be made, that wholesome diet requires asupply of succulent vegetables, with a portion of vegetable acid.In the potatoe, tartaric acid exists, <strong>and</strong> to this is due its antiscorbuticproperties." 'Dr. Bellingham* has announced similar views. It is clear,'he says, 'therefore, that the cause of the present epidemic maybe traced to the absence of the potatoe from the dietary of thepoor, <strong>and</strong> it is equally clear, that a diet of bread, wMth or withoutmeat, or broth, is incapable of preserving the body in health,<strong>and</strong> tends to develope scurvy.' Facts, he says, upset the theoryof Liebig, that as carbon, the principal constituent of fat, isabunelant in potatoes ; whereas, the constituents of bone <strong>and</strong>muscle are found in peas, beans, oats, barley, rye, wheat, &c.,more plentifully ; that, therefom, these latter are more fit for alabouring population as articles of food. 'Indeed,' he says, 'ifall we read about nitrocrenized <strong>and</strong> non-nitro^enized articles offood were correct, the potatoe would have fallen into disreputelong since.' Whereas 'for more than half a century, it has beenthe sole food of the great majority of the peasantry of thecountry (Irel<strong>and</strong>); <strong>and</strong> we believe a healthier, hardier populationw^as to be met with in {qw countries—contrasting sadlywith their present altered aspect, after a diet for some monthscomposed of highly nitrogenized substances.'"Dr Ritchief also considers 'deficiency of potatoes <strong>and</strong> succulentvegetables as the most efficient cause.' In those formsof the disease in which the superadded symptoms are not sosevere as to call for the undivided or the especial care of thephysician, his treatment was diet regulated on principles deduciblefrom his views of the causes of the disease, <strong>and</strong> the useof lemon juice or citric acid.•" Dr. CurranJ takes similar views. 'In four-fifths of his cases,at least, the diet had been bread, with tea or coffee ; <strong>and</strong> in nosingle instance could he discover that green vegetables or potatoeshad formed part of their dietary.' He treated the diseasewith lemon juice, nitrate of potash, <strong>and</strong> vinegar."Dr. Christison§ agrees with all the other writers, that errorin diet is the cause of the disease, but considers that the indispensablearticle is milk." Dr. Foltz, in his excellent report on the scurvy in the UnitedStates squadron in the Gulf of Mexico, printed in the American<strong>Journal</strong>, attributes the disease to the absence of vegetables<strong>and</strong> refers to the change of the ration law, by which the oneday for vegetable food was taken away, as a cause of its appearancein the East India squadron. Dr. Dodd, of the Poto-* Dub. Med. Press, 1847. t Edinburgh Monthly <strong>Journal</strong>. 1 847.J Dublin Cluarterly <strong>Journal</strong>, 1847. § Edinburgh Monthly <strong>Journal</strong>, 1847.N. S. VOL. V. XO. I. 3
American <strong>Medical</strong> Association.\)^rm.sxY,mac, suggests that the inferior quality of the salt used in curingthe meat was one cause. Dr. Foltz sums up the causes of thedisease in the Mexican Gulf squadron thus : 'Protracted cruisingbetween the tropics, unwholesome <strong>and</strong> innutritions saltprovisions, vitiated atmosphere on board, resulting from imperfectventilation, at times a reduction in the quantity of water;<strong>and</strong>, in the crew of the Raritan, the despondency <strong>and</strong> disappointmentresulting from being kept on board ship after theexpiration of the time for which many of the crew had shipped.'He observes, in regard to the treatment, that it consists in supplyingthe system freely with protein, by giving freel}^ suchvegetables as most abound m it. The vegetable acids <strong>and</strong> potatoesare the chief means. The basis of the potatoe beingstarch, he suggests experiments with that substance. He confirmsthe experiments of Becquerel <strong>and</strong> Rodier in not havingfound the blood dissolved." Cancer does not affect the sexes indifferently. Mr. WilkinsonKing* gives as the result of post-nlortem examinationsmade at Guy's Hospital^ the extraordinary announcement thatone-half of the females who die about the age of 44 are subjectsof cancerous formations, <strong>and</strong> of males one-eighth only." Diagnosis in cases of Cerebral Disease.—Mr. Corfef saysthat when the lesion of the brain has been sudden, the eyes areclosed, <strong>and</strong> the patient is insensible ; when slow <strong>and</strong> progressivethey are half closed, or wide open, <strong>and</strong> there is distortion of thefeatures, irregularity of the pupils, dullness of the countenance,<strong>and</strong> palsy." Here the Committee will close their report with a contrastedreference to the opinions of two authorities, high in theestimation of their respective countrymen." In discussing the treatment of 'fevers <strong>and</strong> other diseaseshaving a definite course to run,' Ranking, in his RetrospectiveAddress, speaking of the contributions on the subject for thepast year, remarks:— 'We may, however, acquire this one ideafrom their perusal, that these cases get well but are not cured.Nature is the agent in the benefit produced, <strong>and</strong> he is the bestphysician who most clearly acknowledges her power <strong>and</strong> interferesleast with her operations. He is the worst who is everattempting to force her to bend to the potency of his drugs.'Prof Dickson, in his beautiful introductory before his class atthe <strong>University</strong> of New York, says, on the contrary, Our fevers'will kill, in a large proportion of cases, if not arrested artificially; our inflammations tend rapidly to disorganization, <strong>and</strong> ourproduvia to exhaustion, among the hardy <strong>and</strong> hard-living inhabitantof our wide spread territory, with the great majorityMed. Gazelle, 1815. t Med. Times, 1847,
- Page 1 and 2: SOUTHERNMEDICAL AND SURGICAL JOURNA
- Page 3 and 4: 2 O'KeefCe, on the Properties of Do
- Page 5 and 6: 4 O'Keeffe, on the Properties of Do
- Page 7 and 8: 6 O'Keeffe, on the Properties of Do
- Page 9 and 10: y—8 O'Keefie, on the Properties o
- Page 11 and 12: 10 0'Keeffe,onthePrope7*tiesofDogtt
- Page 13 and 14: ;12 O'Keeffe, on the Properties of
- Page 15 and 16: ;14 O^Keeffe Jon the Properties of
- Page 17 and 18: ;:1 6 O'Keeffe, on the Proper^ties
- Page 19 and 20: 18 O^Keeffe, on the Properties of D
- Page 21 and 22: :60 O'KeefFe, on the Properties of
- Page 23 and 24: 22 O'Keeffe^ on the Properties ofDo
- Page 25 and 26: —24 O'Keeffe, on the Properties o
- Page 27 and 28: —26 O'Keeffe, on the Properties o
- Page 29 and 30: 28 O^Keeffey on the Properties of D
- Page 31 and 32: 30 Eve, on Clinical Surgery. [Janua
- Page 33: —American Medical Association.[Ja
- Page 37 and 38: —36 American Medical Association.
- Page 39 and 40: 38 American Medical Association. [J
- Page 41 and 42: American Medical Association.'[J an
- Page 43 and 44: ^ New Operation for Cure of Varicoc
- Page 45 and 46: 4^ Cases of Pneumonia Typhoides. [J
- Page 47 and 48: 46 Cases of Pneumonia Typhoides. [J
- Page 49 and 50: —Scrofula— its causes,[January,
- Page 51 and 52: 50 Treatment of Ganglion. [January,
- Page 53 and 54: —52 Monthfy Periscope. [January,f
- Page 55 and 56: ——54 Monthly Periscope. [Januar
- Page 57 and 58: ———56 Monthly Periscope. [Jan
- Page 59 and 60: —58 Monthly Periscope. [January,R
- Page 61 and 62: ——so Monthly Periscope. [Januar
- Page 63 and 64: §2 Monthly Periscope.— Medical I
- Page 65: ; 1164 Medical Intelligence. -Meteo