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ON THE EFFICACY OF THE ERGOT OF RYE.
26
appear extremely strange, that a ’exclaimed, "Good God, what have zlozc of so rare occurrence at the me it flies all over like lightning !" should be sent for discussion to a set ofl’bis was almost instantaneously succeeded Dubs, and others, and not to a ! by strong pains ; the head made progress, and thing indicated a speedy delivery. Society, of which there are two in and to each of which Mr. Setvell belongs. ! In twenty minutes the pains rather abated, when another glassful was given ; they imPhysicians are a class of medical as a body, Mr. Coleman has repeatedly returned, and in a few minutes asserted, never make good veterinary prac- a fine full-sized living child was born ; the titioners. How comes it that the men who placenta quickly followed, and the patient is compose the conclave in Pall Mall East, going on very well. should be competent to discuss and judge of the merits or demerits of a operation on the human subject, when their laws prevent even surgeons from being adHOPITAL BEAUJON. mitted amongst them 1 This we must leave Messrs. Sewell and Coleman to explain.
certainly
Collegegiven Veterinary ! London,! every
case
men,-who, ,
mediateiy
surgical
CARIES
OF
TREATED
THE BY
ST’ERNUM, SUCCESSFULLY THE
ACTUAL AND POTEN-
TIAL CAUTERY.
ON THE EFFICACY OF THE ERGOT
OF
RYE.
By R. SMITH, Esq., Chertsey. ALTHOUGH the pages of your valuable Journal contain many cases of the efficacy of the ergot of rye in protracted labours, yet I am induced to offer the following, as particularly illustrative of itsfor influence its being under circumstances favourable
given. On Sunday week last, I
was
requested
to
visit Mrs. P-, who had been m labour since the Friday morning preceding. She was nearly 40 years of age, short in stature, and not (in the usual acceptance of the term) a well-formed woman. She had been the mother of two still-born children, at the premature period of seven months, but had now gone the full period of utero-gestation. An intelligent midwife was in attendance on her, from whom I obtained an outline of
her
case.
On
Friday morning, early, she was taken pains, when the mem-
in labour, with slight
branes gave way, and the head of the child was found to present. In the course of the day the pains gradually increased, but they were not at any time very strong—the head gradually descended, and on the following day (Saturday) it had made farther progress, but towards evening the pains had totally ceased. I saw her about 12 o’clock on Sunday morning, when 1 found the scalp nearly at the os externum, the woman free from the slightest uterine pam, and not de-
strength or spirits ; in this state reported to have ben during the preceding eiglteen hours. pressed she
in
was
Regarding
the
case as
invitingafair trial
T. C., ætat. 17, of a lymphatic constitution, was, on the 7th of April, 1828, admitted on account of diseased sternum ; the soft parts were free from disease, and no swelling of the bone could be discovered, but the violent shooting pain, and extreme tenderness of the upper third of the sternum, rendered it almost certain that the bone was in a state of incipient caries. The disease was of six weeks’ standing, and had- beeu brought on by continued pressure against the chest. Under the repeated application of leeches and poultices, an abscess formed, was openened by caustic, and having discharged a great quantity of purulent matter, soon healed ; a new accumulation of matter, however, took place ; and having been evacuated a second time, a deep fistulous ulcer remained. On the 20th July, the patient was placed under the care of MM. Marjolin and Blandin, and was then in the following state. The upper third of the sternum being carious to a large extent, was covered with fungous granulations ; at one part it was completely perforated, so as to admit the finger into the mediastinum; suppuration was not very profuse, and it was only on making a very deep inspiration, that a small quantity of pmulent matter was seen issuing from the bottom of the fistulous opening. The patient suffered much from pain, and was considerahly wasted, and had hectic fever. An incision was made into the ulcer, to promote the evacuation of purulent matter, but this was followed only by a transient improvement ; the purulent matter quickly accumulated at the bottom of the fistulous passage, and the external wound became covered with fungoid granulations, which bled on the least touch, and caused incessant pam.
of the secale cornutum, 1 immediately prepared an infusion of one drachm of the The caustic having repeatedly been applied bruised ergot to eight ounces of boiling any effect, M. Blandin, on the 23d water. When sufficiently cool-d, she took of September, performed the following opewine-glass full: in a few minutes she ration:—A large crucial incision having
without
appear extremely strange, that a ’exclaimed, "Good God, what have zlozc of so rare occurrence at the me it flies all over like lightning !" should be sent for discussion to a set ofl’bis was almost instantaneously succeeded Dubs, and others, and not to a ! by strong pains ; the head made progress, and thing indicated a speedy delivery. Society, of which there are two in and to each of which Mr. Setvell belongs. ! In twenty minutes the pains rather abated, when another glassful was given ; they imPhysicians are a class of medical as a body, Mr. Coleman has repeatedly returned, and in a few minutes asserted, never make good veterinary prac- a fine full-sized living child was born ; the titioners. How comes it that the men who placenta quickly followed, and the patient is compose the conclave in Pall Mall East, going on very well. should be competent to discuss and judge of the merits or demerits of a operation on the human subject, when their laws prevent even surgeons from being adHOPITAL BEAUJON. mitted amongst them 1 This we must leave Messrs. Sewell and Coleman to explain.
certainly
Collegegiven Veterinary ! London,! every
case
men,-who, ,
mediateiy
surgical
CARIES
OF
TREATED
THE BY
ST’ERNUM, SUCCESSFULLY THE
ACTUAL AND POTEN-
TIAL CAUTERY.
ON THE EFFICACY OF THE ERGOT
OF
RYE.
By R. SMITH, Esq., Chertsey. ALTHOUGH the pages of your valuable Journal contain many cases of the efficacy of the ergot of rye in protracted labours, yet I am induced to offer the following, as particularly illustrative of itsfor influence its being under circumstances favourable
given. On Sunday week last, I
was
requested
to
visit Mrs. P-, who had been m labour since the Friday morning preceding. She was nearly 40 years of age, short in stature, and not (in the usual acceptance of the term) a well-formed woman. She had been the mother of two still-born children, at the premature period of seven months, but had now gone the full period of utero-gestation. An intelligent midwife was in attendance on her, from whom I obtained an outline of
her
case.
On
Friday morning, early, she was taken pains, when the mem-
in labour, with slight
branes gave way, and the head of the child was found to present. In the course of the day the pains gradually increased, but they were not at any time very strong—the head gradually descended, and on the following day (Saturday) it had made farther progress, but towards evening the pains had totally ceased. I saw her about 12 o’clock on Sunday morning, when 1 found the scalp nearly at the os externum, the woman free from the slightest uterine pam, and not de-
strength or spirits ; in this state reported to have ben during the preceding eiglteen hours. pressed she
in
was
Regarding
the
case as
invitingafair trial
T. C., ætat. 17, of a lymphatic constitution, was, on the 7th of April, 1828, admitted on account of diseased sternum ; the soft parts were free from disease, and no swelling of the bone could be discovered, but the violent shooting pain, and extreme tenderness of the upper third of the sternum, rendered it almost certain that the bone was in a state of incipient caries. The disease was of six weeks’ standing, and had- beeu brought on by continued pressure against the chest. Under the repeated application of leeches and poultices, an abscess formed, was openened by caustic, and having discharged a great quantity of purulent matter, soon healed ; a new accumulation of matter, however, took place ; and having been evacuated a second time, a deep fistulous ulcer remained. On the 20th July, the patient was placed under the care of MM. Marjolin and Blandin, and was then in the following state. The upper third of the sternum being carious to a large extent, was covered with fungous granulations ; at one part it was completely perforated, so as to admit the finger into the mediastinum; suppuration was not very profuse, and it was only on making a very deep inspiration, that a small quantity of pmulent matter was seen issuing from the bottom of the fistulous opening. The patient suffered much from pain, and was considerahly wasted, and had hectic fever. An incision was made into the ulcer, to promote the evacuation of purulent matter, but this was followed only by a transient improvement ; the purulent matter quickly accumulated at the bottom of the fistulous passage, and the external wound became covered with fungoid granulations, which bled on the least touch, and caused incessant pam.
of the secale cornutum, 1 immediately prepared an infusion of one drachm of the The caustic having repeatedly been applied bruised ergot to eight ounces of boiling any effect, M. Blandin, on the 23d water. When sufficiently cool-d, she took of September, performed the following opewine-glass full: in a few minutes she ration:—A large crucial incision having
without