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HOSPICE DE PERFECTIONNEMENT.
478
now pretty clean, and appears very healthy; fling pain in the head ; he lost a few cc:pt it is dressed with simple dressing. Pulse of blood, which was a little inflamed. 92. 6. There is now no pain in the head 27. The erysipelas has entirely abated; pulse is rather low ; but the patient;: c= he is now allowed his wine and porter the whole still doingwell. From this’’’-’daily ; he is gradually getting his strength, the patient has been gradually getting v::!, and the abscesses are healing very fast. and he may now be regarded as cured. --
HOSPICE DE PERFECTIONNEMENT. ST. GEORGE’S HOSPITAL. ULCER OF THE FRACTURE OF THE
CRANIUM, WITH
LEG,
TREATED BY EXCISION
OF THE VENA SAPHENA INTENA
DE-
PRESSION. WE have promised our readers to letto W. MIDDLETON, aged 40. This patient opportunity pass of dissipating the doub:; was admitted May 31st, under the care ofwhich exist on the efficacy of the operation Mr. Brodie. It appears that the patient performed on the vena saphena for the (o’e received a severe blow on the head with an of ulcers and varices of the leg. For some axe, nearly four hours before he was brought time these operations have been performed here. There is a wound, nearly four inches at the Pitié; the patients on whom the tml long, directly over the sagittal suture, has been made have returned into the sm’, immediately communicating with this there or other hospitals, with a relapse of their is a fracture of the cranium, with depres- complaint. At No. 3, in Saint EtiMMi’i sion ; the depth of the depression is about ward, there is a woman fifty-three Ytar,of half an inch, or perhaps a little more, oc- age, who was admitted into the Hospital fr curring about the situation of the longitudi- an extens ve ulcer of the leg, under the cdre nal sinus. There are two other scalp wounds, of Professor Bougor. Beclard had former. but they are trifling, and in neither is the removed from the same person a portionof skull in the least exposed ; the lower jaw the vena saphena intern,,i, a littie below the is fractured on the left side. The man was knee, in order to effect the cieittisation stunned when brought into the hospital. The of an old ulcer, which occupied all the in. cold lotion was applied to the head, and his ternal part of the lower third of the leit wounds were dressed with adhesive plaster; leg. It was not a varicose ulcer, hut super. four grains of calomel, with 15 ofjalap, were ficial, and caused a great deal of general given, and the senna draught. When we derangement, and sometimes very acute pain. Saw him it was about half past one ; the On the edge of the wound there was no enbowels had then been acted on ; his pulse largement of the vessel, simply on the was under 80, but rather full ; no pain in outer side of the leg their were a few varicose veins. Beclard operated on this pathe head. June 1. The trephine was applied yester- tient more than four years ago, and she was day, and the depressed portion of bone benefited for some time by the operation. elevated, the inner table of the skull was and the wound cicatrised. But six months very much fractured; sound sleep during the had scarcely elapsed when the cicatrix Lyair night, his pulse is natural, the tongue way, and the ulcer returned as large as furred, his bowels have been opened. To- before. The patient was then admitted day he complains of some pain in the head; into the Hospital St. Louis, and from that he has vomited, and there was a slight time she has had several relapses, and hu shivering previous to the appearance of been cured in different hospitals by opposite these symptoms ; pulse 110, and hard ; his plans of treatment. bowels are open ; bled to :3xvi. i On the 6th of May, 1828, she entered 2. Pain in the head materially diminished; - into this hospital, with a very large ulcer, pulse returning to its natural standard ; occupying all the internal tongue rather furred, but not particularly of the lower third of the leg, descending dry. Saline purging medicine, with fif- below the internal malleolus. there was teen or sixteen drops of antimonial wine, generally an intolerable itching, and !OtKthe night ; the Epsom salt in the times lancinating pains ; the wound is not medicine was ordered to be discontinued, deep, but it discharges thin pus of and it had operated rather freely. odour. There is no dilatation of the vessels 4. Yesterday his bowels being again con- at the edges of the wound; nor are :::i stipated, he took four grains of calomel, and veins, in any part of the limb, in a various the senua draught ; which, after a repetition state. The ulcer was treated by rest, 3,-:.of the latter, had the proper effect ; pulse phlogistic plans, and on the 22d of .’lay, the to-day is a little on the rise, and some tri- cicatrix was complete. >
-
and posteror pain
during
I.
i
479
The ulcer, of which we have been speaking, appears to have been produced from
METHOD
OF DETECTING
POTASH
BEFORE
THE
THE
PRESENCE PIPE,
BLOW
OF BY
AIEANS OF OXIDE OF NICKEL. 6,ease of the skin, as it was very superfic:i!, and more frequently the seat of itching Alr. HARKORT, the discoverer of this test, traa of pain. It ought to be observed, that directs it to be used in the following man-
On reflecting on ner :-Dissolve the oxide of nickel in the of this ulcer, and the seat which borax ; add to the glass a little native felspar, .: occupied on the superficial layers of the or any other body containing potash, and :,a, it may well be conceived how the we obtain by fusion a blue glass. The preno- efffct. sence of soda does not prevent the reaction. I ,*.ture of the saphena ir.’:Kd, bv suspending the clrculation of Either the nitrate, or the oxalate of the ::e blood in the sub-cutaneous venous sys- oxide of nickel may be employed ; it is !a. it was forced through the deep veins, necessary, however, that the oxide be free by the capillaries of the skin. This last of cobalt, although it yields with borax a effect can only tend to increase the dis- brown in place of a blue glass. The blue charges which take place from this mem- colour, which the oxide of nickel affords brane, and consequently to favour rather with the potash, is different from that obthan to prevent the formation of herpetic tained by oxide of cobalt. md scabious ulcers. If it turns out that the PRESERVATION OF LEECHES. Htirpation of the vein is not too serious an operatOn,* it may be performed for the cure A wooden tub, furnished with a stopoi simple varicose ulcers ;but by this opera- cock, and large enough to contain sufficient tion ulcers, of a nature similar to the one water for five hundred leeches, should be above, can never be cured.-Clinique. procured. It is to be half filled with the mud from the lake or pond whence the leeches have been taken, and two or three j-UCTCRE OF THE PATELLA—GANGRENE roots of the Florence Iris are to be set in OF THE LEG—AMPUTATION OF THE the mud. The leeches are very fond of this THtGU. plant. The usual precautions, as to change are to be observed; In St. Charles’s Ward, No. 9, there is a of temperature, &c., r,atient who, on the 9th of May last, fell on the water is to be changed slowly, and the his right knee, and fractured the patella. fresh water added by means of a funnel deTumefaction and pain of the joint imme- scending to the bottom of the vessel. This d;ately came on;abandage was applied was the method adopted by M. Chatelain, from the toot upwards, but so tight, that and is followed in most of the French the patient could not endure it. Consider- Hospitals. ahle pam in the part came on, and conti. r.ued two days, during which time there CUSTOM OF THE HOTTENTOTS IN APPLYING was slight delirium. Ecchymoses were disGLASSES EXHAUSTED OF AIR, TO POISONED covered on different parts of the leg, and WOUNDS. this woman had the itch. the nature
produced
with attention, some From a report recently comMunicated to perceived ;notwithstand- the Army Medical Board, by Assistant Suring the bandage was applied, and as tight as geon Leslie, we extract the following inbefore. But the patient felt so uneasy, that formation relative to the treatment of poim the following day it was obliged to be soned wounds, by the BUSHMEN of ORANGE :emored. Gangrene then soon came on, RIVER, one of the Hottentot tribes. Their treatment of the wound made by together with delirium and febrile excitement, when it was deemed necessary to re- a poisoned arrow is truly scientific. It is move the limb, which was done above the laiff freely oper., the poison cleaned out, knee. It is a matter of regret that ban- and a horn applied in the manner of a cupdages were continued, under circumstances ping glass, exhausted by suction at the so strongly contra-indicating their use ;for small extremity. This, as far as I could there can be no doubt, that the circumstnces learn, is the only treatment they adopt, which rendered amputation necessary, were never making use of any herb as a specific. Igmated, if not produced, by their appli- The Boors consider gunpowder and wine as very efficient, and prescribe them in cation.
even on
examining
brown spots
were
"
every arrow-wound, and in every case of snake-bite." ’The operation is as ruinous in practice, Mr. Leslie further remarks, on the cus_ :: is absurd in theory. We shall, in our toms of this tribe, that cupping is the fanext give the particulars of a fatal case of vourite treatment of every complaint ac.:r.t occurrence at St. Bartholomew’s.companied with pain ; and so frequently do ED.L. they resort to the measure, that by the cime they are full grown many are literally co.’
vered with
scars.
480 FACULTY OF LAUGHTER NOT PECULIAR TO MAN.
Of all animated
beings, man alone,
it is
generally believed, is endowed with the faculty of laughter ; it beingthe external and natural indication of mental emotions of which it is said animals are not susceptible.
Hence Milton, in his Paradise Lost."Smiles from reason flow, To brute denied." The reverse of this opinion, however, is maintained on good authority. Le Cat affirms that he has seen thejocko both laugh and cry ; the ourang-outangs, exhibited some years since at Exeter Channge, are said to have sometimes laughed when much pleased. But the last number of Brewster’s Philosophical Journal contains the most conclusive evidence on this subject in a letter from Mr. Grant, giving’ an account of the structure, manners and habits, of an ourang-outang from Borneo. The writer says, that if the animal be tickled, "the corners of his mouth draw up into a grin ; he shows his teeth, the diaphragm is thrown into action, and reiterated grunting sounds, somewhat analogous to laughter, are emitted." In a note upon this subject it is stated by the original possessor of the animal, that with him and also with a young female, ourang-outang, he has observed, when not excited by any apparent cause, a contraction of the upper lip, showing the teeth, and a play of the features resembling a
TO CORRESPONDENTS.
Communications have been received from Mr. Manfred—Mr. Sheldrake—Mr. Spooner - Dr. Edwards—Argus—X.—Mr. J. Green - A Medical Student—C.W.—A Pupil of St. Bartholomew’s—Mr. Savage—Mr. Love’ grove-A Regular Surgeon-Dr. Fox— Chirurgicus—Mr. Jerrard—Mr. Ferd. Lau. —K.—Mr. Alsop. X has our best thanks; a continuance of smile, as if excited by some pleasant idea. The his communications is earnestly requested. female, when tickled (withholding her Wewill endeavour to satisfy our Bir. breath and struggling) would utter a half. mingham Correspondent, respectingthe suppressed sound, (which might be ex- tincture of Ergot of Rye, in our next the much in the letters pressed by Kh1’e,) Number. same way as some individuals of the human A note is left at our Office for the Cotspecies when placed under similar eircum- respondent who inquires " whether It is stances. necessary for a Member of the -RoNal Col. lege of Surgeons to pass Apotloecanrs’ NON-EXISTENCE OF EPIDEMIC DISEASES IN Han before he can enter into general NEW SOUTII WALES.
We remember
years since reading an advertisement for medical practice, in which the advertiser wished for " a healthy situation: "—he would have been transwith the subjoined intelligence. ported " With the exception of catarrh, there are no epidemic diseases known ; and those complaints which are common to children, in Britain, such as measles, hooping-cough, small-pox, &c. have no existence in this some
practice." The Report from St. Bartholomew’s, po-
lished in our last Number, was not rectived from our regular Reporter. We pledge ourselves, however, to its accuracy, with tle exception of the expression attributed u lTr. Caswell, on which there is some doubt. The individual to whom R.Y. alludes, 1J Sheldrake, a truss-maker in the Strand. Mr. Sheldrake, the writer of the communications which have appeared in this Jo:climate.t nal, is the author of the works on Ileruax and on Distortions. An Engraving of Mr. Jerrard’s excellent * Trait de I’Existence du Fluide des REVOLVING BED, will appear in the Efti Nerfs. Lancet. t Leter from New South Wales to Dr. Dr. Blundell’s Lectures wiU be resumed our ensuing Number. Brewster, p. 119.
in
now pretty clean, and appears very healthy; fling pain in the head ; he lost a few cc:pt it is dressed with simple dressing. Pulse of blood, which was a little inflamed. 92. 6. There is now no pain in the head 27. The erysipelas has entirely abated; pulse is rather low ; but the patient;: c= he is now allowed his wine and porter the whole still doingwell. From this’’’-’daily ; he is gradually getting his strength, the patient has been gradually getting v::!, and the abscesses are healing very fast. and he may now be regarded as cured. --
HOSPICE DE PERFECTIONNEMENT. ST. GEORGE’S HOSPITAL. ULCER OF THE FRACTURE OF THE
CRANIUM, WITH
LEG,
TREATED BY EXCISION
OF THE VENA SAPHENA INTENA
DE-
PRESSION. WE have promised our readers to letto W. MIDDLETON, aged 40. This patient opportunity pass of dissipating the doub:; was admitted May 31st, under the care ofwhich exist on the efficacy of the operation Mr. Brodie. It appears that the patient performed on the vena saphena for the (o’e received a severe blow on the head with an of ulcers and varices of the leg. For some axe, nearly four hours before he was brought time these operations have been performed here. There is a wound, nearly four inches at the Pitié; the patients on whom the tml long, directly over the sagittal suture, has been made have returned into the sm’, immediately communicating with this there or other hospitals, with a relapse of their is a fracture of the cranium, with depres- complaint. At No. 3, in Saint EtiMMi’i sion ; the depth of the depression is about ward, there is a woman fifty-three Ytar,of half an inch, or perhaps a little more, oc- age, who was admitted into the Hospital fr curring about the situation of the longitudi- an extens ve ulcer of the leg, under the cdre nal sinus. There are two other scalp wounds, of Professor Bougor. Beclard had former. but they are trifling, and in neither is the removed from the same person a portionof skull in the least exposed ; the lower jaw the vena saphena intern,,i, a littie below the is fractured on the left side. The man was knee, in order to effect the cieittisation stunned when brought into the hospital. The of an old ulcer, which occupied all the in. cold lotion was applied to the head, and his ternal part of the lower third of the leit wounds were dressed with adhesive plaster; leg. It was not a varicose ulcer, hut super. four grains of calomel, with 15 ofjalap, were ficial, and caused a great deal of general given, and the senna draught. When we derangement, and sometimes very acute pain. Saw him it was about half past one ; the On the edge of the wound there was no enbowels had then been acted on ; his pulse largement of the vessel, simply on the was under 80, but rather full ; no pain in outer side of the leg their were a few varicose veins. Beclard operated on this pathe head. June 1. The trephine was applied yester- tient more than four years ago, and she was day, and the depressed portion of bone benefited for some time by the operation. elevated, the inner table of the skull was and the wound cicatrised. But six months very much fractured; sound sleep during the had scarcely elapsed when the cicatrix Lyair night, his pulse is natural, the tongue way, and the ulcer returned as large as furred, his bowels have been opened. To- before. The patient was then admitted day he complains of some pain in the head; into the Hospital St. Louis, and from that he has vomited, and there was a slight time she has had several relapses, and hu shivering previous to the appearance of been cured in different hospitals by opposite these symptoms ; pulse 110, and hard ; his plans of treatment. bowels are open ; bled to :3xvi. i On the 6th of May, 1828, she entered 2. Pain in the head materially diminished; - into this hospital, with a very large ulcer, pulse returning to its natural standard ; occupying all the internal tongue rather furred, but not particularly of the lower third of the leg, descending dry. Saline purging medicine, with fif- below the internal malleolus. there was teen or sixteen drops of antimonial wine, generally an intolerable itching, and !OtKthe night ; the Epsom salt in the times lancinating pains ; the wound is not medicine was ordered to be discontinued, deep, but it discharges thin pus of and it had operated rather freely. odour. There is no dilatation of the vessels 4. Yesterday his bowels being again con- at the edges of the wound; nor are :::i stipated, he took four grains of calomel, and veins, in any part of the limb, in a various the senua draught ; which, after a repetition state. The ulcer was treated by rest, 3,-:.of the latter, had the proper effect ; pulse phlogistic plans, and on the 22d of .’lay, the to-day is a little on the rise, and some tri- cicatrix was complete. >
-
and posteror pain
during
I.
i
479
The ulcer, of which we have been speaking, appears to have been produced from
METHOD
OF DETECTING
POTASH
BEFORE
THE
THE
PRESENCE PIPE,
BLOW
OF BY
AIEANS OF OXIDE OF NICKEL. 6,ease of the skin, as it was very superfic:i!, and more frequently the seat of itching Alr. HARKORT, the discoverer of this test, traa of pain. It ought to be observed, that directs it to be used in the following man-
On reflecting on ner :-Dissolve the oxide of nickel in the of this ulcer, and the seat which borax ; add to the glass a little native felspar, .: occupied on the superficial layers of the or any other body containing potash, and :,a, it may well be conceived how the we obtain by fusion a blue glass. The preno- efffct. sence of soda does not prevent the reaction. I ,*.ture of the saphena ir.’:Kd, bv suspending the clrculation of Either the nitrate, or the oxalate of the ::e blood in the sub-cutaneous venous sys- oxide of nickel may be employed ; it is !a. it was forced through the deep veins, necessary, however, that the oxide be free by the capillaries of the skin. This last of cobalt, although it yields with borax a effect can only tend to increase the dis- brown in place of a blue glass. The blue charges which take place from this mem- colour, which the oxide of nickel affords brane, and consequently to favour rather with the potash, is different from that obthan to prevent the formation of herpetic tained by oxide of cobalt. md scabious ulcers. If it turns out that the PRESERVATION OF LEECHES. Htirpation of the vein is not too serious an operatOn,* it may be performed for the cure A wooden tub, furnished with a stopoi simple varicose ulcers ;but by this opera- cock, and large enough to contain sufficient tion ulcers, of a nature similar to the one water for five hundred leeches, should be above, can never be cured.-Clinique. procured. It is to be half filled with the mud from the lake or pond whence the leeches have been taken, and two or three j-UCTCRE OF THE PATELLA—GANGRENE roots of the Florence Iris are to be set in OF THE LEG—AMPUTATION OF THE the mud. The leeches are very fond of this THtGU. plant. The usual precautions, as to change are to be observed; In St. Charles’s Ward, No. 9, there is a of temperature, &c., r,atient who, on the 9th of May last, fell on the water is to be changed slowly, and the his right knee, and fractured the patella. fresh water added by means of a funnel deTumefaction and pain of the joint imme- scending to the bottom of the vessel. This d;ately came on;abandage was applied was the method adopted by M. Chatelain, from the toot upwards, but so tight, that and is followed in most of the French the patient could not endure it. Consider- Hospitals. ahle pam in the part came on, and conti. r.ued two days, during which time there CUSTOM OF THE HOTTENTOTS IN APPLYING was slight delirium. Ecchymoses were disGLASSES EXHAUSTED OF AIR, TO POISONED covered on different parts of the leg, and WOUNDS. this woman had the itch. the nature
produced
with attention, some From a report recently comMunicated to perceived ;notwithstand- the Army Medical Board, by Assistant Suring the bandage was applied, and as tight as geon Leslie, we extract the following inbefore. But the patient felt so uneasy, that formation relative to the treatment of poim the following day it was obliged to be soned wounds, by the BUSHMEN of ORANGE :emored. Gangrene then soon came on, RIVER, one of the Hottentot tribes. Their treatment of the wound made by together with delirium and febrile excitement, when it was deemed necessary to re- a poisoned arrow is truly scientific. It is move the limb, which was done above the laiff freely oper., the poison cleaned out, knee. It is a matter of regret that ban- and a horn applied in the manner of a cupdages were continued, under circumstances ping glass, exhausted by suction at the so strongly contra-indicating their use ;for small extremity. This, as far as I could there can be no doubt, that the circumstnces learn, is the only treatment they adopt, which rendered amputation necessary, were never making use of any herb as a specific. Igmated, if not produced, by their appli- The Boors consider gunpowder and wine as very efficient, and prescribe them in cation.
even on
examining
brown spots
were
"
every arrow-wound, and in every case of snake-bite." ’The operation is as ruinous in practice, Mr. Leslie further remarks, on the cus_ :: is absurd in theory. We shall, in our toms of this tribe, that cupping is the fanext give the particulars of a fatal case of vourite treatment of every complaint ac.:r.t occurrence at St. Bartholomew’s.companied with pain ; and so frequently do ED.L. they resort to the measure, that by the cime they are full grown many are literally co.’
vered with
scars.
480 FACULTY OF LAUGHTER NOT PECULIAR TO MAN.
Of all animated
beings, man alone,
it is
generally believed, is endowed with the faculty of laughter ; it beingthe external and natural indication of mental emotions of which it is said animals are not susceptible.
Hence Milton, in his Paradise Lost."Smiles from reason flow, To brute denied." The reverse of this opinion, however, is maintained on good authority. Le Cat affirms that he has seen thejocko both laugh and cry ; the ourang-outangs, exhibited some years since at Exeter Channge, are said to have sometimes laughed when much pleased. But the last number of Brewster’s Philosophical Journal contains the most conclusive evidence on this subject in a letter from Mr. Grant, giving’ an account of the structure, manners and habits, of an ourang-outang from Borneo. The writer says, that if the animal be tickled, "the corners of his mouth draw up into a grin ; he shows his teeth, the diaphragm is thrown into action, and reiterated grunting sounds, somewhat analogous to laughter, are emitted." In a note upon this subject it is stated by the original possessor of the animal, that with him and also with a young female, ourang-outang, he has observed, when not excited by any apparent cause, a contraction of the upper lip, showing the teeth, and a play of the features resembling a
TO CORRESPONDENTS.
Communications have been received from Mr. Manfred—Mr. Sheldrake—Mr. Spooner - Dr. Edwards—Argus—X.—Mr. J. Green - A Medical Student—C.W.—A Pupil of St. Bartholomew’s—Mr. Savage—Mr. Love’ grove-A Regular Surgeon-Dr. Fox— Chirurgicus—Mr. Jerrard—Mr. Ferd. Lau. —K.—Mr. Alsop. X has our best thanks; a continuance of smile, as if excited by some pleasant idea. The his communications is earnestly requested. female, when tickled (withholding her Wewill endeavour to satisfy our Bir. breath and struggling) would utter a half. mingham Correspondent, respectingthe suppressed sound, (which might be ex- tincture of Ergot of Rye, in our next the much in the letters pressed by Kh1’e,) Number. same way as some individuals of the human A note is left at our Office for the Cotspecies when placed under similar eircum- respondent who inquires " whether It is stances. necessary for a Member of the -RoNal Col. lege of Surgeons to pass Apotloecanrs’ NON-EXISTENCE OF EPIDEMIC DISEASES IN Han before he can enter into general NEW SOUTII WALES.
We remember
years since reading an advertisement for medical practice, in which the advertiser wished for " a healthy situation: "—he would have been transwith the subjoined intelligence. ported " With the exception of catarrh, there are no epidemic diseases known ; and those complaints which are common to children, in Britain, such as measles, hooping-cough, small-pox, &c. have no existence in this some
practice." The Report from St. Bartholomew’s, po-
lished in our last Number, was not rectived from our regular Reporter. We pledge ourselves, however, to its accuracy, with tle exception of the expression attributed u lTr. Caswell, on which there is some doubt. The individual to whom R.Y. alludes, 1J Sheldrake, a truss-maker in the Strand. Mr. Sheldrake, the writer of the communications which have appeared in this Jo:climate.t nal, is the author of the works on Ileruax and on Distortions. An Engraving of Mr. Jerrard’s excellent * Trait de I’Existence du Fluide des REVOLVING BED, will appear in the Efti Nerfs. Lancet. t Leter from New South Wales to Dr. Dr. Blundell’s Lectures wiU be resumed our ensuing Number. Brewster, p. 119.
in