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LACERATION OF THE BRAIN.
336 LACERATION OF THE BRAIN.
CHERRATTAH.
To the Editor
To the Editor of THE LANCET.
oj’THE LANCET.
that the follovving case SIR,—It has long been a matter of sur- of SIR,—Presuming the without fracture laceration of ptise to me, that the cherrattah, which hasof the cranium, will brain, be deemed worthy of been held from time immemorial in great 1 send it for insertion in THE LANestimation by the natives of Bengal, and the notice, and am, Sir, European residents, especially by the medi-CET, Yours obediently, cal officers, as a very efficacious deobstruent T. W. WANSBROUGH. WANSBROUGH, and stomachic medicine, should not have Nov. 9th, 1828. Fulham, been introduced into the of this
practice
the variety of dysThe late Mr. Dunn, a corpulent man, was pepsia, for which it is considered a specific, thrown from his horse on Fulham Bridge, (accompanied with, and probably dependentby an errand cart, driven furiously against on, sluggishness, or an overloaded state ofhim. The horse and his rider were preci. the liver,) is as prevalent in this country as pitated with great violence by the force of in the East Indies. It is said, the effectsthe shock, and Mr. Dunn was taken to the of the cherrattah are not, like the stomachicsnearest inn, in a state of insensibility, and in general use, confined to the stomach, but continued so for six when he expired. days, are extended to the other abdominal viscera, The examination of the brain was performed particularly the liver, which it deterges,or, as seventeen hours after death ; the following Dr. Currie observes, " emulges," and this I appearances v.’ere noted. belive to be the case ; for I have observed Considerable extravasation of blood be. the faeces, during its use, to be well charged neath the scalp, posteriorly. (A complete with bile, and the complexion to become tendinous of the occipito frontalis.) origin clear. Although not aperient, it evidently A considerable effusion of serum between prevents an accumulation of faeces in the the dura mater and arachnoid tunic; an lower portion of the intestinal canal ; which, extravasation of blood between the dura as a late writer observes, is a common mater and calvarium, opposite the posterbr cause of disorders of the stomach and head, and lower part of the right hemisphere; a comat the same time it promotes digestion. paratively slight extravasation of blood be. The medicinal virtues of this herb are im- tween the dura mater and skull, on the left patted to boiling water; and the infusion, side of the posterior lobe, opposite the sutura when properly made, is a very grateful lamdoidalis additamenta.bitter, but the natives prefer the decoction On removing the dura mater, an unirermade by gently boiling half an ounce of the sal effusion of serum, extravasation of blood cut dried herb in a pint of water, for about on the pia mater, covering the side of the fifteen or twenty minutes; of this decocbut to no considerable right hemisphere, tion, they take a small wine-glass full two on examining the right hemisphere, or three times a day. The extract, which extravasation of blood is not continued also contains the virtues of the herb inthe into the substance of the brain. Plexus great perfection, is taken in the form of choroides empty ; the third ventricle full pills. It is likewise given by the Indian of water ; a slight extravasation of blood in practitioners, in cases of pulmonary conmiddle division of the base, in coagula. sumption and scrofula ; but of its effects inIn the brain from the base, the removing the former malady, I cannot speak from ex- extravasation of blood between the piamater perience ; but, in the latter malady, I have brain was found to be universal on the witnessed its frequently salutary operation. outer side of the right hemisphere, but not Dr. Fleming, late of Bengal, speaks highly into the substance of the brain, of the cherrattah as a tonic medicine. The extending down into its sulci. At the only dipping author of the work on tropical diseases, also C?/ the right hernisphere, and oppounder surface gives it a high character; and Mr. Addithe exterraal seat of injury, a surface, to the a the author of treatise on the Malvern son, nf three inches in length, and one in waters, says that, from the very beneficial breadth, was lacerated. The vessels of the pia efrects it had on himself, it is a valuable full of blood. It appears that the laaddition to the class of stomachic meditook place on the cppvsate side of the cines. brain ta that on which the blow was received. I am, Sir, The concussion, therefore, must have been Your obedient servant, tremendous. The only external mark ofinwas a slight abrasion of the THOMAS BAKER. scalp on the left side of the head, near the lamdoi. Stamford Street, BJackfriars, dal suture, occasioned by the hard -ravelled Nov. 13, 1828. road oii which he
country, especially
as
extent;
the
On
and
site to
extent mater
ceration jury
felt.
CHERRATTAH.
To the Editor
To the Editor of THE LANCET.
oj’THE LANCET.
that the follovving case SIR,—It has long been a matter of sur- of SIR,—Presuming the without fracture laceration of ptise to me, that the cherrattah, which hasof the cranium, will brain, be deemed worthy of been held from time immemorial in great 1 send it for insertion in THE LANestimation by the natives of Bengal, and the notice, and am, Sir, European residents, especially by the medi-CET, Yours obediently, cal officers, as a very efficacious deobstruent T. W. WANSBROUGH. WANSBROUGH, and stomachic medicine, should not have Nov. 9th, 1828. Fulham, been introduced into the of this
practice
the variety of dysThe late Mr. Dunn, a corpulent man, was pepsia, for which it is considered a specific, thrown from his horse on Fulham Bridge, (accompanied with, and probably dependentby an errand cart, driven furiously against on, sluggishness, or an overloaded state ofhim. The horse and his rider were preci. the liver,) is as prevalent in this country as pitated with great violence by the force of in the East Indies. It is said, the effectsthe shock, and Mr. Dunn was taken to the of the cherrattah are not, like the stomachicsnearest inn, in a state of insensibility, and in general use, confined to the stomach, but continued so for six when he expired. days, are extended to the other abdominal viscera, The examination of the brain was performed particularly the liver, which it deterges,or, as seventeen hours after death ; the following Dr. Currie observes, " emulges," and this I appearances v.’ere noted. belive to be the case ; for I have observed Considerable extravasation of blood be. the faeces, during its use, to be well charged neath the scalp, posteriorly. (A complete with bile, and the complexion to become tendinous of the occipito frontalis.) origin clear. Although not aperient, it evidently A considerable effusion of serum between prevents an accumulation of faeces in the the dura mater and arachnoid tunic; an lower portion of the intestinal canal ; which, extravasation of blood between the dura as a late writer observes, is a common mater and calvarium, opposite the posterbr cause of disorders of the stomach and head, and lower part of the right hemisphere; a comat the same time it promotes digestion. paratively slight extravasation of blood be. The medicinal virtues of this herb are im- tween the dura mater and skull, on the left patted to boiling water; and the infusion, side of the posterior lobe, opposite the sutura when properly made, is a very grateful lamdoidalis additamenta.bitter, but the natives prefer the decoction On removing the dura mater, an unirermade by gently boiling half an ounce of the sal effusion of serum, extravasation of blood cut dried herb in a pint of water, for about on the pia mater, covering the side of the fifteen or twenty minutes; of this decocbut to no considerable right hemisphere, tion, they take a small wine-glass full two on examining the right hemisphere, or three times a day. The extract, which extravasation of blood is not continued also contains the virtues of the herb inthe into the substance of the brain. Plexus great perfection, is taken in the form of choroides empty ; the third ventricle full pills. It is likewise given by the Indian of water ; a slight extravasation of blood in practitioners, in cases of pulmonary conmiddle division of the base, in coagula. sumption and scrofula ; but of its effects inIn the brain from the base, the removing the former malady, I cannot speak from ex- extravasation of blood between the piamater perience ; but, in the latter malady, I have brain was found to be universal on the witnessed its frequently salutary operation. outer side of the right hemisphere, but not Dr. Fleming, late of Bengal, speaks highly into the substance of the brain, of the cherrattah as a tonic medicine. The extending down into its sulci. At the only dipping author of the work on tropical diseases, also C?/ the right hernisphere, and oppounder surface gives it a high character; and Mr. Addithe exterraal seat of injury, a surface, to the a the author of treatise on the Malvern son, nf three inches in length, and one in waters, says that, from the very beneficial breadth, was lacerated. The vessels of the pia efrects it had on himself, it is a valuable full of blood. It appears that the laaddition to the class of stomachic meditook place on the cppvsate side of the cines. brain ta that on which the blow was received. I am, Sir, The concussion, therefore, must have been Your obedient servant, tremendous. The only external mark ofinwas a slight abrasion of the THOMAS BAKER. scalp on the left side of the head, near the lamdoi. Stamford Street, BJackfriars, dal suture, occasioned by the hard -ravelled Nov. 13, 1828. road oii which he
country, especially
as
extent;
the
On
and
site to
extent mater
ceration jury
felt.