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MEDICAL SOCIETY OF LONDON. MONDAY, JAN. 31ST, 1859.
3. Dietetic treatment was that usually attended to ; general action of gluten; and, referring to the large amount of hydrogen and oxygen contained in fats, explained that when the author good eating and drinking invariably recommended. But there had used the term " respiratory phenomena" in describing the were kinds of food especially lactagogue in their effects: results, he meant to limit himself to the carbonic acid, and not lentils, beans, and peas, whiting soup, oysters and crabs, the fish called glaucisci and smarides; but Dr. Routh gave the to include the formation of water. Professor SHARPEY gave explanations and answers to Dr. to conger-eel soup. The lumbricus officinalis had Carpenter’s remarks, and stated that the author intended to amongst the ancients a very high reputation. Amongst drinks, determine the whole amount of oxygen consumed, but had porter, ale, milk, and fennel-tea should be pre-eminent. not at present decided upon the most suitable kind of apparatus 4. Medicinal agents or lactagogues. Dr. Routh enumerated for that purpose. He also referred to the corroboration which the following :-Echium vulgare, borago, saponaria, lactnca, this paper affords of the results obtained two years ago on the sonchus, eruca sativa, ricinus communis, gaultheria procnmquantity of air inspired in reference to the different action of bens, ocymum basilicum, melissa asinos, cytisus, coronilla, cicer, brandy and rum, which were read before the Royal Society; malva, quinquefolium, nigella sativa, anemone pratensis, pimand showed that we are all conscious of difference in the effects pinella anisum, anethum fœniculum and dulce, apium sativum, of alcohols. whilst the chemical differences had not been daucus carota, common salt, chrystall or crystal, iron, and codhitherto well ascertained by chemists. He also showed theliver oil. Some of these he had tried. The echium leaves had failed. great importance of attending to minute differences, and illustrated his remarks by a reference to the recent brilliant experi- Saponaria and sonchus were often very effective. The leaves ments in electricity by Mr. Gassiot. He thought that, as and stalks of ricinus were by far the most powerful, and he coronilla leaves were physiologists, they were under obligation to the author for dwelt at length on their efficacy. The having given his results to the Society; and, in answer to Dr. about as good as those of sonchns. ’1 he fennel was second and more easily obtainable. The iron (if the Carpenter’s observation, that experiments were required upon only to a larger number of persons, stated that the Society would be non-astringent preparations were given) and cod-liver oil kept glad to learn, in a future communication, that that learned up the system at par, so as to enable the patient to bear, without loss of strength or flesh, the action of the fennel seeds or physiologist had submitted himself for experiment. After a few observations by the PRESIDENT, and the thanks castor oil leaves, &c. By carefully administering these, and. of the meetinggiven to the author, the Society adjourned. watching their effects, he had been enabled to make mothers, who had failed before, continue to nurse their children successfully to the eighth month; in some cases, indeed, produced so. much milk as to render the artificial food given to the infant as an adjuvant unnecessary, so that the child was fed exdusively by the breast. The management of the child when so assisted he reserved for a future paper. MEDICAL SOCIETY OF LONDON.
I
specific
preference
ricinus,
Medical Societies.
-----
JAN.
DR.
MONDAY, 31ST, WILLSHIRE, PRESIDENT, IN
THE
CHAIR.
WESTERN MEDICAL AND SURGICAL SOCIETY. DR. FINCHAM, V.P.,
DR. RoUTH read
a
paper
-
1859. CHAIR.
IN THE
on
DR. MARCET related the results of his treatment of
DEFECTIVE LACTATION AND ITS REMEDY.
Referring to points previously proved-1st. That the experience of Foundling Hospitals proved that great success had followed the plan there adopted of feeding children partly artificially and partly at the breast. 2nd. That Drs. Merei and
CHRONIC
DISORDERS
RESULTING FROM
EXCESSES IN
LONG-CONTINUED
ALCOHOLIC BEVERAGES.
The symptoms that presented themselves to his notice were referable to a functional disturbance of the nervous systemWhitehead had shown in their tables, that in proportion as the as want of sleep, trembling, vertigo, tinnitus aurium, muscsæquantity of breast-milk provided was large as compared to volitantes, and occasional hallucinations. Many of the patients artificial food, so in proportion was the number of well-developed had abandoned the habit of excessive drinking for weeks,, children large. 3rd. That this occurred even when the food given months, and years previous to applying for advice. These was a slow poison, as was usually the case with aluminized pap. cases were effectually cured or relieved by the administration 4th. That the mortality was greatest amongst young infants of oxyde of zinc, in doses of two grains, twice a-day, an hour fed exclusively on artificial food during the early months oi after meals. The dose was gradually increased to six or eight life. Therefore he concluded it was most important to provide The action of oxyde of zinc appeared to. grains. human milk for such cases, in as large quantities as practicable; Dr. Mareet totherapeutical be connected with its physiological property of even when artificial food was also given. To show how thi, producing drowsiness, as many of the patients felt sleepy about could he done
was
the obiect of his
naner.
an
hnnr aftár t,a.kinrr it_ and slept fnr
an
hnnr
nr
two.
Of six-
three varieties usually observed of defective teencases which had come under his care amongst the outlactation-a, that due to hyperæmia; b, that due to anæmia.; ’ patients the Westminster Hospital, seven were dismissed c, functional paralysis or inertia of the breast, a. The first cured, three left off the remedy considering themselves well, occurred usually in gormandizing hired wet-nurses, and was to three had improved, and three remained under treatment. be treated by a mild antiphlogistic regimen. b. The second Mr. BARNES related a fatal case of chiefly amongst the poor, and required good food, tonic, and third he would It to treatment. the INFLAMED BOWEL, was, however, chalybeate especially allude. c. Inertia of the mamma was usually prebe enclosed in a band of adhesion. A girl, found to sent in masculine women, or those who married late in life. In these the breast might be partly atrophied, but this was by no aged twelve years, in the enjoyment of perfect health, was seized one night with severe pain in the bowels, accompanied means the general case, and was rather the result of the longfirst seen the following morning, when continued disuse of the female organs of generation. To re- by sickness. She was the countenance indicated great suffering, the pulse was quick medy this state of things, four modes of treatment were neces- and wiry, and there was tenderness over the whole abdomen. sary-1st, local or mechanical; 2nd, hygienic; 3rd, dietetic; Death took place that evening. The post-mortem examination 4th. medicinal. 1. a, to the breast; b, to the sympathizing genitalia. a. Suc- revealed an inflamed state of the peritoneum, investing the tion was a powerful agent, inducing milk even in withered jejunum and ilium; and, upon tracing the small intestine from, a portion of it, just before its entrance into the females, who no longer menstruated, and even in men. Breast- the stomach, was found to be in a state of almost sphacelus, having pumps were sometimes serviceable, but dangerous. Gentle titil- c2ecum, lation of nipple, local fomentations, and imitation of milking a band of adhesion surrounding it, apparently the result ot The obstruction at this point was complete. movement, frequently induced the draught. b. In evidence ofinflammation. the genitalialsympathy, Dr. Routh adduced several physiological The intestine on either side of the stricture was healthy; thewas loaded with scybala. The portion of strangulated facts, from which he showed that the separation of man and colon was exhibited. bowel wife during the suckling period was very prejudicial to lactaMr. CUMBERBATCH brought forward a similar case to the tion. 2. Hygienic treatment was admitted by all,-cleanliness, ex above, occurring iu the practice of Mr. Haig. A healthy child, vears of age, was taken on the morning of March 19th ercise, good air, &c. I. There
were
of
which was
.
four
217
I
specific
preference
ricinus,
Medical Societies.
-----
JAN.
DR.
MONDAY, 31ST, WILLSHIRE, PRESIDENT, IN
THE
CHAIR.
WESTERN MEDICAL AND SURGICAL SOCIETY. DR. FINCHAM, V.P.,
DR. RoUTH read
a
paper
-
1859. CHAIR.
IN THE
on
DR. MARCET related the results of his treatment of
DEFECTIVE LACTATION AND ITS REMEDY.
Referring to points previously proved-1st. That the experience of Foundling Hospitals proved that great success had followed the plan there adopted of feeding children partly artificially and partly at the breast. 2nd. That Drs. Merei and
CHRONIC
DISORDERS
RESULTING FROM
EXCESSES IN
LONG-CONTINUED
ALCOHOLIC BEVERAGES.
The symptoms that presented themselves to his notice were referable to a functional disturbance of the nervous systemWhitehead had shown in their tables, that in proportion as the as want of sleep, trembling, vertigo, tinnitus aurium, muscsæquantity of breast-milk provided was large as compared to volitantes, and occasional hallucinations. Many of the patients artificial food, so in proportion was the number of well-developed had abandoned the habit of excessive drinking for weeks,, children large. 3rd. That this occurred even when the food given months, and years previous to applying for advice. These was a slow poison, as was usually the case with aluminized pap. cases were effectually cured or relieved by the administration 4th. That the mortality was greatest amongst young infants of oxyde of zinc, in doses of two grains, twice a-day, an hour fed exclusively on artificial food during the early months oi after meals. The dose was gradually increased to six or eight life. Therefore he concluded it was most important to provide The action of oxyde of zinc appeared to. grains. human milk for such cases, in as large quantities as practicable; Dr. Mareet totherapeutical be connected with its physiological property of even when artificial food was also given. To show how thi, producing drowsiness, as many of the patients felt sleepy about could he done
was
the obiect of his
naner.
an
hnnr aftár t,a.kinrr it_ and slept fnr
an
hnnr
nr
two.
Of six-
three varieties usually observed of defective teencases which had come under his care amongst the outlactation-a, that due to hyperæmia; b, that due to anæmia.; ’ patients the Westminster Hospital, seven were dismissed c, functional paralysis or inertia of the breast, a. The first cured, three left off the remedy considering themselves well, occurred usually in gormandizing hired wet-nurses, and was to three had improved, and three remained under treatment. be treated by a mild antiphlogistic regimen. b. The second Mr. BARNES related a fatal case of chiefly amongst the poor, and required good food, tonic, and third he would It to treatment. the INFLAMED BOWEL, was, however, chalybeate especially allude. c. Inertia of the mamma was usually prebe enclosed in a band of adhesion. A girl, found to sent in masculine women, or those who married late in life. In these the breast might be partly atrophied, but this was by no aged twelve years, in the enjoyment of perfect health, was seized one night with severe pain in the bowels, accompanied means the general case, and was rather the result of the longfirst seen the following morning, when continued disuse of the female organs of generation. To re- by sickness. She was the countenance indicated great suffering, the pulse was quick medy this state of things, four modes of treatment were neces- and wiry, and there was tenderness over the whole abdomen. sary-1st, local or mechanical; 2nd, hygienic; 3rd, dietetic; Death took place that evening. The post-mortem examination 4th. medicinal. 1. a, to the breast; b, to the sympathizing genitalia. a. Suc- revealed an inflamed state of the peritoneum, investing the tion was a powerful agent, inducing milk even in withered jejunum and ilium; and, upon tracing the small intestine from, a portion of it, just before its entrance into the females, who no longer menstruated, and even in men. Breast- the stomach, was found to be in a state of almost sphacelus, having pumps were sometimes serviceable, but dangerous. Gentle titil- c2ecum, lation of nipple, local fomentations, and imitation of milking a band of adhesion surrounding it, apparently the result ot The obstruction at this point was complete. movement, frequently induced the draught. b. In evidence ofinflammation. the genitalialsympathy, Dr. Routh adduced several physiological The intestine on either side of the stricture was healthy; thewas loaded with scybala. The portion of strangulated facts, from which he showed that the separation of man and colon was exhibited. bowel wife during the suckling period was very prejudicial to lactaMr. CUMBERBATCH brought forward a similar case to the tion. 2. Hygienic treatment was admitted by all,-cleanliness, ex above, occurring iu the practice of Mr. Haig. A healthy child, vears of age, was taken on the morning of March 19th ercise, good air, &c. I. There
were
of
which was
.
four
217