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NOTE FROM DR. GOLDING BIRD.
739
digious influx of water into the stomach can be without its influence on the system. Mechanical and unscientific as the idea may appear, I confess I am disposed to attribute a considerable effect to the complete removal of all the offensive matter which had polluted the vessels, thus thoroughly rinsing them out, and leaving them in a clean state to receive a supply of more healthy flnids.
acute
Nor are we to regard the adjuncts as (some of them, at least,) without their influence, although, I must think, that many of them were carried to an empirical, and I will say, aludicrous extent. The annals of medicine, from the earliest periods, contain accounts of the temples of health, which were under the direction of the Asclepiadae; the sacred fountains of Greece and Italy, to which Hippocrates and Celsus sent their patients; the miraculous springs, dedicated to various I, saints male and female, in the middle ages, and the acknowledged cures performed in modern times by waters, of which the chief peculiarity consists in their purit); all which may be placed in the same category, and which may serve to explain, a part, at least, of the benefit derived from hydropathy.
vonr
asthma of infants of
Simpson
and
Muller)."
I quote these definitions of the modifications of croup in justice to myself, and not with the most distant intention of detracting from the excellence of the valuable work, for the compilation of which the profession must remain deeply indebted to its talented and indefatigable author. I remain, Sir, obedient ;erva.nt-
GOLDING BIRD.
Myddelton-square, Feb. 19,
1844,
BRITISH MEDICAL NALS.
JOUR-
WE find in the 11 Dublin Medical of Feb. 17th the following interesting FOREIGN BODY IN THE
Press" case
of
AIR-PASSAGES,
by Dr. Houston :-" D. K., a healthy country girl, aetat. 16, was admitted into the City of Dublin Hospital, March 15, 1841. About a month previously, while holding a piece of stick in her mouth, she laughed suddenly at some observation made by a companion, when the stick passed backwards, and she was seized instantly NOTE FROM DR. GOLDING BIRD. with a severe fit of coughing, which lasted for upwards of an hour. She thought she To the Editor of THE LANCET. had swallowed the stick, and had a feeling SIR,-I exceedingly regret that I should as if it was sticking in the upper part of the appear to have misinterpreted Dr. Copland’s throat. Pressure there caused pain. She opinions on the pathology of croup in the soon became a little hoarse, and had repeated debate on a case of that disease before the fits of coughing, which were brought on London Medical Society. especially by stooping or turning her body The impression on my mind certainly much to one side. For a week symptoms was, that Dr. Copland had regarded true continued much in this state. At the expicroup (tracheitis albuminosa), laryngismus ration of this time the sensation of pain had stridulus of Gooch, and the diptherite of ceased to be felt high up, and was now comM. Bretonneau, as mere modifications of one plained of as existing at the upper part of and the same disease. In alluding to the the sternum, leading her to think that the latter affection, Dr. Copland stated that he body had passed further downwards. Now, " agrees with M. Bricheteau in considering too, for the first time her expectoration was that the distinction here contended for (be- streaked with blood. Her voice, during the tween diptherite and croup) is calculated second week, became quite inaudible from more to puzzle the inexperienced than to ad- hoarseness. By a liniment and some medicommunicated
our knowledge."-(Dictionary of cines the hoarseness was removed. A proPractical Medicine, vol. i., p. 450.) And bang and an emetic satisfied her medical under the article 11 Croup," in his laborious attendants that the foreign body was nat work, this distinguished and excellent phy- located either in the pharynx or oesophagus. sician notices the pathology and treatment When questioned regarding the piece of of the following modifications of the dis- wood, she described it as having been about ease :an inch long, very hard and black, about the 11 first. Croup, with predominance of thickness of a straw, and with a head flatacutely inflammatory symptoms (the acutely tened sideways. inflammatory croup of several modern auSymptoms on admission into Hospital.— Voice feeble and hoarse-very hoarse on thors)." " Secondly. Croup, with predominance of attempting to speak loud, but clear and bronchial symptoms (cynanche trachealis silvery when speaking low; cough frequent, humides of ltuii, the mucous croup of some and sometimes attended with pain, as if from PP modern authors)." This pain is a pin sticking in the throat. « Thirdly. Croup, with predl)minance of produced also by suddenly turning the head spasmodic and nervous symptoms (laryngismus to one side or stooping ; but there is no pain stridulus of Good, spasmodic croup of on pressure anywhere in the neck. She gets Wichmann, Michaelis, Double, and the fits of coughing in bed, at night, much more
vance
"
digious influx of water into the stomach can be without its influence on the system. Mechanical and unscientific as the idea may appear, I confess I am disposed to attribute a considerable effect to the complete removal of all the offensive matter which had polluted the vessels, thus thoroughly rinsing them out, and leaving them in a clean state to receive a supply of more healthy flnids.
acute
Nor are we to regard the adjuncts as (some of them, at least,) without their influence, although, I must think, that many of them were carried to an empirical, and I will say, aludicrous extent. The annals of medicine, from the earliest periods, contain accounts of the temples of health, which were under the direction of the Asclepiadae; the sacred fountains of Greece and Italy, to which Hippocrates and Celsus sent their patients; the miraculous springs, dedicated to various I, saints male and female, in the middle ages, and the acknowledged cures performed in modern times by waters, of which the chief peculiarity consists in their purit); all which may be placed in the same category, and which may serve to explain, a part, at least, of the benefit derived from hydropathy.
vonr
asthma of infants of
Simpson
and
Muller)."
I quote these definitions of the modifications of croup in justice to myself, and not with the most distant intention of detracting from the excellence of the valuable work, for the compilation of which the profession must remain deeply indebted to its talented and indefatigable author. I remain, Sir, obedient ;erva.nt-
GOLDING BIRD.
Myddelton-square, Feb. 19,
1844,
BRITISH MEDICAL NALS.
JOUR-
WE find in the 11 Dublin Medical of Feb. 17th the following interesting FOREIGN BODY IN THE
Press" case
of
AIR-PASSAGES,
by Dr. Houston :-" D. K., a healthy country girl, aetat. 16, was admitted into the City of Dublin Hospital, March 15, 1841. About a month previously, while holding a piece of stick in her mouth, she laughed suddenly at some observation made by a companion, when the stick passed backwards, and she was seized instantly NOTE FROM DR. GOLDING BIRD. with a severe fit of coughing, which lasted for upwards of an hour. She thought she To the Editor of THE LANCET. had swallowed the stick, and had a feeling SIR,-I exceedingly regret that I should as if it was sticking in the upper part of the appear to have misinterpreted Dr. Copland’s throat. Pressure there caused pain. She opinions on the pathology of croup in the soon became a little hoarse, and had repeated debate on a case of that disease before the fits of coughing, which were brought on London Medical Society. especially by stooping or turning her body The impression on my mind certainly much to one side. For a week symptoms was, that Dr. Copland had regarded true continued much in this state. At the expicroup (tracheitis albuminosa), laryngismus ration of this time the sensation of pain had stridulus of Gooch, and the diptherite of ceased to be felt high up, and was now comM. Bretonneau, as mere modifications of one plained of as existing at the upper part of and the same disease. In alluding to the the sternum, leading her to think that the latter affection, Dr. Copland stated that he body had passed further downwards. Now, " agrees with M. Bricheteau in considering too, for the first time her expectoration was that the distinction here contended for (be- streaked with blood. Her voice, during the tween diptherite and croup) is calculated second week, became quite inaudible from more to puzzle the inexperienced than to ad- hoarseness. By a liniment and some medicommunicated
our knowledge."-(Dictionary of cines the hoarseness was removed. A proPractical Medicine, vol. i., p. 450.) And bang and an emetic satisfied her medical under the article 11 Croup," in his laborious attendants that the foreign body was nat work, this distinguished and excellent phy- located either in the pharynx or oesophagus. sician notices the pathology and treatment When questioned regarding the piece of of the following modifications of the dis- wood, she described it as having been about ease :an inch long, very hard and black, about the 11 first. Croup, with predominance of thickness of a straw, and with a head flatacutely inflammatory symptoms (the acutely tened sideways. inflammatory croup of several modern auSymptoms on admission into Hospital.— Voice feeble and hoarse-very hoarse on thors)." " Secondly. Croup, with predominance of attempting to speak loud, but clear and bronchial symptoms (cynanche trachealis silvery when speaking low; cough frequent, humides of ltuii, the mucous croup of some and sometimes attended with pain, as if from PP modern authors)." This pain is a pin sticking in the throat. « Thirdly. Croup, with predl)minance of produced also by suddenly turning the head spasmodic and nervous symptoms (laryngismus to one side or stooping ; but there is no pain stridulus of Good, spasmodic croup of on pressure anywhere in the neck. She gets Wichmann, Michaelis, Double, and the fits of coughing in bed, at night, much more
vance
"