FOOTNOTES:
[1]I am inclined to think, that during the inflammatory diathesis, a larger proportion of fibrin than natural is actually formed in the assimilating process; and it is further probable that it is not distributed as usual to the several fibrous textures of the body. In my Essay on the Blood, I have suggested this last hypothesis.
[1]I am inclined to think, that during the inflammatory diathesis, a larger proportion of fibrin than natural is actually formed in the assimilating process; and it is further probable that it is not distributed as usual to the several fibrous textures of the body. In my Essay on the Blood, I have suggested this last hypothesis.
[2]See Forbes’s Translation, p. 19.
[2]See Forbes’s Translation, p. 19.
[3]In 1822, M. J. A. Legumeau de Kergarader published a Memoir “Sur l’Auscultation,” &c. in reference to gestation; and in 1824, M. J. Lisfranc, a Memoir, to show the powers of the stethoscope in enabling the surgeon to detect with greater nicety the fractures of bones. I have read these essays, which must be allowed the praise of ingenuity; and I conceive that cases may occur of each description, in which the aid of the stethoscope would be found not unimportant.
[3]In 1822, M. J. A. Legumeau de Kergarader published a Memoir “Sur l’Auscultation,” &c. in reference to gestation; and in 1824, M. J. Lisfranc, a Memoir, to show the powers of the stethoscope in enabling the surgeon to detect with greater nicety the fractures of bones. I have read these essays, which must be allowed the praise of ingenuity; and I conceive that cases may occur of each description, in which the aid of the stethoscope would be found not unimportant.
[4]I am happy to state, that an institution similar in principle to theMaison Royale de Santé, is established in London. It is called theAsylum for the Recovery of Health. It is situated in Lisson Grove. Already it has been highly patronised, and well does it deserve to grow in the favour of the public. It is supported in part by voluntary contributions, and in part by moderate weekly payments from the patients, who require, however, the ticket of a subscriber for admission.
[4]I am happy to state, that an institution similar in principle to theMaison Royale de Santé, is established in London. It is called theAsylum for the Recovery of Health. It is situated in Lisson Grove. Already it has been highly patronised, and well does it deserve to grow in the favour of the public. It is supported in part by voluntary contributions, and in part by moderate weekly payments from the patients, who require, however, the ticket of a subscriber for admission.
[5]The use of white mustard is at present very popular, and, like all popular remedies, is employed too indiscriminately. Its medicinal power is not a new discovery. Cullen, in his Materia Medica, vol. ii, p 171, observes, “As much of the unbruised seeds as an ordinary table-spoon will contain does not prove heating to the stomach, but stimulates the intestinal canal, and commonly proves laxative.” Entirely with a view to determine the nature of this article as a medicine, I made an examination of the seeds in their whole state. In a few days after being digested in cold water, they became much enlarged, and the water had powerfully the smell of sulphuretted hydrogen. Submitted to distillation in a common alembic with water, the portions of the liquid which first came over possessed the taste of a weak infusion of malt, quite free from pungency. Digested in alcohol, they did not communicate strongly either smell or taste. Some seeds which had passed the alimentary canal, were found to be much swollen, and had lost some of their pungency. It is evident from these results, that the seeds, by treatment with these agents, were acted upon with difficulty in their entire state.In the Journal de Chemie Médicale, de Pharmacie, &c. No. X. Année 1re. M. M. Henry fils et Gorot, have given an elaborate report of their chemical examination of the mustard seed, of which the following is the substance: the seeds yield by expression a fixed and a volatile oil, and the latter may be separated from the former by digestion in alcohol. The alcoholic solution when evaporated affords a solid and crystallisable substance, possessing acid properties, to which the discoverers have given the name of sulpho-sinapic acid. Sulphur, it is stated, forms a constituent element of this peculiar acid.M. Julia Fontenelle, in the sameJournal(No. 3), informs us, that from his researches he is led to conclude, that the mustard seed owes all its medicinal powers to the volatile oil, for the extraction of which he recommends that the seeds should be reduced to powder, and distilled with eight or ten parts of water.It may be considered therefore that the properties of the seeds become sufficiently extracted in the stomach and intestinal canal, to excite the mucous membrane to increased secretion, and also to influence the action of the nerves. They are found principally useful to those invalids who suffer from general deficiency of secretion in the intestinal canal, and from nervous langour. I do not conceive that they are so proper for persons of the inflammatory diathesis, and who become easily heated; and I should rather approve of them as an occasional than a constant remedy, for they are not a certain aperient, and I do not think it desirable to subject the canal constantly to this kind of stimulus. If the seeds accumulate very much, some inconvenience may be occasioned by their augmentation of bulk, and if they be retained in the intestines, some further inconvenience may result from the disengagement of sulphuretted hydrogen.
[5]The use of white mustard is at present very popular, and, like all popular remedies, is employed too indiscriminately. Its medicinal power is not a new discovery. Cullen, in his Materia Medica, vol. ii, p 171, observes, “As much of the unbruised seeds as an ordinary table-spoon will contain does not prove heating to the stomach, but stimulates the intestinal canal, and commonly proves laxative.” Entirely with a view to determine the nature of this article as a medicine, I made an examination of the seeds in their whole state. In a few days after being digested in cold water, they became much enlarged, and the water had powerfully the smell of sulphuretted hydrogen. Submitted to distillation in a common alembic with water, the portions of the liquid which first came over possessed the taste of a weak infusion of malt, quite free from pungency. Digested in alcohol, they did not communicate strongly either smell or taste. Some seeds which had passed the alimentary canal, were found to be much swollen, and had lost some of their pungency. It is evident from these results, that the seeds, by treatment with these agents, were acted upon with difficulty in their entire state.
In the Journal de Chemie Médicale, de Pharmacie, &c. No. X. Année 1re. M. M. Henry fils et Gorot, have given an elaborate report of their chemical examination of the mustard seed, of which the following is the substance: the seeds yield by expression a fixed and a volatile oil, and the latter may be separated from the former by digestion in alcohol. The alcoholic solution when evaporated affords a solid and crystallisable substance, possessing acid properties, to which the discoverers have given the name of sulpho-sinapic acid. Sulphur, it is stated, forms a constituent element of this peculiar acid.
M. Julia Fontenelle, in the sameJournal(No. 3), informs us, that from his researches he is led to conclude, that the mustard seed owes all its medicinal powers to the volatile oil, for the extraction of which he recommends that the seeds should be reduced to powder, and distilled with eight or ten parts of water.
It may be considered therefore that the properties of the seeds become sufficiently extracted in the stomach and intestinal canal, to excite the mucous membrane to increased secretion, and also to influence the action of the nerves. They are found principally useful to those invalids who suffer from general deficiency of secretion in the intestinal canal, and from nervous langour. I do not conceive that they are so proper for persons of the inflammatory diathesis, and who become easily heated; and I should rather approve of them as an occasional than a constant remedy, for they are not a certain aperient, and I do not think it desirable to subject the canal constantly to this kind of stimulus. If the seeds accumulate very much, some inconvenience may be occasioned by their augmentation of bulk, and if they be retained in the intestines, some further inconvenience may result from the disengagement of sulphuretted hydrogen.
[6]M. Goupil, who was attached to the Hospital of Val-de-Grâce for two years, has given a clear view of these doctrines, in a work entitled Exposition des Principes de la Nouvelle Doctrine Médicale, &c. Paris, 1824.
[6]M. Goupil, who was attached to the Hospital of Val-de-Grâce for two years, has given a clear view of these doctrines, in a work entitled Exposition des Principes de la Nouvelle Doctrine Médicale, &c. Paris, 1824.
[7]With regard to many other medicines, the most useful maximum of dose is an interesting question. I am certain that the largest quantity which the stomach will receive, is not the most efficacious. The action between the medicine and the stomach must be mutual. If we take, for example, so innocent a medicine as the carbonate of iron, I expect more effect from the dose of a dram than half an ounce, which would incommode the powers of the stomach by its mass. The observation applies to all medicines which are of a very insoluble nature. I do not mean, in a general sense, that a small dose of a medicine has equal power with a large one, but that there is a point of increase, beyond which the efficacy becomes lessened.
[7]With regard to many other medicines, the most useful maximum of dose is an interesting question. I am certain that the largest quantity which the stomach will receive, is not the most efficacious. The action between the medicine and the stomach must be mutual. If we take, for example, so innocent a medicine as the carbonate of iron, I expect more effect from the dose of a dram than half an ounce, which would incommode the powers of the stomach by its mass. The observation applies to all medicines which are of a very insoluble nature. I do not mean, in a general sense, that a small dose of a medicine has equal power with a large one, but that there is a point of increase, beyond which the efficacy becomes lessened.
[8]Sulphate of quinine may be procured by digesting bruised bark in repeated portions of diluted sulphuric acid, until the liquor no longer possess a bitter taste. The different liquors are then to be mixed together and strained. To the strained liquid, lime is to be added, until the mixture assume a chocolate brown appearance, and a precipitate subside to the bottom of the vessel. This precipitate must be washed with a little cold water, dried, and digested in alcohol. The alcoholic solution, when submitted to distillation, leaves, in the retort, a brown viscous liquid, which is to be treated with a suitable quantity of boiling dilute sulphuric acid and a portion of charcoal. This solution is lastly to be filtered, and set aside to cool, when crystals of the sulphate of quinine will form. Mr. Garden informs me, that the largest portion of the sulphate of quinine which he has been able to prepare from the best yellow bark, is as one to fifty.
[8]Sulphate of quinine may be procured by digesting bruised bark in repeated portions of diluted sulphuric acid, until the liquor no longer possess a bitter taste. The different liquors are then to be mixed together and strained. To the strained liquid, lime is to be added, until the mixture assume a chocolate brown appearance, and a precipitate subside to the bottom of the vessel. This precipitate must be washed with a little cold water, dried, and digested in alcohol. The alcoholic solution, when submitted to distillation, leaves, in the retort, a brown viscous liquid, which is to be treated with a suitable quantity of boiling dilute sulphuric acid and a portion of charcoal. This solution is lastly to be filtered, and set aside to cool, when crystals of the sulphate of quinine will form. Mr. Garden informs me, that the largest portion of the sulphate of quinine which he has been able to prepare from the best yellow bark, is as one to fifty.
[9]Opium is to be digested in cold water, and the solution filtered. Pure ammonia is to be added to this liquid so long as a precipitate is produced. Impure morphine is thus obtained, which may be purified by dissolving it in acetic acid, and digesting it with animal charcoal. The solution is again decomposed by ammonia. This precipitate is to be washed with distilled water, and dissolved in boiling alcohol, from which pure morphine will crystallise upon cooling. The acetate is formed by dissolving the morphine in dilute acetic acid, and evaporating the solution to dryness upon a sand bath.
[9]Opium is to be digested in cold water, and the solution filtered. Pure ammonia is to be added to this liquid so long as a precipitate is produced. Impure morphine is thus obtained, which may be purified by dissolving it in acetic acid, and digesting it with animal charcoal. The solution is again decomposed by ammonia. This precipitate is to be washed with distilled water, and dissolved in boiling alcohol, from which pure morphine will crystallise upon cooling. The acetate is formed by dissolving the morphine in dilute acetic acid, and evaporating the solution to dryness upon a sand bath.
[10]I have borrowed some of these details from the “Formulaire pour la Préparation et l’Emploi de plusieurs Nouveaux Médicaments,” par F. Magendie, Septembre 1825.—Fifth edition.
[10]I have borrowed some of these details from the “Formulaire pour la Préparation et l’Emploi de plusieurs Nouveaux Médicaments,” par F. Magendie, Septembre 1825.—Fifth edition.
[11]In the praise which appears to be so justly due to the foreign chemists, the German philosophers should not be overlooked. We may refer the discovery of the prussic acid to the labours of Scheele, and that of morphine to Sertunner; from which last discovery, we may consider that the idea of insulating the most important principles of other vegetable medicines took its rise.
[11]In the praise which appears to be so justly due to the foreign chemists, the German philosophers should not be overlooked. We may refer the discovery of the prussic acid to the labours of Scheele, and that of morphine to Sertunner; from which last discovery, we may consider that the idea of insulating the most important principles of other vegetable medicines took its rise.
[12]The establishment for filtering the water of the Seine is upon a grand scale, and admirably conducted. The water is passed through a very thick bed of charcoal and gravel. Many of the inhabitants use large filtering stones in their cisterns, for accomplishing the same object.
[12]The establishment for filtering the water of the Seine is upon a grand scale, and admirably conducted. The water is passed through a very thick bed of charcoal and gravel. Many of the inhabitants use large filtering stones in their cisterns, for accomplishing the same object.
[13]M. Laennec had the goodness to present me with a stethoscope constructed according to his last improvement. For the convenience of my professional brethren, I have directed an ingenious workman to imitate this stethoscope; and Mr. Garden, Chemist, No. 372, Oxford Street, has under taken to keep a constant supply of the instruments for sale.
[13]M. Laennec had the goodness to present me with a stethoscope constructed according to his last improvement. For the convenience of my professional brethren, I have directed an ingenious workman to imitate this stethoscope; and Mr. Garden, Chemist, No. 372, Oxford Street, has under taken to keep a constant supply of the instruments for sale.
TRANSCRIBER’S NOTEObvious typographical errors and punctuation errors have beencorrected after careful comparison with other occurrences withinthe text and consultation of external sources.Some hyphens in words have been silently removed, some added,when a predominant preference was found in the original book.Except for those changes noted below, all misspellings in the text,and inconsistent or archaic usage, have been retained.p27-> ‘if it do have’ amended to ‘if it does have’p37-> ‘or the plural’ amended to ‘or the pleural’p57-> ‘in the same Jounal’ amended to ‘in the same Journal’p73-> ‘to the epigastricregion’ amended to ‘to the epigastric region’p93-> ‘the acetate of morphium’ amended to ‘the acetate of morphine’p108-> the printed fraction ‘2/10’ is unclear, and may be ‘8/10’ or ‘9/10’p119-> ‘genuine pnuemonia’ amended to ‘genuine pneumonia’
TRANSCRIBER’S NOTEObvious typographical errors and punctuation errors have beencorrected after careful comparison with other occurrences withinthe text and consultation of external sources.Some hyphens in words have been silently removed, some added,when a predominant preference was found in the original book.Except for those changes noted below, all misspellings in the text,and inconsistent or archaic usage, have been retained.p27-> ‘if it do have’ amended to ‘if it does have’p37-> ‘or the plural’ amended to ‘or the pleural’p57-> ‘in the same Jounal’ amended to ‘in the same Journal’p73-> ‘to the epigastricregion’ amended to ‘to the epigastric region’p93-> ‘the acetate of morphium’ amended to ‘the acetate of morphine’p108-> the printed fraction ‘2/10’ is unclear, and may be ‘8/10’ or ‘9/10’p119-> ‘genuine pnuemonia’ amended to ‘genuine pneumonia’