Volume 1

The modern practice of physic : exhibiting the symptoms, causes, prognostics, morbid appearances, and treatment of the diseases of all climates / Eleventh edition, thoroughly revised, corrected, and to a considerable extent re-written by A. Frampton.

  • Thomas, Robert, 1753-1835.
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: The modern practice of physic : exhibiting the symptoms, causes, prognostics, morbid appearances, and treatment of the diseases of all climates / Eleventh edition, thoroughly revised, corrected, and to a considerable extent re-written by A. Frampton. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    65/776 (page 49)
    sequent returns of the fever, ancl will at last bring about a regular and perfect intermission. In reference both to the superior efficacy of the treatment of paroxysmal fever by quinine, and the times and circumstances under which it should be administered, Dr. Geddes writes as follows in his “ Clinical Illustrations of the Diseases of India,” published in 1846, to which we have several times referred : — “ On looking; at the general result, however, of the treatment of paroxysmal fever, before and after the use of quinine, as exempli- fied in the facts stated in considering the prognosis of the diseases, there is evidently a great saving of health and life, by trusting to this remedy in checking the return of the febrile paroxysm. It has been proved also by the author’s experience, that no time need be lost in having recourse to its aid for this purpose. The exhibition of quinine can go along with that of any remedy for attendant symptoms; and inasmuch as the latter may depend upon or be aggravated by the febrile accession, this medicine must be con- sidered as an auxiliary to any remedial means, even of a supposed discordant nature, which may be employed for the relief of such symptoms. Thus quinine has been combined with the treatment suitable to inflammatory, dysenteric, and other affections, and, by preventing the increased febrile action of the paroxysmal disease, it has tended in a material degree to the diminution and ultimate removal of all the accompanying morbid phenomena.” * The same author says, a little further on, “ The degree of fever existing at the time, provided there was moisture on the skin, and the disease showed any decline from the acme of the hot fit, did not interfere with the exhibition of this medicine, when the ui'gency of the case required its use. The usual quantity of quinine given at each time was three grains, and for the most part in a pill, at inter- vals of two or three hours ; but where the period for its exhibition was very short, or occasionally, at the distance of an hour from the expected period of a pai-oxysm, five or six grains of the medicine have been given for a dose.” f It is during the period of convalescence, and for the prevention of relapse, that some of the preparations of Peruvian bark may be economically and not disadvantageously substituted for quinine. I he late Dr. Fowler found very beneficial effects from the use of aisonic in the form of solution in this fever, as well as in intermit- tents. I rom his report, published in the ninth volume of the ‘ Medical Commentaries,” it appears that he experienced its virtues nom repeated trials made of it on himself, having been visited by several attacks of a remittent between the ycarsl786 and 1791. lie took the solution as directed to be prepared under the title of liquor potassae arsenitis, in doses of from eight to ten drops twice a day, and always experienced the curative effects of the medicine. * Pp. 176, 177. VOL. T. E f Pp. 177, 178.