A demonstration of the curability of pulmonary consumption : in all its stages. Comprising an inquiry into the nature, causes, symptoms, treatment and prevention of tuberculous diseases in general / By Wm. A. M'Dowell, M.D.

  • M'Dowell, William A. (William Adair), 1795-1853.
Date:
1843
Catalogue details

Licence: Public Domain Mark

Credit: A demonstration of the curability of pulmonary consumption : in all its stages. Comprising an inquiry into the nature, causes, symptoms, treatment and prevention of tuberculous diseases in general / By Wm. A. M'Dowell, M.D. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    But let the selection be what it may, great caution should be exercised in commencing any tonic course. Sometimes without manifestations of any such tendency, the most moderate exhibition of tonics will be productive of the most violent nervous or organic irritation. Yet those, of all others, are the cases in which tonics are most needed. With such, when we shall have succeeded in getting them to be borne, we should commence cautiously, and be vigilant and circumspect in the prosecution. SYMPTOMS AND COMPLICATIONS. HEMOPTYSIS. 409. This is one of the most alarming of the symptoms in phthisis; but it is actually alarming only, because, when it occurs as a symptom of phthisis^ it indicates the arrival of the second stage of the disease, the decomposition of tubercles and their irruption into the bronchia^, although their exist- ence may not have been before suspected. In such cases the haemorrhage is generally of no manner of consequence, rarely amounting to more .than from a speck or a streak, to a tea-spoon full. When even more free than this, it is generally in consequence of more than usual congestion about the vomica; and in such cases the local discharge is often advantageous; when blood-letting in any other manner, or from any other point, would be totally inadmissible. 23