The Middlebury register. [volume] (Middlebury, Vt.) 1850-1882, 1850-03-26
Medical Meeting.

'it iSl VI L tDs lusl. iltTt WIS II lull at
tendance ol members and ladies'.
Drs. Dydr aud eastman related cases Of
apoplcXy following nartufiiion. DIR. Smith
reported case of gangrene Of The lungs.
a srong, healthy Young man, came In
his house. saying that lac was taken with
pain in his right side and arm about three
weeks before; he hud also difficulty ui
breathing and cough. lie had taken ca.
lhnrlics aud applied einapisms without re
licl. At this time he had "a hard, tough
cough occurring in paroXisms, raising fG-
lid, chestnut colored non purucnt matter.
Breath very offensive, pulse ll5. Gave
calomel and ipecac; pain ceased, pulse re-
duced to 80 d., the mercurial produced its
specific effect, coughing aud raising con-
tinucd he died in about six weeks. Au
iopsy showed The tighn lung adhcrcnl
containing n cavity len or twelve ounces
in size, with rough. uneven walls, and
lravcrscd by partly dccomposcd mir tubes
Had he secu The patient earlier he thinks
he should have bled him lie had anoih-
er case which commenced somewhat in the
same manner, in which he hlcd to the ex-
tent Of fifty ounces; the patient recovered.
DR.. Ci01k read Dissertation on Pncu-
creme ui The lungs. He thinks there need
be- no high de gree OF Inflammation in such
cases.
DR.. CUShWdn remarked that there had,
Of la'e, been much improvement in the pa
lholo.y of pneumonia, Although there
had been formerly great unlnimity IN re-
yard 10 treatment, lac was inclined to dis
trust it. He questioned the proprlety OF
blooi-lcuing: no doubt in plrthoric hahils,
N the early stage, It Is necessary; after
thai stage has passed il is doubtful rene.
DIV. II the disease is not soon broken up,
we expect it to 90 on; we look for crisis.
Without hlood-lelling The crisis is delayed,
hut it is question Whctherrccovery is not
more certain.
Dr. Baiidrd agreed with DR.. Cushman
in regard to bleeding. During some sea-
sons pneumonia WAS accompanied by ty-
phoid symptoms, al othertimes it was char
ncter1cd ny more active, inflammatory
symptoms when bleeding is requred,/
DE-. RICE said il was difficult, 10 ,dccide
on the proprieiy OF blood-lcuingI Unless
there be some dialhcs's he thinks there is
generally a certain stage which requires
blood-leitug. We sometimes meet eases
equally threatening in which opposite
courses of treatment ate necessary He
had ii case in Il person with slender con-
stituuon. who had not been hcAtthy the
symptoms were very violent. yet he did
not bleed, but gave anodyncs, tic. On the
same day he had another equally urgent
case, in which lac used the lancet freely
aud repeatedly. Had the treatment been
changed in these cases, both would have
been sacrificed as twas both were saved.
In lSi2, when the crysipelatons imtllmma
ton prevailed il assumed different forms.
Scarlet fever had prevailed, and the first
cases were comminslcd with it. Related
several cases.
DR.. Cushman has praclicej thirty years,
never lost IA case Of acute pneumonia Sci
dom bod more than once IN typhoid pncu-
monia never. Had IL case, a corpuent
lymphallc temperament great difficulty of
breathing, proiusc eNpcctOralion, approach
to decomposition. one lung hepalizcd used
AMI afterwards mcrcutias. Had
six cases in one family, Of which he bled
one only, the father of the family who had
applied warm blocks to his body. He is
satisfied that we can dispense with bleed
ing more than most authors advise.
DR.. Smith. Nature has a recuperalivc
power, hence we examine the pulse. If
any local part is inAamcd ! will bleed. ]
was called upon TO see feeble woman,
with pain in the side, (pleurisy, il you
please.) bled her and she was relieved :
in ten hours the pain returned and hlcd
again and | repeated It yet again. went
oil, when came back heard her scream
inI before | reached the house bIed a.
gain 10 the amount Of a pint, aud she was
cured. The lancet will cure every case Of
inflammation if properly and timely en-
ployod.
Dr. Cushnan. The case o! DIR. Smiths
was probably a pleurisy and would bear
bl, eding better Than pneumonia or pleuro-
pneumonia. Prolu-e depletion cnervates
the lungs so much hat they carnot bear
the crisis The crisis must always be look
ed for: it generally occurs about the third
week.
DR.. Smith. never bleed unless there
is inflammation or congestion. DO not
bleed as many now us did twenty years
ago.
DR.. Russd. do not bleed once now
where did ten times ten years ago. do
not think it necessary 10 bleed in every case
Of inflammation. In pneumonia it is a
doubtful remedy. generally find the cri-
sis toappcar in about ten days, The dan
ger is from want Of power 10 unload the
lungs. We can bleed some pale faced,
feeble constitutions, better than plelhoric
am no, so much afraid OF lirle fever as
OF debility, and inability to raise from the
lungs. think much OF local treatment.
Hives Syrup is a fine expec,orant; 10 this
add one third linclure OF hloodroo', | have
no fear of the stimulus of bloOdroot or co.
hush. If there is much irritation add NOR
plue. After The crisis, cod-live'-oil is
good, especially in catrs tending TO icrmi-
nate in quick consumption. II time would
permit could merton numerous cases o.
The beneficial effects of cod liyer-oil. 1t i.
Invaluable.
Dr. Rice. Sometimes the lancet SEEM
a Stimulus. II viii tot do to say that al
cases OF debility will not lear tie lancet
Sometimes the load at he centre must b,
taken away. Diseases have changed il
my day,ye now find cases where the Ian
Get is as necessary as ever.
DR.. CHshmH. ! donol wish TO proscrib'
The lancet. II there is much congestion
would bleed, Of course. What are expec
| lofdhls III pncuUlullh Arguing NlllCl
enables The lungs 10 throw OF their secre
ton.
DR., Rise. What viii be an expectorau
to ore will not 10 another; sometimes tn
lancet, sometimes anlimony, sometime
slimuants are Inc best.
Dr. Buiidrd. We do not generally Sc
our patients until eXpectoralon has con
menced. generally give Lloodrool, ipe
Gao, Doyes's powder, and carbonate OF an
monla, IN different stages use oarhonat
Of ammonia in the last stages when ID
Russell uses cod-liver-o oil. Is there an