New-York daily tribune. [volume] (New-York [N.Y.]) 1842-1866, 1861-05-12

years IN NewEDelaDd at least when this dlsease u
| prevalent. Then he can make himself familiar, 10y
daily observation with the phenomena of the disease
ia its various stages and under its various forms and
shapes In fact, during season, when the public are
under an alarm from the epidemic patients are ofteDer
induced TO call for advice the first appearances OF
dsease than in ordinary seasons; and in two years OF
such an epidemic, if not in one the medical man may,
with diligence, acquire such knowledge Of the dis
ca as will subsequently, save hin from doubt, at least
viii exceptions. But he must first study il with
| the specimens in bis hands. or before his eyes
Let it be granted that we cannot arrive at absolute
certainty on the first day of typhoid fever yet, at least
where ID epidemic, may be sufficiently certain for
practical purposes; and, when 1t is not Epidemic the
careful observer may he sure enough, ordinarily IL
is true that anmonial emeiic has powerful innu-
the system and should not be given from tn.
fling considerations. Yet when one is as well assured
1 am of the great benefits which this remedy al
ords in the very commencement OF this disease lie VIII
feel justified in taking some risk. Consider for mo-
ment the amount of evil to be warded off. In typhoid
fever lief, to itself, must ordinarily pass through
two weeks Of severe sickness, two to three more weeks
Of confinement to the house. and again, from TWO 10
five weeks, before be is truly lit to return to his
usual occupations During most of this time there are
the evils OF proration and debility; during portion
OF those Of painoien great pain and Distress most
commonly for some days there IL derium, and often
grea delrium and to all these must be added the risk
Of life This is great risk. cannot put the proper
ton Of patients TO whom the disease proves ihtal,
when not resed by treatment, at anything ess than
than this but in some it ia much more 80. Viewing
the autiuonia emeic, administered Oh the first day, rs
creating almost certainty OF speedy aud safe terrni-
nation of the disease think may say that the rem
edy ought TO be employed IN every case, where there 10
On even chance that this disease has begun its course
For mysclf in IA case should not hesitate But
| why do express myself thusi i have been placed
pre- isely under these circumstance and ana ayail
myrelf of the remedy promptly. This was in 1914,
wuen the disease very prevalent among Va. was
attacked in the evening" and took the eIDetic about
midDght l acknowledge that physician Is very IL
able TO err in regard TO himself should not therefore
mention this case one in which il was certain that
the disease had taken hold Of the patient though have
no doubt the subject. But mention it, as showing
the strength Of my conviction of the advantages of the
remedy, and TO show that employ for myself what
prescribe for others. Let it be- forgotten that,
when the remedy has been employed al the very COM
mencement OF the disease, the patient should not think
that be s now SAFE he should be regarded ms siek
man for several succeeding days though he should
appear to be entirely relieved Of all disease If he will
not do THU he will be very likely to bnug on the dis
ease anew.
As the third amongDr Holy okes -four great articles,
comes Opium. IL relieves PAIN this If its great power
Where immediate relief is required, and such shall
be transient only it certainly takes the first place
among anasthetics. There is not any substitute Tor II
in suth Gaze Sui phuiic Ether and Chloroiorm will
operate more immediately but the relief they afford 10
very transient unree the remedy be constantly re-
peaed. There other vegetable narcotics, beside
opium. TO viii h may sometimes be glad to resort,
where the effects of opium particularly annoy ing
COnlum and HyOsC yanlu5 are very feeble compared
with oJium yet we succeed with them in some in
stances Ii is necessary begin with the OF thee
in moderate doses although these medicines rarely pro-
du decided ee.ts until large doses administered
| StumoniIm l. much more powerful, and hence must
be used with great caution. IL may produce more or
lers VI blindness in moderate dosee; and life IT.
seli il endangered by il In Large AcoDte il
hazardous when used internally, that 1t should never
be Ieeoued to- except ON very extraordinary occasions
Employed ,rtcrHaliy in saturated incture, it is not
hazardous and sometimes gives relief 70 severe pain.
Should be unwilling Danish either Of these articles;
and without opium, should hardly be willing TO prdc-
tice medicne Al the time, resort 10 this inya
liable drug with reluctance, and especially 10 con-
,iuued Use OF IT, even for few successive days and
with still greater reluctance for logger periods In
gard 10 this drug erpeciAlly may say that u should
never be puecii ed without bearing In mind the eyils
il may produce Some persons take II without any,
or with only very tle Inconvenience but there IA
few in whom its effects very distressing. There
persons in whom they 30 mucn co. a. TO forbid
the use Of il entirely. Ii takes away the appetite, and
/ impars-ofen destroys-the power Of dsesting food.
Ii cons pates the bowrI, and checks all the secreons
and eAcfvtons, except cutaneous perspiration And,
very f. quenlly, it prevents perfect sleep. say this
Notwithstanding il is regarded Gs tie FIRST Of soportcs.
After long continued distress, pain, II sometime.
produces calm and refreshing sleep. When sleep has
been prevented by cough, Il Uay be obtained by I'm
oIiate in "A very moderate dose. But, IN lage pro-
portion Of cases the sleep produced 10y opium imPcr,
iect. Especially the lid gets rest. Ii IL disturbed
by dreams aud ucn Iy SUCH ~ are very dstressingi
aud il is not productive OF any rcfreshment. Such
the effects on many subjects. Some persons more for
tunafe are always roOtued and tranqulzed BY opium.
and thuk OF only as comforter For such persons,
If The mon require, we may be more willing To p.o-
tract the use OF it, But when long continued, believe
that it always undermines the constitution.
DOES WINE PRODUCE GOUTl
have spoken Of the treatment Of the paroXysm Of
the govt, but it Is much more important 10 prevent The
recurrence OF the paroXybm. This Is atteuCed with
difficulty and fear there is not any method BY which
with certainty effect his object. This, we are
told, il the disease OF high lyer. Ibis n Lot said
without foundation, but il does not require great
excess to produce it, You do not meet with it, very
rarely, among men who work with their hands; not
among common hborers, nor among mechanics. You
do not commonly lnd II among who spirltuous
/ liquors without wine, whether they them in mod
/ Grafton or in excess. You fluid it amoIg men who
drink wine or other fcrmeBted liquors mention the
fernehted liquors, because III one instance at least,
have seen il in "A gentleman who had not used wine
habtually. but had used cider freely But the
of govt not any evidence that the subj Of
has used " inc to This malady IL much
common in Great Britain and Ireland than in this
country. was ready TO say that it among
that among much distinguished it is extremely
common. You find this in reading the biographies of
bishops and priests, of judges and counseors-at-law
and OF eminent physicians; Likewise, and perhaps
| should saw, more particularly, among dis
tingushed statesren. have Euglishmen in
my MUD while L make these statements.
Among them believe II is not rare TO find soldiers
and sailors subject TO govt; not those in the
ranks and not the mariners, but the malor-generals
and the admiIals. But IL is by means 80 in
the,e two classes among the great men in civil life
You see then, that this disease occurs among who
lice their minds important subjects, among those
eminent in their respective branches whose mental
labors are often excessive, and especially II these
HI h., Av,r-.