, 1875-02-28

Cinchonfgm as q Re ed

Cinchonfsm as q Re HI edys
i 10 The Editor Of Tie Chicago 1r16une:
| FonT WAYNE, Ind. Feb. 23--It is customary,
and perhaps more professional, for physician
who writes Oh medical subjects 10 communicate
| with some medical journal; but, in the present
instance, attacked as various portions Of tho
country are. and have been, By the above-named
fatal u1alady, you will pardon me if I overstep
the limits Of medical ethics by directing your at-
| teution to the subject under consideration.
| It is deplorable fact that medical journals
are taken BY very limited number OF the medi-
! cal profession, so that very few keep pace with
the progress Of the science consequently, he
who desires to do "the greatest good to the
greatest number" will seek those avenues By
which the greatest number can be reached.
The rapid progress Of the disease, and ts
fatality, render tho subject highly important to
the public, as well as the medical profession ];
and lie who, through selfish Or pecuniary mo-
tives, :wilfully keeps back from either that which
might prove Of incalcu1ab1o benefit to both is in
no sense Of tho word public benefactor-
have had some experience in the treatment
Of this disease during an epidemic which visited
Fort Wayne the present winter ). and, notNith-
standing tho fact that what SUCCESS had occur
red in the latter period Of the epidemic,
as in all epdemics is usually considered tue mild
est-yet cannot avoid attributlug that success,
Il = great measure, to the change adopted in
my treatment; and believe an warranted in
so doing By the facts that the disease was yet at
this tins quite generally fatal, and that, out Of q
I did not lose single one under NV
ncw treatment. I have not had an opportunity
OF testing its merits in the severest most ma
gnant cases, such az occurred in the earlier part
OF the epidemic but feel confident that even
in q largo proportion Of these, II adopted early,
it will provo successful.
Tho discovery which think have made
and it remains for future experience to establish
BY an alteratice Ionic is, if not absolutely spe-
citic, The most proper and successful treatment
for dipht1eria.
It may bo said. however, that quinine ~ 3
remedy in diphtheria is not Eaw; that it is very
frequently given in the course OF its treatment
This is true !; but it has never been given with
any very specific object in view, other than
it's tonic or anti~periodic etfect. The
remedies considered OF the most value in the
treatment Of this disease are the muriated tino-
tura OF iron, chlorate OF potash, carbolie acid
ahd nitrate Of silser,-the former three given
both constitutionalfy and locally, tho latter ap-
plsd locally only All the textbooks which
have consulted seem, in addition to good yentila-
tlon food, and all the necessary hygienic condi-
tious,. TO rely chiefly upon the above-named
remedies.
But it is the condition known as cipchonism
which is produced by tbs administration OF !
;lIlnine III posuse ooses unt,1 iIs peonhsr Ph3s-
nraa tu.os tht e4ec.5 @le nuoeeo af TO matsea c.
E.ee, ~. Sonseno IL tue list erano op1ecs 60
Th; TI aceonplsneu IN ing treatmenI Oh dipntneue'
3a.o. st1@ehenS h - nasea upou 'ne CON-
aeneo ~ o,,n nA'? III sno anesspno ptoPef..es
~ - uuan4ne, P1ope1ty aon11nlssereu. "a
s:t sna tnooas nas9, tna- Nne9 aho eolui.Ion o.
clACnoa!sm II !1Ly estaollsnea, tne sepsac POISON
10 the circulation ls noutra1zed, and no longer
retains its power Of exulation upon mucous &ur-
faces by virtue Of this fact, the exudaton, or
falca mamh-nro rrov;oDorv forrr.d losaa ;to =; I
aahss ~ 80. ~ a4u ap n, ~ =. ~
surface it NAV have been attached. This theory
3 founded on the fact, that in every caso have
.hus treated Just al soon as that condition was
the emulation or faiss rnembrane !
,ssame detached without any local interference
1"eoseA'
=, onsGlveu ING 1act; aiso' 'nas me most severe
,-.a -,aa+ J;nso',t ~ aa..t1a,. ~. oss ~ snoa
;nchnn;sn" i;tt,a " ha" r sa.. w 'senulHon ~ o1
y n r Thornas rso rsss;5;.,. " ase-son so3
actson s+roat ~, Il., toe ~ - ~: lao
in n fnrtSsa;aht hoI,e ,'aSnsa " .asg =. l9M
mug ~ nonts oe,ofa ne complained OF
his "a +,ta ni.na ~ y. asaat; ou1, "nsn
ache1 of ;ts nv, accor1 ~ .to... neae os
la a1reinc ~ Va anh,,,,.x;. III app1st9 teturnea,
nha;da IA r. na...a.A.;1y saao1a lesan 20
snS .eS - . eo+p71e atei1 a11oEs a'o4s he