The Memphis appeal. [volume] (Memphis, Tenn.) 1886-1890, 1888-07-05

timitus aurium. When pushed further,
respiration is fastened and labored, and,
In fatal cases, the centers presiding over
respiration are paralyfed before the cessa-
ton OF the hearts action. Cold-blooded
animals are more susceptible TO it than
warm blooded, though the fatal dose for a
dog is from three TO five grains. The
human dose ranges from one and fourth
TO one and fifth grains taken hypoder-
mically, although larger doses may be
taken by the stomach without harm. A
case is recorded wherein man took more
than two grains with suicidal intent, and
yet escaped with slight intestinal irritation
and suppression OF uflnefor day. DIR.
Moore, OF Philadelphia, whose most ex-
cellent essay has been freely called upon
by me, developed from experiments upon
himself that soon after the local an@sthesia
OF the point of introduction there came q
benumbing effect that travelled along the
sensitive nerves outwardly, as well rs
toward the center. In the arm, for in
stance, midway between the shoulder and
elbow, on the outer side, il extended down
the radial side OF the forearm, and in the
leg over the internal saphenous vein, the
anUsthesia was felt along the skin down TO
the great toe on that side. wish 10 EN-
phasize this point that the effect travels
both ways along the scnsory nerve. If we
tap the nerve in its course the effect is
transmitted toward the periphery, rs well
as toward the brain.
Another valuable find by this expert
menter, and, | may say intercurrentlv,
that he has been sustained by others, Is
that the effect OF cocaine is not cumula-
tive. II enables us to exhibit the effect
repeatedly without tear OF sudden over
towering the great nerve centers by retard-
cd force.
Please retain this and that other clearly
defined point in its action.
Now to the application Of il therapeuti-
| cally. II remained for kochler, in 1884,
to tell the world OF the special value OF CO.
canc, although for twenty-iour years 1t
had been known that It produced local
anRsthcsia when placed on the tongue.
Most other discoveries have seemed to
reach the world 10y happy accidents, but
| Koehlcr in this case, reasoned from cause
TO effect and from effect TO special effect,
and is, therefore, entitled TO greater honor,
Laryngology and ophthalmology obtained
the first and greatest benefit, but minor
surgery throughout has certainly received
a great boon. Not only Threats and eyes,
but noses and ears, together with all the
fields Of gynccology and gcnitor urinary
surgery, can be operated upon painlessly
without loss OF intelligence in the patient,
which all must conccdc 10 bc n great gain.
In our special field | fear the opinion
exists that the sanguinc predictions that
followed lis advent like very tidal wave,
have not been verified. Indeed, ! fear We
are almost ready TO rclinqush a partial
benefit, 20 say the least, because II is prac.
ucally less than what enthusiasts pre-.
dictcd. This is not wise. Few things that
We value most highly today arc rs talua
bic, a. indispensaby valuable, as theiI
authors predicted. think II bchooyes us
TO be slow TO be foolish. II Is well worth
our while 90 keep u ready To use, ospo
cially in minor surgical operations, II moi
50 available in our dental work itself. Tho
failure 10 do all that has been claimed foI
II ought not 10 influence MS, except 10 tenn
per our judgments in other things. Thu
partial failure * attributable 10 something
else, and that is that many Of us do no
use II properly. lpreicr solution OF III,
hydrochloraic, ranging IN strength from
per cent. 10 10 per cent, always fresh, o
comparatively 10, that perfect condition
maintains. Then, Inject Il freely will
the hypodormic syrfiice right where
want IL. TO Amply " w. the surface Is no
enough. and should be supplemented d,
, the intelligent and bold usc OF the needle
We ought 10 take advantage ui the iac
ascerlained 10y nr. Moore, that II we rcac
the nerve supplying The part, anywhere I
It's course, the effect oiicc obtained, wi
| - atatll fass.nrl a.
, periphery. In cxtraciions, by means {
I the sup. max. branch OF the 9Th pail
, near lis exit ut the iniraorhilal foramcn,
I obtained the anterior dental nerves, 10y III
inferior maxillary branch, the inicrio
posierior teeth. The postcrior supcrio
, teeth reach by tapping the posterior den
tal nerves where they are given oil IN III
speno. mnxillary iossa; the anterior IN
, fcrior teeth, by the mental nerves nca
! the mental fornmcn. IN this WAY, b
i thanking fires, ~ Il were, | generally man
| ace 10 ohtund the nerves desired II WI
No awkward to get at the inferior dentn
nerve, around the projecting body Of th
; inferior maxillGiy cone, and nj the sam
, | time keen the tongue out 81 the way, tha
, determined 10 enter through the chcc
, lust posterior 20 the Tnmus. This | con
10 |
Guilty, rs find II works quite Satisfactorily
. In the use Of this agent, II absorption
obtained, which II not always the cas-
/ due believe 10 some local congestion
/, not Inflammation, which prevents or =,
tards asmasis, ! am Of the opinion I'll
operation will be painless. But even th
granted il will not answer for all person.
, because, m the appreciation IL unbluntct
4 the crash Of giving way will appeal thos
, who hold the operation In great horro
: These persons could not witness an opcu
: ton even on another and he unmOye,
Hence, rs long as general sensation IA NJ
touched, they cannot shield thcmselv,
: from the horror they dread 10 much
I. anticipation. For them only n gener
I, anasihetic will answer.
Il But II We succeed In many cases, "
!. ought TO be thankful. II We we've 10 CO
o aside everything In which We make fai
q ures, what In the world would We ha'
!. lcft7 DO our very best intentions In illir
= teeth ever iail7 In word, Ia any ma
Il inialliblc7 Then We ough, not 10 abandc
II this valuable remedy. lot m learn bctt
4 10 fully aud inielligcnlly use u. lot I
u ascertain the exact position Of the ncrv
and how 10 certainly reach them, and III,
n boldly Ike surgeons do II.
n In conclusion I beg 10 present two
three cases from my Office work Mrs. -
y came in 10 have an inferior left second !
" cuspid extracted She was afraid | wou
e break II of. did not notice the cote
D. in the largo posierior cavity, aud ] d
10 take II of, even with firm, unyioldiI
Of gum. I told her ] wished 10 introdu
10 some OF the now anafthctic through u