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PRACTICAL
OBSERVATIONS
ON
TOGETHER WITH
REMARKS ON PARALYTIC
AND
BY
F.L.S.
vi sed
sspe cadendo.
LONDON
PRINTED FOR THOMAS AND GEORGE UNDERWOOD,
32,
FLEET STREET.
1822.
nleH,
T. White
14,
&
Co.
CONTENTS.
Preface
CHAPTER
Of the
I.
CHAPTER
.17
CHAPTER
III.
6?
of the Chest
CHAPTER
IV.
90
CHAPTER
On
II.
Of Deformity
Body
V.
Paralysis
CHAPTER
VI.
148
On Chorea
CHAPTER
Miscellaneous Observations
VII.
161
t<Oi
PREFACE.
Among
in
those
the scale
of
appears, independently
them by
imposed on
and
its
periods.
assent to
its
of
this
Notwithstanding
this
power
vm
been
attended
little
some degree,
theoretical
results,
is
supply, in
views
com-
by
deficiency,
this
bining
To
to.
with
practical
the
at-
tempt.
Ten
now
years have
author's attention
which
orders
mended,
the subject
by two
of
the
cases of paralytic
method
in
of treatment
recom-
The
the treatment
was
to the dis-
affection in
particular
was directed
form
following work,
upon which
all
medical practitioners.
utility
upon by
conviction of
its
cial result
more
particularly
as he
has ob-
ix
served
many
well as
inattention
injuries
to
some
from accidents as
in
which, from
practical
points not
the
witness
It
is
in
able practi-
to
real nature
tempted
to treat,
medy what
muscular
is
have endeavoured to
very
debility
often the
re-
of
effect
by mechanical
contri-
designed to remove.
diseases of the joints
The treatment of
may be
the
selected as
sometimes
It
is
surgeon, aided
by
knowledge,
and pathological
anatomical
correct
to
an extent
and
of the spine
con-
of long
by
caries or
cumstances,
tween the
attempt
disorder
in
some
not.
without
cir-
discriminating
be-
different states
should
by
under such
If,
be
made
frictions or
of disease,
to
cure
life
the
mechanical force,
the
an.
even
to
great hazard.
ri
.It
will
pf,
be seen
in the
disease which
Ancliylose fausse,
by
Petit,
as well
as in
xi
although the
standing,
original disorder
it,
arising
frequcnllj
is
from the
loss
of
muscular substance and of strength, consequent upon the state of inaction in which
the limb has been kept.
An
attention to
of debility
may
if
not
such as
if
frictions,
here
proper to
recommended
first
suggested to
treatise
treatment
on mus-
upon which
laid
lar
lately-
'*
1794.
p. 181.
xu
authority of
car-
whether anterior or
vature,
to
those
lateral,
than
long
duration,
auxiliary
measure
nearly recovered
establish a
He
is
when
its
the
to
spine
original shape,
an
as
has
and
to-
permanent cure.
of incipient
consumption
many
may
cases,
be
con-
he
in
is
commonly
shape
is
it is
fre-
and he
is
induced to
may be found
moval of predisposition to
as he has
this complaint,
xiii
and
that malady,
to ascertain
improved
to those
suffered
by
would be of importance
it
et Isedentia
is
not so
much
its
its
frequency
amongst females,
is
as that
life
of inaction, particularly
upon wealth
and refinement*.
*
Sydenham
this disorder.
xiv
The
and treatment of
history
and of chorea,
paralysis
been rendered as
concise as was consistent with a proper elucidation of the views which he has formed
of those disorders.
To
medical writers bp
fuller inform^f;joii,{W,i,^h^Tje-
,itS
the
relief >ybich
afford,
effect
as
is
it
to
may
their
arises
powers,
in
this
respect
bearing
some
XV
analogy to the wasting of muscular substance after long continued disease of the
joints.
If,
by
this
upon
should be the means of directing the attention of the profession to these subjects,
sumption,
be instrumental in effecting a
injudicious
of bringing up females,
exercise,
afflicted
mode
with respect to
disease,
his
time
will
i
I
CHAPTER
T.
Among
parts
the
more
by which
their locomotion
by
far the
life
is
performed, and
In what
is
the cause of muscular motion, has been long a subject of unsuccessful enquiry
among
physiologists,
phenomena
in the universe of
number
which we
I fear,
be
left as a
2
mattei-
standing.
into
any
myself
shall confine
to those only
nution or increase of power and bulk of the muscular parts, as points which have a practical application to
my
the subject of
and appear to
me
to
present enquiry,
of the
human
much
important
body;
is
its
marks the
is
peculiar
first
for-
action in the
mo-
dawn of life in
This moving principle
first
on
it
being what
is
termed in
common
The
language,
functions of
many
other
3
organic parts of the frame, do not
state,
dormant
lie
it
life
for
signed.
When
the muscles,
those of the
especially
is
more
many
other
particularly of
soft,
florid co-
This change
muscles, appears to
observed * that
course of training as
it
when
is
during a
called,
have acquired
when
placed between
pugilists,
vol.
ii,
12.
4
the eye and a candle, have a
more
and tran-
florid
stances.
the
game
that
the
similar
remark may
also be
made on
comb
acquires in
consequence of an
is
re-
In these
power
is
pro-
On
the other
cular strength
is
is
mus-
popliteal aneurism,
sues
a:
where the
debility
which en-
A
is
change
in the
likewise observ-
who have
5
well as of muscular action, are so intimately connected, that
in
is
fol-
the rest.
is
Of the dependence
many
proofs
may
and
those of prey, the aircells of the lungs communicate with the cellular texture in the bones, and the
flesh
is
tutes a distinguishing
mark of the
greater strength
ployed
in laborious exercises,
and
6
the muscles possess greater vigour, and are of a
who
lead a sedentary
life,
This
found to
are
result
The
degree, or increase of
is
and
exercise to
The
cii'culation,
effects
itself is
subjected.
it
will
few instances.
tion in
life
of the arm, for example, are rarely called into action, or exerted
with
much
force or frequency, in
dom and
with
little
is
directed sel-
in
contrary,
size.
In the
man em-
who
is
more
active, a larger
quantity of blood
is
is
sent
fibre,
That
is
the consequence.
known
to those
who
size, is
frequent pugilistic or
may
of the combatants
of weight
is
{ccBteris
the preference.
be equal, a superiority
is
proportionate to the
vation
is
shewn by
common
particularly,
limbs greatly
In those
legs, are
considerably larger.
limbs
obsei-
commonly found
of one of the
it,
becomes
we
the muscular structure of the heart from the ossification of its valves,
and
in the
thickening of the
8
in the urethi'a. *
use of
tween the
gait of the
manly and
erect
and the
we observe
that
The
in
contrary to
all
and indefatigable
acute
is
mind of Haller,
maximum
eam
dum
lacerti
ad se invicem accedunt.
Hinc
vita nimis
facit."
senes
Hinc
in its
natural state
is
so thin as to be
t Elementa Physiologije,
and
9
This phenomenon
is
is
solution
its
difficult
we
views, for
is
from the
The manner
of perception in others.
this effect
this
in
is
in
which
more
rapid circulation of
'
to the muscle,
in
thrown by the
blood.
is
is
secretion of coagulable
organized, an accretion of
ensues, and in this
tion
new
The
fibre to the
its
own
muscle
its
ac-
increase.
depend on the
Thus
if
an equal weight
10
other unused to exertion, the former will be able
to support
than the
it
for a
In
latter.
much
some
instances,
should seem
it
shewn
in the
This
Mau-
(Bradypus Tridactylus)
(Bradypus Didactylus).
number of
cylinders,
The
effect
re-
this is con-
the
is
represented as
or Lesser Sloth,
more slow
in its
In each of
* Philosophical Transactions,
vol. 90, p. 100, Mr. Carlisle,
11
upon Which
lower limbs.
The
t<J
sanie distribution
many
freely in
of vessels
birds,
when
In
it
all
from the
effects
of cold."
The
intensity of
this
is
animals where
made on
the muscles can be thrown into the strongest action by the application of galvanic or electric sti-
muli.
efforts
of volition,
is
excited by strong
also evinced
by examples of
12
If a
it
is
its
toid muscle,
from want of
use,
becomes incapable
from the
side.
of a living animal,
is,
when
of muscular parts
mouth
in a contrary
di-
rection.
I consider
it is
contractile
its
it*.
"II
* Bichat
Anatomie generale,
torn.
ii.
13
de Tissu est une peu alter^e du cot6 affect^,
tilit6
mais jamais
il
6t6.
de
Les
reste
nerfs
auparavant, et
membre ayant
la section
detruite,
ayant
totalement
n'est
elle
le
un ecartement
ensuite comparativement le
meme
membre
en coupant
resta sain
A
still
dead subject,
to
its
it
will
it
from
its
its
origin to
proof of
this
muscle
is
shewn
by Mr,
Homef
age,
will
"Take
it
in the
its
origin
same muscle
in
insertion."
remarkable
in the
"
A negro,
joint, the
os
humeri were
t Philosophical Transactions,
"29.
14
in the state
remained
dent,
till
left
by the
acci-
when
so that
they were
man recovered,
the
length.
its
By
re-
this
its
however, adapted
was diminished
new
itself to
by becoming
stances,
as
line.
could
scarcely
This muscle,
much
in length,
and by acquiring a
arm
person died.
some years
The
was
it
after
biceps muscles
and
arm had
From
self, it
this
original
mus-
which
length."
it-
be preserved
most
part,
by
15
musdes which
are
From what
we may
think
On
is
consequence of increased vascularity and circulation of blood in the part, and vice versa, a
On
want of
it.
On
exerted on them,
4.
muscular strength
the power
itself,
is
effectual
means of encreasing
which
5.
it is
by
influenced.
tendency to contract, by which they adapt themselves to the state of the limb or parts to
which
The proper
16
states of the limbs
which
more
especially as
it
is
aflfect
life
of
the individual.
The
which
indications
mode of
fulfilling
arise
heads.
17
CHAP.
11.
is
important in every
of view,
point
The
of the individual.
subject of
my
its
present
on the health
influence
disease
enquiry
it,
but
quences no
less injurious to
is
is
confined to
in
its
conse-
may
caries of its
structure.
quently attacks
may be
of two kinds,
young persons
more
in their
fre-
growth
the latter
is
of
life,
as
met with
at a
dissection are
is
ge-
much more
so
in
some
third part of
tices
natural thickness.
its
more than
Glisson no-
the Ligaments.
fit
ut ligamenta
lateris frequentius
pro-
opposita contrahentur
cundum rectam
non
et
The
possit."*
ita
erigi
transversales muscles
in-
and much
finer
and
fuller.
Bichat
gives an accurate
lowing words
*'
Dans
de
sent et se renflent
fai-
De
rachitide, p. 147-
19
sent6 surtout cette disposition."*
ces the muscles are
more
In both instan-
in
my own
more
frequency,
the
particularly
amongst females
in
a circumstance
mode of education,
in
less
is
mind
time conse-
perhaps,
children
is
desiie for
In no instance,
high attainments
in an overweening
and polite
paramount importance
joyments of
life
is
accom-
of infinitely
are either
much
circumscribed or
many
The system
acted
upon
in
females,
torn. p.
ii.
210,
20
fective.
naries
is
The plan pursued in most of these semito allow of little more than the exercise
to run or use
This restraint
the body.
is
young, in
and
is
evidently a contra-
all classes
consequently, of im-
portion as
wants become
its
less,
and in pro-
and no longer
foundation frequently
its
early infancy,
if
not culpable
which it
is
is
It
may
be confidently asserted,
when
it
is
supported
where
21
ftil
The
deemed a
sufficient
may,
in
some
instances, be
at
it,
how-
similar
often traced,
is
often adopted
may
mode of
be
diet
the body
is
to be attributed
no
less to excess
of
and
It
my companions
knew an
is
ex-,
agreed with
infant scream, or
Southern Africa,
two years
less
aii
me
in this point
we
never
Voyage
in
22
treme, by which the assimilatory organs are rendered incapable of converting the superabundance
into chyle proper for the nutrition of the body. It
is
mode
in
game
cannot be persevered
in,
and
if
it
To
of"
and vigour.*
these
two
causes,
more food
loaded with
of age,
it
appears to
me
that a
nagement of their
are
same
errors in the
classes of society,
ma-
we
see
as
the higher
bodies.
23
bodily exertion, favouring the production of
and vigour.
cular strength
from
evident,
its
mus-
being equally
uncommon
in
ranks of
life.
It
bits,
to
it
vj^ill
preserve
in
the distortion.
after
have a share
producing
stated here is
an
effort
body, apd
symptoms
such as
in writing,
tributing a share, in
of the disorder
&c.
may be
and rather
its
admitted as con-
it is
less so
indeed than
more reasonable
to
The
24
that
it
vertebrae, or in a
to
morbid
state of the
bone tending
Prior,
it.
its
we
is
arises
it
column,
from
local
a considerable decrease
and weariness
is
common
if
per-
to childhood ; there
ment of the
generally derange-
is
which
is
As no
looked,
symptoms perhaps
are over-
till
structure
debility,
becomes
and
it
yields
this
perhaps
may
in
some
instances
consequently inflammation of the ligaments, absorption of the intervertebral cartilages and caries
of the bone
have had
without such
effects
may
being produced,
sufficient demonstration,
both from
tlie
25
instances of restoration
which
of the
have witnessed,
subject.
It has
place
the
left
occasioned
position
is
when
this
during the
I'ight side
it
than
appears to be
perfectly erect
body
falls
is
so supported, that
body
it.
little
two
feet.
muscular
the spinal
side
the
come proportionately
by which the spine
is
is
debilitated,
preserved in
necessarily destroyed.
its
erect
form
26
If one side of the body be heavier than the
other, so
much
may
be sufficient
equilibrium.
This
is
easily
shewn
in the case
of
arm
stretched out
he
is
is
increased.
let it
less
To
be sup-
length of time,
it
for a considerable
left side;
on a
would be
drawn towards
slightly
line
its
with the
it
left
left
that por-
shoulder
that a second
in
ilium
side of the
27
inactive,
in size*
and con-
if
superincumbent weight
deviation
to counteract
may
it,
line
would render
still less
to have
as every increased
The
and
some
influence,
appear at
however inconsiderable
first sight, in
left,
is
producing
it
this effect
becoming
larger,
and conse-
body
is
insensibly obliged to
*
still
The diminution
more conspicuously
in
is
seen
example,
in
have
in
a bent posi-
seeft
on dissec-
28
brium.
It
is
of
this inequality
itself
inadequate tp
but
if
we
manner
state of
in
is
the body
in a standing attitude, it
must be
in
al-
producing
most
falls
The
to muscular strength.
an inch
rising in the
goes on
first
and
is,
that the
less
This
is
cor-
29
by Mr. Beckett*, who,
who
The
trials
or
is
must
necessarily be
some of
its
remarkable alteration
brought about."
were not instituted with a view to serve any particular theory are entitled to attention.
The
life,
muscular structure,
in
may
connexion
be assigned
at
In youth the
a cursory
carti-
and from
it
Remarks on
may
30
currence of incurvation
if
when in the
it
will be
undue
teriorly, so as to
upon
only
in an
effect
closely together.
On
its
proper
seem
to
arisen,
may
however, from
power or weakness,
will be
commensurate with
is
that, therefore,
and
accession of strength to the ligaments, and intervertebral substance, will result as a matter of course.
That to muscular
debility
we may
ascribe the
31
first
is
confirmed by
the particular
mode
may
it
of conducting
diifer
it,
is
their anta-
gonists.
I cannot but advert,
ill-ijndged practice
on
this
occasion, to the
deformity,
stays
The
means of support.
equally bad
endeavour to
and other
materials of
bone or
steel,
ed to give support.
attached to
to the na-
which they
are design-
The motion
greatly circumscribed
little
must by
of the intermethis
means be
the necessary
of necessity, their
thus defeating the
deformity
The
32
same may be
impede the
made on
free action
the
piration.
have thought
it
it
which
arise
effects
ill
ing them*:
and most
effectual
means of
correct-
narum
loricis,
ex
baJae-
noctuque in
hac
pessimo more
lorica,
illis
illi
hinc
et
cum
iidem musculi
lorica,
Unde
juventnte his
tamen manent
illi
licet
musculi
loricis
usse faerunt,
illas
postea
in
Boerh Aphor.
33
ditis,
dorsi erectam et
licet
grave
jam
quod vix
saepius
erectam sustinere.
vel
se
Ob banc
quandoque sequi
riorum
dum
tamen
frictionibus
saspe per
artuum
levior paralysis
pliires
sensim
infe-
superabilis,
septimanas ne
minimum
morbum
Dolentissimum hunc
expertus Celeber-
usu
frictionibus
autem
valdis adhibitis
caruit
tempore quod
in paralysi,
nunquam tam
cito
a flaccida inertia
tium fac+um
fit.
superatum
et
fuit
quidem brevi
ab impedito in-
Unde
videtur hoc
vel
malum
fuisse,"
bony
may be
structure, not
mode of
its
its
34
termination, but by an attention to the general
history of the complaint; for although
it
must be
two disorders
ference
is
ai^e
observable in the
mode
rise
dif-
of their termin-
ation.
In the lateral
distoi-tion,
the incurvation
is
if it
is
ooin-
occur in
a second or third
it is
y a des courbures laterales vicieuses commes des anterieures ou ces courbures presentent un phfenom^ne reaiarquaII
ble ; c'est que des qu'il ea existe uae daus un sens a une region
les autres regions
ternativement inverses.
diroite,
que tout
le
Bicbat, torn.
p. 139.
i.
p. 124.
35
under
my own
observation,
thie
column or
its
alteration in shape,
from the
totally
sometimes
its
it is
progress
in
is
un-
The
instances
Its
ap-
the spine in
months^
it
is
or three
will also
comprehends
it
in
some
instances
cases likewise
which
may
the
pain
is
of an
it
in these
obtuse kind,
cause.
is
the relative
altered,
and
36
they are occasionally separated to a greater distance than could be imagined, without a loss of
substance anteriorly
is
occasioned by
vertebrse.
more of the
disease having
with others, a
The
caries.
fair
pain, pre-
is,
The
is
in that
parts
more confined
to the diseased
febrile indispo-
texture,
part,
or bony
and
it
is
sition.
It is a matter of great
importance to distinguish
caries
and
rickets, as
Mr. Copeland
relates a case in
37
has taken place in the bodies of the vertebrae from
the former, or where there
ease in the parts,
tion
is
a scrophulous dis-
spine anteriorly,
as
quent complaint;
the
it
appears to
patient inclining
laying, with a
forward
view to procure
time, debility
is
is
when
sitting
produced
in the
muscles of the
or
effort to
is
it
the
incurvation
unless proper
becomes
gradually permanent,
moval.
By
mode
in
On
I pro-
the
first
it
Bread and
butter, or
if
The
principle
this
state of extension
it is
will enable
them to
act in
may be attained by
all
na-
various
distinction, I
and active.
its
would
Under
electi-icity,
39
ages
earliest
method of employing
however,
it,
may have
is
by the bare
shampooing,
is
Maniyjulation or
The manner
in
which
is
by stimulating the
muscular
size
and strength.
effect,
it,
differ
only in degree.
from
The
For
this particular
are indebted to
and the
mode
of the disease.
its
40
As. a general rule,
it
commence
advisable to
is
it
Upon
this
possess
cussion
friction
is
less
employed,
it
it
should
i-e-
ought to
The
recommended
as an
who
exclusive
Baynton''*',
argued,
spinal distortion
derived their
eflficacy
from the
was
which he
efl^ected
On
cases
referring,
in his treatise,
it
will be
41
observed, that they are chiefly those of anterior
this practice
own
his
may be
useful, yet
language, that
"
it
two
it is
he admits, to use
removed
mode of treatment.
differs
only from
may
nuance.
The
its
longer conti-
the
first,
which
the
it
convexity
towards the
is
point
met with
is
with
of the
left
in the dorsal,
less
42
times productive of distressing feelings, without
may
tress
the body.
It
selves as well as
me
by patients them-
we
if
many changes
sleep,
it is
persevered
in action
in,
why such
an
we
effect
shall
be at no
should be pro-
duced.
In the
most
recommend, that
an extent
it
it
indis-
would mere-
to the patient.
43
In the lateral incurv ation the confinement to a
general horizontal posture
is
of the parts
healthy condition,
essential
disease,
for the
is
regain
to
their
dis-
former
unquestionably a measure of
and in slight
removal of it
cases,
;
but
may
it
alone be sufficient
ought not to be
relied
upon
exclusively.
when
It
in
as
and strength
is
to.
44
head of active
pelling
ti
the muscles
to
One of
its
natural situation.
detail
of which
will
lowing
with
themselves
exert
place
the
is
is
the
fol-
passed
head
it, is
patient
is
di-
is
produced.
this
effort
a couch or
muscles
down on
may
not
the muscles
is
This
mode of exercising
than
when pursued
separately.
have witnessed
45
several cases
where
employed
cessfully
been unsuc-
solely,
also has
success.
By
effected in a
much
shorter time.
is
It
would appear
is
this
if
recourse be had to
on the contrary,
this
of
strength,
bodily
health
as
well as
muscular
upon the
The
advocates
46
for their adoption appear to have viewed the spine
as a
dis-
them
in their position,
without
If the view
it
effected
it
will be
upon which
be founded.
would
still
state as
be
left in
before.
it,
cases,
it
would be of
little
impor-
by causing such a
d^egree
of pressure on
way even
in a healthy person.
The
observations of
47
Mr. Wilson * on the
this point, are
subject, with
reference to
He
says,
entiI
have
life
which
in-
where
in all of these,
and in others
pelvis
irreparably injured, by
much
weight."
The
am
enabled to
* Lectures
p. 178.
48
distortion
which
lately
49
CASES
or
CASE
I.
in India, after
fo-
latter,
mitigation of pain
On
trifling
tracted.
benefit, except
his return to
England,
at the
end of
50
inefficacious,
till
fact,
his
and
six
body."
years,
from
this
time
a period of
my
care
at the
time
himself under
were made
five
his illness,
he placed
October,
1817, General
the body
to allow of rotation,
vertebrae
no motion of the
cervical
of raising
it
from
this position,
any range of
vision,
on the forehead
him
and lumbar
vertebrae,
accompanied
as
he found consider-
;;
51
able relief from resting the left elbow
and reclining
his
chair,
arm contracted
left
on the
at the
elbow joint
in
the
the thighs
la-
teral direction,
tracted
joints.
The diminution
his
in
feet
seven
when
placed in the
As the
marked
it
as a case of
of the joints,
fortnight he
it
muscular action.
first eff"orts
by repetition a
During the
the
immo-
were
futile
trifling
sutli-
52
cient to incite
most
him
The
to further perseverance.
to assist
elevation,
its
requisite to effect
it
more
my
particularly directed
means
especially as the
view
altered
was
I di-
make attempts
quently.
progress in
was
fixed
as
he was unable to
the
He
effort, for
example,
if
on the
first
attempt he
times,
as often as before.
at least,
In the
53
course of a month there was a very evident imin a
provement, particularly
greater mobility of
other,
side,
side to
legs.
amounted
gradually increased
till it
was raised
in the
down on
be-
After
the back or
fatigue
at the expiration
three
till
apart,
The
were
and
in
the
contractions of the
entirely
it
removed
left
legs
appeared
in the cervical,
54
still
remained.
was the
case also,
visible
in
amendment
the treatment
it
commencement of
form
cartilage,
acquired
its
stomach
also,
which
at first
now
the
now
less
strict
much
success.
exercise,
capable of walking
fatigue
his
health
also
was
tolerably
mucli
good.
in this concise
if
the same
still
raoje
55
CASE
A gentleman^
II.
me in
October,
The account
in the
which deprived
till
when he
experi-
the disease
two
years,
from pain
spirits
regular,
of this period.
On
terior incurvation
felt
66
ijo
The
tionless,
when
in health
left
was
leg
and he was
in-
the assistance of
three-eights
the
right,
mo-
five feet
two inches
he measured
five feet
was
slightest changes of
either
weather
circulation,
rendered
feeble.
from any
trifling
as to be
excitement so
much
him
The
and
accelerated
was greatly
emaciated.
Gentle
aperients
in
the complaint
ceed with
and
much
it
57
be roused into action which might have been
at-
em-
therefore
He was
directed to attempt
of crutches.
As
his strength
improved, endea-
distance.
He
and gradu-
was likewise
back as
nience.
much
as
it,
was fixed
was
induced,
creased
the
weight
being
gradually
in
in-
the
patients strength.
The
beneficial effect
much
sufficiently manifest
diminished
in
frequency
in
the
more
Exposure to
58
cold air and variations of temperature,
were no
may
it
effects
The improvement in
some
slight
became
perceptible.
left
left in
first
in height;
consequence of the
differ-
This plan
regularity; the
amendment was
progression of the
left
The
left,
little
could
In
recommended, however,
is
not, I conceive, to be
59
by the improvement
estimated merely
beneficial influence
its
was marked
more
in
striking degree,
beheving, that
if
have proved
and
to
me
I feel
to,
on
in a still
myself justified
had
fatal.
CASE
C. S.
in the state
etat. 6,
of
fair
III.
an anterior incurvation
more
particularly; she
difficulty
of breathing;
was excessively
irritable,
and had
fretful
and
at the scrob
lost
The
cord was
she was
shampooing M'ere
first
As
there was
some reason
to apprehend
60
a caries of the bone, from the sudden projection
at
distance
under
my
inspection, I thought
it
better not to
mode
of treatment before
to.
At the expiration of
six
re-
months the
The
child has
difficulty
now
of breathing, and
irritability
of temper,
alacrity.
CASE
IV.
who had
spine, apparently
an incurvation of the
some
61
aperients were administered twice a
friction
week
gentle
was reversed.
At the
CASE
The
expiration of six
perfectly.
V.
on examination
it
was discovered
that there
spine,
my
which
When
inspection, I found
sive
more considerable
side,
distortion
laterally
lumbar
vertebrae,
and a slight
As her general
a day,
rest to
most agreeable
to herself, changing
became irksome.
By
it
an adherence to
when
it
this plan
lessened,
parts
the protube-
deformity remained.
CASE
Miss B.
etat 15,
VI.
was brought
me September,
to
was of
still
earlier date.
all
probability
It
its
was observed
68
months, which induced her
last three
during the
my
was
delicate
lessness
any
Her
care.
trivial exertion
health
produced breath-
The
by the
alteration of shape
back or any
approach
themselves on examination; a considerable projection of the right scapula ; the right shoulder
left
much
commencing
On
lumbar
left side
it;
and a third
formed by the
vertebrae.
drawing a
line
from the
there
was a considerable
64
junction with the spine, forming a ridge with a
left side.
at the scrob
The mea-
cord on taking
During the
tinct ferri
first
three weeks
twice a week
position
varied
according to
and the
circumstances
the
shoulders, and
patient's strength
first
month
increased
improved.
it
was appended
to
according as
the
At the end of
the
'he
of another
after a
an inch
65
CASE
The
VII.
friends of
etat. 11,
is
delicate,
and she
is
lity in
jecting
her
much
On ex-
incapable of
amination, Dec.
it.
left,
that side
during the
tinued.
was four
little girl
at the
ammo-
fortnight,
discon-
and spine an hour each day, the patient standing against the instrument noticed in diseases of
66
the cheat.
She
also
commenced drawing
a weight
it
till
amounted to
exertioti
as
In addition
it.
expiration of the
first
At the
came an inch
taller;
it
The
After the
the shoulders
were of equal heights, and there was no appearance of personal defect ; the child became perfectly
healthy and strong.
67
CHAP.
III.
As
far as I
little
my own
obsei'vation,
me
equally to admit of
alleviation or cure
any incurvation,
accom-
ribs
ment
in the
connexion
form of the
between
chest.
the two
by an improveThis intimate
diseases,
and the
may,
at first sight,
notice of
them unnecessary;
but instances do
68
not unfrequently occur, where considerable deformity in the thorax has existed, without any
derangement
in the spine
it
importance in a
deration.
The treatment
my
attention
me by
observing the
The
am
order of which I
designated,
posed to bear to
It
is
it,
usually
it is
sup-
breast.
side,
ribs
on
of the bone
itself.
Sometimes there
is
a faUing in
this part
{[uently turned in
form
of the chest,
felt,
is
and not
ensi-
unfi-e-
flattened, while
69
there
is
side.
first
as well as
is
a greater length
is
apparent
when
the patient
The diminution
thorax
at first
is
this
is
particularly
viewed sideways.
is
in the size
may
all
the symp-
For
if it
be necessary for
the proper supply of the body, that a certain portion of blood should circulate
* It
among
consumptive cases
are
may be
ting causes, to a
of them
the
in the
70
in a given space of time,
it
from a diminution of
that, if
of the chest a
less
necessarily follows
size in the
capacity
that
it
purposes of
It
in order
life.
may be observed
much
The
is
perfect.
rise to
which give
To shew
disorder,
it
view
of
its
dming the
is
well
when
the air has been expelled from the lungs, the ribs
pass obliquely downwards from their vertebral at-
71
intercostales, &c.
its
capacity in
its
action press-
abdomen downwards
in-
its
er diameter.
wards
md thus
phragm becomes
cles act in
some motion
relaxed,
is
out-
enlargement.
down
inferiores pull
the
assisted
ribs
serrati postici
and sternum,
in
is
less,
During
its
capacity
t. ii,
p.
in
271.
72
external appearance assumes a circular form
its
in expiration
it
ellipsis.
The
agency
lar
in respii ation
effected solely
that inspiration
is,
to
is
is
in expi-
superadded
it.
to
is
its
air
which
is
essential to the
purposes of vitality.*
effect
of inaction
necessity of taking in
is
is
in-
become
* It
is,
debilitated, the
ployed in the
may some
their
irihalation of
which
oxygen and
is
necessarily
em-
use be traced.
73
muscles concerned in
expiration,
aided by
the
chest will
and the
in cir-
cumference.
The
ribs
in bulk,
in
in
in
deformed persons,
which the
ribs
were
other, it
life,
trifling de-
size,
is
cases,
ribs,
in
these
diminished.
To
may
the loss of
ef-
74
at their
in consequence
it
almost entirely,
the muscles.
Whether
perhaps, admit of
is
some
may
contrariety of opinion
who
for the
compa-
ing, at the
rative
which ought
local nature
child
its
nurse,
its
being
The
observations
which
75
of the thorax which
duced
at a
is
is
hfe,
by the
impeding
natural
the
actions
ribs
and
of the thoracic
viscera,
solely
on the
loccd
rely
its
its
proper
is
of the constitution.
re-
exempt
of placing the intercostal muscles and those connected with the anterior part of the chest on the
stretch,
tion,
76
wood and
By
this
upon the
abdomen which
sition,
may
The po-
full
muscles of the
as well as
While the
is
in this situation
is
I direct
in
the act
backwards.
he
is
desired
manipulation,
them
in force
on the
patient.
modes of
full
exercise,
on the
ribs, to
produce the
The
benefit to be derived
of necessity, depend
tient
if
from
much on
this
plan will,
become completely
ossified,
77
may have
existed for
a considerable length of
by a steady perseverance
mended, than
the bones
if
may
be expected
the means
in
recom-
have acquired
their
solid
much may
state
when
and
be done by the
The good
patient.
is
eflfects
is
attended with
to the
uniformly found,
that, in
quency
is
still
is
diminished in fre-
A brief recital
advantages of this
mode of treatment
in a
more
CASE
Miss E. L.
complexion,
etat. 13,
T.
September,
819, of a light
78
third and fourth ribs
on the right
nation
side,
which
upon exami-
it
The
child's
The
quickness of pulse.
is
jects.
usually observed in
The
weak and
debilitated sub-
half.
employed
for an
This plan
when the
At
this
At the
expiration
at the
dis-
79
CASE
Master
complexion
round
tlie
it
if
July,
etat. 15,
1819, of a light
the chest
appearance as
IT.
tTae
had
when he took
this
malform-
length of time
As
part.
me no
his
information of the
The circumference
existed.
a full respiration.
The
pulse varied
There
as far as regarded
the appetite, spirits and sleep at night, he complained of considerable uneasiness about the chest,
however, on any increased exertion but not otherwise, and the pulse
means before
detailed,
In addition to the
irX
At
dhest.
the expiration of a
80
seven inches, making an increase in measurement
of four inches.
In September he was again measured, and had
gained half an inch more, making twenty-seven
inches and a half; from this time no farther increase was observable, the chest being nearly restored to
its
The
on the func-
tions
commencement he was
at the
he could run
at
his
at the expiration of a
utmost speed,
till
month
muscular
CASE
;M.
M.
etat.
III.
24, June,
early infancy
an anterior incurvation
at all times
trifling exertion
thrown so
far
difficult
very
respiration,
much
increased
81
line
to
with
tlie spine,
its full
extent.
Her
cord.
allowing
me
at the scrob.
modes of exercise
in the
some mode of
fect, I directed
have described,
chest
but thinking
relief,
it
right
however imper-
it
lay in
sion
fill
throw
the head as far back as possible with the arms extended, at such intervals in the day as her occu-
till it
produced
fatigue.
expressed
great
change in her
satisfaction
feelings,
at
the
pleasurable
now
able to
do before.
also
more
ceptible,
far
The
lateral
backwards as
in ordinary circumstances.
as
The
She persevered
inches.
month
when
longer,
this
in
which
very imperfectly.
CASE
E. T.
etat.
9 months,
IV.
June,
1819, a child
difficult res-
on each
appearance
sionally,
side,
By
its
in-
circum-
ference.
CASE
Miss L.
etat. 7,
ment of the
V.
83
by a projection of the
fifth to
the eighth
it
ribs,
pain,
The
called delicate.
of the swelling
it
state of
CASE
Master A.
etat. 12,
it
unneces-
my
care.
VI.
fifth
and sixth
ribs at the
my
junction
care
on
ac-
lessness,
of pace.
from any
The
trifling exertion
or quickening
when
quarters,
and
at the project-
84
ing part, twenty-three inches and three quarters
the chest was not increased
more than
The plan
tion.
before
inches
with the
ference
carefully
at the expiration of
full inspira-
in conjunction
twenty-five inches
a quarter
recommended was
indeed the
amendment
now
in his gene-
rently in
plexion,
etat. 7,
CASE
Miss M.
spirits,
July,
VEI
1821, of a light com-
was recommended to
me by
a medical
was very
delicate,
Her
general health
much
debilitated.
85
chest
was
ill
it
was
much
The
felt
The
circumference of the
false ribs,
six
before
recommended
inch.
The
apparent
became
less
its situ-
86
CASE
Master F.
etat. 5-6,
VIII.
August,
82 1, a boy stouter
of breathing,
and
him so much
On
ful.
The measurement of
was nineteen
week.
first
month the
its
circum-
a half; after the lapse of six weeks more, an increase of one inch and a half,
in the whole.
At the
results
rain,
87
became
sufficiently manifest
who remarked
commonly
subjected
him
much
wet had
to an attack of inflam-
The
two or three
years past.
CASE
The
friends of
IX.
Miss T.
etat. 12^,
with the
rib;
its
observed a
connexion
at the scro-
good health.
for an
in the usual
manner, and
drew a weight of seven pounds by the head, backwards, as recommended in the treatment of distortion of the spine.
At the
expiration of five
When
in a state
88
four inches, and on inspiration twenty- six inches
in circumference.
CASE
Miss M. T.
etat. 6,
X.
January,
colour,
blood
in that viscus.
On
it
it
was
two inches
tages of the
in circumference.
method of treatment
is
in the
The advan*
not in this in-
mentation of the
size
less
89
than in some others that have been related.
Be-
much
exertion, in consequence
of hreathing which
it
produced.
By
these means,
difficulty,
and run
as far
without resting to
CASE
A young lady,
care in
cate, a
Its
ribs,
etat.
3,
XI.
deli-
half,
and twenty-two
The means
At the expiration of
admeasurement
scrob. cord.,
at
the
In the general
augmentation
90
CHAP.
IV.
The term
it is
its
some portion of
free
motion either
The
appellation,
however admissible
in this ge-
it
it
to
consists
is
mus-
is
its
energy
in the
larly of those
power of the
inuscles,
more particu-
limb.
The
may
claj^ses
a complete immobility of
pi
the joint, from an ossific union having taken place
what
is
is
only partially
The
lost.
wounds or
with a
instances of
That anchy-
my
first
is
noticed
have never
publication,
more
The
ossific union."
cases of distortion, in
the limb
is
some
internal
disorder
p. 39.
92
gulable lymph, or the formation of concretions; at
To
lytic
of the
bruises
muscles, or any
In
all
^ave enumerated,
made,
it
arising
cases
if
careful
examination be
will
flaccid,
nued want of
action,
power of moving
taken for
side,
its
it.
The
prevention,
is
limb, unless
lost the
means are
is
by
its
flexor muscles,
is
As one of the most frequent examples of contraction of the joint is met with in the knee, I
shall select this, to elucidate in
distinction
ment of the
some
degree, the
is
remediable by
art.
93
It
is
cases that
all
whether
it
mischievous
efl^ects
attempt to relieve
it is
latter,
injurious.
immoveable
in
it is
sometimes very
diffi-
cure.
in
forming
of attempting their
so severe
it
will be found,
on enquiry,
94
been of the most insupportable kind
that the
is
is
the
lastly, that
slight-
and uninterrupted.
In the
morbid change of
membrane mentioned by
and the
stiffness
en-
without fluctuation,
readily
from
all
liable."
suffi-
pre-
rheumatic
affections, in
is
more
95
panied with wandering pains
joints.
In the
so permanent, and
various
other
the swelling
more suddenly.
greatest bulk
in
is
not
arrives at its
I have seen
it
very
Richerand observes,
rheumatismale
rive jamais a
chez
les
From
different
la
liTn
tumeur
scrophuleux." *
the exaniination of morbid parts
surgeons
it
made by
is
cretion of a hard
smooth substance
new
se-
formed, at
ten,
f"
as
it
feel
and
and to
Nosographie Chirurgicale,
torn.
iii.
Artuum
p. 236.
vitiis curandifi.
96
eacb other in the motion of the joint,
manner, that
it
surface,
such -^
of bone
car;
tilaginous coverings.
pact layer
in
is
seen in thg
is
ed by maceration.
section,
I have
many
times, in dis-
joint wanting,
and in
its
colour, and
found no
In
re-
Dissection demonstrates
that ulcera-
gouty subjects,
In
is
in the joints,
had taken
tilages
place,
97
ceased after a long continuance of muscular exercise cautiously pursued.
conBnement to a particular
tion between
these
sufliciently obvious.
will
be
follows
that
length
as
have
gouty concre-
the
may
with rheumatic swelling, and which might be attributed to ulceration of the cartilages, appears
have traced
in a patient,
this cause
very satisfactorily
hip, knee,
of the same
used.
first in
that
deficient secretion
would be the
result of inaction,
98
and, on the contrary, that increased motion of a
part would
augment the
joint, analogous
fluids
what we observe
to
other
in
In corroboration of this opinion, I have witnessed the same sensation on the motion of joints
which have remained along time inactive, in consequence of the neighbouring muscles
having
of cartilage could
J'
have known
symptom
this
of
it
In rheumatic swellings
arise.
in so short a
subside in a week,
of the limb.
time
is
The removal
it is
also notunreason-
cular exercise
than
mus-
beneficial.
It is noticed
" La
partie
moyennedes os longs)
fait voir
558,"
Traits des Maladies Chirurgicales, tom.iv. p.
99
part which are usually symptomatic of ulceration
of cartilage.
In the majority of instances, as I have before
the immobility and
stated,
power
principally
is
of
in the extensor
inaction,
consequent loss
much
an object of the
first
it
is
sometimes not
therefore
must be
importance to endeavour to
proper
This object
office.
according to
my
is
most
fully gained,
thereby to restore
them
and
which
of the spine.
The
particular
same
set
action,
or of a
It
when
100
muscles of the whole body are put
in
in exercise, as
mode
is
of exertion.
reasonable to
is distri-
consequently
when
it
is
is
less intensity,
simple experiment
cleai er
will serve to
point of view
let
put
very
this in a
a weight be supported in
produced
by one arm
in
at a time,
and
it
will be
found that,
in
it
by both simultaneously.
this case, the
It is evident that, in
when they
whole of the
sensorial
power being
thereby enabled to continue their state of contraction for a longer space of time.
terial
consequence
in
which are
limbs, for
weakened
less
101
more energy
for a
more quickly
may
in different cases
of them
is
be aimed at
in all
it
method of treatment
greater fre-
same or very
means
its
all
all
cases of this
its
other
Considerable caution,
similar
origin.
it
may
is
termed a soluble
state
10
may
tion.
on using
exercise,
manent pain
which
will
in the part, it
be indicated by per-
should
l)e
immediately
On commencing
degree of uneasiness
is
coimmonly
:
under the
felt
more
'tha^:
'
the
latter will
think
it
friction,
manipulation,
itself,
from previous
disease, are
more
is
As this use of
commonly at-
103
tended with some degree of soreness and
of the part on
wliich
application, a circumstance
him to ascribe
it
its first
it
I think
nipulation,
ma-
stiffness
which the
If the angle
tibia is fixed
over a pulley
is
it
efforts
steadily forwards,
till
fatigue
is
and he
is
desired to
induced.
The
first
attempts
of
When by
a steady perse-
may be
adopted of
and a half
in length,
<flat
may
be
made by
at-
and a foot
in breadth,
to
104
each otherj so that
when placed on
the floor a
ground,
is
the
In
t)ie
toe towards
position the
this
patient
holding by
may be
proportionally extended.
should be persevered
cise
in as
This exer-
long as
it
can be
The
show the
efficacy of
CASE
T. A.
etat.
I.
the
I'ight
could
not
to.
As the
leg
be
was
was enabled
Xhe
it
but
at
plane.
105
vering, like a thin skin over the bone, the flexors
There
v^as
which he occasionally
suflFered
during the
it
By
CASE
M.
L.
etat. 13,
II.
of
Four years
the thigh;
there
The
leg
any other
no motion.
As
general
commenced
Mani-
106
pulation,
in
of a
ration
gained
month a very
which
slight
a chair in
At the
felt
expi-
motion was
under
an
the
tibia,
employment of
pain subsided,
as
before.
By
increase of size
When
the swelling
became more
mo-
free.
much
it,
as
he could support
still
it.
observ-
he regained
its
complete use.
107
CASE
III.
me
gentleman applied to
two
anchylosis of the
first
with an apparent
As
walking,
it
some
medy
diet
for
and
lately
in
it.
He had
exercise,
He was
from gout.
re-
directed,
by standing on
much weight on
he was enabled
to support without
much
caution;
pain,
and
when; any
rest
by perseverance
given;
he entirely
in
re-
CASE
J.
E.
etat.
IV.
28, January,
of the
left
knee
joint.
The
pain at
108
night was so acute that he was unable to procure
rest but
opiates.
repe-
ef-
of the joint.
The
leg
immo-
in that position as
pain.
With
least
to
could support
it.
By
came
venience in
its
use.
109
CASES
Of
CASE
J.
last
M.
I.
this
he
The complaint,
at its
blisters.
ment of the
deraiige-f
week
arm
as
much muscular
inside
no
of the arm, to the extremity of which a spring
by
their use.
By
oflf
when
CASE
A lady
II.
fell
with
much
downwards
summit
which existed
with distressing pain, and she could scarcely endure the slightest motion of
of twelve months
saw her
it.
on examination, the
and
infra spinati,
Manipu-
Ill
lation
The
stances.
first eiFect
by
the
according to circum-
it
this
increased exercise
of muscles
disuse, in conse-
it
was
By
per-
severance in this plan for six weeks, gradually increasing the weight according to the capability of
was restored to
its
wonted powers.
CASE
K. L.
etat.
37,
III.
two
or three years, complained of considerable uneasiness and weakness in the whole course of the
spine,
greatly did
he
suffer
when
in
so
an erect posture
it
for
any length
ex-
112
cept
when
him
business compelled
to exertion.
from pain
which prevented
had recourse to
of a mercurial
purgatives.
He
was
arm three or
hand,
perspiration
till full
By
method of treatment
perseverance
in the
back and
the
arm was
and
usual vigour.
Mer-?
in this
restored to
curial remedies
full strength,
its
it is
therefore not
13
CASE
H. L.
etat.
IV.
down on
the pave-
The
painful
parts be-
its
The remedies
treme pain.
usually applied to
ex>-
to
on
this
till
When
the foot.
applied to
me on
of the
glutsei
the thigh
muscles remained
also were
the muscles of
much diminished
in
size,
in all
The symptoms
from
inaction.
114
applied over the hip and thigh
make
and forwards
Having by
till
it
this
backwards
it
little
power
muscles in particular, to
to
which a weight of
six
affix a strap to
the heel,
When
raise
induced.
and depress
By
it
alternately
till
straight,
fatigue
was
and carry a
pailful
without assistance.
stairs
115
CHAP.
V.
ON PARALYSIS.
in
which
is
or
and
partly involuntary.
Palsies have
when the
body only,
it is
it is
not
these different
be affected ; thus,
on one
side of the
body transversely
As
may
affected, paraplegia.
is
my
forms
illustrate the
advantages of a
mode
looked or too
much
and paraplegia
as^
The
precursory
symptoms
of-
hemiplegia are
116
the same as those which are usually db^servt(f'oTi
monly a
Com-
it is
described
is
as
more
memory,
circuiii-
cohfid^
gi'eat iriitability
of
vision.
characterise
it
of
The
however,
is
the right
arm and
left
my
much
lost that
it
may be
observation where
is
paralytic limb
is
not unfrequently
tionless, but
The
diminished, or so
The
oiie
is
found to have a
contracted
to these
natural heat,
relax-^
permanently
117
,
It, hia^,.
may
whether
it
may be
questioned
not be esteemed
ai^
than a
symptom of
disease.
I
motion
an
The immediate
this
sions pressure
may
be briefly
effusion
;}:,
deficieiii^jj^
Id. xi. 6.
^ijo^^
118
of different parts, as cavities * in the substance of
the brain
-f-,
schirrbs'''b*f
nearly
some measure on
recent
ita
cases
The remote
The
"
iimmediately
exciting,
producing paralysis,
mind
to these
may
be
f Willis.
II
Morgagni.
Ixii.
9.
p. 913.
cold.
Id. 15.
119
The
may
general causes
habits of civilized
life,
as to occa-
may
be enumerated
of vegetables with
it
The
habits of
life,
its
must be
suffi-
to produce a ple-
we
reflect that,
must tend
side, or
a defi-
to destroy that
wd
120
although the quantity
from the
effect
ofi ialimeiiti
of exercise be
.
ifijthe. excretions
proportionatej
itTot
The converse
also
fiohriiiuoiq
illustrated in a'case.dfSn-
is
man
six bottles
of porter, in
tlie
course
in
good
The
who
tlie
greater liability of
are
system.
its
somewhat advanced
iJiriginate in
occurrence to those
in
life,
appears to
longer, continu-
atice
The
early part of
life is
in;
the
it
13.
121
of mechanical
injury,<f!l
the
The
occurrence of paralytic
rare
the soldiery *
among
may
affections
be greatly attributed
comparative moderation in
their
^
of
life
at
indepen-
diet,
the service.
The
in
who from
patients
excitingj
afflicted
its
with
occurrence,
diet,
whose
the disease,
at first be
ally
or
jjTiQ
may
be gradu-
^what extent
this
122
but
it is
advisable that
continued until a
full
it
in-
duced.
may not be
useless to
the pleasure-
But
it
more
liable to
the
it is itself
habit.
It
by the use of a
less nutritious
diet,
or by addi-
endeavour to remove
it
for a time to
must eventually, by
tend to aggravate
On the first
may appear
its
repe-
it.
first
rank
in all instances
freely
regulating
it
the
123
quantity, however, according to the state of the
symptoms, the period and habits of life of the paand the greater or
tient,
less disturbance
of the
power of the
limbs.
there
is
mind,
rally
young, or not
and of a
full habit,
and
it
and topically
of which
mode of
might be
cited
those
is
numerous instances
the subject
all
neither, in
my
life
'
utility
head,
which
is
properties they
may
stomach, in which view only they appear admissible, especially as the latter
much
less
hazardous methods.
may be
attained
by
124
To
and their
efficacy
established
on the .concurring
they
disorder.
ijj;
In that
symptoms, there
is
of the
dis-
order,
use-
fully
conjoined
in thies^
same extent
as
in
causes
ferent
and recommended by
dif-
authors.
internally
rustica-
camphor,
with
valerian,
moxa, galvanism,
electricity,
ammoburning
warm an^
,
Each of
125
who have
those
oises^'
treated
expectations of those
their
who have
administration.
respective
in its turn
and each
clusive
upon
rehed on
As the
its
ex-
exhibition
of
complaint,
generally in
this
^t^r -more
frilly
it
may
be useful to
vantages.
The
priiicipfe
'
to
hav^
defective.
dissection,
rise to
it,
we
its
being
we
from some
stances,
most
iu'-
an active kind,
vessels
it is
if
if is
to be presumed
is
likely to be attended
by a corresponding
126
if
eflFusion
or ulceration
it
affects a
itself.
it
neces-
with a
if not
at
many
cases, they
all
fatal
cases
consequences
be regarded as
the system
which
gave
originally
state
rise
to
of
the
complaint be removed, and under such circumstances only should they be had recourse to.
The manner
in
by increasing
is
necessary to the
is
me
calculated
to
effect
that
The
stimulus,
this
object,
and the
is
that
127
'
From
sents,
it
the
disease pre-
lost,
and the
latter are
no longer
The
tion, to
may be
its
illustrated
by a reference to those
action,
is
on
the. tight
glers, &c.
&o.
are to be exerted, as
but his
irregular,
and
it is
aartsi;
128
he
is
stances which will be hereafter detailed, will explain the general failure of the usual
means
that
whatever
moved
which
may have
its
exists
all
to,
muscular stimulants,
volition, has
We
who have
at-
tained the full and free use of the leg of the affect-
ed
side, whilst
as
when
first
" in hemiplegia
it
power of the
leg
Dr. Cooke,
observes, that
before that of
129
The
not appear
is
difficult
two limbs
The
of explanation.
will
invalid
The
strength.
action of the
its
common
that of
To
its
its
so in-
purposes of
especially as
bulk and
it is less,
fellow.
same observations
perhaps even safety of their exhibition will depend, as in that of internal stimuli, on the primary
disease of the brain being removed.
tration, therefore,
electricity
The adminis-
With
the
down
as to
130
causes, and of the vascular excitement of the braia
trial
may
want of attention to
lytic affections,
cases
In
this, in
may appeat
be allowed
of.
of failure
remedies.
of such as
in
my
casion,
may
much more
effectual.
by increasing
greater
sanguiferous
circulation,
and a conse-
These
strength in them.
they
produced by
are, nevertheless, to be
To
mulant substances,
pai'ticularly that
of
sti-
friction,
which
131
irritation excited
on thU
stimulus to th6
muscular nerves.
As the manner
upon the same
in
be used indis-
though
criminately,
may
principle, they
att,
latti^t,
thereby;
it
as the skin
is
it is
performed with
greatef*
If friction be used,
flour or
as
if percussion
be preferred^
them
for one or
is
advisable
two hours
at intei^-
which
regimen.
all
method of
our
The
eflforts
ir"
will
prove abortiVd,
should
CofU-
animal
if it fte
132
eaten every day
it
meal; pudding, or
sauces,
the appetite
a general
fully satiated
is
As
this
should be most
may
commence
most
cai efully
who have
it
necessary to
It
should he
life,
more
par-
that no exemption
be
stated, that
by abstinence and
it
may fairly
strict
adherence
but
vourable issue
may
more
fa-
Paraplegia.
is
frequently
produced by disease of the spinal column, or enlargements of the ligaments occasioning pressure
133
The theory of
Dr. Baillie
the
that there
*,
membranes of the
formed
press
may
fall
is
brain,
spinal
and
marrow,
some of those
cases
examination.
We
parts
find
in
affected
lytic.
this
communication between
by
it,
the limbs
are
It is also illustrated in
f,
in
and
in
the
children
which he
made
The
recommended
same as
of hemiplegia.
If there should be tenderness on pressing
any
ii.
p.
323.
134
cartilages, the application of leecbeg,
of
tition
ipay
blisters
be
resorted
and a repetp,
in
ray
setons.
sensation,
however
trivial,
should be hailed as
frio-
ti.Qp,
In some
patient.
sures
may
instan.ce.s
be resorted
tp,
think these
even before
^hp
lo^ea-
t^iere i
of sensation:
jfeturn
qf"
slightest sense
tj^e
much
4pd
o^ feeling
sible
of
it^
to
also
participate;
yet
of
the
tjpag
will
tp
e^thibiting
the
attempt motipn,
constitutional
remedies,
s^e
tbe
was enabled
to walk.
that, the
135
In another instance,
on
the eontrary,':1^Fiere
there
limbs,
gradual
increase
of the
exiercise
of
power wer6
make use
of muscular exertion
a considerable
till
suffered
much from
who have
using considerable
quently attempting
muscular
it,
exertion,
and repeating
it
fre-
at intervals
it
To
effect this
plete fatigue.
CASE
I.
^
Master K.,
etat.
11,
of a light complexioii,
limbs, &c.
-I
dt the lower
136
At
paralytic seizure.
articulation
is
he
is
hira
his
walk
is
a slight impediment,
lying
down
lips,
path,
his
in
he
is
is
such as
that
of a stone
to
throw him
sufficient
hand.
The
He
for
twice a week.
The measurement
of the right
He
is
six
strict attention
With
a view to
at
which he
spoke,
as
he acquired
137
He
strength of articulation.
was directed to
it
mented
leg singly
raise the
on one
body
leg,
jump
when he
and
became
till it
fatigued, to lower
alternately, supporting
it
and
entirely
This
excelled.
plan
was
pursued
months
at
the
arm extended
he could
jump
walk
the day.
CASE
II.
-Or
A.
S.,
etat.
65,
June,
left side,
left
138
useless.
the arm, at
He
and a quarter.
strict
brain',
good
in
;
sham-
As
movement of the
move
it.
The
first
efforts
In
improving strength,
its
increase to his
at the expiration
of twelve
in
circumference
it
became
useful,
and
enough
to enable
him to resume
CASE
his occupation.
III.
in
consequence of
\3,9
large quantities
of
laudanum.
throughout the
w^h
and
affected than as
fol-
Her
shewing
which usually
The
up the
vessel containing
it
filling
Any attempt at
most
give rise to
all
the
lution.
purgatives %wice a
the
effect
so as to
ferri.
Fric-
Tl^ patient,
attempt to
stand,,
directed to
efforts succeeded,
\q^X
IHxvver,
extremities
The
their full
scarcely be
140
moved from
the side.
in the hand,
therefore,
it
till
fatigue
was
induced
ceiling
by a
line
over a pulley,
with a handle
as the
sufficient to
drawn up
several
increasing
its
amount
By
improved.
was
in
effected.
Master
age, after an
rently with
leg
W.,
J.
CASE
IV.
etat.
12,
at three
attack of fever,
a paralytic
without success
tried
of the right
for
his relief
On
of
affection
means were
various
years
years.
ing useless
141
Ijackwards or forwards.
thigh, and leg,
were very
wasted
raiicli
hip,
the foot
the tendo achilles; a considerable lateral incurvation of the spine had also taken place from the
necessity of supporting the body on the other
leg.
The upper
distance
and three-quarters
the
the
leolus externus
at the
The
upper
twelve inches
calf,
and a quarter
As the
was by no means
good, and the appearance of the tongue, &c. indicated deranged secretions,
alterative doses
of
every night,
manipulation
142
and
leg
leg,
sup-
it
it
as frequently,
and during
as
At the
expiration of the
first
in
month
the fol-
and a quarter
the foot,
achilles could
length of
the tendo
till
considerable
was
move
directed, with
much,
it
became an object to
called) a facility
powei*
fof this
and a strap
143
fastened to the heel, with a cord passing over a
pulley,
it,
attempts
his
till
brought on.
was
complete fatigue
gradually increased
he acquired
him
to
on the back of a
which
chair,
it
lest
to sup-
in the
he was
tired,
He
was now
to
was continued
able, standing
till
when the
sti-ap
The
of the
it flat
144
aponeurosis.
to obviate
this difficulty,
bn
board underneath
it,
height to which
eflfect
it
it
th^
produced in
its
The measurement
the'
much
pro-i"}
pain.
and a quarter
atid
and
a quarter
The
five-eights.
The
and
patient,
still
is
glutaei
much
muscles
increased in size;
before detailed,
of the'
is
able to
assistance of a stick.
means
145
CASE
H. K.
etat.
V.
13 months, was
suddenly seized
left
arm and
leg.
digest,
to
disease
may
By
be attributed.
strict attention
in
CASE
T. B.
etat.
VI.
its
approach.
His trade
severely
from
cholic,
temperate
in his habits
and
occasional
of living.
146"
He
cannot
at this
to be understood,
^nd when he
from
rises
to tprn rojiind,
very
is
when
irritable,
walks badly,,
standing or walking,
is
under
till
c^|i
[If tl^ere
mities.,
a determination of blood to
is
the mind,
such
as
anger, the
left
side of the,
remains
;Tf).
blood
tlie
other
pallid.
T^lieje
the
fourteen ounces of
head-acb,
the
of]
pilul,.
;of
blister
was
sufficient to
day.
He
more
fre-
To improve
loodiy ajod
slowly to
voice became
more powerful
body upon
it
so as to give
147
By
the
vering in
expiration
above-mentioned plan,
perseat
the
distinct,
the muscles
of the
much
without
fatigue.
It is
at
that if
he
he
is
round suddenly, he
is
from
bujt if desired
to
sit
till
down
without
he
effects
difficulty
either the
with
one
a tolerably
the other
finrmr step,
much
]48
aiioin
1o
pi.'
1.
eraoJqmv
The
J.-xiU
"tbjai yhi}9l
>
J^noisBooo iu6
>ir.>jBii,fi
irregular
feo^y,"t1ieir
will,
feng'iio
evidently
of nervous influence
accompanying
'irritability
this
me
induce
to consider
hemiplegia occurring
~'we
know
in
that pressure
liemiplegia, and
it
as
a modification of
young subject*.
on the brain
when occasioned by
will
same
we
see
'individuals at a
lysis
produce
effused fluid,
Thus
para-
^ij'ViJij'u>Hii'ii--
Mead.
149
leg,
not continued
In a young
left
woman who
which was
commencement of
the
9!
on
tn the
woman
case of .a
lygHt
had a
and
fit
she
suflfered
much from
confined to the
plaint
left side
was removed
in a
of the head.
This com-
It appears
same cause,
probabje
in botli
occurs
in the cases
girls
than boys.;
9{
tion
is
ton t, five to
font-;
Andree on Chorea.
t Hamilton on Purgative
Med.
150
by the former, may,
taken
in some measure,
is
iirind
more
Though
the faculties of
especially, yet
ment of this
it is
memory
my
.care,
the individuals
thie
difficulty
to
intellectual faculties
.'
the
Dissections of those
this
in
who have
laboured under
related
membrane covering
spinal canal,
its
sides
and the
were more
to the third
151
"JTo^,
applicable,
With
as
in
treatment of hemiplegia.
appears to
]be
except
Yjisabl^
excitement
present.
is
in, gases
Upon
the whole I
am
,i:ecent cases,*
fully established.
In;
its
affections, I
was
vplition^
cons,e-
.be^
shewp. by
pf.
long
jjnavaiijng.
CASE
E. P.
etat.
U,
1.
girl^
in
the
had
been
affecting
preceded by
the right
arm and
On
considerable head-ach,
leg.
In 1815, a
commencement of the
Purgative Medicines.
152
disease, the soltitio. arsenici
purgatives, con-
and
leg.
weeks,
and
was
removal of the
attended with
a
disease.
complete
the
io jiociDt
sili
tentive,
CASE
iJfi'Master
-T
II.
by
side,
by a paralysis of the
supposed to be occasioned
to
placed under
indistinct
months
my
care:
it
may
of another
disease,
he was
be necessary here;
to,
zinc, electricity,
At
sea-bathing^'
more power
in the
arm and
leg,
was so
or medical
little
skill
advantage.
he had acquired
but the irregular
sitting
a"t
case,
the adminis-
and
together,
it
remedies
attributed,
fair trial.
on making
alone, and
effects,
though
was surprised
the disorder
trial
advantage,-?!^
of muscular exertion
had anticipated
at its
its
good
to'
154
with the arm extended, as long as he wa^ able,
and to repeat
it
Was directed
also to stand
till
it
he
jBoiitinually.,
On
till
the
expiration
.pj^jaf,,
month tb^y
entirely ceased.
So great was
that he
jtbe
from the
symptoms
to
its
strength improved in a
to the
On
more frequent
interruption had
subsisting
it
appears that an
between
the
brain
and
muscular
its
healthy
to
conveyed to the
155
muscles by means of the nerves, they had lost
of obeying the impulse of the will,
the power
connected' action,
'and
unity
the
debilitated;
most
rational
it
mode,
them under
its
natural controul.
CASE
Master H.
care
in
July,
etat.
15,.
1819.
III.
He
and
the disorder
Within
was
sud-,
when
it
barking noise,
sometimes loud
enough to be
so
frequent as to
occur twenty or
The
following
]56
piilse varies
from 90 to 120.
apprehension,
easily
irritated,
served
by
his
was confined
iri'
a soluble
low
to a
state.
Any
It
less
diet
but
quict^o^
remarljaBiy
when he
frequent
attempt to
is
friends that,
He
these
resist
him
the
chest,
and
apparently
aggravated the
.i-^^ij-
ordier;
liixercise,
the mind
or
that
any
emotion
accelerated
passion
of
the circulation,
m-
or
body.
On
adopted for
its
removal of
iW
foAiici^
means
dis-
resoi-ted
IT.).
to for the
and
he
157
sea voyage
tried,
it
took ten
drops
thrice a
two months,
day for
week, without
yulsive motions
which he
rhaei.
twice
of the body
persevered
in.
e principal indication
for this^
he could support
it,
as long,
it
proportioning
strength, and he
its
was
increase
to
his
improving
aUp
He was
encouraged
of muscular exercise.
158
he could
and to run as
ceased,
removed;
entirely
in
far
his breath.
tirely
trees,
all
the bowels
ap-
were
he'
paying a
exercises and
the
strict
attention
which had
He
week or
fortnight,
of the nictation.
ung. antim.
To remove
tartariz.
this
affection the
side of
small blister
view, by giving
These
applications
answered
the
intention
atf
sodn
159
as the irritation ceased the convulsive affection
returne(J.
week or a
fortnight,
when he was
totally free
On
the
contrary,
when
On
original
it
by the
strict
instrumental, by
erful exertion
adherence to a moderate
different
modes of
exercise were
muscular power.
The want of
success in con^
difficulty
may
of eradi-
160
partly to the action of the eye-Hds being in
measure
entire
own
agents
ercise
involuntary,
but
principally
some
that
the
act
applicable to
as the
to oblige
of volition,
its
his
same external
were
not
equally
J61
CHAP.
VII.
MISCELLANEOUS OBSERVATIONS.
There
not always
if
it
may
be
may perhaps
The
cure of the
be ascribed ex-
servation,
however,
fallen
under
my
ob-
subject, in 1734.
162
given, to a considerable extent, by
where
noticed,
its
and
itself,
failed
thq,|fl^,.pjr
limbs,
Jj-lrP^dy
To
from
employment,
its
will be necessary to
deriV|e,t|h,e
in these cases,
diet,
and
bes.;pi:o-
support
it; that
that
when
;;
and
should be pursued
is
i^fO
full
till
it
produced.
It appears that there is
perspiration,
ternal
by
this
remedies, as
debility
an advantage in exciting
is
in-
diaphoretics or sudorifics.
liable to relapse;
markable
Nor
is
the patient
^so
was
of
disease
a recurrence of
After
using
strong
163
exerdse, however, in the manner before
'iriiiscrtlar
The
stat4' 'df'
mastoid muscle
wry
spasm
is
i^jr
in
source in disorder of
its
to purgatives,
tions.
But
permanent,
if
iti
anodynes, and
fomenta-
admits of a cure
by the means
above-mentioned.
The
in
the bones,
and strength,
solidity
empfdyment of
percussion,
molHties
friction,
would be found
shampooing, br
beneficial in rickets,
'
ossific
union has
taken place.
It
is,
regard to
.m
latter
164
case, that if percussion,
mode
ferable
Hmb
of,
it
trial
than three
of the complaint.
insufficient
striking
was
lytic subject, in
whom
of a para-
up by the contraction
calf,
By making
thej^exercise
.l^ur
achilles
on each
side,
jjjjjj^^ei^ed,
into
is
size.
-'J
The
,^^eqency ,,pfj^the
pulse
is
not undeserving of
165
notice in
gentleman,
whom
use considerable
I directed to
yonng
In the case of a
place.
this
was to produce
first effect
an hour,
and thirty
reduced twenty
same
effect
The
minute.
adult age.
regularly, during
it
fell
two
years, beat
to eighty,
and
muscular exercise.
In gouty concretions of the joints, excitement
of the muscles, whether by voluntary exercise or
other modes, as those of friction, shampooing, or
percussion, or a combination of
all
of them,
may
given
to
the
method,
in
to
affected joints,
By
seat of disease.
one instance,
following this
have succeeded
in several joints
years.
In
this state
in re-
where
it
of disorder
]66
it
may be
remarked, that
iilso
it is
indispensably
^e
foundation
The
whom
in
an increase of
in those
young
as
the
exertion of
well as the
of articulation in
paralytic patients,
idular eflforts,
it,
the powers
in
patients
improvement
and fullness
in
tion
iiig
"
stammering.
may
arise
tli6
tnind
from
which, by distract-
articulation. "
when
Ill
the greater
number of
instances,
but, as
167
iti
bas
.lje^^t
mind
are not so
before,:
much under
afl(^,
ordinary
is
required than
Thus
instances are
of volition
circumstances.
difficulty or interruption,
much
as well as those
ordinary speech.
to
who
This fact
is
strictly
analagous
movements of the arm without convulsive jerkings, could support a weight, with the
till
fatigue obliged
arm extended,
him
to
consists in calling
strong action,
is
exemplified
two
known
instance of DemostheneSy&ndvo,
Medicales.
In attempting
its
168
cause be
vented.
first
But
removed, and
this caution
its
its
recurrence pre-
as
some time a
after
is
required.
although
its utility
must
necessarily depend
be no
dies
less
it
on
its
would
it
incurable,
or
may have
in disorders in
abused in others, in
it
THE END.
T. White
&
Co. Printers,
LondoD.
14,
Bear Alley,
been
ON THE USE OF
THE
MOXA,
AS A THERAPEUTICAL AGENT.
BY
BARON
D.
J.
LARREY,
WITH
NOTES,
BY
ROBLEY DUNGLISON,
FELLOW OF THE ROYAL COLLEGK OF SUKGEONS,
&c. &c.
LONDON
PRINTED FOR THOMAS AND GEORGE UNDERWOOD,
32,
FLEET STREET.
1822.
8 .H
HI8
:i
";/fOMIT8aT W!
Printed by T. Daois,
W, Minories.
TO
F. R. S.
THIS
IN
WORK
IS
INSCRIBED,
ROBLEY DUNGLISON,
PBMCOT
STREtT,
August
\st,
1822.
ERRATA.
Pag.
y'll.
the references to
Pag.
xlvii. for
its,
read their.
HIPPOCRATES.
CONTENTS.
FAG.
INTRODUCTION:
Preliminary Observations.
sity for the
On
the neces-
attention to
study of Medicine
i.
xxvi.
Term
xxvii.
Period of
first
its
xxix.
xxx.
Europe, &c.
Antiquity of the
Moxas
of the
Use
of Cauterization
Nomades,
xxxiii.
Indians, Persians,
Arme-
XXXV.
cans, &C.
Mode
of preparing
Universality of
its
Moxa
xxxvii.
xxxix.
it
Application
xlii.
Of Aeupunctufation
Mode
Moxa
xlv.
After Treatment
Of
xlvi.
Moxa
xlvii.
Conclusion
the
Use
xliv.
of the
Moxa
Agent
xlix.
&
liii.
as a Theraliv.
ixxiv.
CONTENTS.
ON
ITSE
Prefatory
USE OP TH MOXA.
Remarks
Observations on
On
. .
..v .
. .
.i
Moxa
its
application
Moxa
is
indicated
Vision
Of defective
9
10
Cupping
Of
Properties of the
1.
.0j5,fr, ,r .t
.,),...
i"
3 j>
Moxa
Description of the
Parts proper
,^<\
14
action in the
membranes of
the globe
Case of Amaurosis
2.
Of Smell
3.
Of Taste
4.
5.
Of
15
.'i^fi
JJ^ .
of Speech ..........
20
21
Case 1
22
Of
18
Of Tic douloureux
6.
17
23
24
Paralysis
26
Of Hemiplegia
29
of the
Face
31
Case of
Of Hemiplegia
30
of the
Limbs
33
CONTENTS.
PAG.
. .
vsr
Case of
r7.
i.
Of Organic Diseases
Of
ii
% fjft^fjf;*,''^^
of the
37
Head
38
Epilepsy,
39
.Ctwe of Epilepsy
41
43
44
Ditto
Of Mental
^
p.
Of
Diseases
Of Asthma
Of
Case of
t;,.
4G
of the
47
Heart
Of
^
9.
Of
siae
10.
Of
Phlegma-
of the Pleura
48
51
Phthisis Pulraonalis
Case 1
52
^ 2
63
55
56
Of Dropsy
58
61
63
CONTENTS.
PAO.
11.
Of
Abdomi-
nal Viscera
Of
the
Stomach
64
Case of Disease of
Of
">
65
GG
67
Ditto
Of Chronic
69
12.
Of
Eachitis
70
13.
Of Rachialgia
72
Case 1
79
80
81
84
88
<
90
91
98
103
14.
Of Sacro-Coxalgia
15.
Of Femoro-Coxalgia
108
112
Case 1
131
135
6
7
136
138
140
Conclusion
. .
142
143
147
INTRO DUCTrO N.
It,
ei
causa
campum descenderim,
id foisse
cansffi,
Trojanis,
Clytiemnestram."
Cicero
The
de Fato, 15.
in
an
English
version,
the
to
from no English
the best of his
subject,
this
treatise,
knowledge
unknown
he has been
instigated,
ex professo, being to
in existence
Moxa
upon the
being consequently
history.
The
purpose,
is
PRELIMINARY
OBi?ER VATIONS.
by
far the
most extended.
Moxa
That celebrated
by him,
which
tunities,
has had
he
investigation, that,
in the
numerous opporfor
pathological
subject,
no explanation
will
memoir
to that of
any other
is
writer:
be
liis
indepen-
however, as the
a developement* of the
to the author
translator
has selected
a more complete
Moxa
it,
history
in various diseases,
from
of
its
containing
the use
of the
present extant.
It is
of attention as Baron
See Page
2.
his bypo-
and
unintelligible,
and apt
remarks
it
is,
successfully treated
can
Profession,
as a register of cases
alone,
be
is
now
laid
considered
before the
deserving
of
attention.
we
we
Medica.
ricaly methodical, or
dominion of medicine,
tnedical history, so
AusoNii
a2
.'I
PRELIMINARY OBSERVATIONS.
IV.
fulfilling indications,
It
is,
Serapion of Alexan-
that'we
bwe
the
Materia Medica.
By
is
the
Empi-
not to be
all
man
of education,
who
yet
into consideration
him
in laying
down
men
The
observation, which latter qualification they naturally acquired from their principles being
upon the
founded
PRELIMINARY OBSERVATIONS.
The
great
that
mutability
may be
however,
fairly
false experience, or
always been
..has
and
V;
practice,
ascribed to a species of
and
effect: it unfor-;.
when
is
interested in
its
he
success, that he
is
so
often induced
and
it
ascribe
to
to
its
medium,
which
action, effects to
at all entitled.
is n<^t
man
much
If
we
and
fifty
innumerable
several of
we may
years,
list
see,
that
an almost
many
proposers,
through
their
influence,
any
find
that
we
we
that
fi-esh
prejudices,, that
medicine,
The
is
proposer,
how-
so blinded by his
list
of
its
PRELIMINARY OBSERVATION*.
the supposed means.
Under the
Stahlian doc-
triti^,'*
strti6k
La
principally to na-
left
alterative remedies,
at different periods,
ture; yet
most
certainly ascribed to
false facts*, as
it,
called
is
every
effect: the
and
if
a better capa-
* Elements
PuGALD
to
^^^r
it
independently of
tance;
this,
impai:][
however,,
it
iSv/a
investigation:*
jjsdit^
Aliter
eriim
Physicis,
in
illie
of Man,
oil
hyW. Lawrence,
R.
F,
S.
Page
'
76,
i
'
If
pag. 14.
i Lib.
II
as
coition
Hippocrates^ remarked
* Lectures
Ama-
1".
cap. 35.
" Balbi ab
alvi
HiPPOCRAT. Aphor.
profluvio
32.
Sect.
Swift
6.
Upon
"I
aphorism, the
satirical
had power
to the
to
inferior
parts."
See
remarks,
this
ridiculous
wish Physicianai
in
many people
vol. x. p.
247.
PRELIMINARY OBSERVATIONS.
VSL
-that istuttering
that affection,
that these
we cannot
observers had
for a
moment suppose
made
remarks, which
all
their
but apposite
following old,
Edward VI.
Latimer
before
founda-
" I
merry
toy.
you a
I will tell
(if
it
might be)
men
Thi-
men
of
"came in
afore
Among
others
PRELIMINARY OBSIJRVATlQJiS.
to be little vless tl^^
man, he thought
this ag-ed
him say
a man,
man
his
it
When
old.
mind
was
in that
expedient to Jjear
likely that
So Master
it
Master M^pifCtSi^
old aged
said he,
'
tell
man
so that
if
arrive here
Ye
tell
most
any cause of
in
are the
company,
it
it,
ye of
or at least wise
it,
'
man)
for I
am
how
this
q\d
in this
Well
'
company any
then,'
thing near
What
think you to
Sandwich-haven?'
am an
is
old man.
'
Forsooth,
Sir,'
Sir,
he,
old man,
quoth
up
For
am an
PRELIMINARY OBSERVATIONS.
the building of Tenterton steeple, and I
iiBTriember
And
there.
was no
AVhen there
steeple
at all
in bnilding', there
may
was
and therefore
I think that
Tenterton steeple
is
Sandwich-haven.'*
Ridiculous as this
may
occurrence in medicine
seem,
it is
an every day
seem
tioners
ratbei*
Homines
quosdam
dbcti (supini
but to the
although
it
man
is
illis
Bacon. Nov.
PRELIMINARY OBSERVATIONS.
system, which he would
another.
that
When we
highly deprecate in
observe in
Democritus mentions
strangers
xi.
older writers,
tlie
that
some diseases
human
bile;
dispensatories
had no more
* Plin.
lib.
28. cap.
t Amulets are
still
I.Muffet on
held
in great repute
by the Egyptians,
Egypt
and Nubia, page 10. MarsdEn'S History of iSumatra, page
164, Lend. 1783.
and recent
discoveries, &fc. in
PRELIMINARY OBSERVATIONS.
Tenterton steeple had to do with the
ljuilding of
posed the
who com-
when
several
ceived,
full
would be
ridiculous
upon
who
It. caii
it is
famous doctor
corrected
in physick,"
and
Bennet, doctor
is
sanction
\iras
originally
entitled
" an ever
taken,
its
enlarged
by Christopher
in physick,
Colledg of Physitians
in
I'RtiChilWAVt OBSERVATIONS.
xHl.
and
Balduinus
of
Hamey,
"GifdRGE
EN-if,
BENNfiT,
Censors."
i\(/^6
pickle
of"
gallons of
good
pickle
their
fellows)
(called
was sold
the
for a thou-
clammy and
offensive
the
to
brain,
Certain
it
is
that
be weak.
and sinews
to
them that
all
persons
and of stoppings,
meat
albeit
their
in pickle,
made
if after-
of Rheniiisli
PRELIMINARY OBSERVATIONS.
XIV.
dill,
worst of
all
gridiron,
Southernwood, and so
fire,
they are
buttered.
Southernwood upon a
broil
&
lay
hot as can be
their malignity is
much
lessened,
and
good-
their
at
just quoted,
was
century,
and
nearly
corresponding
effects
in their correct
know-
strides as
might have
of pathology
Food used
in this Nation,
and
London, 10&5.
dis-
all sorts
PRELIMINARY OBSERVATIONS.
had been added
XV.
to the
was acquired
from
articles,
which act
insensibly
alteratives:
an
article
for
a considerable
may be adduced :*
Mead,
Dr.
in his
iculogistic
first
whom we
this
find in antiquity to
have made
was
qf
whom Plmy
tells
us,
and by
thifi
It
.he might
have learn'd
.ipention'd often
Porphyry
this
from
by Ciqcro,
relates,
tlie
in his
is
Epistles to Atlictis
from
who
slfive,
whose
his Bones,
PRELIMINARY OBSERVATIONS.
XVr.
By
to
made
Be
of Fish.
this as
it
will, in
qualities of the
most probably
Wine.
Arataeus,
who
all
commends, as Craterus
the
Lopez,
in his
takes notice
And
same Diseases.
to this
how
Dampier,
so
East Indies, do
treat
their Friends
this
not
same uses;
that
is,
to invigorate
much
the
" From
all
viperine flesh
this
is
it
Mead
goes on to observe,
to quicken
this
efficacy
of the
Blood, promote
its
the
many,
surface
scrophulous,
of
the
leprous,
Body,
&c."
Richard Mead, M. D.
which go
See
The
under the
names of
Medical Works
in
of
PRELIMINARY OBSERVATIONS.
virtues
much
in
testimony
be
efficacy,
its
XVll.
period,*
that
at
considered
if
mck,
prove
to
sufficient
those cases
in
and
so
it
we
from practice ; as
sent,
unquestionably
are, at pre-
Medica, which
is
purposes ascribed
however^
is,
that
it
capable of answering
to
the
viperie
all
the
the truth,
that a
between the
effiscts
in
of which, and
very properly,
to
consider,
that there
it
was no
medicinal quality:
limaces,
the like
may be
no
said of the
them
the
properties
ascribed
to
less
ludicrous
than the
following
officinalis.
are
little
directions
10th Edit.
PRELIMINARY OBSERVATIONS.
XVllI.
respecting the
of a Japatiese
of the
treatise,
the translation
substance
" Chap.
3.
breeding,
navel
" Chap.
4.
Women,
that
would be glad to
QuiNCY was
published, to which
we
stage, which,
in a short space
it,
we may
first
ft'-"'"
|f^,See
M.
i).
SfiSStfCHZEB, F. R. S.
Physicians, London.
Member
1728.
Vpl.
appendix sect. 4.
o;
PRELIMINARY OBSERVATIONS.
much
use
in
be
testimony
its
efficacy,
in
period,*
that
at
considered
and
such
if
prove
to
sufficient
XVil.
have been
it
we
from practice ; as
sent, possessed of
Medica, which
purposes
however,
is
ascribed
is,
that
it
to
the
all
the truth,
the viperae:
that a
between the
effects of which,
in
an(|.
it
may be
properties
less
ludicrous
ascribed
than
the
to
them
following
1736.
said of the
the
no
officinalis.
are
little
directions
10th
Edit'.
PRELIMINARY OBSERVATIONS.
Xvili.
-respeGtingsfthe-
the transla-
what
parts
substance
" Chap.
3.
navel
" Chap.
4.
Women,
that
would be glad
to
QuiNCY
at
w^as published, to
which we
it,
we may
first
Physicians, London.
1728.
Vol.
ii.
appendix
sect. 4.
PRELIMINARY OBSERVATIONS.
metallic tractefrs
tof
xiX.
Pf&EKiNfii
brated Dr.
seldom or
fact,
they
nfever
may
we now
;
in
several articles
the
one
add
to our therapeutics,
and scarcely
adduced, in affirmation of
vered,
and
tlian cdnsequent;
neglect.
which,
iias
this
use
their
fell
into
total
unfortunate contradiction,
more than
any
other
circumstance,
rical
the
is
fei
to
It
disco-
art.
There
present
^d to
think,
day,
are
who
not wanting
are
disposed to
b 2
it
men,
was
at
say,
of medicine
is
in the time of
PRELIMIN'AKV
XX.
HippocjiATEs:*
this
OBSERVATIONS.
in
literary
work of considerable
by a learned
written
men
as physicians, because
understand
been
tinkering
thousand
many
how
little it
years,
he
much
no men so thoroughly
>
can perform
order
in
>
despise physic so
human
the
f ^ in> wbidi
divine,
'
merit,
tliey
have
constitution
about as
cure
to
that mercury
is,
four
and
fatal
in the
maladies continue to
days of Paracelsus,
rum"
To advance
of combating the
arguments
latter part
for the
of this remark,
purpose
:>i]Gwa
m^TOy
who
illiberal,
* Vide
as
it
is,
whei^ taken as a
by Dr.
Zm-
PRELIMINARY OBSERVATlONSi
"^'hole;
XXI.
been, and
still
continraes to be,
an unaGcountable
in medical* puictio:;
vaciilatidrifi oiibffeishion
and
whole
'
ba*ve
'
pOs^Sessed at their
Hvith
the
retained
class of altera-
introduction
first
indeed,
generally
is
specifics.
-ossfesi^
whatsoever,
that
we must
any remedies
in the profession
first
of
all,
find
by an
out the
substance,
knowledge enables us
greatest account
by no means
is
supposed
but,
sensible,
to act as
to turn
it
to the
an
e.
when
the substance
alterative^
we should
it
PRELIMINARY OBSERVATIONS.
XXU.
which
qualities to
is
it
not entitled:*
is tlii
it
which
effect,
(as
it
cannot be doubted,
the practitioner,
inert,
where
tliat
imder a
an opportunity
power subsequently
the Materia
nution, in
it is
The
to regain.
its
number of articles,
catalogue of
at present
must look
not in his
logical
for
for the
To
it is,
physiothat
we
would prevent
which
"
is
all
est simplicissimus
fortuitaa siib
ilia
observatio
and effect,
" Primus" he observes,
sensuum usus
experiraentis
quam
secundus, observationes
artificialibus
occnrrentest
tertius,
Nov. Antiq.
pe^g^ 8,
PRELIMINARY OBSERVATIONS.
XXIU.
ill
perfectly subservient to
When
it.
A-emedie& are
fulfilling all
poser,
fall
recommended them,
instances, their
although, in several
isi,
appositely administered,
in several diseases
quence of
its
it is
it
has
been almost entirely banished from the therapeutics of British practitioners ; and, in the case
quence of
Dr.
its
have abandoned
not
its
former
in
cons,e,T
fulfilling
Jenner promised on
it,
its
first
introduction.
effects^ will,
will
PRELIMINARY OBSERVATIONS.
XXiv.
^jgij^ropprtiopj^bly
Med ica,
^fM^i^^Mt^^^
and,
causes,
improved,
or,
if
correctijr trq^c^^.^li^fijtl^eu-
consequently,
pretensions
fulfilling.
to
philosophjcEjhllljr, ^ipd
successfully*
" Curare
^^^^
CicERp.
apposite sanandura."
results,
to
in
ascribed to the
or 8^ IK-
sdi io YOi
*
Some
interesting remarks
on
in the cultivation
the
general
by
Sir
principles
of
may be found
Gilbert Blank,
of Medicine,
Bart.
may
PRELIMINARY OBSERVATIONS.
be referred
t6,
'
XXV*
of abscesses in W^lHrea^
dischar^M'by
th(^
bowels:
ttee ca^e^J^^
ill
shadow of proof
the
Moxa
founded
moment be supposed,
Moxa must
the
be
irritant
and as a developer of
inflammation in another
which
seems ridicu-
upon the
vation,
talents
throws discredit
histories to
Moxa
of the author
it
is
to cause those
indisputable.
HISTORY OF THE MOXA.
XXvi.
term
"3
Moxa has
authors, as a
word of Oriental
extraction:
to
that
it
it
to the substance,
They
work.
the
who
called this
mode
name
The people
rolled
this
people,
first
rization, of
"
Percy
of these countries,"
twisted
or
of
vegetables, almost in
cords
small
the
in India,
Moxa
they say
of certain
same manner as we
of caute-
Each one
w^a
to
the end of one of these cords, which was sometimes applied by the individual himself; but more
commonly by
and
to
regular cauterizers
which he
set
fire,
in the
(Xin Kieu),
same manner
Portuguese
who were
themselves
they
with
a match,
and consequently
Motzchia,
itself,
for it."*
"
**
is
was employied
h'^'i'n r
aTrUf+rt.^
observe,
call it
Kieou, and
whom
they
may wish
this
to
make themselves
intelli-
gible."
In
latter
"
Hac
eompetis provenit
planta
est
It
is
when
cum
agris et
nulla frequentior
eam Jomongi
exaruerit,
Moxa
by
+ Vide
Percy
et
nuncuas the
they
treating of
quae in
ergo,
qui
are
uberrima,
Japonibus,
JSophouts, atque
pant."t
it
author observes,
the artemisia
they
Moxi-
and LAURENT.
Ten Rhyne
The saiil4
cones of Moxa,
mode
of preparing the
says,
folia
simimitatesve Artemisia:
latifolije
est.
(nam
Tenuiora enim
tenuifoliam,
lit
XXXUl.
from any of
that the
word
evidence
of
for
is
most
the
matter perfectly at
rest,
and China,
sets the
to
rfirtl
*'
Japanese," he observes,
antiquity,
Moxa
it
to the remotest
and
surgery,
caustick goes
in
many
but
China,
in
all
other
and
countries where
language
of the
umbra
(turn
admodum
demum,
uti
plantae, colligunt,
ambabus," &c.
SL'C.
coUecta siccant in
Moxa
appellatur)
Luzon
thie
in
or
'atod
Cotsijnsina." *
iBdi
axil
911
ill
When
into
.ny
the term
Europe,
it
Moxa was
was understood
introduced
first
to signify a
cone
and which was formed of a cottony subprocured from the beaten leaf or pith
stance,
however,
it
general acceptation,
and
is
now
and
suffered to burn
produced;
is
but,
designate the
to
M.
See
ustio
ii.
Arabica,
it
or
is
used
mode
J>j vol.
until cauterization
most commonly,
cauterizing practised
down,
of
and
by EN6EtBERTVSrRi*MP PER,
XXX.
now
tlie
French
practitioners. *
it
seventeenth
about
period
that
who had
well
till
century
Moxa was
resided for
some time
and
:J:
in the
many morbid
rate treatises,
extolling
affections, for
amongst the
it
it
employed
Orientals.
The knowledge
have reached
this country,
"as
from several
article
Feu,
by M. JOURDAN.
t BusscHOF published his work On the Cure of the Gout
by Moxa, in Dutch, at Amsterdam, in 1674: an English translation of which, in 8vo.
was published
Libro citato.
Andreas Cleyer
in
at
London
in
1676.
ann. 4. obs
1.
XKXi.
same
period, in Italy,
Its fame,
however, upon
xipon the
continent, was,
relieving the
its
first
more
introduction
especially, for
and
it
any other
BusscHOJ'
published
hiad
Soon
affection.
his
small
after
treatise,
enced
in his
who was
own person;
Vide
PuRMANKUS
Chirurg : P.
in
3. p. 292.
Hist:
197.
p.
Podagrd.
Kjempfer
in
Domestick Chaplain
&c.
Page
135, vol.
to his
i.
de
ii.
app. Sec. 4.
MoxA: 1G7G.
Lond. 1720.
Beukely,
;
;
XXXli.*"
trial
of the
Moxa, when
published
however,
in
to
it,
England
have
that
been much
works of
not
into
this
such total
on medicine or
since the
reference,
appear,
used in
fell
surgery, except in
its
does
it
time of
its
and
this last
author refers to
it,
as to a subject
in general
adoption by
Of all
the nations
Moxa
to
PouTEAU,
Moxa
(Eumes Posthumes,
vol.
ii.
p. 36.
vol
i.
1,
p.
art.
Moxibustion.
& 31.
HISTORY OF THE MOXA,
XXXUl.
drew the
mode
several diseases,
more especially
articulations,
in those arising
remedy began
this
the
vice, affecting
be
to
^laiiy testinaonials
by
several enlightened
that
its
its favor,
on higher
rest
Of
all
employed
employed by French
disease, there
sally
practitioners.
is
as
the cure of
adopted by nations, in a
simplicity, *
for
state of primeval
that of cauterizing.
human
suffering, as
ViRGiL
History
fire
was as
describes
it
to
Omne
inutilis
P. Virg:
per ignem.
humor."
Mar:
Georg: Lib.
i. i.
88.
xxxiv.
informs
us
was
practice
the
that
followed
America
; -
by the
natives, of
and from
who
have, in
and
modern
chirurgical
practice,
descendants of these
modes,
which
it
people
had
been
the
forms
follow the
still
by
their
have
been
practised
ancestors.*
Various
are
which
for the
cautery; but
we
as
rizing agent
* Vide
Burckhardt's
Histoire
M.
Moxa: comcautet*
Generale
de
la
Chine,
Tome
13,
par
Sciences,
8^.
I'Abbe Grosier.
les
Tom.
8. p.
262.
HISTORY OF THE MOXA.
XXXV.
duces cauterization.
From
Nomades employed,
for this
wool of
it
pro-
spongy
and
-j"
the
or hemp,
flax,
the
impregnated with
the
Persian the
the oak
the
cotton^
the
Ostiaks**
Hippocrates
Paulus JEgineta,
BoNTius
II
Percy
in
in Lib.
and Lap-
vol.
ii.
f Prosper Alpinus
p, 12.
de Medicina JEgyptiorum, L.
cap. 12.
*f
Voyages de
M. P.
S.
Pallas, Tome
c 2
4. pag. 60.
iii,
xxxvi.
agaric
4a<ft(}eyg *
of
th,e,
j|-cj^^
4>bof!igiQes,p.ofDforth
habit of
tJie
the
~ and
employmg
Hippocrates
and
fungi
flax J
'
LiNN^Us
in
M. D.
F. R. S. &c. vbt.
Hist.
i. p.'
'274i
Tom.
6.
Hippoc. de
Since
universally
Flax
in its
affection, cap. 8.
the
state
of
of raw material.
Percy
Laurent
and
unbleached
linen,
it
meant
and quote the following verse from Eccle" Ab eo qui utitur hyacinthus,
et portat
zehis, tumultus,
&c."
employed
in
the
same manner as
to signify cloth
was
it
which had
was sometimes
cutting, to prevent
it
from
down
crates meant by
Tow
Linum
or
fi;/xo^l*o,
falling
Hippo-
had undergone
any preparation, whilst the linum coctum signified the same
or Flax before
it
substance after
for
it.
it
understanding which
after
Prosper Alpinus
put upon
it;
for,
HIST'dRT'oF THE'ltfdxA.
it,
under any of
"
excellence.
alvum
fomentis,
quocumque
by means
the Egyptians,
by
linen cloth,
Non
tamen
et con-
expellatur,
inurito,
in loco fuerit."*
si
dolor,
irruerit
medicamentis
nec
gurgans
dolore
stiterit
remedy par
linimentis emoUife,
levato
subducere,
in
its
paverit, balneis,
et
XXX^'li.
which
modum
formed
are
from
the
will
inurendi,
usum
Auctorem Lib de
fuisse,
affectio
tali
experientii aliquando
et
ad podagram,
At
isti
non lino
Celsus, de Ani
*
Hippoc, de
Fistulis.
HISTORY OF THE MOXA.
XXXviii.
Artemisia vulgaris
latijolid,
off
when
the plant
is
in the
open
The Japanese
ble time.
air for
a considera-
consider, that
not,
it is
but that
it
must be done
by
their astrologers,
to
by which the
are the
first
five
days in the
according to the
fifth
these
Japanese
Gonguatzgonitz,
Gregorian calendar,
answers to the beginning of Jime, and sometimes, but seldom, to the latter end of
Japanese commencing
moon
FuRSTENAU,
May
in Observ. de Indor.
The
before
the
new
plant
it
is
loses
Morb. 15.
Moxa made
A.
7. 8. app.
141.
;it is
xxxix.
air,
on
th^e
the tenderer
and
from
which reason
it,
for
so long
as
ten
better
it is
sometimes kept
The
years.
names of
artemisia
fresh
Tutz, Nophouts,
it is,
different
its
this
not confined
to plants,
but
is
is
also applied to
advanced
The
to
preparation of the
of age, or are
Moxa,
is
a matter
it
was
Ten Rhyne
vol.
ii.
App.
Sect. 4.
'
1675
6,
dc Moxa.
obscr. 224,
X\t
pestle,
coarser fibres,
are separated;
remains,
is
the
f omentum,
of a pea each,
is
the most
parts,
or down, which
this,
when formed
common mode
the Japanese.*
down
purified
.with the
of
well
until it is
it
equably
of about the
calamos crassas),
down. I
Klaproth,
latter
the
M. Larrey
fire
to,
suffer
observes that
M.
form and
size of
* Ten Rhyne,
t Ibid, pag. 109.
libro citato.
H I S TO R
F t H E t*I
These
powdered phos-
of
according to
M. Larrey, easy
of
imitati<)iii;*
caustic in use
amongst the
"(Brahmins, '''M-
Greek
writers,,
pith^^iof'iithe
junci,
tkhf^My places
rush
it is,
it is
provided
the
which grow in
rushes,
or
is
it is
common
oil
Accordiii^
to
scirpus.
common
K^mpfer,
manner. ^
D.
J.
Larrey,
vol. iv.
et
Ibid, p. 39.
Campagnes, du BaroQ
page 407.
ii.
App.
sec. 4, p. 36.
xlii.
women
Moxa,
diseases, but
it is
by
before.
is either
more
The
if
they
intent of burar
to prevent or to cure
recommended,
particularly
more
it
to the healthy,
this practice
by which
sent distempers,
fthe
it
dispels
it
Hence it
prevent them.
is
This custom
is
condemned
deprived of
who
are
six
months, in order to
The neighbouring
their dungeons,
black nations
once in
make more
Ten Rhyne,
libro citato.
use of the
Moxa
than
xHli.
and
iepsy,
their plan
it
all
is,
epii-
to
have
to
recovered,
physicians.*
In
all
in the
down
made with
needles*of
and
all
ft
necessary, to
make
them:')*
this
plan
is
KiEMPFER,
libro citato.
torn. 13.
and rheu-
M, I'Abbd G rosier,
xliv.
matism,
the
unknown
in China. *
kind
every
that
former
'<)f
which
said
is
was formerly
It
of
'
fire
be
to
conside?fed
for
rors
round convex
and the
vessel,
dbwn
of
its
the plant.t
ice,
being presented
rays,
and
The
practitioners,
who
Ten Rhyne
turation\ has
become a
t Description Generale de
ii.
peculiar
art,
John Barrow,
* Travels in China, by
torn.
la Chine, par
in Japan,
F. R. S. p. 354.
I'Abb^ Grosieb,
p. 549.
Memoires concernant
les
K^MPFER,
libro citato.
Within the
last
few years,
in this country,
sur
les
art.
Maladies Chroniques,
hare,
it.
Memoire
trials,
and
Y.
J,
les
Acupuncture.
evacuations
BeRLioz, D. M.
and
that those
who perform
are called
it
but
Fcmir
if
Moxa,
sjj^
as
many
do,
Chma, Xinkieu:
ixx
their
houses are
man
known by
for
acupunc-
^ielineated.*
is
fire
to
by means of
and which
senki,
is
similar to those,
which the
they burn
made from
taah
tree,
the
as
they call
Laurus Japonica
Treatise on
it,
sylvestris, or
Acupuncturation,
Chuuchill, Member
or taabnoki,
Ten Rhyne
(the
Sfc.
by James Morss
London.
*
and are
xlvi.
tree,)
made
into
,.After the
applied
is
Moxa
spices,
bacilli.*
is
and
to the eschar f,
produced by
this substance,
pair of scissors
separate by nature
and afterwards
it
if
is
a blister
opened with a
is
is
applied,
is
rise to suppuration,
suffered to
but
is
it,
without giving
is
bage
leaf,
and
diapalma, or basilicum,
is
purpose of retaining
* KffiMPFER,
'^^^f
it
sometimes; applied ;
is
made use
cabbage
or
emplastrum
of,
leaf,
in its situation. \
along
for the
,
libro citato.
libro citato.
The mode
rally,
of preparing the
xivii.
the continent,
is,
of this
bears a very
it
in the
be observed,
will
close
inurere
aliquara
cubiti
gossipii
ac
filo
serico ligant
urendae
adhaerere
applicant,
parti
student,
prob^quie
quousque fasciculus
gossipio
ille
ex linea
omnino crematus
cutis uritur,
camem
De
sit,
petia,
continue
atque
dum
%6iAt!f)'^-''oBef'Vant
'
quem
fiat
sit
alteration,
little
revived
use
of
credit of having
Moxa,'
the
the plan
is
in
Europe,
'
his
The
time.
who
Asiatic
nations
isciences
from them,
iid
illud
with very
This,
involucrum
dSiiii'
*#ith btit
all th e practitioners
and
Arabians,
those
the Persians,
who
faith,
or woad.
fire,
it
but
plant,
to
to
be
many
centuries.
Melanges de Chirurgie.
&
|
i
This
torn. 1
far
be grounded upon a
(Euvres Posthumes,
from
continued experience of
\-
caustics
of a sub-
from imaginary,
made
a supposition that
the
The
2.
opinion
tl)/^
xUx.
by^
Aral?ians,- is supported
notion,
common
people, in
some
parts of
Europe, that
fit,
it
will
any other
smoke of white
linen,
or of
stuff whatsoever.*
common
was consumed
Moxas formed
he was induced to
of
some combustible
this idea
he
j"
dictum
est,
cap. de ani
fistulis,
t Article Moxibustion
Mtdicales,
in
the
vol.
puto Hippocb.
ii.
Dictionnaire des
Sciences
dicani,
^tWfWi!Srf^Sctm^^h:}&>\imi<(^
ut est
chorda
sclopeti,
c(Uae
HiPPOCR. usurpabatur
In
this
sentence,
cocta."*"
be observed,
will
it
quae ver6 ab
chorda iion
erat
nisi
-the
or chorda
in
as a
sclopeti,
Pyrotechme
his
Moxa
for
that
Percy, however,
Chirurgicale, f
Fabricius the
last century,
credit of having
purpose
this
corrected;! ^^^>
published
made use
error he
same
gave
of
to
it
subsequently
time, conimitted
who
.;if
J?eff4iad
De
Paris, Edit.
v:
who
lived, conj-
Fabriciu
ab Aquapendente,
BoNTius
hais
sclopeti
"
Cucurbitae
quoque
cum
stupendo
omnibus
Moxas
in
accenso, urunt,
sclopetario
fructu,
quod
etiaip
faciunt in
According
the
fune
vel
'teandente,
to
mends
that flax,
soft
wards evaporated,
BoNTius
hemp, or other
t Article Moxibuttion,
d2
afters
Paris, 1645.
of
the
helianthus
observes,,
potass,
well."
He
to> bi]rfi
so
and kept
free
ferule,
round the
,a)S4
we
time as
burnt:
this
an envelope
to
means, be managed
slow
fingers so long a
considers this
is
this
Another advantage
being heated!"
meduUari/
its
application,
cortical covering,
gQssp,ss,,.iSj
may be
diminishe<3,
and by burying, a
end which
* Article Moxihvstion,
is
wliiclij^jhe
Moxa" tQ
skin, the
of
is
so
during
'a^k^
left.^^^jili^gfpj'jp
pith, serves as
the
like,
moisturc^.^^
applied to
little,
it.*
in the
liii.
Moxas should be
fdiiiied
of
flax^,
use '6/,^ in
'i)f
more
Fi4irite,
especially, ih conse4ti^nce
abtion
more
similar to the
oif
ordinary
tf^e,'
'described
by BarOn
Moxa
IIX'rI^
in
e'^-'
we employ
greatest intensity:
its
thail!l'tfe''^ffic'acy
This
*<5bject
of
the
and insensibly
it
remedy
is
upon
this
depend'si:*
physician were,
product'
a'
Page
M. Larrey's, merely
superficial burn:
%
like
the meditulUum of
f,
4 and
t Dictionnaire
M. JOURDAN.
to
page
dcs
xlvii.
of this Introduction.
Sciences
Medicates, article
Feu,
by
'
however,
annuvs,
appears to
Moxa
can
Percy,
unattended with
which he
has
application
it
is,
according to
the
inconveniences^
to
accompany the
conceived
as usjially
formed.
may
not be improper to
upon the
qu^ilificatiohs
make
a few observations
which
if
it
we
it
possesses as a
tvell as to
those
despicable;
it
qualifications
whom
must be allowed,
are
by no means
Moxa
is
an agent, of the
~~~
-'lu .
auuaujiiiiBMju.
Hi ualOvjSf ,D
,n'
c(
-pi^jg
''Subject of
my
who
little
The
efficacy,
its
and
whom w men
freq^ei^
it^
se\;ei;ajl^f
Britisli practitioners.:
it
in the
may
fairly
be said,
si
"
states-
Si antiquitatem
digmtatem
hpno-
est
several
reasons,
however,
attended
sufficiently
to,
it
by practitioners
it
in this
first
'
advantageous
means,
in
generally
the
(vertebral disease),
that
of
adopted
treatment
it,
of
as
the
some
most
chronic
Pott
Coxo-femoral Articulation,
S^e ihe
by most medical
^country,
who have
beeB^tiiith^rto enter-
practitioners
not taken
in this
sufficient pains to
Moxa
that
its
efficacy
is
discharge produced by
promulgated
in which,
in standard
the
opinion has^-belen
this
it:
works of reference,*
inconveniences,
attending
the
and
its
common
*"One of
the most
that have
it
of the objections
it,
is
the great
is
ridiculous, but
tive
it is
by no means of
degree which
moreover,
were
described,
provided
its
it
that superla-
and
be an
art.
agent of
Moxa.
such
'
HISTORY OF THEs:MOXA.
.IvrU!!
believing
;tit;>n-
from the
is
every reason
examples
strong
;is^
since
it
its favoij,
would
surgical operations,
fall
jfj^ig^i^
to the ground,
in
jdiseases
either
would prove
themselves, of
which,
in
all probability,
its
comparatively
trifling
Medical
operation.
haf DioNTis
imbibed'-
so*'
particularly,
have
this
HiPPOCRAT* Aphorism.
its
forms, that
6. sect;. 1.
it
has been
lO'.)-.
IviM.
where
l^rejjidice, in cases,
application might,
its
benefit;
the
Moxa
little
consequence of
doubt,
thait
this country, in
its
is,
when used
in a metallic ^&tat:
light,
fabricated,
quently
trifling,
during
combustion,
their
productive
of a
sioning suppuration:
fre-
degree of heat so
it
will
are
is
pttges,
Moxa
Moxas* upon
the
occasion
little
M. Larrey
it
to signify the
at
page
4.
smaller.
liiac.
thirteenth day.
bodies, have given a description of the sensations they experienced, during the cauterization,
ing,
by
suffer-
it:
Moxa, from
his anxiety to
have
mentioned,
were guided
adopted
In
'
by any other
a correct history of
humanity.
whom we
belief, that it
if
it
>
'
I
;
An
Cure of the
stf#^
mm, ^mk^^^^'Mi^m:
WilliAtvi
Temple
1^77, *
Moxa: "
the
sharp,
so that a
sir
itself,
man may be
plain: I resolved I
would
not,
For the
time
first
it
is
how
long
it
lasted
was
of the
Moxa
The
when
the
fire
and the
ias
the
first,
as I expected,
and
but
had
timony of
Van SwiETEN,t
* Letters written
other
whole
by
Sir
Ministers of State,
is,
night."
The
tes-
in every respect,
his
i.
Lond. 1720.
Gerardi L. B. Van Swieten Commentaria in HeRMANNl BoERHAAVE Aphorismos. Tom. 4. pag. 385.
t
l^Mig^^
dolorem.
enim sensim
raisiee
Gliscit
iU}^
sensum
The
rfaciat/'
ustionis
satis
much
in consequence of being so
the Egyptian,
is,
of course,
Of
smaller than
attended with a
of this
latter,
warmed by an agreeable
that which
"
is
is
in
its
would
violence
knew, however, by
falls far
short of
to be burnt
it
heat,
suffer
themselves
vol.
ii.
jmv^
f)
Ixii.
tliQ trials
which
had made,
when
v^Qst vjolejit
the
fire
became
it
less afterwar-ds,
was nearly
It
was
finished
all
which
still
by the
pain,
which a
proves that
first,
it is
not
have imagined,
superficial
burn of the
finger occasions."
Another
most important
objection
cess
founded on
is,
might
it
the
to
its
suc-
been
probably have
obtained from
however, a mere
this
is,
may
thus, if inclined to
choose
Cooper,
be
sceptical,
and
^we
doubt the
operation,
.t^*!iide
^rfz<25 rfec^Mm^
Samu
HISTORY
purpose equally
l-Hfi'MOXA.
e^F
wel'l:
a Reference
bii
'
we may find,
has been made to the
'to
history of medicine,
that the
objection
first
introduc^-
however, upon
Moxa, most
country
occurred, where
observa-
Ifi
lives have,
The
have been so
same
tion of several
therapeutics,
tfife
it
rare,
its
good
them, t
As
expressed in
such
effects
* Neither
can be deduced
DioNis
nor
fi'om
Sharp, who
Glanborp
in
his
in tot^ praxi
me^ k
Gasophylacium, cap.
relegavi, rejecique."
(Eumes Posthutnes de
Pouteau,
torn.
i.
he observes;
septici
usu
tanquam zizaniam
7.
page 271.
Mr. John
Lizars,
in
Edin.
Med. and
Surg. Journal,
Oct. 3821.
i..
Baron Larrey
Ixiv.
it
us,
the
common
Moxato
upon which
it is
is
nental practitioners:
indeed,
so
little
do they
it,
that,
been prevented, or
when it may have taken place, has not been encouraged: the principal advantage, which
to
it, is,
its p.cting
is
ascribed
as a powerful counter-irritant:
good
M. Larrey
Larrey
stated, that
from the
were unknown
author,
we
in this country.
talents of this
See Pref.
p. viii.
THE MOKA.
HISTO^fcYi sOF
generally considered of
catecl,
those cases,
caustic issues
jrWliere
if in
attended
\tith les$
means would,
certainly^ b^e
in other respects,
Moxa,
produce
is
is
consi-
derably prolonged *
J
was
It
utility
4l
was
entirely
owing
caries,
Very
sufficient depth,
Mr.
time.
means of
that he
most
was
for
setons, issues
easily
it
PoTt
by
incision,
and
large,
came from a
a sufficient length of
had
issues
by
caustic,
and
tinued;* Baron
was of
little
discharge
it
Larrey, on
iii.
page 455,
"
HISTORY;
Ixvi.
swUff-iiifSt herf
THE
<QF
mend 4heMoxa,
whieh
disease^
particulaa"
who recom-
that they^
some
MOXAi.
iinayi
iiti'
is
this
He
tice."
make us
fire
*^
they should
was once
common
as
in French,
but
hiaintain
ground."
its
that
in English surgery as
had not
it
attraction to
With respect
it
may be
to the
first
observed, that
it
scientific
Moxa,
writers,
to hold
who have
it
up as a
treated
specific
upon the
in "
some
particular disease,
" Eodem
but to recommend
it,
as
a highly efficacious
Pott,
is
of the debility
in the
it
^jESSAUIiT.
Oil*
See
Cooper
loco cilato,
page S69.
prompt
in affections,
modes
to other
IXtSii
of treatment, and as
in its action, in
one;,
more
recommenda-
tion,
shew
will
there
in snch cases,
or where,
effect,
is
work
its efficacy,
common
in the present
had been
tried without
have been
ineffectual.
With respect
Mr. Cooper,
latter observation of
the
to
must be
it
was
Moxa
trial,
which
il
Mfii'ii'
its
* Several cases,
ill
it
will
properties.*
'
work,
necessary
it is
J.
<r
i.yv
,,
'
"'
ad!
'
'
in the pt^lenl
application of the
Moxa,
in, to
IxViii.
When Mr RouX,
of apjilyin^
nities
was completely
neither
perhaps,
not
liis
lifir
tunity of following
quently
Moxa,
the
and although
had
kn
oppor-
application,
so fre-
having
up the
as
hoth instances,
to
owing,
successfiil, partly
'it^teeems,
in
treating at
will
it
M. Roux
what was
mentioned,
before
be observed,
tends to confirm,
respecting
the
ft,
'under his
whb
felt
own
eyes,
me
to apply
of the patella:
it
was
itf^jj.
ii-.u.
(i
^-
Londres
'
tii
'
1814, ou
Fran^oise,
Torallile de la Chirurgie Angldse avec la ChinVrgh
p.
20
et,
seq.
Moxa was
support
willingly
Moxa,
my
in
Ixix.
applied,
that,
patient expressed to
other
applications
the
of
if
even appeared
she
her cure;
that
desirous,
In this young
woman,
the disease
was too
advanced,
far
to
mination: in
continued to
make
progress, but in a
have since
more slow
especially,
it
portable pain,
rience
I informed him,
that such
would be the
but
my
predic-
Moxa, and
may
means, so
May
heroic,
I observie,
and so powerful
ien
in
many
this
cases.
Ixx.
of the Moxg-r
ip^ixy pi^^sQQs
gi;\i|ig
is
,lt>eaf,
tirne,
jfiLrst
little
aversion to having
Finally
in
the Essay
it
who
have;
who
had
repeated a consi-
moii
"
see
without
have appeared to
but
j^^>fpr the
we
jTjniggaii
whence
translation of which
Larrey
has
made
the foUOiV^ing
The
three volumes of
my
of that agent:
which contains a
ments
for the
employment
publication, in JAl^^f of
Campagnes, the
first
of
the
Moxa,
Medicales,
(torn,
employment over
xxxiv.)
all
have
extended
Europe, and
its
have, for
foreign physicians
have obtained
iti
much
be desired,
make use
to
It is to
it.
IxXl.
less cruel
which,
less
tii'Gug'h'
from
tressing,
unquestionably
of this cauteiy,
its
acute,
is
much more
effects of the
Moxa
advantageous,
as
The
much more
are, moreover,
sti'ated;
dis-
Pott
is
still
I liaVe
of physicians,
Moxa.
will
make use
actually
of the
which
jii'ejttdices,
thfe!
ca'lAerizutidh.
1
who
still
exist
against
this
facts,
my
assertions.*
long
expod of the
"One of
Lem'a'ire.
my
for
which
make known,
in
have
considerable
named
ward?, in Gonsequencc of a
slight
wound,
in
for a Phthisii^'
Ixxii.
sense of the
title
.^Ss
of
Desirous
success.
-this
faculty
of explaining,
effects
of the
but,
may
at
remedy, which
topical
the
greater length,
observe upon
this
extol:
occasion, that
which
of surgery,
may
call,
with
From a comparison,
efficace).
Pulmonalis
from twenty-five to
thirty
Moxas,
he
Chardel, a
an extremely violent
face, for
had been
tibe
vainly
employed.
to disappear,
was
and
Thirty-five
Madame
Moxas
de Ch**',
tiic
the
Moxa, with
Ixxiii.
it,
the
man
of
it
make use
induce him to
of
incessantly
officers
and
might put
if it
or, even,
disease,
occurring,
it
In
in practice.
it
insti-
opportunities
been ascribed
half,
to
it, it
will
British
practitioners
have
imbibed such
some
difficulty
an impartial view of
its effects
priori,
it
in ques-
might,
d.
greatest
in taking
even
tions
arise
may be found
discrepancy
the results
instituted,
the
sometimes observable;
is
CONCLUSION.
pi*evious bias of the parties:
te^'^iiJe
'
we
how much
to expect discordance,
when such
be traced, as in medicine:?^
given,
Moxa, byseie^rai
be supposed
who caimot
be interested in
to
suffering,
it
behoves the
success,
its
human
effect,
alleviating
scientific indivi-
it,
until after
and
full
to
fair
sero,
difficulty, for
quod
didicit diu.'S.6
llf
jsiojffltrri'
he
has, as
much
andi
words :^
where
would
he
has,
bO-NCLUSlON.
occasionally,
added notesjby-;Wtay of
.aiithoi?'t>
illustration:
theoyi^s, hftweivei^
The
jBritish practitioner,
who
may
be inclined to quarrel
humoral pathology ; a
common
but the
translatoi*,
duty
faithfully,
terms,
fori
his
any other
substituted
of sciende,
and
had he
man
antipathy
to those,
erroneous,
onlyy*^iH'^'
thfe
may be fundamentally
difference
j)hraseology
frequently
consists,
upon any
part, is
employruent of a
bUJtjeji,
as
jffenyoj^^^,
CONCLUSION.
Ixxvi.
it
acts as a counter-
irritant.
The whole
diffidently,
thren,
and
and should
it
have the
effect
of drawing
who might
informing gentlemen,
is
it,
and of
otherwise have
he
vain.
ON THE USE OF
MOXA.
During my campaigns
North America^
Egypt, and Syria, having had an opportunity of
confirming the observations of authors and travellers, respecting the great advantages which
the people of those countries derive from the use
of Moxa, in several morbid affections I availed
myself of every occasion which occurred in my
in
practice for
In the
making
first
trial
of
it.
its
use,
action,
the
Cautery in
whether as applied
ancients, (generally
after the
to
atten-
mode
of
manner of
its
me
it
to
undergo:
in the
life.
PREFATORY REMARKS.
where there is, moreover, but a small account of it: and I consider
that this new work will not be without its use,
either to the public who are imbued with an
unfortunate prejudice against this remedy, ot to
des Sciences Medicales
those physicians
who
medicine,*
(la
who
in
large hospitals.
The people
justly,
its
reputation,
so justly
amongst European
nations, if, like the Chinese or Egyptians, it had
been applied with proper precautions by retummerited,
more
generally,
is
by vigorous means.
Tr.
PREFATORY REMARKS.
ing to the simplicity and perfection of
mode
of application,
its first
all
the advantages
to
which
remove the
inconveniences, which had, with equal truth, been
attributed to it, when the application was not
the ancients ascribed to
made
it,
and
to
judgment.
am
about to give
upon
its origin,
I shall
which appears
upon
be lost in the
to
its
various forms,
according to the
of
it.
Very
of
Moxa,
as
back and
to this
WOiltV
'
'Tr.
;;
upon
at
effects
the
make known
afterwards
I shall
it.*
time of
Moxa marked
Moxa, and
its
cess, shall
as
much
its general
The
application.
the
it
with suc-
as possible
of them.
And
relating
it,
to
its
finally,
which
shall
cases
detail
after which, I
doubtful of
if
more generally
/'J 7/
The cone
or cylinder of
Moxa
used.
on
'
is
com-
and fastened
stitches,
at the side
is
by a few
according to circumstances.
*
These
a careless manner
in
manner
sufficiently intelligible.
/V.
in fine linen.
in the margin, is
this
fix
The
be made.
instrument
this
rnetallic
is
to
ring of
isolated from
fire
to
101
'
the' skinj
ductor of caloric.
j^"^
After having
is
kept up
apply the
Moxa properly,
place
with a
should be
it,
little
ink,
In
and
we wish to
first
marked
all
the sur-
any
it;
fire
Moxa,
the
According
npon
witii
to authors, the
however
some of them, that there ought to be
of the body.
all parts
I agree,
excepted
1st.
is
of
the
c?rfj;j-u:
vol.
ii.
page 44.
Author.
Pouteau, and
head
it
Dehaen,
DRET, and
others
Moxa, but
also
In several cases of
stroyed
by
denuded bone, so as
jj^ble
is
Dehaen
avoid
it
its
of generation; unless
it
for schirrous
3dly.
We should
superficial tendons,
joints,
parts of the
the cures, which are related to have taken place from this severe
operation, as
by the few
by
cation of the
Moxa
also
instances,
it.
The
somewhat problematical.
Percy is
parts, appears to
of opinion, that
it
be
may be
applied upon every part of the body, except the face, excluding
this region in
to be occasioned
by
it
but even
this part
it
will
be observed
Percy;
so that
it
body, which have not been laid under contribution, for the application of this cautery.
JV,
OP THE MOXA.
vitrnJPitOtl?^I^TIE
different
It is
which
accompanied
is
borne with
withi
a severe,
difficulty,
and
communicate to the parts, along with a corres..ponding mass of caloric, a very active volatile
principle which cottony substances furnish, when
i
yjthey .are in
a state of combustion.
The
irritation
weakened or paralyzed
nerves,
and
to stop
part.
When we
>^'ish
by the
to
produce
Mp?i:jajit
may
sl^alj endeav9u.rjlfO
OBSERVATIONS ON
IT^
"APPLICATION.
of the
it
appears to
me
to
pain
soon
sSiseeiyi
succeeds,
untibdt
is
at last,
seveW^|ij3<B*t> patient,
unquestionably, very
however, supports
it
the
jiit
if J
'
ij j
Moxas
must"' We varied
but an interval
off
the
and of causing
(from the number of the burns,) a too abundant
suppuration, which might be followed by hectic
the patient could not support,
it is
better that
tlicy
10
ON CUPPING.
lirf ^llis
In
opderntUe assist .the beneficial effects of this
remedy, in many cases, cupping, either dry,
mouchetces,* or scarifiees, should be premised,
and its use should be followed by the internal
.
eidiibition
disease.
the
of
As
remedies,
cupping
Moxa, and
as
is
its
appropriate
to
each
a powerful auxiliary of
upon
that subject.
KjA cupping
vessel
is
made
of glass or other
for the
purpose of
may be
it
interior, at the
applied, by
moment
of
its
application;
the
produce a certain
of blood,
ON CUPPING.
substance, which
may
^ot' *^t)^ti^fct
the
fellr
contained in
it,
caloric,
when
as,
rarefy
11
penetrate through
it,
applied
to
tif
may
the skin,
aiid
external
'
air,
in
consequence of
its
having been
made use
of for
glass,
increased,
especially necessary
use
made
is
"fi'
of.
'
ooajB
Cup^iii^,
is
its hfeati-
many
12
on' 'dtiPPlSG.
ommf'^^^pihd'W tHe
ifeei^iirpbye
feyringe,
it
has
tiijft
of abstracting
'^fi'dtifeing
ihei
Ibcal Heiii,
the temperature
simple tumefaction,
is
caused by
there
is
skin which
is
it is
we have
more
or less deep,
quantity of blood
continuity
is
not
and
this
without
kind of solution of
its
inconvenience
seen
many
examples.
This objection
sipplies
which cannot be managed at will, whilst the scarificator which I use, and which I invented,*
makes punctures as superficial or as deep as
may be
nearly as
(|uc(e,d
%mm
.'tt^
required.
by
ndi yi:
*
much promptitude
tljie _cat<;Ji
iu
It is
as those prO'
-^rft
German
nffrfr
Author.
^3
'M^u^^^Afc
iVi^(|,e i^yith our scarificator, ^r^tl^^ip9iij^iid
more uniform. In short, experience has proved
to us that our mode of cupping is -the best aad
the most convenient
along with the Moxaj it
scarificator,*
witlij^Jl^J^l^ifffiteji^
which
for
and
it
is
all
comparable
*.jTnys,
-ftttff;
TTTOitl
fotJuto^
,
and as
mode
Baron
riiethod.
his
own
Larrey
is
evidently
much biassed
in favor of
may
of the punctures
be regulated at pleasure.
made by
The author
the instrument,
and
so doing.
English translation,
author has adopted
in
this
of which,
Mouchetces, the
made superficially,
the former
when
Jic
ment of
his inveirtiioh';
Scarifiees,
fie
has
used when the punctures were made more deeply by the same
mieaus,
7>.
.j
OP vasioNi
14
Moxa,
and
make
"Vf^i^dici
the
known
ed in
its
is
indicated
application, in each of
them
to
beginning
where
this
advantage.
s^8B3 emOf
s rnA
^ionbrnld
sfi
1.
OE VISION.
.>1)(
iJ
communicated
The
exci-i
and
dissipated,
same proportions om
eJi
the
re^'
bavf
To
is:
Moxa, :-'VJ^ich
we may- jciffj^Jf it be
and derivative
effect,
which
15
OF VISION.
the suppuration from the cauterizati6ii 'By
Moxa prodnees,
i'tJfeff;
mode
is
necessary; ar#'
it is use--
stances
may be found
in the
history
little
of
my
Englishman,
This
io
it.
blindness,
according to
the
father^'
had
in this child
served
its
the
iris
movements.
It
would be
difficult to
OF VISION.
great hopes of curing the
besides, very interesting.
little patient,
who
was,
over the head, which 1 took care to have immediately covered with a
woollen cap.
At
the
When
se-
eye,
pointed
are
out,
there
symptoms
of
application of the
Moxa
should be preceded by
and,
vein,
if
recourse
to.
had
w ith the advantages of cupping, have the inconvenience, especially when applied near the eye,
of producing an ecchymosis, which increases the
internal asthenia,
conjunctiva.
in
the
The number
to the duration
17
and
and
may be
directed
and by electric
the upper eye lid, where the
Moxa
it
be paralyzed,
2.
OF SMELL.
1
of the
Moxa
in
some
individuals
who had
lost
pecu-
undergo,
in the
pituitary
membrane,
for
the
Moxa, so
to the
stimulating
effects
remedy
of the
useless in
such affection.
3.
OF TASTE,
t
18"
OF
of voice, &c.
'Wea^'rIWib;
upon
effect
Moxa, has no
'
this sensfe.
4.
which
is
air
upon
Moxa,
by
the
intimate
sympathetic. I might
many examples
Moxa in
the manner
little
its
of cure, obtained
I shall confine
young trumpeter in
after
when
0 MiUSCULAR PARALYSIS.
treated
as feigned.
The
patient
was however
removed
series of
the
to the hospital of
have mentioned
at the
which
in this trumpeter.
5.
MUSCULAR SYSTEM.
I
of the
now proceed to
Moxa on paralytic
shall
B 2
the
effects
affections
of the
notice
et
Campagiies.
OF MUSCULAR PARALYSIS.
locomotive system, with or without nem-algia,*
beginning with the first mentioned.
When
have been
tic
may
some
mechanical agent, which has weakened the nervous tissue of its muscles, the Moxa is completely indicated: but
it
should be applied as
and inflammatory
turgescence
(engorgement)
signify
any
irritation
is
This
in
the neurileme,]'
the principal
paroxysms.
commonly
returning
by
and
that
if
considers
it
is affected,
Larrey.
This
it
will
to doubt), then
be observed
is
neualso
Tr.
two
itself.
Tr.
j
Of,
MUSCULAR PARALYSIS.
and
indicated in
employed
any success.
cases,
I shall
it,
in-
it
:
in
but without
cess of the
Moxa
all
douloureux,
physicians consider
incurable.
young
soldier,
laboring under a
tic
douloureux of the
left
side
Gros Caillou,
in 1811, six
months
side,
foil,
after
having
on the cheek
lini-
Six
the course
of
22
OF MUSCULAR I'AKALYSIS.
had experienced
contractions, which he
in the
affected part.
been
afflicted for
many
The
paroxysms,
examined
The
prin-
by the
finger, in the
MUSCULAR PARALYSIS.
or.
.This neuralgia
pftin*.
life,
Orgiams
tliQ
tions,
course
of the
Moxas* upon
the
trunk,
branches or
cords
above
mentioned.
Each
application
departments,
enjoys
perfect
health.
affected for
many
of the face,
the
symptoms
of which
shewed
themselves
'J:
Vide Introduction.
2V.
24
OP PARALYSIS.
most
paroxysms of the
neuralgia.
6.
OF PARALYSIS.
Paralysis, properly so called, has
It
impossible to say
:
by not entering
what
to
the treat-
in all probability,
de-
menlioued..
many
be depending
it
consisted
i>i{j
i>
or PARALYSIS.
sometimes
asthenia of the locomotive powers,
and a
grees,
confined to
25
relative chiration: it fe
some very
by. it: in
'
all
injured
entirely destroyed,
is
power
is
In cases of the
first
description,
the morbid
its effects
tion,
origin
or,
upon the
them-
selves.
finally
its vital
which
who have
properties.
entirely
In the examinations,
of those
have made,
of the bodies
died, laboring
with
tlie
character* of
.OF
latter affection
tiT^Tbe
the
tic
PARALYSIS.
douloureux,
success, which I
having some
affinity to
disease.
nervous
Here,
substance,
there
is
joined a sort of
a degree of neuralgia.
The Moxa
rise to
a no less
is
sufficient for
and by the
This suppuration
revulsion of the
is
not necessary
with neuralgia;
should
allow
but,
the
burns
from the
is
to
indispensably
its
application, to prescribe
(mouchetees)
necessary, prior to
Clipping,
it
Moxa
we
my method.
M.
27
OP PARALYSIS.
progression;
by
tried.
augmentAfter having
made
all
intervals,
region,
Moxa, by two
the lower
of
at a time,
commencing
at that part
origin:
this
was
and eleventh
at the tenth
by the
application
The
relieved
encouragement
the
which gave
the two next were
pains
to the patient:
first
The
trials
paralytics,
that, far
branes,
..
which
have made of
result;
this
it
augments
it.
its
mem-
effects are
it is
one of those
OF PARALYSIS,
in the limbs,
and by such a
he enjoyed
few
steps,
The
pain,
and shaking of the limbs, had entirely disappeared by the tenth application, and the contractile power of the muscles was sensibly increased.
Each subsequent application augmented the
strength and action of all the vital properties of
the limbs; so that its nutrition was, in the same
This amelioration went on
degree, restored.
gradually, under the influence of the Moxas,
which I applied by two at a time, at relative
distances, but never at a less interval, than of five
or six days.
slightly,
assigned.
sixth
They were
When we had
foot, with
to
a single support.
suffered to suppurate
what
is
go to the theatre, on
At
the thirty-second,
was as complete as
very surprising,
M. P**
He no
of a stick, without pain or faltering.
longer feels pain in his limbs, which have nearly
^ecovered their primitive shape and
In
this paraplegic, a
size.
phenomenon,
itself,
in
some
and which
1^
OF PARALYSIS.
otheir
have not seen in such a sensible manner
paralytics similarly treated viz. that each appli;
and
legs,
as
when applied
On my
to the
affected with
its
and
in the other,
part of the
arm
it
was
elevated.
One
of them,
especially,
hand and
felt
fingers,
The
j-/ii-JJ
.iiUi
i.
Mar.
et
Author.
OF PARALYSIS*
and
disappeared,
restored in
all
One
hand.
the
of the soldiers
left
arm and
the hospital
perfectly cured,
The hemiplegia
because
Moxa upon
the face;
employed
after the usual method, it produces extensive and
deep ulcerations, the effects of which are some-
and
in truth,
times
more
when
this
substance
is
on
this
have adopted,
to use the Moxa, as w ell. upon
have eriaWed
me
which
3t
OP paralysis;
the face, as
upon
body;
only,;
The
first
subjects,
hemiplegia, and
yoimg
guard, who, in
campaign
in Prvissia
and
in
first
The eye
of the side
sleep,
and the
The repeated
application of small
Moxas Over
of the paralyzed
muscles.
The
cases
of
these
young
Gardes:
here,
shall
soldiers
are
Hopital des
person,
whom
had an opportunity of
treating
M**%
32
OF PARALYSIS.
been
afflicted
worm
fever.
when she
The
applied the
first
from
at its exit
:
thence
fol-
of
They were
a single cry.
The prompt
application
'*83
OF PAHALYSIS.
of the fluid volatile
away
-up,
immediately took
alkali,
and
Moxa
dried
day;
they
left
a very
At the
lips
were
parallel,
muscular
actions
of the
face,
were
almost
entirely re-established.
is
it is
much more
difficult
it
obstinate,
of cure; because
may be
it
obtained,
:y
<^
somewhat
r.
-I
my
c
care a great
number of
34
OP PARALYSIS.
soldiers,
campaign of Moscow.
of them:
it
is
slowly.
In
my
move
superficial,
effect of
complicated with
pairs.
Moxa
should be persevered
state'
of the disease
may be
its
cicatrices,
injured
nerves:
should
and over
this
plan
in,
may
character.
that in
observed,
require
shall
it,
now
whom
whateve'r
relate the
there
all
was a
The
the exterior
and of the
young man, deprived
of feeling:
OF PARALYSr.S>
for a
executed with as
left.
The
acromion.
injury
another
origin,
spinal
the
in
marrow.
Some
theories,
deduced from
anatomical
this
Medicale
who
d" Emulation,
to
which we
refer those
(scarijiees)
several
times
small
Moxas
repeated,
Cupping,
over
the
and three
healed,
Vide Vol.
V.
c 2
to,
put
rest of the
Author.
OF PARALYSIS;
body:
compression of
this
or of a certain degree of
medullary production, or of
into
the
In
vertebral canal.
this
cascj
there
is
paraplegia
the
first
is
case, the
Moxas
alone,
In
are indicated^
It
may
when they
57
OF PARALYSIS.
but I shall
bf disease;
Lieutene^nt General
Viscount
M****, was
in-
second stage,
liccorapanied with
loif
ou 2de degrS)*
(portee
cathartics,
and
the obstinate constipation, with which, he had
the patient,
iobgcurely -
arrived at
as';
its
he
frequently
first,
urine,
observes,
that
a disease had
its
third
separate
stages
the
'
affection,
words
flrst>
by
dividing
its
progress into
advancement.
its
'/V.
38
been
for
The two
applications
of the
Moxa
first
caused a sensible
aid of a stick
and
month of
his
he
this
treatment.
was in the
This cure
lis
7.
shall
now proceed
employed
for which,
Moxa
the
with
endeavouring to explain
In
them.
I
its
briefly,
have also
advantage,
great
effects,
in
each of
all
have used
enumerate,
to
this
with
remedy,
greatest
tlie
success
made
around
all
temporal
bone,
with
the
'
lambdoidal
correspond
these
With ^he
in tK^'
foetlis,
U!?eless to
go
QF,
higher
O^GA^NJC DISEASES
than,:
c^p
as
THE HEAD.
*)F
(la calotte)
we have
\vliat i
and, besides,
observed,
before
may
give rise
unpleasant
to
which
it
if
we
of a
we may be convinced
thick,
part,
which
is
commonly
and,
indeed,
experience
has
HfiAdj.
which he had
received on entering the tegiment, was too narrow v
by five ot six lines: his eyes were very prominent
the countenance wasand almost immovable
that the iinifol-m hat,
siii?l^;a .size^
and scarcely
all
to
be
felt;
impaired
mental
in short,
were much
faculties,
the
effects of
After a copious
cupping,
upon the
lateral,
and,
gra-v
posteriol* fontaiielles.
ment,
'^T^^Atjf
reduced
in its
restored:
and
at the time
when
the trumpeter
The
patient, moreover,
made
nse*
and acidu-*
latedwith muriatic alcohol. This individual was
seen, during his treatment, and after his cure, by
a considerable number of French as well as
of a decoction of malt,
foreign
physicians,
sweetened,
who attended my
clinical
surgery.
'A grenadier
of the guard,
in
was brought
4^
more
The
fi'oni forty-five
com-
The mental
faculties did
not appear to participate at all, in the derangement of the brain; and he could relate with
exactness, that his disease arose, in consequence
of having plunged, head forwards, into the Semp,
by bloodletting
and temporal artery, and
43
good
health,
and returned
to his duty;
all his^
an Englishwoman,
Madame
J**
in
whom
an
manifested
itself to
its
left side,
cation of ice,
and
blisters
to
the head, I
felt
by means of the Moxa, applied towards the basis of the cranium, between
and upon the sides
the occipital protuberances,
the fifteenth month,
The
celebrated
me
John
with their
the mother
A
child,
of a numerous family.
of a retired
officer,
M. Walter, and of an
44
him
when
my
fulfilled, I
was requested by
The
advice.
applied several
his father to
indications being
first
Moxas upon
the nape
.aotulal
and
The
lateral fontanelles.
little piatient
its
child
at present
This
six lines.
It is
had recently
died of the same disease, as dissection had
My brother-in-law, Dr. Coudemonstrated.
tanceau, attended this little patient for a short
time, whilst I was absent.
sister
M.
scrophulbus
idiosyncrasy, belonging
t6
was
also cured
in this
little
by a similar
subject
alsot^'ii'
called
fbu'i^
iv^Ve
4$
number of remedies, by
the
This caustic
is,
in
my
mental diseases
in
although
it
my
attended with
Were
subject, I should
my reasons
exaltation,
some authors:
from
opinion, contraindicated,
endeavour
for so thinking;
be employed
to explain
it
caii
only
8.
Of Asthma.
when
it
Moxa
with
this affection
has for
its
essen-
pectoral
muscles;
a consequence
,j9|jijt^p..
of rheumatic
affection,
which
is
commonly
QCi^asioned by
accordance with
this hypothesis;
if
the disease
and putting a
of such suppression upon the
is
which the
(Cylinders of
Moxa gradually
the Moxa should
lines, parallel to
towarfls
increases.
The
be placed in two
number must be
The
disease.
might relate
many
cases in confirmation of
-a
OP DISEASES OF THE
CHEm
47
suflfocatiott, wliiclt
She was,
cupped over
all
bleedings, which
I
principal
thorax.
points
The
first
applications
retarded
and
more done
which was
relieved by the means already mentioned: viz.
by cupping, and the Moxa; the application of
the latter was particularly insisted upon; and
the number of the cotton cylinders, burnt upon
both sides of the chest, was carried to twelve.
The paroxysms entirely disappeared, and after
seven or eight months of treatment, this young
lady felt perfectly cured. I had the pleasure of
seeing her, some years afterwards, enjoying good
health, and without ever having had the least
return of her disorder.
are successfully
combated
at the
46
circle
employment of those
ScC.
)3y
the
cauteries.*
9.
THE PLEURA.
The Moxa
is
different.
Author.
OF PHTHISIS PULMLONALIS.
10.
'
'
49
OF PHTHISIS PULMONALE.'
Before
phthisis
which
puhnonalis,
will be, to
Moxa,
shall
making a
complete
the
memoir upon
object of
particular
make known
obtained from
its
femoro coxalgia,
application,
in rachialgia,
and
phthisis,
from which
seat: in
two affections present the same phenomena, are owing to the same causes, and
produce the same effects besides, it frequently
happens that diseased spine accompanies phthifact, these
sis
In this
pulmonalis.
rachialgia,
the
latter disease,
Moxa produces
as in
the discussion of
are symptomatic,
developed.
It
when they
which
far
established in the
last,
and
obtained,
is
this stimulating
more
At
or less per-
but
little
used,
more or
less
The
internal remer
if,
it
would
cause, and,
attack
it
Those
when
virus,
remove that
Laennec)
Percussion
1,
pressure
made
with care, a
littl^,
-
M. D. &c.
..t
In almost
chest,
is
made
John Forbes,
TPr-
all
tj>i
aP PHTHISIS PULMONALIS.
experience,
between the
manner nearly
perform
this,
finge?
point out, in
hand are
to
be collected into a
with
is
a,
struck,
attended to by the practitioner. This plan was first recommended by AuENBRUGGER,* a German physician, about the
French
in
work was
translated into
Uoziere de la Chassugne,! a
by
1770,
his
and
The
principles
upon which
it
in
1808. J
of
its
is
more or
It will
be readily
when taken
in conjunction
any disease
in the diagnosis of
the chest
and
contents in
its
its
much
individuals, previous
may
* Invenlum novum
De
la
Perauaion de
)808,
Manuel
same author.
reconnSitre les maladies internrt de la poitrine par la
P^ri*,
OF PHTHISIS PULMOXALIS.
In order to put it to the proof, and to leave no
doubt respecting the truth of my assertions, t
t!^r,e
of the spine,
oppressionpurulent more or
region,
slow
fever,
with exacerba-
by night sweats:
all these symptoms announced phthisis, in ita
second stage, at the least. This lady, reduced
to the greatest emaciation, had been affected
tried,
months.
Many
but ineffectually.
by cupping
Pemission, as to
can
(moiiclietees),
afford
no
repeated at proper
V6
Merat.
in
the
Dictionnaire
des
O'F
intervaT^',
PErfWl SIS P U L M O N A L I S
-'aftf^
eig'M
SS
Com-
^i^iiith^
upon
several
modes
many weeks
when
in the
was requested to
see her. The left side of her chest was crooked,
the scapula jutting out, and the portion of the
vertebral column corresponding to it, inclined to
the same side, with a continual fixed pain in the
part.
The cough w^as almost constant, and frequently accompanied with hemoptysis she had
Hopital de la Charite,
in the
very great,
color.
was
The
in all
probability, soon
carried to twenty-one.
The
incipient gibbosity
and the deformity of the chest, disappeared also, by little and little, under the
influence of this treatment, which was continued,
of the spine,
o4
OF PHTHISIS PULMONALIS.
is
for nearly
true,
who
my
old
very zealously
pupils,
Dr. Desrouelles,
made
latter disorder.
On
dissection,
we found
which
by membi'anous expansions,
costalis:
we
pdi-enchyma,
observed, also, in
contractions,
many
parts of
its
or species of deep
OF PHTHISIS PULMqJSALIS.
ase,
somany
its
it,
wa^ reduced by
The cavity which
of the viscus
natural size.
was
cure.
We
tubercle, excavated
lent),
and
of
some
intestines
well as the
lines in diameter.
were
The peritoneum
in a state of suppuration, as
A third person,
viscera.
also of the
H. B. upon whom
favors, was threatened with imminent danger,
from a veiy advanced phthisis. It had even been
declared, at the last consultation held upon her
case, that nothing more could be done for her,
in consequence of the advanced state of the
Being
disease, and her extreme weakness.
anxiously solicited by her parents to take her
under my care, I yielded, with some difficulty,
to their reiterated entreaties, and undertook the
treatment of her, in September, 1817.
I shall
young
feVer,
itigs
patient
was
in a state of
slow continued
of the cheeks
OF PHTHISIS PULM0NALI8.
of yellow grayish and
expectoration
viscous
the tongue,
the roof of
tlie
and
several fresh
and
exhibit a single
symptom
however,
two years.
ijomdHOiU
OF PHTHISIS PULMONALIS*.
The
symptoms of
were
a frequent and painful cough, with an hemoptoe
which came on daily, and sometimes so copiously,
that it constituted a true hemorrhage (une veritable hhnorrhagiej : it was preceded by a febrile
attack, by heat in the chest, redness of the tip
f the tongue, and of the cheeks, and was
followed by an icy coldness of the extremities,
principal
this disease,
'
by,
the
and pharynx
no particular
case.
of
the
patient,
and
the
unfavorable
been called
in,
consultation,
in
who had
had given;
which,
returned.
was
Moxa,
arrested,
other
symptoms gradually
All the
OF PHTHISIS PULMONALIS.
35d
One
of the physicians
consulted,
of
extensive
parts,
The
subject of the
fifth
patient.
who was
affected with
monalis.
She was
mus,
in
continued
with
nocturnal
foetid
besides the
chief
elastic-
symptoms of
fourth ribs,
OF PHTHISIS PULMONALIS.
fluctuation
pressure
might be
upon
this part
The most
felt.
gentle
an impulse to
we
Laennec,
It
was not
upon taking
this patient under my care
and I was anxious
to know if, in this very advanced disease of the
lung, the Moxa would have effects similar to
those which I had obtained from its use in
of the parents, that I determined
:
anxious to have
diagnosis confirmed by
Laennec, who
colleague, Dr.
"vvith
my
my
as well as myself,
Notes were
which Doctors
part.
In short,
Moxa was
th6
placed ; thence
most
in lela-
OF PHTHISIS PULMONALIS.
To my
the two
first
great
and the
which she had not
continued
its
The
projecture in
disappeared
ex-
appearance
Laennec
as in the case of
M.
P.
he satisfied himself,
that the
deep
cavities
in the
whole
In con-
the
more
willingly,
During the
first
days she
flesh,
for her
felt
pretty
little
OE PHTHISIS PULMONALISi
6#
to
employment of
On
we foimd
firm in
the uppet
some
parts,
Laennec,
of
effects
of the
and
Moxa,
pulmonalis as,
advantageous
was more
disease was equally
fortunate,
far
the
in this case,
.ui<:erated cavities,
.TJbbC
exhibits
and although
his
He
6^^
OF PHTHISIS PULMONA.HSv
All the
glan-r
and
a greyish
foetid
matter
the
mucous membranes
marasmus.
The cause at
this disease,
appearing to
me
to be
I
owing
to the
administered the
OF PHTHISIS PULMONALIS.
months, when
it
at this
time,
its first
I shall confine
facts,
pulmonalis.*
be derived from
and
in
cumstance
to
which I
this
an
if
in different
refer
my
in
memoirs, inserted
readers
iu
my
cir-
Campagties, and
irtcipient state
had
appHcation
this
hydrothorax,
may
cure,
when
Author.
^4 OP
Slit
t>'T^lF;!\S%!%'V6F
saw
THE
A-BDOMTffAifi} JVifeCtftA'.
,b
1st.
the
Stomach. Congestions
in
the
'of 'this
viscus,
disorders
especially
if
to
be
considered
incurable,
can
affirm,
rejected
is
food
by vomiting.
in this condition,
many cases, to
the Moxa upon
the
repeated
the
application
epigastrium, the
of
deeply.
may
in
penetrate more
this stimu-
chronic turgescence,
stomach; at
to believe so,
least,
One
of the
patients,
first
affected
to
the
dull,
He had
disagreeable smell.
frequent nausea,
after
The
alvine evacuations
were
lay
down upon
diarrlwBa,
and
degree of emaciation; when he
his back,
fever,
very
much extenuated
The
upon
this part,
liver also
appeared
pressure
edge of the
false ribs,
and
glands, were
obstruction.
with
This
valet,
aged
forty,
had been
in the last
campaigns
in Spain, Russia,
which, he
was exposed
and
of the seasons,
these circumstances
to the intemperateness
to different climates;
we may
predisposed to
it
by some
to
all
probability
particular
morbid
several times
until the
its use,
have mentioned in
fifteen
he enjoys
good
health.
in
difierent
degrees,
in
like
means.
2dly.
Obstructions of the
liver,
spleen,
may be
and
treated
when
degree of developement.
its
greatest
example of chronic
hepatitis, accompanied with abscess, which was
brought to a favorable termination, by the appli*
I
shall
relate a single
cation of the
The
Moxa,
was a Conducteur of
named Ferlura.
forty-five years
This man,
had complained
old,
for seven,
same
left
side, in the
was called
in,
who
physician
The
in consultation.
fist
disease
ribs,
it
distinctly
Mercurial
frictions
felt,
its
E 2
was every
certainly
hepatic abscess.
was agreed
every
Before opening
that the
Moxa
indication
an
of
however,
it,
it
should be applied
topical
means should
tumor had evidently diminished in size externally, but the deepseated and lancinating pains
which he experienced, had augmented, and
he had also considerable repugnance to the
application of any more Moxas; I, however,
removed his objection, and three more cylinders
were used, at an interval of two or three days.
After the
fifth,
alvine evacuations, at
first,
mixed with
of a bilious matter
be estimated at
about a pound; these evacuations were succeeded
liy;,a> total disappearance of the tumor in the
Moxa
had.
caused the developement of the adhesive inflammation, which had unquestionably begun between
the inferior paries of the abscess,
paH
coats of which
of
fli'e'
had
transverse
ulcerated,
colon, the
remedy
for
congestions in the
liver,
and even
for favoring
it
to
the
exterior.
saw
in
third individual,
abscess,
was treated
affected
with an hepatic
in our hospital
by the same
salutary revulsion
may be
also
By
depurative treatment.
'^jii
* See
vol.
ii
of
my Campagncs.
70
'OF
baffled
its
invasion,
threatenings of
I shall
and,
disease,
this
prevented
RACHITIS.
in
when
several
cases,
it.
now proceed
affection,
of the limbs.
12.
OF RACHITIS.
The
The Moxa
is,
with-
this disease.
eulogiums upon
it;
and the
illustrious
Dessault
remedy
is
sons which
more
to suppurate.
certain,
OF RACHITIS.
With
The
consumed.
ammonia must be
Moxas have been
must
may require
it.
of
vise
it
in
it is
the
better,
first
in every period
however, to
make
stages,
it
a;
should be made, as
much
as
same
marrow.
means, unless
may,
but
it is
if
shiewg
true,
towards those
diametrically opposite,
and
parts
which
are
We
ought then
OF RACHIALGIA.
inachines,
of
its
application,
The intervals
its effects.
should be proportioned to
it is
better
that
the
should
individuals
be
exposed
to
effects of
symptomatic
fever,
too frequent.
examples of success
in these cases,
from the
3.
OF RACHIALGIA.
-tip.
The Moxa
is,
in tabes dorsalis.
above
imperiously indicated
all,
I shall
permit myself to
make
this
Notwithstanding tlie
of that author's works.)
remarks and interesting cases which that surgeon
has given, respecting
commonly aware of
arrived at
its
this
its
disease,
existence,
we
until
are riot
it
has
art is
less successful,
or RACHIALGIiAv
when employed
than
symptoms.
"
.ai'.>'iHo
'
Utnsjnt
v;jv
ba& ^exoi^
to
dsorij
ImaBn oi bnsbhtio'y
Hit
'
73
was
effect
and,
symptomatic abscesses,
and independent
f>
;.
..
The
...
,-
thirty years
have
hospitals,
enabled
me
confirm
to
the
and
phenomena which
numerous
trials
My
subject of
considered
what
it
Moxa.
am
right,
This
about to
is
the principal
relate.
have
which the
disease of which we are treating has been designated, until the present time; and to substitute
the
improper phraseology,
a name which
-ofbrvit,
*fi
it
Mf\p-?.003m
^-^Ma bv'U'
B^'ji*
under
If'
hno-.^^,w
?t(
its
J^pe
jg i^^vn^R
^f^)
?r>'r
0# RACMlALGltf^
character;-- as
it
articulation.*
I designate
racliialgia, that
of which
is,
inflammation,
in
the
and
fibro-cartilaginous
Baron
Larrey
has given to
affection,
this
ledge, respecting
its
"
according to
its
words
Rachialgia,
in the spine,
sacro-iliac symphysis,
its
is
classical point of
its
and
nature.
this nomencla,-
inelegance, in a
in
many
of the
instances, being derived from the Latin, whilst the other has
origin
As
its
OF RACHlALGtA.
osseous tissues of the vertebrae:
This inflammation,
phtliisis.
far
75
this is
a true
from augmenting,
disease
down by
to separate
and make a
other,
characterize
left,
which circum-
gibbosity in
its
different
first
to this loss
more
it
developes
itself
with
the
caries
From
the
first
moment
fluid,
fronr
first,
under the membranes, or the suiTOunding ligamentous fasciculi (trousseaux); afterwards infil-'
ti-ates
or diffuses
itself, in
where
it
70
OF RACHIALGIA.
accumulates in
pic^intr more
produces what
it
we
oMegr distant,
desijpiate
\*rhe^e
These abscesses,
has judiciously
observed,
The
are constantly
effects.
infini-
the
in the
and
processes
accumulates
at the transverse
in sacs,
formed by the
phragm
follows
the
direction
of
the psoas
it
and
gains the
is
employment
The
first
symptoms of
first,
deep-
somewhat
obscuts^i
and extend
into the
97
Ofr-.I^^eHIiAtGIAl
a^iid
of the nerves
coldness,
with a
sensation
of
of
symptoms
stiffiiess
emaciation, slow
followed by a colliquative
I shall
enter into a
flux,
and marasmus.
femoro-coxalgia
which
and
attacks
the
coxo-femoral
articulation;
Moxa.
The abundant
first
which we
desire,
bly, especially if
symptomatic abscesses
exist.
opened early,
(wliatever may have been the method adopted)
before employing the means which are effective
If
these
same abscesses
against the
caries,
are
the patient
quickly
dies.
RACHIALGIA^
OF
Now,
we
sufficient to
it is
and
inflamed parts.
necessary, perfectly
tion.
I shall
now
fulfils this
(scanfiies)^
double indica-
The
its
principal effect.
can contribute
powers of
itself
art,
comrAionly
fatal.
We
most proper
for co-mbating the morbific cause; and experience
has ta ught me that the most powerful and effica-
cious a'cmedy
is
the
Moxa.
are the
HACHIALGIA*
aP
many
great
subjects,
dered in a desperate
to the
shall,
several
state,
employment of
in the
this heroic
consisafety
remedy.
place,
first
cases,
assertion,
CASE
General
L*
* *
*,
debilitating causes,
dorsalis, with
1.
several
and numbness of the lower extremities marasmus in its first stage. This aflfection had withstood a great many means.
It was decided in
consultation, that a series of Moxas should be
applied upon the vertebral column, and the
region of the sacrum, without discontinuing the
been administered
change occured,
A favorable
campaigns
since.
OF RACHIALGIA.
CASE
2.
marked symptoms of
phthisis pulmonalis:
same
side
incipient
indicated the
short,
the
first
young
my
when
symptom
rapid strides
career,
this
was called
in, in
advice.
The
or four
days,
at
the
sides
of
the
spinous
The first
cessation of the
symptoms of the
phthisis pul-
'^dil
shall
now
give
an account of a disease
it is
the history
CASE
3.
artillery of the
years,
Guard, in Februsize of
two
fists,
extent,
and
it
was without
crooked
the
pain, or
change of
when
was
:
felt,
OF RACHIALGIA.
to
syncope^
when the
other
desperate,
from the employment of the Moxas: I nevertheless tried them: at the third application,
which
made
at
dis-
I prescribed antiscorbutics,
of him.*
Moxa was
and the
The
cure of this
was
soldier
last.t
in vol. iv. of
my
Campagnes.
OF RACHIALGI4.
83
his cure.*
of the
ii.
Moxa,
in rachialgia, or tabes
made
dorsalis,
and abscesses
use of the
Moxa
jpar
until the
Lady Morgan,
in her
testifies
her
never used
It
in
England.
may seem
testimony of
Moxa
(Vol.
Moxa: a remedy
ii.
at this time
Author.
appendix 3rd.)
Lady
Morgan
work
Charles,
is
when
by
it is
the
recol-
Tr,
F 2
OF RACHIALCIA.
of
dry
cupping,
and
lightly
compressive
bandage.
The
related
mode
following case,
in
my
and
other work,
shew
as they
this
which are
those
have been
down.
CASE
4.
years, of a
the
May,
and
in
1816, he was
of the scapula.
of
Pott
in
its
third
stage,
characterized
by
85
Of nACHlALGlA.
gibbosity,
The
it
color.
medicines.
favorable change
was the
make
progress.
had
after the
twenty-first,
denly appeared
remained stationary
when a
little
until
phlyctena sud-
which gave us
reason to expect that the abscess would soon
break spontaneously: under this conviction, I
hastened to plunge into it a knife with a narrow
in
See the
its
centre,
Work
above
cited.
86
OF RACHIALGIA.
of
incision
about
and
directing
it
centimetre
make an
and
133)
half
was soon
filled
litre
flakes
a cupping glass
little fluid
by an
antiseptic
potion and
which
treated
a strengthening
brown.
or
metastasis
all
the mucous
RACHIALGIA.
OF
87
suppuration, furnished
by
a chronic inflammation
had established
which gave
1
the
of
caries
the
membranes,
the symptoms, of which
to
rise
The use
blisters
of cupping (mouchetees ),
large
administration of
moved
of
mucilaginous anodynes,
in a favorable state.
re-
On
Moxa.
by the
caries
his stature
pri-
was
who was
It
perfectly cure^
a loss of substance.
had spread
into a portion of
the
68
OF RACHIALGtA.
evacuated.
was entirely
of the bone which had
until
If the caries
it
have supposed
we
as
complete cure of
from the matter of the abscess having been gradually evacuated, and without any communication
having taken place, between the external
Two
which
will
be given
and
hereafter,
CASE
Thomas,
air
fusileer
in
5.
the
fifth
regiment
of
had
in the
summer
appeared,
at the
same
time,
the progress
remarkable
as, fifteen
There
between the
which
vertebrae.,
left
days
after its
appearance,
OF RACHIALGIA.
it
had
acquirferTOfer^fe'fat)le"^^&!z^r*'^na''^^^^^^
surface:
owing
to
body of each
part of the
remove
itself
vertebra,
tended to
it.
The
superior
Twenty cupping
glasses
See the
Work
already quoted.
OF
RACHIALGIA.
CASE
DuLARD,
6.
been exposed
along with
in
The
physicians of Bourbonne-les-Bains,
to
When
the
was
movements
At
first
he allowed
me
to begin the
employment of the
OF RACHIALGIA.
91
refrigerants
time, tonics,
sides
dorsal
of
the gibbosity,
and sacral
(scarifiees)
caused
it
more
and
faci-
on the 20th of
November he was in a way of cure, and went
out of the hospital a few weeks afterwards.
CASE
7.
first
twenty-eight years,
When
de Grace,
Tnonths, to that of
92
OF RACHIALGIA.
skin
in
and it was
the haunch and
;
w^ell as in
the dorsal
region.
A manifest gibbosity,
(In.
.7874),
of the
had
as this
tumor
whole
especially
extent of
upon the
the
and
com-
dorsal region,
patient.
first
diminished a
little
in
open,
and
cellular
membrane of
same
OF RACHIALGIA.
93
comprehend
in the perfora-
deep
cells
me
to
communicate.
in the sacs,
appeared
to be evacuated gradually,
and
an indirect
in
from
abdominal viscera. Notwithstanding, however, the very marked reduction of this abscess, its parietes were so exteits
vicinity to the
make me
nuated, as to
opening
afraid of its
this circumstance
made me determine
ner which
spontaneous
it,
after the
man-
be expected
dant,
first
the symptoms of
and
all
the
Labaudre
began to walk about the ward but this unfortunate person, being accustomed to spirituous
liquors, abandoned himself to them without
moderation, so soon as he found himself out of
:
way
consequence
of which, he was attacked, a few days after-
danger, and in a
of cure
in
ardor
urinaj,
and,
The
94
OP RACIIIALGIA.
was suppressed, and SLmetastatic absorptowards the lungs and the brain, shewed
fistulous,
tion,
itself
ened: in
short,
after
a month of anguish, he
become
livid
flexible,
and the
all
the
of mental aben-a-
tion
had affirmed
at the time
we
discovered, as I
when the
patient entered
from the
fistulous
wound
metres
which a
and
third
lumbar ver-
was observable;
this
OF RACHIALGIA.
95
of-
upon the
bridges
The
union.
may be
already cited:
it
however extensive
can be arrested, and that the parts
may
be,
* I
my
which destroyed,
in
several
in
had extended
bone:
in the other,
sinus
third, in short,
of caries
The
loss
at
it
had the
and the
frontal
present,
all
its
occipital
same time by
shall not
specific
the
a state
by
these
in
Moxa
bones
it
all points.
it
The
accelerates
its
be destroyed, or combatted
means.
treatment which I
have adopted
in
syphilis,
and which
is
96
OF RACHIALCIA.
evident that the caries in Labalidre
It is
years.
bony portions
the
that
me
for nearly
twenty
compound
gum opium,
equal parts:
iu
compound, dissolved
in
six,
eight,
to
or of distilled water.
is
such as milk;
liquid,
mercurial
follow up
Author.
treatment.
By
the
and yet
this
we
seems
in distilled
to be unintelligible,
The
alludes
to
the
as
or,
is
French practitioners
Alibert, Tome
ii.
p.
2T5
:)
This syrup
is
made
in the following
Sfc.
par
J. L.
manner
R
Sarsaparillae, fbii.
Florum Boraginis,
Sacohari,
Mellis,
ana
Ifcii.
OF RACHIALCIA.
destroyed by the affection had been cicatrized
other, and, as
occurred
to
that
and when we
(See Alibert,
It appears also
651).
Ibid, p.
tliat
Dr.
Larrey, which
is
amongst
made
his
some syrup
Cadet DE GassicourT
>
as follows:
" Take of
Syrup of Sarsaparilla,
>
t of
de Caisioier,
Muriate of Ammonia,
Extract of
Gum
opium,
is
)
jii.
is
The whole
Paris, p. 265.)
of the note,
*
is
Cadet
Tr.
now under
treatment
Gros Caillou,
for
symptoms; he
is in
by
the
same means,
an affection
a
way
which
of cure.
at the hospital of
presented the
same
Author.
RACHIALGIA.
OF
empty
at
once
sac, unless
all
we make
I shall
CASE
8.
stature, fair
lymphatic constitution,
Swiss
regiments
received
Caillou,
of
the
into
December
complexion, and
soldier in
the
Royal
military
one of the
Guard,
hospital
was
of Gros
purpose of
From
all
these
OF
plithisis
tion,
of
tlie
RACHIALGIA^
vertebrjE,
in the
tibial articulation.
at its
by onanism,
to
and
reserve.
with the
occupied myself, at
first,
with a treatment
round which T
caused twenty Chinese Moxas to be applied: I
afterwards opened the symptomatic abscess,
which was of the size of a large hen's egg, by
proper for the sternal tumor,
The
the
G 2
'
OF RACHIALGIA.
100
under the
Moxas, placed
around.
The
upon the
it
equalled
I
placed
application to be continued.
Pills of extract of
The
it.
tion,
OF RACHIALGIA.
furnished us.
The
101
some
which
end
he went on
was desirous of
attaining
way
of cure.
in
advanced
its
cure,
end of the
spring of the year, 1820. The disease of the knee
having made very great progress, and feeling
convinced that the caries had attacked deeply,
I then decided upon
all the articular parts,
amputating the thigh, which the unfortunate
far
at the
some
time.
conic stump.
lectures
on
was followed by a
Many
surgeons
frightfully
who attended my
persuaded that
102
OP RACHIALGIA.
me
taught
of local
irritation,
the cellular
tissue,
nd of
which occurs
at the
irritation
because
by the unctuous
which again fills the cellular tissue, nature gently draws back the soft
parts towards the end of the stump, and restores
them, and the divided part of the feraur, to a
fluid
much
by some
authors,
sible,
for the
saw
praised
is difficult,
to
fall
is
is
precisely above
the
produces in the cylinder of the femur, at distances more or less removed from its end: and if
ever so little of this sequestrum, or dead osseous
matter were to escape, nature and art would
have as much trouble in producing its separation,
as that of the
whole sequestrum.
As
for the
it.
All these
OF
memoir upon
this
103
RACHIALGIA.
This jDhenomenon
accident
Bulliard
^nd one
whom
ojf
his
necrosis, having
with
affected
soft parts of
month of August,
three centimetres
embonpoint
He
1,820.
(In.
in height;
1.1811),
and there
has returned,
days of
first
his
ev6ry
is
case
is
is
This
CASE
The
subject
success,
of
the
which
9.
have obtained
following
case,
is
in the
not
less
no affinity
shall proceed
its
history,
because
moreover, contributed
much
the
Moxa
to the
safety
has
of
this soldier.
years,
one
OF RACHIALGIA.
104
of the soldiers
of the
first
Swiss regiment of
of such a
the
fall,
principal
effect
of
The deep
ture,
endeavoured, as
much
as possible, to
fulfil
the
glasses
cupping
lumbar regions, and upon the whole of the surface of the lower belly
I afterwards enveloped
him in the still smoking skin, of a sheep recently
:
OF RACHIALGIA.
This
killed.
applicatiori
106
followed up by
oil
of
antispasmodic drinks.
this nature.
Having, however,
and the
in brder to
slight burns
The
retention
gum
means
106
OF RACHIALGIA.
out the
intestinum rectum,
matters which
made on
rea.ch,
it,
purpose, but I
the hardened
by means of a scoop
was also then obliged to
colon,
where
filled
of
it
makes
its
at the point
filled,
angle in the
days of
this treatment,
or embrocations,
made
all
there
still,
OF RACHIALGIA.
107
which was
wound
linear.
the
assistance of
crutches, perfectly
wooden
with his
this function
fulfilled
In short,
leg.
The
regiment.
are only
false ribs
a finger's
still
exists
beneath
the
spinous
itself
which
have
seen,
believed complete,
This
of
is
is
a luxation, wliich
produced suddenly by
mechanical causes. The two first are inserted
in my Campagnes, the subjects of which ought
to be at the Hotel Royal des Invalides.
The
curious phenomena which tlie last cure presented
to me, will form the subject of a memoir, which
or
lumbar
vertebrae,
purpose to
make upon
future opportunity.
these luxations, at a
108
OF SACRO-COXALGIA.
14.
OF SACRO-COXALGIA.
Rheumatism may
physis,
so as to produce, in
especially,
luxation;
it is
falls,
is true,
it
or strong compressions
may
This luxation
been recently delivered of children of a disproportionate size: of this I have seen examples;
have even been obliged to cause a young lady,
seventeen years old, to wear a retentive and comI
pressive bandage, in
whom,
after
a laborious
nevertheless gra-
The
case,
Surgery,
109
OF SACRO-COXALGIA.
century,
practical
affection.
man, who,
after
experienced, in consequence of a
fall,
such a
having
made
the
inge-
Medicine
young
in
Paris.
have
mode
soldiers, this
since
seen,
in
of dislocation occur
case of a patient,
under
my own
In
limb
correspohdmg abdominal
experiences
preternatural
elongation,
above downwards;
in
llOi
Ol?
SACRO-COXALGIA?
and proportionate
bone.
iliac region,
in the sacro-
its
existence.
It often
happens that
have mentioned in
treating of rachialgia, and towards the coxofemoral articulation, in the femoro-coxalgia, of
which I shall soon speak,
affects
the vertebrae,
as
ri'
the
to
we may remedy
it
by
reiterated
-disease
application
of the
is
incurable.
The means
same
nature; but I cannot too strongly recommend,
that the application of the Moxa should be
avoided, upon those portions of skin whiclr
employed
in this affection,
which
is
of the
OP SACRO-COXALGIAi
111
diseased symphysis, as
No. 3 and
pagnes.
4,
is
to the
my Cam-
the
when
many
have seen
it:
of these bones,
preceding cases.
precisely the
is
It
points
more or
the disease,
may be
as in the
equally affirmed,
less in proximity
are
same
constantly
produced by the
Nor do
these
the
We
names of Stemalgia,
Costalgia,;
and Scapulalgia.
In these disorders, as in rachialgia,
have
PF FEMORO-COXALGIA.
pointed out for these abscesses,
fortunate results
of which
is
attended with
number of examples.
15.
OF FEMORO-COXALGIA.
by
.X <c?ill
this
and the
vertebral structure
It is
commonly
tion, or
sacro-iliac symphysis.
exhaustion of the
prolific
powers of the
individual.
This disease
scrofulous
rarely
hereditary,
vice:
it is
With
this
when
it
hereditary, acquired, or
syphilitic.
is
It is necessarily
this species
proceed to
tic
may be
accidental,
are
generally indicated
is
always
with
fewr
scrofulous nature.
OF FEMORO-COXALGIA.
113
femoro-coxalgia in adults,
ex-
upon the
to the description of
reserving
some
end of
reflections
femoro-coxal-
this article.
of
The developement
nating.
made
life
termi-
of this disease
is
Young
soldiers,
subjected
to
the
laborious
it:
observed
been at
first
far
have
OF FEMOHO-COXALOIA.
Before relating the cases of these individuals,
succinctly describe
1). shall
symptoms of
the
femoro-coxalgia.
It declares itself
in the
by pains more or
this
bone
they are
to the articula-
deep
less
in
such
articulation:
The
'
this
cir-
errors.
and
its
and comnutritm-e
In the
degrees,
first
period,
tlie
extremity lengthens by
level
and
is
paralysis,
of the other.
owing to a state
into which the
fall, and to tur-
it
may be also
mem-
OF FEMORO-COXALGIA.
rheumatic vice carries
its first
115
effects, as well as
which
During
are deep-seated
more or
the
fills
according to the
less disturbed,
life
are
irrita-
blishes
itself,
perfect,
fluids
which
and by the
articulations,
lubricate
the
latent inflammatory
and
By
this state
cular parts,
arti-
detached from
its
all its
elasticity,
or being
H 2
1 1
oV
WMo'-'m'A\M I'X;
of the
f^rifitf^
is
early.
In
fat*t,
Its
by reason of its
curvature and gravity, tending to resume a right
line, necessarily produces in the whole of the
But
Is
spring*.
'-^
eritii'eTjj^''disr
placed, as the
if it is not,
before
it
.ri"^'^
d^,
the thigh,
of
its
cavity,
fall,
taneously
of this
it
we
consecutive luxation.
The
femoro-coxaigia
OF FEMORO-COXALGIA.
117
and
this
Chirurgie.)
<f,,When
luxation
exists
disease of which I
am
with
conjointly
speaking,
attended,
is
it
the
by those which
occuiTence which
great
under
number of
my
characterise luxation
an
whom
patients
have had
where the
fluid,
ywA-ee*
accumuproceeds suddenly to
which at
form purulent
it
more or
less
^^^^
distant
from
its
source.
OF FEMORO-COXALGIA.
118
intense
the limb
a momenta-!
this
characterizes
it
member, we do not
any
which
unequivocally characterize this luxation: and I
repeat, that, unless from a concomitant mecha-
nical
cause,
find
the head of
signs,
The
third period
is
characterized
by the
pro-'
developement of the
and cachectic
These
change of color in
stage,
spon-.
OP FfiMORO-COXALGIA.
From
taneouslyi
he
this time,
falls into
119
a state
a gangrenous
strikes
On
Such
is
have attended
to, in
When
duals.
dissection,
second period,
it
it is
first
or
the patient be
others,
But
interesting.
third period,
progress,
may and
it is
and
if
much more
to obtain a cure
nevertheless,
we
I shall
by local derivative
bleedings, such as cupping (scarjfiees)y around
the articulation, which may be repeated several
tion from the articular parts,
times.
w6
By
this operation,
disgorge,
successively,
articular ligaments
patient
experiences
performed
d,
propos,
manifest
relief.
If
the
OF FEMOKO^qOXALGIA.
inflammatory symptoms
continue,
jcwr
my
they
if
which
patients, a seton
and
this
article
The
Moxa
most advantageous
tl^;^
produces, afterwards,
effects.
*'
cjaudicant,
nisi
iis
urantur."
crus
Hipp.
tabescit et
Aph. 60.
that
Professor Rust,
of Vienna,
now
any
preparatives,
articulation,
at^^
and
necessary for
produ.cig>.
^21
OF fEMORD-COXALGIA.
it
in
replunge
the
after
suddenly returns to
had occasion
to verify this remarkable phenomenon in several
cases, (the histories of which will be related
hereafter) and in which it w as reproduced, as the
that of the opposite side: 1 have
by attributing, in the
place, as I
upon the
the appliarticular
still
the
rupture
isj
that
if
of
the
inter-articular
ligament,
affection
OF FEMORO-COXALGIA.
122
into
the
muscles,
new
preserves this
less time, if
by
These
not re-established.
principles
will
be
that
when we
confine ourselves
moment
rence
may,
reiterated
however,
application
persevering in
its
use,
be
prevented
Moxa;
of the
we succeed
by the
and by
in curing the
disease.
Now ought
it
is
needful, or useless*
Without presuming to pronounce upon this question, which experience alone should definitively
resolve, and although the remedy is terrific, I
think that
of the
it
may
arrest,
so promptly, the
OF FEMORO-COXALGIA.
by one,
or, if
interval, of
arti*
An
123
it,
by two
at a time*
left,
FIRST STAGE,
In the
first
is
it
easy to
and
restore
affected.
out,
may
the parts
bony
gradually abate.
124
OF FEMOHO-COXALGIA'.
of cupping,
shall
more in
detail, in
a particular
article,
appropriated
The combustion
of the
Moxa,
of
on by
that which
carried
air,
which
is
made
first
case, the
aidriof
column
is
to
prin-
remedy
is
Moreover,
owing.
Moxas
primitive state.
SECOND STAGE.
'>fijlf
and there
means have a
collection,
these
(efficacious
action:
is
less
a purulent
prompt and
they frequently,
however,
practitioners, to
125
OP FEMORO-COXALGIA.
make
use
bms
employment.
This second stage of the disease,
terized, as I
of the limb
charac-
is
moving
difficulty in
it,
or even total
the circumfe-
is
to,
distinguished.
indicated;
The
we should hasten
actual cautery
to apply the
abscess
it
is
is
less
Moxa.
may be
in order
may
not be
articulation,
because their opening would establish a communication between the external air and the purulent cavity
might
arise
especially
if
excitation,
the
morbid process,
which the
diseased
and
parts,
appears
to
126
OF FEMORO-COXALGIA.
much
not too
am
ig-norant
matter
accomplished
it is
by
all
cases
is
it is
marked by a diminution of
the tumor,
and
really
does
may cicatrize,
We
Author.
Roy ale
des
Author.
OF FEMORO-COXALGIA.
127
and lameness.
Whatever may be the
gia,
it is
effects
of femoro-coxal-
free,
never reproduced:
when once
which
which
for the
destroyed, are
com-
is
cured.
THIRD STAGE.
When the
caries
is
have
seen, however,
mended
for the
second stage
but
we should
not
OP PEMOHO-COXALGIA.
128
them
is
is
arrested
absence when
we judge
by
local pain,
of
its
we
when
mented
If, in
patient,
and
in size,
is
this stage,
it
finally,
above
may have
ali-
we
which
have spoken, by
we may
six or eight
months
vol.
have described in
ii.
and which
my
have
The
and
steeped in
warm camphorated
oil
of chamomile,
compressive bandages.
in
OF FEMORO-COXALGIA.
gradually,
mode
in this
for,
120
of opening,
the
By my
by
evacuating,
whole of the
fluid
the
adhesion;
short,
in
these means,
acts,
nature,
mutual
seconded by
with success,
against
all
the
morbific causes.
As
its
symptoms from
just described.
that which
dif-
we have
2;
OF FEMORO-COXALGIA,
130
use,
scrofulous
prescribed
the
do
remedies,
not
Avith
even arrest
wt^en
is
many examples
I
may add
far
advanced.
I inight cite:
the
for
disease,
to
wonderful
produces
precepts,
not very
its
effects,
it
anti-
rheumatic
German Pro-
femoro-eoxalgia
me
to
of
be proper
in,
is
parts
of these individuals, so
extensive,
may
the
more
disease, in a
tion
much
soft
mucous
state
a putrid local
application.
We should
affec-.
produced by that
antiscorbutics,
out,
and
to the
employment
OF FEMORO-COXALGIA.
In support of the principles laid
article, I shall
now proceed
down
in this
to relate a series of
CASE
Mademoiselle de
St:
1.
M. aged twenty-one
region,
towards
coxo-femoral
the
left
arti-
when
me
in,
this
third
day.
From
my
attention to the
OE FEMORO-COXALGIA.
.
symptoms which
indicate
matic femoro-coxalgia,
there was,
beneath
also,
the
in
its
second
anterior
spine
of the
jThe
inflammation, which
still
and
ilium,
slightly
ut
stage:
,a
bottpiTi
feljt|,j,,,,
riDiiiy/
89iq
existed, yielded
was followed
by the application of the Moxas. The first
seven or eight produced an extremely favorable
change: 1 treated the violent pains which continued to manifest themselves, by passing a
readily to cupping (scarifices) : this
applied
all
ilium,
thirteenth, the
tumor had
after the
entirely disappeared.
This young lady had been affected with a purulent discharge, by the uterine passages, which
was more
jrj.The diseased
extremity, which at
first
was
OPnt-EMORO-COXALGIA;'
133
length
of
about
mination of
but
difficult:
disease?
It is
nevertheless,
this
ter-i
doubtless very
think,
that
by
applying to the subject of this case, the principles which I have hypothetically laid down, in
punilent
we may be
matter,
already formed in
forated
who
it
convinced,
who probably
health, if, like Made-
other patients,
cavity
we found
destroyed;
this
cavity
circumference
eaten by
exterior surface, a
the
work of
OF FEMOKO-COXALGIA.
134
cicatrization,
like
that
which we observe
in
its
which
A similar
Beclard and
Cloquet:
7,
it
1816.)
But
cessful,
tiie
progress
and
in
whom,
in
truth,
the disease
was much
less
op FEMOUO-COXALGIA*^
isymptoms, which
panied
135
it
it.
In this yonng
lady,
there
was
likewise
of
all
the functions.
enjoys, at present,
good
health.
CASE
years,
was received
at
symptom
of femoro-cox-
and anterior
articulation of the same
side.
(In.
extremity,
very slight
of
thie
1.968,
or 2.362).
five or six in
The diseased
difficulty
execute
by about
announced a spontaneous*
luxation,
if
we
^f^.^iqh^i jbave
have never met with, in any
of these patients.
ns
y,
nmi
11/
Several
cuppings
(scarifiees)
preceded
the
CASE
In
October,
1814,
3.
Casimir),
^King's
second
M. de Rons an (Jean-
Body Guard.
its
one of the
sequence of a rheumatic
affection,
which
syt
'
Millimetre
is
Tr.
M37
W- >EMORO-COX ALGTA.
s^^The diseased
;
liiub,
was
in a state of atrophy,
the head
of the
bone seemed
to
upon
rest
It is
cupped
was anxious
to see
'
138
OP FEMORO-COXALGIA.
its
my
preternatural length.
The
applica-
to disappear
and completed,
in February,
limb
CASE
4.
'
twenty-five
1816.
Violent permanent
OF FEMORO-COXAJ.GIA.
moving the
139
leg,
ilio-
an obscure fluctuation
and posterior
side,
suffici-
my prognostic
After
cupping,
four
the
then
method of
had a result
Professor
Rust
this application
became
shorter
1.181).
began
(In.
to lengthen again
it
and succeeded in
perfectly curing the limb, which remained only
abo\it a centimetre and a half (In. .5905) shorter
prevented
than
the
the. other.
elongation,
OF femoro-coxalgi'a.
140
CASE
''i^
5.
-.1]
i!
Malo
(Jean-Claude),
aged
twenty-threii
Guard, presented to
us, in
Roy^l
its
announce a
mudu
head of
and towards
one of the exterior points of the edge of. that
cavity, that several surgeons could not be persuaded to the contrary, until they saw m'^
employ the exploratory and curative means of
its
articular cavity,
The limb
which
it
the cauterization,
that this
fact, fifteen
it
occurred;
.'^
OF FEMORO-COXALGIA.
Malo was
cure, when,
months
In this relapse,
it is
evident,
disappear.
The
j^he
make
most perfect
of the joints:
recommended
whatever
may be
the apparent
in
their
and spring
the
in the liga-
ulcerations,
^|{,^^rticular surfaces, or
.^broii^
have
^f
^^j,,^,-
OF FEMORO-COXALGIA.
142
When
the inflammatory
symptoms
resist the
guments and
inte-
the articulation.
place
may
it
supply
is
at first
its
effu-
the
irritation
lution
of the
abscesses;
lastly,
we
confirm
Moxas.
This
is
what
I did for
Malo,
after
cylinder,
until
the
perfect
which took
cure,
when
this soldier
CASE
Raboullard
6.
(Jacques),
aged twenty-one
carriage into
OP FEMORO-OOXALGIA.
a ditch:
upon
immersed
143
and
lying-
upon
violent
suddenly
side,
their
progression.
fifteen
produced a revulsive
three rays,
efiiect
traced
I aftervk^ards
Moxas confirmed
Fifteen
which
CASE
..p.uNA.u
(Abraham),
7.
soldier in
the
sixth
OF FEMORO-COXALGIA.
144
in the
month
of June,
1815,
after
the cam-
paign of Waterloo, began to experience deepseated pains in the right coxo-femoral articula-
and
in the
when cold
and every time when
and humidity
w^ere
felt,
resumed
Dunau
palliated
month of January,
the limb
He
progression.
felt,
Notwithstanding
symptoms,
it
the
of
these
was not
intenseness
until the
upon
Dunau
first
days
OV FEMORO-COXALGIA.
145
toms:
skin:
it
with
fists,
in the
was
felt
etoit allongee
le
hassin)
was
impracticable.
From
difl&culty,
by a
caries
coxo-femoral articulation.
upon the
pelvis,
much
pain.
The
abscess was
the
15th
of
Fiebruary,
mentioned
opened on
it
detritus
kom
the
140
.FEMORO'COXALCIA.
CMFi
the femur.
which followed
jS'ithout any accident;
days,
The
fifteen
passed
this
operation,
but,
at that time,
the
up
very
foetid
its
These accidents
success, by the means
out
became of a
charged
in
in
itself.
such cases ;
the suppm*ation
drops;
the
limb
was only
^dis*
experienced
^fek
experiencing pain
and without
each
gave us reason
to
hope
for a
took place
resumed
effectually, at the
his duty.
rd ^jfBd I
ifrivf
^\(lf ill
tive to femoro-coxalgia,
M.
an appraiser,
by the
detail of that of
whom
had treated
in
Moxa
OF
^
This
'
more
third stage;
that
is
metres
(In.
region,
in
much
facility,
as before the
performed
this fortu-
si^iivf
I have
like success;
which ought
by a seton passed
to
The
is
called
effects of this
be sometimes preceded
at the
may be advantageously
made
stotux,' imd^ifaidi'Carefully
OF FEMORO-COXALGIA.
148
these dressings
may be
or six days.
left in their
have remarked,
in these cases,
and the
fluids
cure
cartilages
in short, the
is
Finally:
This
movements of
the joint.
which
I shall incessantly'
occupy myself.
which
it is
me
for
which the
Moxa
to be generally indicated,
has
and
may be
FINIS.
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