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1^6 THE CHARLOTTE ]V EDICAL JOURNAL. ditions or necessities may exist for abstaining, spirits are used, and the patient insists that he cares neither for the taste or effects of spirits, and can stop at any moment. This belief is sincere and emphatic, and should a free interval occur in which no spirits are taken, this is considered evidence of the will power to stop at any point. The use of spirits in conditions where personal interests and that of the patient's family suffer, and where the act is practically suicidal, are explained as a mere lapses which could have been prevented by a mere act of the will. This delusive state is unrecognized by temperance revival movements and many reformatory efforts, where the central object is to awaken the free will which is supposed to be simply dormant. In many instances these very efforts intensify and fix the delusion of free will, making recovery more and more uncertain. It is curious that this most insane faith should not be recognized from the every-day experience of failures to abstain by nearly all inbriates. As a symptom of disease, this is beyond all question, and is really more distinct than any other delusion. Chronic Proctitis and Its Treatment. Gant (Post-Graduate) mentions two forms of chronic proctitis, viz., hypertrophic and atrophic. In the first the stools are likely to be frequent and composed of more or less mucus and blood. Fibroid, vegetative or cicatricial changes may be the result, followed sometimes by stricture. In the atrophic form the mucous membrane is dry and fissured and bleeds easily. There is little mucus and the stools are dry and hard. The diet is important. The patient should avoid cold, acid, carbonate and alcoholic dri nks, tea, coffee and tobacco, and greasy highly seasoned foods. Eggs, milk, cream, nourishing soups, broiled steak, potatoes, rice, koumiss, etc., are allowed unless they disagree. Fruits and vegetables may be taken in limited quantity. The intestinal antiseptics are used to prevent and diminish intestinal fermentation. He has found the following satisfactory : Potass, permang, gr. i Sodii sulphocarb, gr. 5 M. Sig. One enteric coated capsule t. i. d. one hour after meals. Betanaphthol, dr. 4 Bismuth salicylate, dr. 2 M. et div. in chart, No. 24. Sig. From 3 to 12 powders in 24 hours. Salol, dr. 2\ Bismuth salicylate, dr. 21 M. et div. in chart, No. 30. Sig. One powder at each of the principal meals. As a laxative he recommends the salines. Locally, to reduce inflammation and heal the ulcers various antiseptic remedies in the form of enemata, sprays or ointment are employed, but he prefers semi-weekly enemata of silver nitrate beginning with 40 grains to the pint. He frequently mops the mucosa with a 10 per cent, solution of ichthyol or a paste composed of ^ dram of bismuth subnitrate mixed with an ounce of balsam of peru. An emulsion composed of ^ ounce of bismuth, ^ drachm of iodoform, and 1 pint of olive oil (3 ounces tobeused at each injection) is a remedy highly spoken of by Prof. J. M. Mathews. Etiology of Typhoid Fever. Thomas Cherry, (Australasian Medical Gazette) writes as follows : 1. Many mild cases of fever are slight attacks of typhoid, and may serve to distribute the contagion. 2. Typhoid fever itself may be a composite disease, or a series of diseases caused by closely allied organisms. 3. While from the bacteriological evidence the dc noro origin of the disease is not disproved, still a general survey of all the known facts enables us to explain most cases without having recourse to this hypothesis. 4. Typhoid fever at once disappears from a community with the introduction of a proper system for the disposal of excrement and the household refuse. In towns this can only be done by a properly constructed water carriage system of sewerage. 5. This disease is spread chiefly by the contamination of water, milk, and articles of food. In hot countries, at least, flies and dust have a considerable share in bringing about this contamination. 6. The length of time during which the bacilli can exist outside the body is unknown. There is evidence to show that the contagion hangs about old sepsis and contaminated soil for several years. The Causation and Prevention of Phthisis. Bramwell (Lancet, July 5th) considers the nature and causation of phthisis, the channels through which the tubercle bacillus is introduced into the human subject, and the manner in which the tubercle bacillus is conveyed from one person to another, and from the lower animals to man. The more important points brought out are as follows : All tuberculous affections are due to the introduction into the body of the tubercle bacillus or its spores. Phthisis is always due to the development in the lung of tubercles and the lesions (inflammatory, etc.) which are associated with, and which result from such develop-
Object Description
Rating | |
Fixed Title * | NCHH-21: Charlotte Medical Journal [1892-1921] |
Document Title | Charlotte Medical Journal [1892-1921] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Description | Absorbed Carolina medical journal in 1908 and continued its vol. numbering with v. 58. Vol. 4, no. 3 (Mar. 1894) misnumbered as v. 4, no. 5. |
Publisher | Charlotte, N.C. : Blakey Print. House, 1892-1921. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1902 |
Identifier | NCHH-21-021 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 21 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-021.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-021 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-21 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2666817 |
Revision History | keep |
Description
Fixed Title * | Page 134 (image) |
Document Title | Charlotte Medical Journal [1892-1921] |
Subject Topical | Medicine -- North Carolina -- Periodicals. |
Subject Topical Other | Medicine -- North Carolina -- Periodicals. |
Description | Absorbed Carolina medical journal in 1908 and continued its vol. numbering with v. 58. Vol. 4, no. 3 (Mar. 1894) misnumbered as v. 4, no. 5. |
Publisher | Charlotte, N.C. : Blakey Print. House, 1892-1921. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1902 |
Identifier | NCHH-21-021-0140 |
Form General | Periodicals |
Page Type | all; all images; chart/table; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | charlottemedical211902char_0140.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 21 |
Issue Number | 2 |
Page Number | 134 |
Health Discipline | Medicine |
Full Text | 1^6 THE CHARLOTTE ]V EDICAL JOURNAL. ditions or necessities may exist for abstaining, spirits are used, and the patient insists that he cares neither for the taste or effects of spirits, and can stop at any moment. This belief is sincere and emphatic, and should a free interval occur in which no spirits are taken, this is considered evidence of the will power to stop at any point. The use of spirits in conditions where personal interests and that of the patient's family suffer, and where the act is practically suicidal, are explained as a mere lapses which could have been prevented by a mere act of the will. This delusive state is unrecognized by temperance revival movements and many reformatory efforts, where the central object is to awaken the free will which is supposed to be simply dormant. In many instances these very efforts intensify and fix the delusion of free will, making recovery more and more uncertain. It is curious that this most insane faith should not be recognized from the every-day experience of failures to abstain by nearly all inbriates. As a symptom of disease, this is beyond all question, and is really more distinct than any other delusion. Chronic Proctitis and Its Treatment. Gant (Post-Graduate) mentions two forms of chronic proctitis, viz., hypertrophic and atrophic. In the first the stools are likely to be frequent and composed of more or less mucus and blood. Fibroid, vegetative or cicatricial changes may be the result, followed sometimes by stricture. In the atrophic form the mucous membrane is dry and fissured and bleeds easily. There is little mucus and the stools are dry and hard. The diet is important. The patient should avoid cold, acid, carbonate and alcoholic dri nks, tea, coffee and tobacco, and greasy highly seasoned foods. Eggs, milk, cream, nourishing soups, broiled steak, potatoes, rice, koumiss, etc., are allowed unless they disagree. Fruits and vegetables may be taken in limited quantity. The intestinal antiseptics are used to prevent and diminish intestinal fermentation. He has found the following satisfactory : Potass, permang, gr. i Sodii sulphocarb, gr. 5 M. Sig. One enteric coated capsule t. i. d. one hour after meals. Betanaphthol, dr. 4 Bismuth salicylate, dr. 2 M. et div. in chart, No. 24. Sig. From 3 to 12 powders in 24 hours. Salol, dr. 2\ Bismuth salicylate, dr. 21 M. et div. in chart, No. 30. Sig. One powder at each of the principal meals. As a laxative he recommends the salines. Locally, to reduce inflammation and heal the ulcers various antiseptic remedies in the form of enemata, sprays or ointment are employed, but he prefers semi-weekly enemata of silver nitrate beginning with 40 grains to the pint. He frequently mops the mucosa with a 10 per cent, solution of ichthyol or a paste composed of ^ dram of bismuth subnitrate mixed with an ounce of balsam of peru. An emulsion composed of ^ ounce of bismuth, ^ drachm of iodoform, and 1 pint of olive oil (3 ounces tobeused at each injection) is a remedy highly spoken of by Prof. J. M. Mathews. Etiology of Typhoid Fever. Thomas Cherry, (Australasian Medical Gazette) writes as follows : 1. Many mild cases of fever are slight attacks of typhoid, and may serve to distribute the contagion. 2. Typhoid fever itself may be a composite disease, or a series of diseases caused by closely allied organisms. 3. While from the bacteriological evidence the dc noro origin of the disease is not disproved, still a general survey of all the known facts enables us to explain most cases without having recourse to this hypothesis. 4. Typhoid fever at once disappears from a community with the introduction of a proper system for the disposal of excrement and the household refuse. In towns this can only be done by a properly constructed water carriage system of sewerage. 5. This disease is spread chiefly by the contamination of water, milk, and articles of food. In hot countries, at least, flies and dust have a considerable share in bringing about this contamination. 6. The length of time during which the bacilli can exist outside the body is unknown. There is evidence to show that the contagion hangs about old sepsis and contaminated soil for several years. The Causation and Prevention of Phthisis. Bramwell (Lancet, July 5th) considers the nature and causation of phthisis, the channels through which the tubercle bacillus is introduced into the human subject, and the manner in which the tubercle bacillus is conveyed from one person to another, and from the lower animals to man. The more important points brought out are as follows : All tuberculous affections are due to the introduction into the body of the tubercle bacillus or its spores. Phthisis is always due to the development in the lung of tubercles and the lesions (inflammatory, etc.) which are associated with, and which result from such develop- |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-21/nchh-21-021.pdf |
Document Sort | all; group-e; nchh-21 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-21-021 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-21 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2666817 |
Revision History | keep |
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