Auto-Intoxications in Mental Diseases — Variations in Intensity and Rhythm of the Cardiac Pulsations — Medical Notes

1893 Boston Medical and Surgical Journal  
diseases as influenced by race and locality. The endemic fevers, other than malarial and typhoid and yellow fever, which are said to prevail in various parts of North and South America, have long demanded systematic investigation to complete the study which the illustrious Drake began. Our combined influence will be irresistible when used in advocacy of higher education ; in carrying out large plans for the scientific study of our national life, as affected by social and climatic influences; in
more » ... the adoption of remedies and remedial measures of demonstrated merit, and in the insistence upon a fuller recognition of the lofty function of preventive mediciue. "Salus sanitasque reipublica;, suprema lex." Let us acquire here a closer touch with each other, a deeper faith in our profession and its noble destiny, and a stronger determination to labor in brotherly cooperation for the loftiest ideals of service to science and the race. views in regard to the pathology and treatment of cholera are not those most generally held at the present time. According to the views which he advocates, cholera is a neurosis. The sympathetic system is in either a paralytic or hypermsthetic conditionextremes which meet. The pnuemogastric, a cerebro-spinal nerve, is an antagonistic and controlling agent; its stimulation, and thereby the re-establishment of its cardio-inhibitory functions, is au important indication. In all attacks of cholera, regardless of the stage, the first indications are to stimulate the vaso-iuhibitory apparatus and antagonize the sympathetic (especially iu its cardiac aud lobar plexuses) by sedation, by reflex, or by both. Irritants or epispastics over the branches of the vagus in the neck beneath, in front of and behind the ear, covering three inches of surface, preferably on the right side, should be freely applied. The effect is almost instantaneous. The so-called cholera-bacillus of Koch, Dr. Stockwell regards only as an old friend under a new name an everyday spirillum. He makes no distinctiou, except in severity, between cholera nostras and Asiatic cholera. Tho second volume is largely made up of extracts and quotations from writers on cholera whose opinions commend themselves to Dr. Stockwell. Should this book reach a second edition, more careful proof-reading would be desirable. A constant repetition of prima vioe strikes the reader as straugely as do some of the author's opinions.
doi:10.1056/nejm189309141291110 fatcat:gtsrephphzejpomveilwpz36ji