Obituary

1881 The Lancet  
From our own Cor°esondeat, ) FROM what has recently been written in the lay press, it would appear that a large proportion of American pork contains trichinse, and as forty million barrels of this meat are said to be imported annually from America, it has become necessary to take steps to protect the public from the danger which menaces them. An official instruction was circulated a few weeks since calling the attention of food inspectors to the question, and a large quantity of meat was in
more » ... of meat was in consequence seized, and found to be diseased. At the Academy of Medicine a sitting was also devoted to the subject, and various schemes for protecting the public were proposed by different speakers. The matter has now, however, been settled by a decision, made by the Minister of Commerce, on the recommendation of the Council of Hygiene, which forbids any further introduction of American salt pork into the country. Another decree, emanating from the same source, concerns the use of salicylic acid in the preservation of food. Manufacturers of tinned provisions, brewers, and winemakers have for some time employed salicylic acid and the salicylates for this purpose. It has been found especially useful for keeping beer, and competent judges have thought that there was no objection to the use of such small quantities as are necessary for this purpose. But the Council of Hygiene has deliberated, and on the strength of its wisdom a ministerialfiat renders the use of salicylates a punishable offence. The France Medicale publishes the account of a case of chronic bronchitis, which was cured by a treatment not often used in England. The paper is too long to transcribe here in extenso, but the main points are worthy of notice. The patient, a young woman aged twenty, had suffered from chronic bronchitis for three years, when she became an inmate of the Hopital de la Pitie. On Oct. 6th, 1880, her condition was as follows : The face was red and pony ; general condition good; no cedema of the legs. There was great dyspncea, which rendered any active occupation impossible; the cough was constant and paroxysmal, and there were suffocative attacks at night ; abundant mucous and mucopuiulent expectoration ; increase of thoracic resonance, which was almost tympanitic at the bases; vesicular murmur weakened ; sibilant and snoring rates, with moist rhonchus all over both chests ; heart-sounds normal; no increase of temperature at night; pulse regular, strong, and of moderate tension. No albuminuria. Tongue clean; appetite good; digestion normal. Frequent and profuse perspiration, especially after the attacks of suffocation. Until November 27th everything which had been administered had failed to relieve, the condition of the patient remaining much the same. It was then decided to try the effect of counter -irritation by ignipuncture. A first application was made at once with a thermo-cautery, a large number of very superficial punctitorm cauterisations being disseminated over the dorsal region. The following day there was a marked improvement in every respect; the patient had slept better, cough and dyspnoea were less, and there was not so much moist rales. On the 30th of November and on the 3rd of December the application was renewed, the cough then ceasing entirely, and the dyspnoea being so slight that the patient was able to walk up and down stairs without fatigue. On auscultation no rate of any kind; and whilst the vesicular murmur was to be heard well all over the lungs the emphysematous resonance bad much diminished. On the 7tb, 15th, and 21st of December further cauterisations were made, to ensure a thorough cure. On the 29th the patient took her discharge in perfect health, physical examination showing nothing beyond a slight want of elasticity over the right apex and a slight roughness of breathing in the corresponding supra-spinous fossa. The result obtained in the preceding case by the use of the actual cantery was, no doubt, unusually complete, but the method of treatment is constantly employed with success in Paris, being perhaps somewhat neglected at the present day in England. Besides chronic bronchitis, other affections of the lungs may be benefited by ignipuncture, incipient consolidation, and unabsorbed pleuritic effusion being worthy of a special mention. The thermo-cautery also plays a prominent part in the French treatment of many spinal complaints; it is the sedative par excellence in locomotor ataxia, and to a lesser extent in both varieties of trembling paralysis (paralysis agitans-sclérose en plaques). The Progres Medical records another case of nervestretching, this time for congenital epilepsy. The patient, who is under the care of M. Voisin, has been improved. Professor Ball has also performed the operation for painfn3 hemiplegia. The result has been entirely negative.
doi:10.1016/s0140-6736(02)32453-x fatcat:4bsje7ji25h6ppmo52w3bdti3i