Sea-Sickness, and Some of the Means of Relieving It

James Alderson
1872 Boston Medical and Surgical Journal  
loupe reported the case of an old, dissipated man, whose ankle was run over by the cars. Amputated a little below the knee. He did well for three days ; on the fourth, mortification began at the hip and extended upward and downward, proving fatal in twenty-four hours. There had been no injury to the hip. Tedious Labor.-Dr. Galloupe reported a case of labor in which, when it had lasted seventy-two hours, the os was only dilated enough to admit the finger, and there Beemed to be no pressure from
more » ... bove, although the pains were strong all that time. He finally ruptured the membranes, when the head immediately descended and the labor went on rapidly, but the pains afterwards died away and it had to be completed with the forceps. Malformation.-The child, in the above case, was healthy, but curiously malformed, having a large scrotum with a small hole in tho middle of the front ; there was no penis in sight, and the child urinated through the hole. The scrotum contained testeB and penis, the urethral orifice of the latter being evidently attached to the hole in the scrotum. Hour-glass Contraction.-Dr. Perley reported the case. After delivery, he waited some time for the delivery of the placenta, which he could not reach with the finger. Much flowing occurred. He finally introduced his hand, and had to force it through a stricture in the middle of the womb to find the placenta, which was imprisoned in an upper chamber, and adherent. The cord was very short and twisted around the child's leg. The contraction was perhaps produced by the cord being dragged upon during labor. In answer to a question, Dr. P. said that ergot was administered after the child was born, while waiting for the placenta. The cause of sea-sickness and its possible amelioration is a subject particularly appropriate at the present time. It is more agreeable to oiler suggestions for relief than to comment on the sybaritic weakness which is generally displayed in impatience of the evils usually to be encountered in a passage across the Channel. When we remember that not half a century ago, people, after waiting days or perhaps weeks for fair wind and weather, were glad to consider a voyage of six hours of tossing and sickness as a very favorable one, one can hardly understand how the present generation feel it unendurable to submit to a single hour and a half after having started at a given time. Though, however, we must admit the fact that we are less brave in meeting discomforts than our predecessors, there is still satisfaction in diminishing those discomforts to the utmost in our power. We have" seen the futility of various childish devices, such as stimulants, globules, ice-bags, &c, all of which, not being based on any true knowledge of the evils to be mot, are merely empirical. Rejecting all of these, therefore, it will be well to invite attention to a scientific explanation of the cause of sea-sickness, and to base on that explanation a proposal for a remedy. A suggestion was made sixty years ago, by Dr. Wollaston, that sea-sickness proceeds from pressure of blood upon the brain ; and this view is supported by pathological observations, since injury or pressure on the brain is almost invariably attended by vomiting, which is its earliest symptom. Dr. Wollaston explains the way in which pressure is induced upon tho brain during the motion of a ship at sea, by reference to
doi:10.1056/nejm187204250091705 fatcat:lw2tuga5pzgsfbknzcfmam4hym