1841 The Lancet  
364 that organ tenaciously refused to part with I any of its contents, the bladder was emptied of a copious quantity of higli-coloured, strong-scented urine by the catheter. There was present a slight sickness, which I was disposed to attribute to the effects of the calomel. Five minims of dilute hydrocyanic acid were given, and repeated every hour, in a little camphor mixture, for four hours, manifestly with the effect of quieting the cough and removing the sickness. At the end of the four
more » ... s, however, the features became enlarged, the memory became confused, and the arterial system accelerated ; in short, everything betokened the approach of a fresh attack. In anticipation of this state of things, leeches had been procured, and without delay twenty-five were applied to the anterior and lower part of the neck, and mustard applied to the feet. The good results were soon apparent in the speedy check given to all the threatening symptoms. No feeling of faintness or inconvenience resulted from the use of the leeches, and I should feel disposed to rely very much upon them again, after a first general bleeding. Ten grains of ' I powdered castor were directed to be taken ' , every other hour, and the prussic acid to be taken at alternate periods. The latter was used for six hours, when it was deemed prudent to discontinue its use. and the castor was continued for twelve or fourteen hours, until the lochial discharge appeared, with a few interruptions only ; after which a moderate use of castor-oil, with the careful exclusion of light and noise for two or three days, were the measures adopted. In three weeks the patient was able to leave her room, and in six weeks was comparatively well, and continues so. Richmond Bridge, Doc.1, 1841.
doi:10.1016/s0140-6736(02)84458-0 fatcat:pq2zi6buefhdtgqob4s36yxgti