The Boston Medical and Surgical Journal, Volumen59

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Cupples, Upham & Company, 1859
 

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Página 192 - I sincerely believe that the unbiassed opinion of most medical men of sound judgment and long experience is made up, that the amount of death and disaster in the world would be less, if all disease were left to itself...
Página 190 - Homœopathic method. This is a counterfeit of the last, and consists in leaving the case to nature, while the patient is amused with nominal and nugatory remedies. " 4. The Exclusive method, which applies one remedy to all diseases, or to a majority of diseases. This head includes hydropathy, also the use of various mineral waters, electrical establishments, etc.
Página 106 - ... presumptions. At the same time, however, that I hold the speculum to be in many cases of most essential service, I think that the endeavor of all of us should be to ascertain the minimum of frequency with which its employment is necessary. This is to be done not by decrying the instrument, still less by attributing dishonest motives to those who use it, but by soberly and honestly trying to test the value of the information which we derive from it, and learning to discriminate between those appearances...
Página 94 - ... but especially that it is not a motion upon the fracture as upon a pivot, but a motion of one fragment to and from its fellow. This circumstance I regard as important to a right appreciation of the difficulty. Motion, alone, I am fully convinced, does not so often prevent union as surgeons have generally believed. It is exceedingly rare to see a case of nonunion of the clavicle. Of forty-seven cases of fracture of the clavicle which...
Página 95 - I believe you will not fail to recognize the difference in the motion between the two cases. Such, gentlemen, is the explanation which I wish to offer for the relative frequency of this very serious accident — non-union of the humerus. I know of no other circumstance or condition in which this bone is peculiar, and which therefore might be invoked as an explanation. Overlapping of the bones, the reason assigned by some writers, is not sufficient, since it is not peculiar.
Página 95 - Nor can it be due to the action of the deltoid muscle, or of any other particular muscles about the arm, whether the fracture be below or above their insertions, since similar muscles, with similar attachments, on the femur and on the clavicle, tending always powerfully to the separation of the fragments, occasion...
Página 481 - ... served in the production of any introduced varieties, its hardiness has contributed valuable attributes to many varieties still in the proving orchard. But perhaps the greatest interest attaches to the story of the little Beach plum. In its wild state this is not much sought; for its fruit varies from the size of a large pea to that of a small hazelnut, and it is inedible unless cooked. Yet this little plum has some flavor; it makes jams and preserves of good quality.
Página 240 - I am clearly of opinion that we had better leave the disease to cure itself, as remedies, especially powerful ones, are more likely to do harm than good. In such cases the patient gets along better without medicine than with ; all that is required is to give him simple diluent drinks, a very small quantity of farinaceous food, and avoid, as much as possible, all causes of irritation.
Página 88 - Médicale, that, struck by the little solubility of chlorate of potash, he substituted chlorate of soda for it, as the latter salt is much more soluble than the former. The taste of the chlorate of soda is, besides, less disagreeable than that of the other salt, and can also be given in a small quantity of vehicle. M. de Mussy has given the chlorate of soda in several cases of diptheria with uniform success.
Página 95 - It is probable, gentlemen, that yon have made the same observation. " From this and many similar facts, I have been led to suspect, for a long time, that motion has had less to do with non-union than was generally believed. " I find, however, no difficulty in reconciling this suspicion with my doctrine in reference to the case in question; and it is precisely because, as I have already explained, the motion, in case of a fractured humérus, dressed in the usual manner, is peculiar.

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