The elements of a new materia medica and therapeutics : Based upon an entirely new collection of drug-provings and clinical experience / By E.E. Marcy, J.C. Peters & Otto Füllgraff.

  • Marcy, E. E. (Erastus Edgerton), 1815-1900.
Date:
[1850?]
Catalogue details

Licence: Public Domain Mark

Credit: The elements of a new materia medica and therapeutics : Based upon an entirely new collection of drug-provings and clinical experience / By E.E. Marcy, J.C. Peters & Otto Füllgraff. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    and tJwre were several cicatrices of ulcers. The subjacent tissues were in a scirrhous state. (Taylor's Medical Jurisprudence.) Case 2.—A man aged 52, drank two ounces of dilute Nitric-acid, followed immediately by violent pain and burning in the mouth, throat and oesophagus ; then he vomited up the larger portion of the acid. On the next day the pains in the mouth and throat had increased; the inner surface of the mouth, throat and tongue were covered with white, easily-detached, and partly detached shreds of mucous- and false membrane. The palate and tonsils were swollen and painful; swallowing was very difficult, and liquids only could be got down. Respiration was much oppressed. The stomach was somewhat, painful to the touch; the muscles of the abdomen very much contracted. The pulse small and tranquil; brain undisturbed ; stool and urine natural. During the following few days he had attacks of violent pain in the stomach; but in the course of eight days his mouth and throat had improved so much that he could take a little food; still he became weaker, his appearance was worse, and he became emaciated ; for two days before the final catastrophe he vomited his food several times and discharged some blood with his stools. On the fifteenth day, increased pain in the stomach sat in, with frequent attacks of nausea and anxiety, followed by violent vomiting of black and fluid blood, and of a broad membrane one foot in diameter; this membra- nous mass was putrid, black in patches, perforated in several places, and contained fibrous and large vascular ramifications. Soon after the vomiting he had stools containing a large quantity of black, offen- sive and putrid blood. After these evacuations the patient became miserable and weak, his pulse small and frequent, with increased pain in the stomach. In four days more he again vomited and purged black and offensive blood; he exhaled a most putrid odor; his limbs became cold; pulse small and very frequent; eyes dull, sight ex- tinguished ; still he lived and vomited blood from time to time for two days more, when he died. Pathological Anatomy.—The brain was healthy, with the exception of some opacity of the arachnoid, and considerable fluid in the ventricles. The aorta and left side of the heart contained coagula. The sharp edge of the liver was adherent to the colon; peritoneum natural. When the liver was raised an open cavity was exposed, which occupied the place of the stomach and extended from the duo- denum to the oesophagus. The walls of this cavity were formed anteriorly by the concave surface of the liver, the colon and by shreds of the coats of the stomach; posteriorly by gangrenous, dissolved and putrid masses of stomach ; to the left, by the spleen and portion of the coats of the stomach. Hence all that portion of the stomach which had formed the anterior wall, smaller curvature and part of the posterior wall had been vomited up several days before death; still the contents of the stomach had not passed into the cavity of the peri- toneum. The whole intestinal canal, especially the transversa colon was filled