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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    Great thirst continually ; sour eructations ; nausea ; heat and burning in the stomach. (1.) Pain in the stomach; retching and vomiting ; vomiting of black liquid blood, also of portions of detached mucous membrane; distention of the epigastric and hypogastric regions which are painful to the touch. (6.) Pathology.—Stomach very much distended, and covered with dark spots; stomach distended with gas, and containing a yellowish, floculent, non-fetid liquid; darks spots on different portions of the mucous membrane of the stomach ; thickening and redness of the walls of the stomach. (2.) Perforation near the smaller curvature of the stomach ; portions of the mucous membrane detached from the mus- cular coat; dark spots on different portions of the mucous membrane ; enormous distention of the stomach; stomach containing a large quantity of thick, offensive, chocolate-colored fluid; mucous coat of the pyloric orifice very much thickened; ulcers near the pyloric orifice— some of them in process of healing ; mucous membrane of the pylorus bright red, but at the most dependent point, greyish brown, and dis- organized ; on cutting through the thickened and ulcerated mucous membrane, a grating sensation was felt, like that described by Andral when cutting through cancer of the stomach. (6.) Clinical Remarks.—Cardialgia, and heartburn, and pyrosis, which have resisted the use of alkalies are often curable by Nitric-acid. It is one of the most homoeopathic remedies for chronic ulceration of the stomach, even against the perforating ulcer. Unfortunately the symptoms of perforating ulcer are exceedingly obscure, owing possibly to the most frequent seat of the ulcer being in the upper portion of the anterior wall of the stomach, so that food, drinks and irritating substances rarely touch it. The symptoms are those of chronic gastritis or mere dyspepsia, although many of these cases are remarkable for the slight inconvenience experienced previous to the completion of perforation. Young women with more or less anaemia and disordered menstruation are most subject to it, although it some- times attacks males. The attacks of perforation are often sudden ; a young woman apparently in good health may be attacked while putting up her hair; but many cases occur soon after a hearty meal; when perforation actually occurs, the symptoms are those of acute peritonitis, viz., incessant vomiting, hiccough, tension, tenderness and swelling of the belly, quick, thrilling pulse, and clammy perspirations. After perforation has taken place, the pain and distress never cease ; the severe pain at the epigastrium or right hypochondrium and the extreme anxiety and distress of the patient's countenance are more pathogno- monic than the vomiting, or state of the pulse. The attacks are often so sudden, that suspicion of poisoning is often excited. (11.) If perforation has been diagnosed, not a particle of food or drink should be swallowed—beef tea injections—suppositories of Opium and Arsenic may be used—bits of ice may be held in the mouth, but the fluid should be spit out again. (11.) Nitric-acid is also homoeopathic to hsematemesis, (11.)