en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409
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en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409 [2013/04/22 10:04] legatum |
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| {{anchor:s33}}On careful examination of my little patient, I could discover nothing abnormal in the condition of the heart or lungs, and no sign of disease that was not fairly attributed to the frequent recurrence of these spasms, with the venous congestion consequent upon them. {{anchor:s34}}It was evidently a case of Spasmus Glottidis (Asthma thymicum, Asthma millari, Asthma laryngeum infantum, laryngismus stridulus), and had advanced almost to the second or convulsive stage in which the prognosis is decidedly unfavorable. | {{anchor:s33}}On careful examination of my little patient, I could discover nothing abnormal in the condition of the heart or lungs, and no sign of disease that was not fairly attributed to the frequent recurrence of these spasms, with the venous congestion consequent upon them. {{anchor:s34}}It was evidently a case of Spasmus Glottidis (Asthma thymicum, Asthma millari, Asthma laryngeum infantum, laryngismus stridulus), and had advanced almost to the second or convulsive stage in which the prognosis is decidedly unfavorable. | ||
| - | {{anchor:s35}}The remedy which is recommended before all others for this disease, in our hand-books and repertories is <span grade2>Sambucus</span>. {{anchor:s36}}The symptom on which this recommendation is based, is the following "Slumber with half open eyes and mouth; on awaking from it, he could not draw a breath, and was compelled to sit up, whereupon respiration was very hurried with wheezing in the chest, as if he should suffocate; he lashed about with his hands; the head and face were bloated and bluish; he was hot without thirst; weeping at the approach of a paroxysm; all this without cough, and especially at night, from twelve to four o'clock. {{anchor:s37}}On comparing this picture with the case under consideration, we find correspondences in the general characters of the affection. {{anchor:s38}}The spasmodic embarrassment of respiration, the absence of fever, and of cough, the occurrence of the paroxysms <span grade2>suddenly,</span> chiefly at night, and on awaking, show a general appropriateness of Sambucus spasms of the larynx and bronchial tubes. {{anchor:s39}}But we seek in vain for the unequal disturbance of the <span grade2>inspiratory</span> and the <span grade2>expiratory</span> act, which are the <span grade2>individual and</span> therefore the <span grade2>characteristic</span> peculiarity of the case under consideration. {{anchor:s40}}And failing to find this, we should as a matter of course expect, that <span grade2>Sambucus</span> would fail to cure, or in any way, to affect the case. {{anchor:s41}}And this had been the fact. {{anchor:s42}}So too of Lachesis and several other remedies which, as well as <span grade2>Sambucus</span> had already been tried before the case came under my care. {{anchor:s43}}In this very peculiarity, which was characteristic of the case, the similarity of chlorine was most striking. {{anchor:s44}}And it was with the utmost confidence of a happy result, that I determined, after a careful examination of the case, to administer chlorine. {{anchor:s45}}I accordingly prepared a saturated solution of chlorine gas in water at 60° Fahrenheit, and made from this the first centesimal dilution in which the odor of the chlorine could be faintly perceived. | + | {{anchor:s35}}The remedy which is recommended before all others for this disease, in our hand-books and repertories is <span grade2>Sambucus</span>. {{anchor:s36}}The symptom on which this recommendation is based, is the following "Slumber with half open eyes and mouth; on awaking from it, he could not draw a breath, and was compelled to sit up, whereupon respiration was very hurried with wheezing in the chest, as if he should suffocate; he lashed about with his hands; the head and face were bloated and bluish; he was hot without thirst; weeping at the approach of a paroxysm; all this without cough, and especially at night, from twelve to four o'clock." {{anchor:s37}}On comparing this picture with the case under consideration, we find correspondences in the general characters of the affection. {{anchor:s38}}The spasmodic embarrassment of respiration, the absence of fever, and of cough, the occurrence of the paroxysms <span grade2>suddenly,</span> chiefly at night, and on awaking, show a general appropriateness of Sambucus spasms of the larynx and bronchial tubes. {{anchor:s39}}But we seek in vain for the unequal disturbance of the <span grade2>inspiratory</span> and the <span grade2>expiratory</span> act, which are the <span grade2>individual and</span> therefore the <span grade2>characteristic</span> peculiarity of the case under consideration. {{anchor:s40}}And failing to find this, we should as a matter of course expect, that <span grade2>Sambucus</span> would fail to cure, or in any way, to affect the case. {{anchor:s41}}And this had been the fact. {{anchor:s42}}So too of Lachesis and several other remedies which, as well as <span grade2>Sambucus</span> had already been tried before the case came under my care. {{anchor:s43}}In this very peculiarity, which was characteristic of the case, the similarity of chlorine was most striking. {{anchor:s44}}And it was with the utmost confidence of a happy result, that I determined, after a careful examination of the case, to administer chlorine. {{anchor:s45}}I accordingly prepared a saturated solution of chlorine gas in water at 60° Fahrenheit, and made from this the first centesimal dilution in which the odor of the chlorine could be faintly perceived. |
| {{anchor:s46}}Of this, I ordered twenty drops to be dissolved in four tablespoonfuls of water, and a teaspoonful to be given to the child, every three hours. {{anchor:s47}}(A porcelain spoon was used.) I also directed a few drops to be placed in the child's mouth at the beginning of each paroxysm, if this should be possible. | {{anchor:s46}}Of this, I ordered twenty drops to be dissolved in four tablespoonfuls of water, and a teaspoonful to be given to the child, every three hours. {{anchor:s47}}(A porcelain spoon was used.) I also directed a few drops to be placed in the child's mouth at the beginning of each paroxysm, if this should be possible. | ||
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