« AnteriorContinua »
To exalt one at the expence of the other is to depreciate inven. tion, and lavish all praise on improvement. Who can read with patience the following, amongst many similar remarks ?
• Aristotle locked up the temple of knowledge and threw away the key, which, in the abfurd and superstitious veneration of his authority, was loft for many ages. It was found, at lait, by a native of our own country, whose name as a philosopher and particularly as a logician, does more honour to England than bis did to Stagyra; who threw open the prison in which science had been held captive, and once more ser her free ; and, who with a bold and virtuous facrilego, tore the laurel from the brow of that wark and deified p!uilosopher, which he had so long and so injuriously worn.'
But we shall conclude this ungrateful subject, and the review, of the first volume, with observing that Bacon is the philofopher deified by Dr. T. which is not surprising, when it is considered that from his works the most effential part of the present performance is derived.-The observations relative to the defirable change of scholastic discipline at Oxford, are juft; but they affect not the excellence of the Aristotelian system, which might be employed to good effect, whatever were the objects of nitruc·tion.
(To be continued.)
Medical Communications. Vol. II. 8vo. 75. Boards. John
fon. 1790. If we should blame the Society for their delay of this second
volume, fome complaint may be retorted on ourselves, in not noticing it on its first appearance. Both have been faulty in this respect, and, while we confess our own errors, (all apology will be uscles:) we trust they will in effect confess theirs, by repairing the fault, and more actively exerting their powers in pushing forward another volume with greater rapidity.
I. Case of a Recovery after a Ball had passed through the Lungs. By Mr. Edward Rigby, Surgeon at Norwich. This is another instance, in support of the opinion, that wounds of the lungs will heal readily, where there is no conftitutional taint. The recovery, in a great measure, depended on Mr. Rigby's judicious conduct in cloling the external wounds, properly' bleeding his patient, and giving cooling and anodyne nedecines. The pistol was so near, ihat the ball seems to have carried the cloaths before it, and lodged the cloth under the skin of the breall, for it went first through the back.
II. A Case of retroverted Uterus, in which the Paracenteús Vesicce was successfully performed. By Richard Browne Crit. Rev. N. AR. (IV.) Jon. 1792.
Cheston, M.D. F.R.S. Physician to the Gloucester Infirmary.--The paracentesis veficæ was performed just above the pubes. As the catheter should, for obvious realons, be short, a long canula, or a flexible catheter, should be in readiness to be introduced. This case, which we do not enlarge on, only because it cannot be read with propriety or advantage but in the author's own language, deserves much attention. It contains many valuable practical remarks.
III. Account of a Case in which the Tendon of the Biceps Muscle was punctured in bleeding. By Mr. Thomas Colby, Surgeon at Torrington in Devonshire. The tendon was evidently punctured, and occasioned symptoms of irritation, with the first appearances of a locked-jaw. Opium was igven plentifully, and an erysipelas came on, which was cured by the bark. The case is related rather indistinctly. The symptoms of the 13th may have been those only of incipient erysipelas; and if they were not, we cannot easily determine whether the synıptoms of irritation were relieved by opium or bark, or whether the crysipelas may not have been owing to the opium.
IV. Case of a Child born with Symptoms of Erysipelas followed by Gangrene. By the late Robert Bromfield, M. D. F. R. S. Physician to the British Lying-in Hospital.
V. An Account of the Species of Erysipelas described in the preceding Paper, as it has appeared in Infânts at the British Lying-in Hospital. By Maxwell Garthshore, M. D. F. R. S. and S. A. Fellow of the Royal College of Physicians in Edinburgh, and Physician to the British Lying-in Hospital.-The disease is almost peculiar to lying-in hospitals, and not very frequent in these : 'it has been attributed to the free use of fpirituous liquors in the mother, with some degree of probability. The remedy is obvious, viz. the bark, with warm fpirituous embrocations. It is only surprising how it could ever have been overlooked. Dr. Garihlhore seems to wonder that Dr. Cullen could ever consider any kind of erysipelas as phlegmonic; but the profeilor feemis scarcely ever to have seen it in any other fom; and we do not recollect above one instance of the disease that required bark: we have seen many benefited by bleeding. An uncommon case of peritonitis in a young child is mentioned: the exudation is described as purulent, similar to what had been obferved in a puerperalfever ;' but in that disease the exudation is gluten or albumen. If it is in some instances pus, these are by no means the greatest number.
VI. Cale of an unusually large Abscess, feated between the Peritoneum and Abdominal Muscles, from which the Matter appeared to be discharged, sometimes by the external Opening, and at another Time by Expectoration. By Mr. Charles Kite, Surgeon at Gravesend, in Kent.--From the proper exa8
mination not having been made after death, we are in doubt respecting the extent of the abscess. There is, however; great reason to believe that the expectoration was owing to a metaftafis, in confequence of a consumptive habit. The abscess extended so far downward as to prevent a prolapsus ateri from being easily reduced.
VÌ. A Case of total Extirpation of the external Parts of Generation. By William Scott, M. D. Physician at Stamfordham, in Northumberland.-The operation was performed by the patient himself, a man feventy-five years old, in a fit of melancholy. The hæmorrhage was Night and transitory. We have formerly remarked that, except when the vessels are enlarged by disease, it is never dangerous; and, at that period of life, it must have been less so.
VIII. Observations on the Use of Opium in the Venereal Disease. By Mr. John Pearson, Surgeon to the Lock Her pital, and to the Public Dispensary.-Mr. Pearson found, that by no means one half of the cases yielded to opium, and it may be still doubted, if in those, where the disease appeared to yield, the cure was permanent. He adds too, what is ftriétly true, that the inconveniences from this medicine were greater than from mercury. Opium, however, we have reason to think, in its largest doses, leflens the inconveniences of mercury, and adds to its powers.
IX. An Account of the favourable Termination of a Wound of the Stomach. By Mr. William Scott, Surgeon of the Navy.—The immediate consequences of the wound were debility in its highest degree, constant hiccough and vomiting of blood. It was cured pretty easily, and the patient nourished by glysters only for some days. "It appears highly probable, as our author hints, that an antiperistaltic motion took place in the intestines, as the glysters, though unusually large, were generally retained.
X. A Cafe of Suppression of Urine, in which the Puncture of the Bladder in the Regio Pubis was performed with Suca cess. By Mr. James Lucas, Surgeon of the General Infirmary at Leeds. In this initance, there was an abscess also in the perinæo, through which the urine for fome time came. We know not why the attempt to puncture the bladder was not made through the bottom of the abfcefs, unless it was, that the wound of the bladder would more readily heal above the pubis. But the probability of the urine also finding its way through the abscess, as actually happened, was very
great. XI. The History of a Disease in the Head of the Tibia, with an Account of some remarkable Appearances which presented themselves on the Diffection of the Limb. By Mr. John Pearson, Surgeon of the Lock Hospital, and of the Puh
lic Dispensary.--The case is very instructive. The disease was at the head of the tibia, and it was a large abscess, which had corroded the anterior and posterior part of the bone, fo that the pulsation of the large vessels was felt through the tumour, and led to the suspicion of an aneurism. Instances of pulsation, communicated to tumours, are not uncommon, and the chance of error should be carefully guarded against.
XII. A Case of Hernia Femoralis, with practical Observations. By Mr. Henry Watson, F.R.S. Senior Surgeon of the Westminster Hospital.- In this case, the sphacelated part of the intestine floughed off, and it united, in the usual way, to the peritoneum. When the spacelus is more complete, our author recommends separating the mortified part, having first tied the mysentery, and uniting the edges of the sound part by some stitches, supported by a solid cylinder of isinglass, previously introduced into the canal. The idea is a bold one; but it has succeeded in an experiment on a dog. Isinglass is prefered, because it will be easily diffolved by the fluids; but we would recommend a small perforation, which, without detracting from its resistance, would facilitate folution and suffer the thinner fluids to pass. It may, after it is caft, be easily bored with a fine awl: but, perhaps, surgeons may be terrified with the apparent boldness of the attempt, and, till actually tried by the author, as he has promised in the first proper instance, will scarcely think it admissible.
XIII. A remarkable Case of Abstinence. By Robert Willan, M.D.-The duration of the abstinence was fixty-one days: the drink was water, from half a pint to a pint each day, with a little juice of orange: two oranges lasted a week. When food had been given gradually, the patient secmed to recover, but five days after the recovery had gone on, he was seized with mania, from which he was relieved, to sink into a fullen state; and he died, seemingly from weakness, about seven days afterwards. In the progress of his abstinence he had one itool, the second day, and no other till the fortieth. He slept very little, and used no exercise. As he wrote much, it appeared that his ideas were soon obscured, and his mind, not long afterwards, confused. Perhaps the whole was a case of mania, repressed only, but not cured, by abstinence.
XIV. Case of a Dropsy of the Ovarium ; with Remarks on the Paracentesis of the Abdomen. By Mr. Edward Ford, Surgeon of the Westminster General Dispensary.—In this instance, the most remarkable circumstance is the sudden filling, which, at lait, amounted to three pints, three ounces, daily. But, in this respect, as well as in the quantity of water evacuated by tapping, we ha seen accounts of patients who have excdeded Mrs. Ann Mason in the rapidity of accumulation, as well as the quantity of accumulated Auids. During eighteen days, the inhalation amounted to at least 137 pints. The general remarks are judicious and practical. The inconveniences of the operation are properly pointed out, and among these our author mentions the wounding of some branch of the epigastric artery. A little bloody matter following the water is a circumstance, in general, of no importance; and, when a hardness is felt round the former wound, it is not always (perhaps scarcely ever) an indication of cohesion. One instance is mentioned, where a tumefied spleen was wounded by the trocar.
XV. Observations on the Effects of Camphor, applied externally, in some Cases of Retention of Urine. By Mr. John Latham, F. R. S. Surgeon at Dartford.---Camphor, it is well known, is a powerful corrector of irritability or inflammation in the urinary organs; but it was not so well known that its effects were the same, when introduced into the blood by the absorbents. In these instances, however, it was useful when rubbed in at some distance from the organs affected.
XVI. Case of an Injury of the internal Table of the Scull, successfully treated. By Mr. Charles Brandon Trye, Surgeon of the Gloucester Infirmary.—The case is fingular. From a blow the internal part of the table of the scull was injured without any apparent injury of the external, and a part of the former was absorbed : the life of both seems to have been destroyed to a certain extent. The symptoms were pain, irritation, chronic inflammation, a thickening of the pericranium, &c. We cannot approve of the language of the remarks, where so much knowledge and design are attributed to nature: the effects in all these circumstances are necessary consequences of the prior change.
XVII. Case of a Rupture of the Corpora Cavernosa Penis. By Mr. Charles Brandon Trye, Surgeon of the Gloucester Infirmary.—The rupture was occasioned by a blow, when the cells were fully diftended : the symptoms were not fingular, and no inconvenience seems to have followed.
XVIII. Account of a mortified Hand, which was taken off at the Joint of the Wrist. By Mr. John Latham, F. R. S. Surgeon at Dartford in Kent.-This case is in no respect ex. traordinary.
XIX. Of the different kinds or Species of Inflammation, and of the Causes to which those Differences may be ascribed. By James Carmichael Smyth, M. D. Fellow of the College of Physicians, and of the Royal Society; and Physician extraordinary to his Majesty.-Dr. Smyth divides inflammations according to their causes, the functions of the parts inflamed, their natural texture, or a texture induced by disease. The