MISCELLANEOUS JOTTINGS FROM DAILY PRACTICE. By Assistant-Surgeon Chetan
Officiating
Civil
Shah,
Surgeon, Jliang.
1.?Melancholia. From my experience of this disease I find that in several the urine of melancholic persons is loaded with a dark acid in reaction. Such patients substance, and is strongly benefit from the Acetate of Potash and Nitric derive cases
great
aether treatment.
2.?Treatment offractured ribs. The usual practice in the Punjab hospitals and dispensaries is to apply a broad roller round the chest. I have seen sometimes great inconvenience to arise from the use of a bandage, pressing on both sides of the chest and of the lungs. In one case dyspnoea was the free
play
limiting
very troublesome. Straps of sticking plaster applied on the whole of the injured half of the chest from sternum to spine allow the sound side to work without impediment, and are quite sufficient to give rest for the formation of callus. The above facts were lately exemplified in a case at the Mighiana Civil Hospital, where the students (dressers, compounders, &c.) were impressed with the difference between the two modes of treatment. _
3,
large
stone
of the
dropped into the
ear
common
of
a
boy
"
be??"
at
tree
accidentally
Mighiana,
and mas not
removed. Inflammation occurred and suppuration followed. The ear of was syringed out daily with warm water for the cure otorrhoea (the stone could not be detected with certainty). out while the boy's mother was One day the stone fell of pressing his head for the relief pain. 4_ Granular eyelids and nitrate of silver. for the Nitrate of silver does not appear to be much used treatment of granular eyelids. Of all the medicines that I find an impalpable powder of sugar have used for this disease I of lead and nitrate of silver lotion, grains 20 to oz. 1, most useful of all. Gently applied on the everted eyelids, it first and is followed in half an causes a little smarting at hour by sensible relief. It not only cures the granular condition of the hastens the process of clearing tip the cornea.
eyelids,
but
5.? Unfounded native prejudice against milli. supposed by the Hakims and general Indian public to favor the formation of pus, and is therefore forbidden I have perin all kinds of abscesses, sores, &c. Although formed no regular experiment on the subject, my observain which milk tion of numerous cases of surgical practice, enables me to state with confidence, that is
Milk is
freely given,
milk has
no
such
prejudicial
effect.
266
THE INDIAN MEDICAL GAZETTE.
6.?Yunani hahims are opposed to milk diet in fever cases' Milk is objected to in cases of fever by most people in the Punjab, not because it is actually hurtful, but because it is against the views of the so-called Yunani hakims (i. e. the followers of the old Greek system of medicine). It is not known to them that the Yunanis or the Greeks do themselves take milk in fever to support their strength. With the exception of very few cases milk is one of the best diets we have for fever patients. I have often had to contend with the prejudice of some of my patients whose favors I determined to win on my side and divert from the Yunani hakims. On going through the regimen prescribed for the treatment of fevers of various kinds one can hardly meet with milk in the list of fever dietetics given in the Iiikmat works. In a reputed work on native Materia Medica on the Yunani system milk is said to be productive of fevers and to be easily convertible (in the body) into bile or into whatever humour that may be, for the time being, prevailing over the others. In order to convince my friends who are still fond of the old Greek system of medicine and who consider all the old doctrines as infallible, I take every opportunity of shewing them my cases, where milk is given in fever without any harm.
[October 2,
1882,
Officiating
Civil
Shah,
Surgeon, Jliang.
1.?Melancholia. From my experience of this disease I find that in several the urine of melancholic persons is loaded with a dark acid in reaction. Such patients substance, and is strongly benefit from the Acetate of Potash and Nitric derive cases
great
aether treatment.
2.?Treatment offractured ribs. The usual practice in the Punjab hospitals and dispensaries is to apply a broad roller round the chest. I have seen sometimes great inconvenience to arise from the use of a bandage, pressing on both sides of the chest and of the lungs. In one case dyspnoea was the free
play
limiting
very troublesome. Straps of sticking plaster applied on the whole of the injured half of the chest from sternum to spine allow the sound side to work without impediment, and are quite sufficient to give rest for the formation of callus. The above facts were lately exemplified in a case at the Mighiana Civil Hospital, where the students (dressers, compounders, &c.) were impressed with the difference between the two modes of treatment. _
3,
large
stone
of the
dropped into the
ear
common
of
a
boy
"
be??"
at
tree
accidentally
Mighiana,
and mas not
removed. Inflammation occurred and suppuration followed. The ear of was syringed out daily with warm water for the cure otorrhoea (the stone could not be detected with certainty). out while the boy's mother was One day the stone fell of pressing his head for the relief pain. 4_ Granular eyelids and nitrate of silver. for the Nitrate of silver does not appear to be much used treatment of granular eyelids. Of all the medicines that I find an impalpable powder of sugar have used for this disease I of lead and nitrate of silver lotion, grains 20 to oz. 1, most useful of all. Gently applied on the everted eyelids, it first and is followed in half an causes a little smarting at hour by sensible relief. It not only cures the granular condition of the hastens the process of clearing tip the cornea.
eyelids,
but
5.? Unfounded native prejudice against milli. supposed by the Hakims and general Indian public to favor the formation of pus, and is therefore forbidden I have perin all kinds of abscesses, sores, &c. Although formed no regular experiment on the subject, my observain which milk tion of numerous cases of surgical practice, enables me to state with confidence, that is
Milk is
freely given,
milk has
no
such
prejudicial
effect.
266
THE INDIAN MEDICAL GAZETTE.
6.?Yunani hahims are opposed to milk diet in fever cases' Milk is objected to in cases of fever by most people in the Punjab, not because it is actually hurtful, but because it is against the views of the so-called Yunani hakims (i. e. the followers of the old Greek system of medicine). It is not known to them that the Yunanis or the Greeks do themselves take milk in fever to support their strength. With the exception of very few cases milk is one of the best diets we have for fever patients. I have often had to contend with the prejudice of some of my patients whose favors I determined to win on my side and divert from the Yunani hakims. On going through the regimen prescribed for the treatment of fevers of various kinds one can hardly meet with milk in the list of fever dietetics given in the Iiikmat works. In a reputed work on native Materia Medica on the Yunani system milk is said to be productive of fevers and to be easily convertible (in the body) into bile or into whatever humour that may be, for the time being, prevailing over the others. In order to convince my friends who are still fond of the old Greek system of medicine and who consider all the old doctrines as infallible, I take every opportunity of shewing them my cases, where milk is given in fever without any harm.
[October 2,
1882,
