A Treatise on the Eclectic Southern Practice of Medicine Page: 134 of 724
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CONGESTIVE FEVER.
actual debility, but only from engorgeiments of the
internal organs, which, most generally, are not at
first structurally diseased, but only oppressed by the
undue quantity of blood forced into them. Our practice
under such circumstances is equtiously to abstract blood,
and in almost every instance it has had a tendency to
promote reaction by diminishing the load under which
the heart and other vital organs are laboring. Do not
understand us to recommend general blood-letting as
admissible at all times, for there are many conditions
and many circumstances where it is entirely inadmis-
sible; for example, it would .be highly detrimental in
aged persons of feeble or broken down constitutions; in
persons of very intemperate habits; also in the advanced
period of any case, because, in all of these, the powers of
life are generally at a low ebb, and most probably the
loss of blood by venesection would preclude the possi-
bility of reaction.
Having strictly followed the practice of Dr. Barbour
in some three or four instances, I can do no better than
strictly to give his language in the few following pages.
I would, however, remark, that I have succeeded with
the calomel treatment in large doses, and podophyllin,
as well as the stimulant treatment, some few cases of
which I shall report.
"Blood-letting is particularly indicated in those cases
where high excitement continues for two or three days
after the paroxysm with little or no abatement. Under
such circumstances it is certainly one of the best means
we possess to lower excitement." In high arterial excite-
ment the tinct. aconite will generally reduce the pulse
and cause a perfect remission, during which we can
make use of such remedies as are calculated to prevent134
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/134/: accessed April 24, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.