医学新闻

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In 1892 Dr. McIntyre, of Glasgow, conducted some experiments in regard to the action of carbolic acid on the enteric bacillus (Gaffky's), and found that in addition to an antiseptic action on the intestinal contents, the acid controlled the development of the enteric bacillus. Previously to this, in 1890, Werner, of St. Petersburg, made similar experiments with chloroform, and found that a per cent. solution of chloroform killed the enteric bacillus. Reflecting on these experiments it occurred to me that a combination of these drugs, both of which had a distinctive effect on the specific micro-organism of enteric fever, and one of which had as well a wholesome intestinal antiseptic action, ought, if given with judicious freedom, to be effectual in rendering immune the enteric bacillus and its septic pro-ducts. So far my expectation has been realised. I have treated with the carbolic acid and chloroform combination during the past year all the cases of enteric fever that have come under my care, and in each case perfect recovery has followed, without the advent of any symptom calculated to cause anxiety. It is a gratifying experience to be able to make this record regarding a fever which, in India, has a mortality very considerably higher than that usually experienced in temperate climates. The following are the effects I have observed as resulting from the use of the carbolic acid and chloroform combination:-1. A reduction in the average duration of the fever. 2. A continuous depression of the febrile temperature. 3. Early cleansing of the tongue, dryness of which was rarely observed, and was then evanescent. 4. An almost complete deodorisation of the stools. 5. Abdominal distension kept in entire abeyance. 6. Tendency to diarrhcea checked. 7. Intellectual clearness of patient preserved, with no tendency to stupor or delirium. 8. 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引用次数: 0

摘要

如果给予足够量的酸,Lect就不会发生。通常的处方是每天三到四次,每次两到三次,这是徒劳的。为了有效,必须在短时间间隔内给予充分剂量的酸,自由稀释和适当的组合。在我治疗的一系列病例中,有几个在康复前服用了大量的石炭酸;然而,没有人注意到任何可归因于酸的不良反应。一名患者从头到尾服用了超过2盎司的石炭酸和等量的氯仿,另一名患者服用了每种药物各10盎司;然而,尿液从来没有变成黑色或任何接近黑色的颜色;偶尔它的颜色会变高,仅此而已。石炭酸与氯仿的结合被认为是有以下原因的。1892年,格拉斯哥的麦金太尔博士进行了一些关于石炭酸对肠杆菌(加夫基氏)作用的实验,发现石炭酸除了对肠内容物有防腐作用外,还能控制肠杆菌的生长。在此之前,圣彼得堡的维尔纳在1890年用氯仿做了类似的实验,发现百分之百的氯仿溶液可以杀死肠道杆菌。回想这些实验,我突然想到,这两种药物的组合,都对肠道发烧的特定微生物有独特的作用,其中一种也有有益肠道的抗菌作用,如果给予明智的自由,应该有效地使肠道芽孢杆菌及其化脓性产物免疫。到目前为止,我的期望已经实现了。在过去的一年里,我用碳酸和氯仿联合治疗了所有在我护理下的肠热病病例,每个病例都完全恢复了,没有出现任何引起焦虑的症状。在印度,一种热病的死亡率远远高于温带气候地区的死亡率,能够创造这样的记录是一种令人欣慰的经历。以下是我观察到的使用石炭酸和氯仿混合物所产生的效果:退烧平均持续时间的缩短。2. 发热性体温的持续下降。3.早期清洁舌头,很少观察到干燥,然后消失。4. 大便几乎完全除臭。5. 腹胀完全停止。6. 有腹泻倾向。7. 病人神志清醒,无昏迷或谵妄倾向。8. 未发生任何类型的继发性并发症。9. 复发少见;当它们发生时,持续时间很短。10. 食物总是被很好地吸收。11. 恢复期迅速。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical News
lect would not have occurred had the acid been given in sufficient quantity. The usual plan of prescribing the acid in 2or 3-minim doses three or four times a day is quite futile. To be effectual the acid must be given in full doses at short intervals, freely diluted and suitably combined. In the series of cases treated by me several took a large quantity of carbolic acid before convalescence was established; yet in none were any ill-effects noticed which could be ascribed to the acid. One patient took, from first to last, over 2 ounces of carbolic acid, with the same quantity of chloroform, and in other cases 1ounce of each of these drugs was taken; yet the urine never became black or anytliing approaching that colour; occasionally it became high coloured, that was all. The combination of carbolic acid and chloroform was a'lopted for the following reasons. In 1892 Dr. McIntyre, of Glasgow, conducted some experiments in regard to the action of carbolic acid on the enteric bacillus (Gaffky's), and found that in addition to an antiseptic action on the intestinal contents, the acid controlled the development of the enteric bacillus. Previously to this, in 1890, Werner, of St. Petersburg, made similar experiments with chloroform, and found that a per cent. solution of chloroform killed the enteric bacillus. Reflecting on these experiments it occurred to me that a combination of these drugs, both of which had a distinctive effect on the specific micro-organism of enteric fever, and one of which had as well a wholesome intestinal antiseptic action, ought, if given with judicious freedom, to be effectual in rendering immune the enteric bacillus and its septic pro-ducts. So far my expectation has been realised. I have treated with the carbolic acid and chloroform combination during the past year all the cases of enteric fever that have come under my care, and in each case perfect recovery has followed, without the advent of any symptom calculated to cause anxiety. It is a gratifying experience to be able to make this record regarding a fever which, in India, has a mortality very considerably higher than that usually experienced in temperate climates. The following are the effects I have observed as resulting from the use of the carbolic acid and chloroform combination:-1. A reduction in the average duration of the fever. 2. A continuous depression of the febrile temperature. 3. Early cleansing of the tongue, dryness of which was rarely observed, and was then evanescent. 4. An almost complete deodorisation of the stools. 5. Abdominal distension kept in entire abeyance. 6. Tendency to diarrhcea checked. 7. Intellectual clearness of patient preserved, with no tendency to stupor or delirium. 8. Secondary complication of any kind never occurred. 9. Relapses rare; when they occurred -they were of short duration. 10. Food invariably well assimilated. 11. Convalescence rapid.
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