医院报告

{"title":"医院报告","authors":"","doi":"10.1136/bmj.s1-16.15.361","DOIUrl":null,"url":null,"abstract":"be inclined to doubt whether these evidences of the dis. --ease were not somewhat exaggerated, but it is not so. I have detailed to you as correctly as I can everything relative to the symptoms and order of their occurrence as they attack myself individually, without any reference whatever to any medical author. I am generally free from the affection about the latter end of July, and I think I may say by the end of the first week in August, no traces of its existence remain manifest. It is equally severe in London as in the country. I am always worse during the day, and if in the forenoon the sun is shining bright, I hardly dare venture out of doors, the intolerance of light being almost unbearable. The relief which is experienced for a few hours after a heavy shower of rain, can hardly be imagined, and the symptoms are always less distressing in wet weather. Again, it nearly always leaves me for a short time, sometimes a day or two after a thunder-storm; and to this partly, is my presence before you now to be attributed, for you will remember that yesterday we had a considerable amount of thunder and lightning; this circumstance, moreover, would tend to favour the idea entertained by some, both with respect to this, as well as to influenza, that the cause is to be attributed to some change in the electrical condition of the atmosphere-whether to an accumulation or deficiency of the electric fluid I am not enabled tostate. Ipecacuanha, it may be remarked, has no further effect upon me than the application of any other pulverulent matter would be suipposed to have. On several occasions a pinch has been taken, the same as one would take a pinch of snuff, without producing any effect. I need hardly state that this was ,done merely by way of experiment. A sudden draught will bring on an attack immediately, which will continue for an hour or two, or even longer. One word may, perhaps, be desirable, relative to that from which it has derived its name, I mean hay, which brings on an attack, especially if it be new, almost instantaneously; and what is very remarkable and curious is, that I can always tell when any hay is approaching me, even if I do not see it. On one occa. sion, when walking in London with my friend Dr. Robert Growse, of Bildestone, I suddenly stopped, remarking that I would take any even wager that there was some hay close by. Before the doctor could hardly reply, a cart full of hay passed the end of the street down which we were proceeding. I could, were it necessary, relate to you many other similar occurrences; the one, however, which I have mentioned, is sufficient to verify my statement, and time will not allow of more. What then, gentlemen, is the cause of this periodical, but unwelcome visitor ? I should feel inclined to differ somewhat from the opinion of Dr. Gordon, who supposes that it is produced by pollen from one particular plant, viz., the anthoxanthum odoratum, -or sweet-scented vernal grass; and for this reason, because I am always attacked at least three weeks before the anthoxanthum is in blossom. If I may be -allowed to offer my opinion, I consider it to be attributable to an idiosyncrasy of constitution, whereby the whole of the gastro-puimonary mucous membrane is rendered susceptible of irritation, that irritation being produced by the pollen from a certain class of plants which blossom at that time of the year when the affection is prevalent. I refer to the whole family of the graminacese, rather than to any individual plant. Aknd now, gentlemen, one word with respect to the treatment. It would, indeed, be preposterous in me, were I to make remarks on all the so-called remedies which have been recommended by various writers; suffice it to say, that I have tried very many of them, and all without effect; never have I found anything which afforded me the slightest permanent relief. Hot water fomentations, drinking hot water, cold water draughts, effervescing mixtures, pressure on the -bridge of the nose, have all in their turns carried off a paroxysmal attack of sneezing; but the good fortune of finding any thing capable of allaying the almost intolerable itching of the eyes and nose, has never fallen to my lot. Dr. Owen Rees, Assistant-physician to Guy's Hospital, recommended large doses of dilute sulphuric acid. I commenced with twenty minims three times a day, which, according to the direction of the Doctor, I gra. dually increased, until I arrived at a dose of one drachm three times a day. This had no other effect more than occasionally favouring me with a violent pain in the bowels, which compelled me to desist. Dr. Golding Bird and Dr. Gull, in consultation, recommended the disulphate of quinine with iron; this I continued to take for some considerable time, commencing at the ordinary dose, and increasing it gradually, which, however, proved equally ineffectual. Strychnia, recommended by Dr. Addison, in doses varying from the one-twentieth to one-twelfth of a grain, ter in die, was tried, but proved useless. Arsenic, sulphate of zinc, tincture of the lobelia inflata, snuff; laudanum, salines of all kinds, iodine, and a host of others which now escape my memory, have all had pretty fair trials, which, as remedial agents in hay. fever, are all on a par. Such, then, gentlemen, is the hay-fever in my case. If you can kindly suggest any thing, I shall be only too glad to give it a fair trial, and report to you the effect at your next meeting. Some apology may be necessary for the little interest which this case is likely to afford you, nor indeed ghould I have considered it worthy of your attention, had not the subject been introduced to your notice, and myself as a sufferer, at a previous meeting of the Association.","PeriodicalId":20791,"journal":{"name":"Provincial Medical and Surgical Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"1852-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hospital Reports\",\"authors\":\"\",\"doi\":\"10.1136/bmj.s1-16.15.361\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"be inclined to doubt whether these evidences of the dis. --ease were not somewhat exaggerated, but it is not so. I have detailed to you as correctly as I can everything relative to the symptoms and order of their occurrence as they attack myself individually, without any reference whatever to any medical author. I am generally free from the affection about the latter end of July, and I think I may say by the end of the first week in August, no traces of its existence remain manifest. It is equally severe in London as in the country. I am always worse during the day, and if in the forenoon the sun is shining bright, I hardly dare venture out of doors, the intolerance of light being almost unbearable. The relief which is experienced for a few hours after a heavy shower of rain, can hardly be imagined, and the symptoms are always less distressing in wet weather. Again, it nearly always leaves me for a short time, sometimes a day or two after a thunder-storm; and to this partly, is my presence before you now to be attributed, for you will remember that yesterday we had a considerable amount of thunder and lightning; this circumstance, moreover, would tend to favour the idea entertained by some, both with respect to this, as well as to influenza, that the cause is to be attributed to some change in the electrical condition of the atmosphere-whether to an accumulation or deficiency of the electric fluid I am not enabled tostate. Ipecacuanha, it may be remarked, has no further effect upon me than the application of any other pulverulent matter would be suipposed to have. On several occasions a pinch has been taken, the same as one would take a pinch of snuff, without producing any effect. I need hardly state that this was ,done merely by way of experiment. A sudden draught will bring on an attack immediately, which will continue for an hour or two, or even longer. One word may, perhaps, be desirable, relative to that from which it has derived its name, I mean hay, which brings on an attack, especially if it be new, almost instantaneously; and what is very remarkable and curious is, that I can always tell when any hay is approaching me, even if I do not see it. On one occa. sion, when walking in London with my friend Dr. Robert Growse, of Bildestone, I suddenly stopped, remarking that I would take any even wager that there was some hay close by. Before the doctor could hardly reply, a cart full of hay passed the end of the street down which we were proceeding. I could, were it necessary, relate to you many other similar occurrences; the one, however, which I have mentioned, is sufficient to verify my statement, and time will not allow of more. What then, gentlemen, is the cause of this periodical, but unwelcome visitor ? I should feel inclined to differ somewhat from the opinion of Dr. Gordon, who supposes that it is produced by pollen from one particular plant, viz., the anthoxanthum odoratum, -or sweet-scented vernal grass; and for this reason, because I am always attacked at least three weeks before the anthoxanthum is in blossom. If I may be -allowed to offer my opinion, I consider it to be attributable to an idiosyncrasy of constitution, whereby the whole of the gastro-puimonary mucous membrane is rendered susceptible of irritation, that irritation being produced by the pollen from a certain class of plants which blossom at that time of the year when the affection is prevalent. I refer to the whole family of the graminacese, rather than to any individual plant. Aknd now, gentlemen, one word with respect to the treatment. It would, indeed, be preposterous in me, were I to make remarks on all the so-called remedies which have been recommended by various writers; suffice it to say, that I have tried very many of them, and all without effect; never have I found anything which afforded me the slightest permanent relief. Hot water fomentations, drinking hot water, cold water draughts, effervescing mixtures, pressure on the -bridge of the nose, have all in their turns carried off a paroxysmal attack of sneezing; but the good fortune of finding any thing capable of allaying the almost intolerable itching of the eyes and nose, has never fallen to my lot. Dr. Owen Rees, Assistant-physician to Guy's Hospital, recommended large doses of dilute sulphuric acid. I commenced with twenty minims three times a day, which, according to the direction of the Doctor, I gra. dually increased, until I arrived at a dose of one drachm three times a day. This had no other effect more than occasionally favouring me with a violent pain in the bowels, which compelled me to desist. Dr. Golding Bird and Dr. Gull, in consultation, recommended the disulphate of quinine with iron; this I continued to take for some considerable time, commencing at the ordinary dose, and increasing it gradually, which, however, proved equally ineffectual. Strychnia, recommended by Dr. Addison, in doses varying from the one-twentieth to one-twelfth of a grain, ter in die, was tried, but proved useless. Arsenic, sulphate of zinc, tincture of the lobelia inflata, snuff; laudanum, salines of all kinds, iodine, and a host of others which now escape my memory, have all had pretty fair trials, which, as remedial agents in hay. fever, are all on a par. Such, then, gentlemen, is the hay-fever in my case. If you can kindly suggest any thing, I shall be only too glad to give it a fair trial, and report to you the effect at your next meeting. 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引用次数: 0

摘要

我倾向于怀疑这些疾病的证据是否有些夸张,但事实并非如此。我已经尽可能准确地向你详细介绍了我的症状,以及它们在我身上发生的顺序,而没有参考任何医学作者的任何资料。我一般不会对七月下旬产生这种感情,我想我可以说,到八月的第一个星期结束时,它的存在已经没有任何迹象了。伦敦的天气和乡下一样严重。我在白天总是更糟,如果在早晨阳光灿烂,我几乎不敢出门,光的容忍几乎是难以忍受的。一场大雨过后几个小时的缓解是难以想象的,在潮湿的天气里,症状总是不那么痛苦。同样,它几乎总是离开我很短的时间,有时是雷雨过后一两天;我现在出现在你们面前,部分地要归功于这一点,因为你们应该还记得,昨天我们遇到了相当多的雷电;此外,这种情况会倾向于支持一些人的想法,无论是关于这个,还是关于流感,原因是由于大气中电气条件的某种变化——是由于电流体的积累还是缺乏,我无法说明。可以指出的是,伊佩卡尼哈对我的影响,并不比使用任何其他粉状物质所能产生的效果大。有几次捏了一撮,就像捏了一撮鼻烟一样,没有任何效果。不用说,这仅仅是一种实验。突然的干旱会立即引起攻击,这将持续一两个小时,甚至更长时间。也许,有一个词,相对于它的名字,是可取的,我的意思是干草,引起攻击,特别是如果它是新的,几乎是瞬间的;非常了不起和奇怪的是,当干草向我靠近时,即使我没有看到它,我也总能感觉到。有一次。后来,当我和我的朋友比尔斯通公司的罗伯特·格罗斯博士在伦敦散步时,我突然停了下来,说我敢打赌附近一定有干草。医生还没来得及回答,一辆装满干草的马车就从我们走的那条街的尽头驶过。如果需要的话,我还可以把许多类似的事情告诉你;然而,我所提到的那一件足以证实我的说法,时间不允许再多说了。那么,先生们,这个不受欢迎的定期来访的原因是什么呢?我倾向于与戈登博士的观点有所不同,他认为它是由一种特定植物的花粉产生的,即花药,或芬芳的春草;也因为这个原因,因为我总是在花萼开花前至少三个星期受到攻击。如果允许我发表我的意见,我认为这是由于一种特殊的体质,整个胃粘膜都很容易受到刺激,这种刺激是由一种植物的花粉产生的,这种植物在一年中这种情绪盛行的时候开花。我指的是整个谷物科,而不是任何一种植物。现在,先生们,我想说一句关于治疗的事。如果我对各种作家所推荐的所谓补救办法都加以评论,那我确实是荒谬的;我只想说,我已经试过很多次了,但都没有效果。我从来没有找到任何能给我带来丝毫持久的安慰的东西。热水,喝热水,冷水,冒泡的混合物,鼻梁上的压力,所有这些都轮流引起阵发性打喷嚏;但幸运的是,找到任何能够减轻眼睛和鼻子几乎无法忍受的瘙痒的东西,从来没有落在我的身上。盖伊医院的助理医师欧文·里斯医生建议服用大剂量的稀硫酸。我开始每天吃三次,每次二十分,按照医生的指示,我都吃到了。剂量加倍增加,直到一天三次,每次一德拉克。这只会使我偶尔感到一阵剧烈的肠子疼痛,迫使我停止进食。戈尔丁·伯德医生和古尔医生在咨询后,建议用二硫酸奎宁加铁;这种药我服用了相当长的一段时间,从普通剂量开始,然后逐渐增加,但结果同样无效。马钱子,推荐医生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hospital Reports
be inclined to doubt whether these evidences of the dis. --ease were not somewhat exaggerated, but it is not so. I have detailed to you as correctly as I can everything relative to the symptoms and order of their occurrence as they attack myself individually, without any reference whatever to any medical author. I am generally free from the affection about the latter end of July, and I think I may say by the end of the first week in August, no traces of its existence remain manifest. It is equally severe in London as in the country. I am always worse during the day, and if in the forenoon the sun is shining bright, I hardly dare venture out of doors, the intolerance of light being almost unbearable. The relief which is experienced for a few hours after a heavy shower of rain, can hardly be imagined, and the symptoms are always less distressing in wet weather. Again, it nearly always leaves me for a short time, sometimes a day or two after a thunder-storm; and to this partly, is my presence before you now to be attributed, for you will remember that yesterday we had a considerable amount of thunder and lightning; this circumstance, moreover, would tend to favour the idea entertained by some, both with respect to this, as well as to influenza, that the cause is to be attributed to some change in the electrical condition of the atmosphere-whether to an accumulation or deficiency of the electric fluid I am not enabled tostate. Ipecacuanha, it may be remarked, has no further effect upon me than the application of any other pulverulent matter would be suipposed to have. On several occasions a pinch has been taken, the same as one would take a pinch of snuff, without producing any effect. I need hardly state that this was ,done merely by way of experiment. A sudden draught will bring on an attack immediately, which will continue for an hour or two, or even longer. One word may, perhaps, be desirable, relative to that from which it has derived its name, I mean hay, which brings on an attack, especially if it be new, almost instantaneously; and what is very remarkable and curious is, that I can always tell when any hay is approaching me, even if I do not see it. On one occa. sion, when walking in London with my friend Dr. Robert Growse, of Bildestone, I suddenly stopped, remarking that I would take any even wager that there was some hay close by. Before the doctor could hardly reply, a cart full of hay passed the end of the street down which we were proceeding. I could, were it necessary, relate to you many other similar occurrences; the one, however, which I have mentioned, is sufficient to verify my statement, and time will not allow of more. What then, gentlemen, is the cause of this periodical, but unwelcome visitor ? I should feel inclined to differ somewhat from the opinion of Dr. Gordon, who supposes that it is produced by pollen from one particular plant, viz., the anthoxanthum odoratum, -or sweet-scented vernal grass; and for this reason, because I am always attacked at least three weeks before the anthoxanthum is in blossom. If I may be -allowed to offer my opinion, I consider it to be attributable to an idiosyncrasy of constitution, whereby the whole of the gastro-puimonary mucous membrane is rendered susceptible of irritation, that irritation being produced by the pollen from a certain class of plants which blossom at that time of the year when the affection is prevalent. I refer to the whole family of the graminacese, rather than to any individual plant. Aknd now, gentlemen, one word with respect to the treatment. It would, indeed, be preposterous in me, were I to make remarks on all the so-called remedies which have been recommended by various writers; suffice it to say, that I have tried very many of them, and all without effect; never have I found anything which afforded me the slightest permanent relief. Hot water fomentations, drinking hot water, cold water draughts, effervescing mixtures, pressure on the -bridge of the nose, have all in their turns carried off a paroxysmal attack of sneezing; but the good fortune of finding any thing capable of allaying the almost intolerable itching of the eyes and nose, has never fallen to my lot. Dr. Owen Rees, Assistant-physician to Guy's Hospital, recommended large doses of dilute sulphuric acid. I commenced with twenty minims three times a day, which, according to the direction of the Doctor, I gra. dually increased, until I arrived at a dose of one drachm three times a day. This had no other effect more than occasionally favouring me with a violent pain in the bowels, which compelled me to desist. Dr. Golding Bird and Dr. Gull, in consultation, recommended the disulphate of quinine with iron; this I continued to take for some considerable time, commencing at the ordinary dose, and increasing it gradually, which, however, proved equally ineffectual. Strychnia, recommended by Dr. Addison, in doses varying from the one-twentieth to one-twelfth of a grain, ter in die, was tried, but proved useless. Arsenic, sulphate of zinc, tincture of the lobelia inflata, snuff; laudanum, salines of all kinds, iodine, and a host of others which now escape my memory, have all had pretty fair trials, which, as remedial agents in hay. fever, are all on a par. Such, then, gentlemen, is the hay-fever in my case. If you can kindly suggest any thing, I shall be only too glad to give it a fair trial, and report to you the effect at your next meeting. Some apology may be necessary for the little interest which this case is likely to afford you, nor indeed ghould I have considered it worthy of your attention, had not the subject been introduced to your notice, and myself as a sufferer, at a previous meeting of the Association.
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