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NEW-YORK, JANUARY, 1844.
ing it with most of the articles of the pharmaThe Mysteries of the Faculty. copaas; but we shail not, probably, advance Physicians of learning and experience in the treatment, until we deduce pathological know that no dependence can be placed on and progress of the symploms, and exploring
principles, from cautiously marking the rise the old astrological symptoms, by which their seats and effects. – DR. ARMSTRONG. they have been taught to distinguish tuber
“The whole science of healing is built upon
fortuitous and chance discoveries. Like the cular disease, nor on the common imbecile alchemists of old, we have discovered a remedies for it, as is seen by the following thousand valuable' things, where we never declarations of the distinguished professor, thought of looking for them; and while use
lessly seeking for talismanic gold, we have M. Lugol, of Paris, to the students of medi- lighied on a peari of great price. Every cine, 1841
thing, in fact, is presented to us as the result “ Tubercles may exist in parenchymatous ihe most valuable remedy can boast of no
of experiment; and, in the treatment of disease, organs, may even partly annihilate them, higher origin than its more humble neighbor." without their existence being revealed by any
-G. B. CHILDS, extemal symptoms. Our want of success in the use oi the ordinary means of diagnosti In addition to the testimony of the distin. eating tubercles, proves that those means are guished physicians above mentioned, is the inadequate, that we follow an conrse in our investigations, and that we must
following extract from the London Lancet, resort to new modes if we wish to be success for January 14, 1813, to the same effect; ful. The numerous checks and repeated and this brief paragraph is only one of the deceptions to which physicians are daily exposed in the diagnosis and treatment of iuber- many evidences afforded by that very high culous dis ases, du thay not prove that it is medical authority, and indeed by the medical neces-ary to leave the biaten track of inquiry literature of the day, that a brighter era is and pursue some other which is less fallible ?"
Few physicians, however, will leave the beginning to dawn upon this momentous old beaten track for a new one, until they are
subject: driven from it by public opinion; no matter little do we really know, of the nature and
“How much have we yet to learn, how what the consequences may be to their patients. rational treatment, not only of the diseases of
“Wherever we have any thing like princi- the cerebro-spinal system, but of diseases in ples to guide us, our prescriplions are extremely general! Assuredly, the uncertain and most hmited; wherever we have no fixed principles unsausfactory art chat we cali medical scito guide us, our prescriptions accumulate with ence, is no science at all, but a jumble of inempirical rapidity. But what, it may be rea-consistent opinions; of conclusions hastily sonably enquired, is the principal cause of all drawn; of facts badly arranged; of observa this complexity of formulæ in chronic dis- tions made wich carelessness; of comparisons eases ? Undoubtedly it arises from that instituted which are not analogical; of hypovagueness of spinion which exists respecting theses which are foolish: and of theories the nature of these diseases in their onsei, which, if not useless, are dangerous. This is and in the greater part of their progress; and the reason why we have our homeopathists, so long as we attempt to cover our ignorance and our hydropathists; our mesınerists and by such. terins as nervous, billious, dyspeptic, our celestialists!" (and he might have added spasmodic, and the like, so long shallour prac
an army of arrant quacks.)- Dr. Evans. tice be mere experiment in most chronic affec
EDINBURG. tions. We may make a sort of druggist's Mr. Wakley, M. P., in his editorial artishop of the stomach of every patient laboring cle, in the same number, advises the memunder chronic disease, by alternately cram
bers of the medical profession, to commence * The professors of our medical colleges, like the ancient astrologers, who were physicians, priests and collecting facts, in their several districts, de by feeling the pulse, the aspect of the urine, the old our novo, on which to found, at a future period, of the stools, &c. &c., and they will continue to teach a rational and effectual mode of treating such ponsense as long as it' is of any value in the market
The illiberality with which I have been treated, by many of the leading men of the Symptoms of Tubercular Disease. profession, while I have been alone engaged, Tubercula, or Scrofula, is invariably disthrough a long series of years, in establish- tinguished by pain, more or less severe in ing the true character and great importance proportion to the intensity of the disease, of the new symptoms and remedies, in produced by pressure on the ganglions of the chronic diseases, and in the only way in spinal nerves, in the intervertebral spaces which I could hope for success, will fully along each side of the spine : no matter justify me, in thus exposing to the public in what name may have been given to the the years of my triumph, the heartless im- malady by physicians, nosologists, or other positions those men are constantly practis- medical writers. These ganglions are organs ing.
of sensation, and are connected with the The following observations upon the mys- skin and serous membranes, as well as the teries and fallacies of the faculty, are from serous surfaces, in every part of the body, one of the most intellectual men of the age. through the posterior spinal nerves; while
Observers of passing events cannot have the anterior and motor spinal nerves, are failed for some years past recognize the ap- connected with the mucous membranes, and proach of a new era in the science of medicine. The practitioner who has imbibed his mucous surfaces in every part of the body; dogmas during his hospital pupilage, who, and this arrangement of the nerves of sensafrom inertness, indifference, or incompetency, tion and motion, was obviously necessary, rejoices in the conjectural nature of his art, who contemns ils principles, closes his ears both to the inception and existence of the against its reasoning, and his understanding animal creation, to prevent the irritating to its improvements
, may proceed self-suffi: effects of the atmosphere, of fluids, and ciently, and empirically, io ihe termination of his career. The practitioner of this stamp semi-fluids, or other non-solid substances, may boldly vaunt his experience as the intal- which are necessarily and constantly in conlible criterion of the means that are available by man in alleviating misery and prolonging tact with the mucous membranes, and mucous existence, and may continue to play upon the surfaces of sentient creatures. The followweaknesses and sufferings of humanity, and ing case, in which nearly all the organs and the contingencies of life, regardless alike of the advaucement of learning, and of the use-limbs were affected with tubercular disease at ful practical results which flow from it. the same time, not only gives a very clear
But the disciples of a truly rational medic view of the simplicity and accuracy of these cine, who are now daily filling the ranks of the profession, who, being active, emulous, symptoms, but also conclusively demonstrates and competent, are watching with a vigilant a direct connection between the ganglions eye the progress of science, and are drawing of the spinal nerves, and the serous mem-continually from its tributary streams, for the means of rendering more complete their branes and surfaces : knowledge of the animal economy–who seize Mrs. J. P., of good constitution, light comwith avidity every newly developed truth, view it in all its relations, compare it with plexion, and naturally full habit, aged 22 previously discovered truths, fix its legitimate years. value, and assign its pioper locality, -who, slow to adopt crude theories, founded upon
Called to see her January 11th, 1835. uncertain data ; slower still in resorting 10 She has a swelling on the right side of her expedients of conjectural utility, both in me-neck and face, which commenced about the dicine and surgery ; arrive, albeit, impercep- 10th of November last, and has been out of tibly, at unerring principles, as the basis of a considerate and cautious, but an energetic and health about three years. fearless practice. Such men must hail with the liveliest enthusiasm, every new impulse further inquiries, and in the presence of a
Suspecting tubercula, and without making received by the science, at a period of tory when there is promised a richer harvest number of gentlemen and ladies, we commenof beneficial results than at any which has ced an examination of the lymphatic glands preceded it.
HENRY ANCELL, Esq., Lecturer on Medical Jurisprudence at the School of along both sides of the spine, and first with
Anatomy and Medicine. Grosvenor Place, Saint those of the first cervical vertebræ, and ral Bisprsary.-London Lancer – Nor. 19, 1842. pressed with the finger upon one lying close
to the right side of the vertebræ, and of the spasmodic pain, and darted violently into the size of a very small bean, which produced a uterus. Pressure on the sides of the other scream from severe spasmodic pain, which, vertebræ produced no pain or effect whaton every repetition of the pressure, darted ever. violently, and with the rapidity of lightning, We now inquired at what time she first disinto the external cervical and submaxillary covered tubercles or swellings on the side of tubercles, and into the upper jaw, ear, and her neck? She answered, about the first of right side of the head; and on her complain- June, or the first of July, her attention was ing of its darting also into her throat, we ex- first directed to one on the side of her face, amined it, and found two tubercles rising con- in front of the ear, that was very sore, and spicuously in the right tonsil, and one in the at times painful, and that at such times there gum of the upper jaw, all of which were was soreness along the chords” of the very sore, and also painful under pressure. neck, but “never thought of ex
examining We now applied pressure in the same way to there for tubercles." We now told her she these cervical and submaxillary tubercles on must have white swellings of some of her the side of the neck and the under-jaw, joints or limbs, besides that of the neck and which produced the same kind of pain in face, when she presented her left arm perthem, which, at every repetition of the pres- nanently flexed into an obtuse angle. On resure, darted violently along the neck and un- moving the clothing from this arm, it preder the clavicle into the upper portion of the sented a white swelling of the elbow joint right lung. We now applied pressure to the and arm. The swelling of the arm was. left side of the first vertebra, on a still smaller united to that of the joint, and extended more tubercle, and she screamed again, and pointed than half way to the shoulder, and there was ber finger to the spot the pain darted to, on plainly felt along the under side of this the upper portion of the left side of the neck, swelling, or under and inner side of the arm, and on examination, we found there a large a large or wide ganglia of tubercles, extendsubmaxillary tubercle, and on applying pres- ing from the elbow six or seven inches above sure to this, the scream was again repeated, it. These tubercles were of the size of and she at the same time applied her hand peas, near the elbow, but became gradually to the left breast or mamma, and then point- smaller, and of the size of small seeds where ed out the course of the pain from the tu- they were lost in the upper part of the bercle along the neck and under the clavicle swelling. into the breast. We now examined it, and We inquired now whether she had any other found it every where literally crammed with swellings about her, when she answered, tubercles of the size of peas; the breast “no, that's all,” but I told her it would not one-third larger than the right; color of the do,-she must have white swellings of the skin natural. The right breast flaccid every limbs and joints of the right side, as well as where, and neither gland nor tubercle to be of the left; and after viewing me for a mofelt in it.
ment with an expression of hesitancy, she The small tubercles along the right began to make preparations to show me her side of the other cervicle vertebræ were sore right leg. It was swelled from the ankle to or tender, and pressure on the upper ones the knee, and had an elastic and puffy feel, sent darting pains into the right side of the and I plainly felt along the front and sides of neck, and on the left side of the lower one the tibia, small tubercles from the size of into the region of the heart, and checked her small seeds to that of a small pea. She now breathing. Pressure applied now on the told me she would show me the other one. sides of the first, second, third, and fourth It was swelled, and in all respects like the dorsal, produced pain which darted into the right leg. stomach; and on the second, third, fourth, Diagnosis, tubercula of the uterus, both and fifth lumbar, produced the most severe legs, left arm, left breast, heart, stomach,