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THE

NORTH AMERICAN

MEDICAL AND SURGICAL

JOURNAL.


CONDUCTED BY

HUGH L. HODGE, M.D. | CHAS. D. MEIGS, M.D.
FRANKLIN BACHE, M.D. | B. H. COATES, M.D.

AND

R. LA ROCHE, M.D.

NON DOCTIOR, SED MELIORE IMBUTUS DOCTRINA.

VOL. II.

PHILADELPHIA:

PUBLISHED BY J. DOBSON, AGENT.

JESPER HARDING, PRINTER.

1826.


_Eastern District of Pennsylvania, to wit_

BE IT REMEMBERED, that on the 31st day of March, in the 50th year of the
Independence of the United States of America, A. D. 1826, Hugh L. Hodge,
Franklin Bache, Charles D. Meigs, Benjamin H. Coates, and René La Roche,
of the said District, have deposited in this office the Title of a Book,
the right whereof they claim as Proprietors, in the words following, to
wit:

"_The North American Medical and Surgical Journal. Conducted by Hugh L.
Hodge, M. D., Franklin Bache, M. D., Chas. D. Meigs, M. D., B. H.
Coates, M. D., and R. La Roche, M. D. Non doctior, sed meliore imbutus
doctrina. Vol. II._"

In conformity to the act of Congress of the United States, intituled,
"An act for the encouragement of learning, by securing the copies of
maps, charts, and books, to the authors and proprietors of such copies,
during the times therein mentioned;" - and also to the act, entitled, "An
act supplementary to an act, entitled, "An act for the encouragement of
learning, by securing the copies of maps, charts, and books, to the
authors and proprietors of such copies, during the times therein
mentioned," and extending the benefits thereof to the arts of designing,
engraving, and etching historical and other prints."

D. CALDWELL, Clerk of the Eastern District of Pennsylvania.




CONTENTS

OF VOL. II.


No. III.

ORIGINAL COMMUNICATIONS.

ART. PAGE.

I. Description of the Gangrenous Ulcer of the mouths of children.
By B. H. Coates, M. D., one of the Physicians to the Philadelphia
Children's Asylum, &c. 1

II. Case of Purpura in an Infant, attended with extraordinary
symptoms. By R. M. Huston, M. D. 24

III. History of the Natural and Modified Small Pox, or of the
Variolous and Varioloid Diseases, as they prevailed in
Philadelphia, in the years 1823 and 1824. By John K. Mitchell,
M. D., and John Bell, M. D., attending physicians at the
then Small Pox Hospital. With a plate. 27

IV. Remarks on the Pathology and Treatment of Yellow Fever.
Arranged from the notes of Dr. J. A. Monges, of Philadelphia. 53

V. Remarks on the Prophylactic Treatment of Cholera Infantum.
By Joseph Parrish, M. D., one of the Surgeons to the Pennsylvania
Hospital. 68

VI. Case of Neuralgia cured by Acupuncturation. Communicated
by J. Hunter Ewing, M. D. 77


ANALYTICAL REVIEWS.

VII. Researches into the Nature and Treatment of Dropsy in the
Brain, Chest, Abdomen, Ovarium, and Skin. By Joseph Ayre,
M. D., &c. 79

VIII. An Essay on Venereal Diseases, and the Uses and Abuses of
Mercury in their Treatment. By Richard Carmichael, M. R. I. A.
With Practical Notes, &c. By G. Emerson, M. D. 109

IX. Remarks on some Means employed to destroy Tænia, and expel
them from the Human Body. By Louis Frank, M. D.
Privy Counsellor of her Majesty, Maria Louisa, Duchess of
Parma. 114

X. Researches, Physiological and Pathological, instituted principally
with a View to the Improvement of Medical and Surgical
Practice. By James Blundell, M. D., Lecturer on
Physiology and Midwifery at the United Hospitals of St.
Thomas and Guy. 119

XI. An Inquiry into the Nature and Treatment of Diabetes, Calculus
and other Affections of the Urinary Organs. By William
Prout, M. D., F. R. S. With Notes and Additions, by S.
Colhoun, M. D. 125


MEDICAL LITERATURE. - RETROSPECTIVE REVIEW.

XII. Tractatus de Ventriculo et Intestinis, cui præmittitur alius, de
Partibus continentibus in Genere, et in Specie de iis Abdominis.
Authore Francisco Glissonio. Lond. 1677, 4to. 138


QUARTERLY SUMMARY OF MEDICAL AND SURGICAL INTELLIGENCE.

ANATOMY, 155

1, Papillæ of the Tongue. 2, Villi of the Stomach and Intestines. 3,
Minute distribution of the Vessels of the Liver. 4, Trachea perforating
the Aorta. 5, Monsters. 6, Malformation of the Heart. 7, Acephalous
Mummy. 8, New Anatomical Plates. 9, A Manual of Osteology. 10,
Soemmering's Work on the Anatomy of the Ear. 11, Does the conjunctiva
run over the Cornea?


PHYSIOLOGY, 158

12, Electro-Galvanic phenomena of Acupuncturation. 13, Variations in
Milk. 14, Hyoscyamus dilates the Pupils of the Eyes. 15, Worms in the
Eye. 16, Digestion.

PATHOLOGY, 161

17, Dothinenteria - Pustules of the small Intestines. 18, Dr. Broussais.
19, Whooping Cough. 20, Antiperistaltic Globus - Globus Hystericus.
21, Non-contagion of Yellow Fever.

THERAPEUTICS, MATERIA MEDICA, AND THE PRACTICE OF MEDICINE, 166

22, Iodine. 23, Non-mercurial Treatment of Syphilis. 24, Cancer treated
by Antiphlogistics. 25, Essential Oil of Male Fern as a remedy in Cases
of Tænia. 26, Tincture of Bastard Saffron for the expulsion of Tænia.
27, Oil of Turpentine in Tænia. 28, Action of the Oil of the Euphorbia
Lathyris. 29, Medicinal Properties of the Apocynum Cannabinum or Indian
Hemp. 30, Remarkable Effects from the external application of the
Acetate of Morphia. 31, Cure of Urinary Calculi, by means of the
internal use of the Bicarbonate of Soda. 32, Attempt to cure Abdominal
Dropsy by exciting Peritoneal Inflammation. 33, Artificial Respiration.
34, Secale Cornutum. 35, Animal Magnetism. 36, Sketch of the Medical
Literature of Denmark, Sweden, and Norway. 37, Erysipelatous Mumps or
Angina Parotidiana. 38, Tænia. 39, Scrophula. 40, Digitalis.

SURGERY, 192

41, Dr. Physick's Operation for Artificial Anus denied to have been
performed. 42, Gangrenous Sore Mouth of Children. 43, Operation for
Phymosis. 44, Lunar Caustic on Wounds and Ulcers. 45, Hæmorrhage from
Lithotomy. 46, Extirpation of the Parotid Gland. 47, Aneurism from a
Wound, cured by Valsaiva's method. 48, Protrusion and Wound of the
Stomach. 49, Oesophagotomy. 50, Retention of Urine, caused by a
Stricture of the Urethra, relieved by a forcible but gradual Injection.
51, Tracheotomy. 52, Fistula Lachrymalis. 53, Aneurisma Herniosum. 54,
Extirpation of the Two Dental Arches affected with Osteo-sarcoma. 55,
Traumatic Erysipelas. 56, Obliteration of a portion of the Urethra,
remedied by an Operation. 57, Artificial Joint cured by Caustic. 58,
Epilepsy cured by Trephining.

MIDWIFERY, 205

59, Gastrotomy. 60, Cæsarian Operation, performed with safety to the
Mother and Foetus. 61, Extirpation of the Uterus. 62, Uterine Hæmorrhage.

CHEMISTRY AND PHARMACY, 208

63, State in which Morphia exists in Opium. 64, Peculiar Principles of
Narcotic Plants. 65, Relative quantities of Cinchonia and Quinia with
indention in the most esteemed Varieties of Peruvian Bark. 66, Sulphate
of Quinia, extracted from the Cinchona Bark, exhausted by Decoction.
67, Analysis of Rhubarb. 68, Alkaline Lozenges of Bicarbonate of Soda.
69, Presence of Mercury in Samples of Medicinal Prussic Acid. 70, Proposed
Method of preparing Protoxide of Mercury by precipitation, for
Medical Employment. 71, Goulard's Extract of Lead.

QUARTERLY LIST OF AMERICAN MEDICAL PUBLICATIONS, 214-16


No. IV.

ORIGINAL COMMUNICATIONS.

ART.

I. On the Epidemic of 1825 in Natchez, Miss. By Ayres P.
Merrill, M. D. 217

II. History of the Natural and Modified Small Pox, or of the Variolous
and Varioloid Diseases, as they prevailed in Philadelphia,
in the years 1823 and 1824. By John K. Mitchell,
M. D., and John Bell, M. D., Physicians at the then Small
Pox Hospital. (Concluded from page 53.) 238

III. Cases of Nervous Irritation, exhibiting the Efficacy of Cold as
a Remedy. By S. Jackson, M. D. 250

IV. Remarks on the Pathology of Jaundice. By G. B. Wood, M. D. 260

V. Account of a Case in which a New and Peculiar Operation for
Artificial Anus was performed in 1809. By Philip Syng Physick, M. D.,
Professor of Surgery in the University of Pennsylvania, &c. Drawn up for
publication by B. H. Coates, M. D. 269

VI. Observations on Asphyxia from Drowning, to which is added
a Case of Resuscitation. By Edward Jenner Coxe, M. D. 276


ANALYTICAL REVIEWS.

VII. Traité Zoologique et Physiologique, Sur les Vers Intestinaux de
l'Homme. Par M. Bremser, D. M. Traduit de l'Allemande
par M. Grundler, D. M. P. Revue et Augmentée de Notes.
Par M. de Blainville, D. M., &c. Avec un Atlas. Paris, 1824.

Anatomie des Vers Intestinaux, Ascaride, Lombricoide, et
Echynorhynque Geant. Memoire Couronné par l'Academie
Royale des Sciences, qui en avoit mit le sujet au Concours,
pour l'année 1818. Avec 8 Planches. Par Jules Cloquet,
&c. &c. A Paris, 1824 297

VIII. Precis Theorique et Pratique, sur les Maladies de la Peau.
Par M. S. L. Alibert. 2 Tomes. 8vo. Paris, 1810-1820. 322

IX. Thoughts on Medical Education, and a Plan for its Improvement;
addressed to the Council of the University of London.
Dictu Necessaria. Plin. London, 1826.

Projet de Loi, presenté aux Chambres dans la Séance du 14
Fevrier 1825, par S. E. le Ministre de l'Intérieur, Sur les
Ecoles Secondaries de Medécine, les Chambres de Discipline,
et les Eaux Minerales Artificielles. 344


MEDICAL LITERATURE - RETROSPECTIVE REVIEWS.

X. Recherches sur le Tissu Muqueux, ou l'Organe Cellulaire, et
Sur Quelques Maladies de la Poitrine. Par Théophile Bordeu,
Docteur en Medécine des Facultés de Paris, et de
Montpélier. Paris, 1767, 12mo. 376


QUARTERLY SUMMARY OF IMPROVEMENTS IN MEDICINE AND
SURGERY

ANATOMY, 395

1, Notice of a Double Male Foetus, by W. E. Horner, M. D., &c. 2,
Imperfect Development of the Cerebral Organs in Monsters. 3, Imperforate
Vagina. 4, Fallopian Tubes. 5, Monsters. 6, Foetus grafted into
the Chest of another. 7, Foetus without a Stomach, Head or Anus. 8,
Congenital Hydrocephalus, with Transposition of the Viscera. 9, Unusual
Arrangement of the Aortic Branches.

PHYSIOLOGY, 403

10, Influence of the Great Sympathetic Nerve on the Functions of Sense.
11, Cutaneous Absorption. 12, Abstinence. 13, Hippomane Mancinella.
14, Cutaneous Absorption. 15, Regeneration of Divided Arteries.
16, Mineral Poisons.

PATHOLOGY, 406

17, Are we followers of Dr. Broussais? 18, Influenza. 19, Diarrhoea
Infantum. 20, Tetanus. 21, Small Pox.

THERAPEUTICS, MATERIA MEDICA, AND THE PRACTICE OF MEDICINE. 411

22, Tincture of Iodine in Gonorrhoea, Bubo, Scrofula, &c. 23, Acetate
of Lead and Tincture of Opium in Dysentery. 24, Powers of Digitalis in
Palpitatio Cordis. 25, Tartar-Emetic Ointment in Epilepsy. 26,
Antiphlogistics
in Recent Cases of Epilepsy. 27, On the Efficacy of Nitrate
of Silver in the Treatment of Zona or Shingles. 28, On the Remedial
Effects of Camphor in Acute and Chronic Rheumatism. 29, Examination
of the Question, whether the Medical Use of Phosphorus internally, is
useful, injurious, or equivocal. 30, Nitrous Acid and Opium in Dysentery,
Cholera and Diarrhoea. 31, Tartar Emetic in Pneumonia Biliosa. 32,
Bark of the Ampelopsis in Catarrhal Consumption. 33, Obstinate Vomiting
cured with Extract of Marigold. 34, Vomiting of Fat and Blood. 35,
Rupture of the Spleen. 36, Chilblains cured with Chloride of Lime. 37,
Local Spontaneous Combustion. 38, Dr. Painchaud on Tic Douloureux.
39, Duration of Life among the Romans. 40, Difference of Mortality
from 1775, to 1825. 41, New Method of Percussion of the Thorax. 42,
Acid Nitrate of Mercury. 43, Effects of Ardent Spirits. 44, Colombo
Root. 45, Poison of Mushrooms. 46, Antisyphilitic Decoction of Zittmann.
47, Acetate of Ammonia, a Remedy for Drunkenness. 48, Mortality
of Leeches. 49, Black Drop. 50, Doses of Calomel in days of
yore. 51, Buying a good Practice. 52, Sore Nipples. 53, Anderson's
Quarterly. 54, Antiquity of Cow Pox and Origin of Small Pox from it.

SURGERY, 431

55, Lithotritie, on Breaking the Stone in the Bladder. 56, The High
Operation. 57, Sutures in Wounds of the Bladder. 58, Paracentesis
Thoracis. 59, Stricture of the Oesophagus. 60, Wound of the Brain. 61,
Luxation of the Metatarsus; the history drawn up by M. Dusol, D. M.

MIDWIFERY, 438

62, Uterine Hæmorrhage. 63, Polypi of the Uterus. 64, Cæsarian
Section. 65, Case of Difficult Parturition. 66, Case of the Pelvis becoming
enlarged.

CHEMISTRY AND PHARMACY, 440

67, L'Artigue's Process of preparing the Watery Extract of Opium. 68,
Berzelius' Method of Detecting Arsenic in the bodies of Persons poisoned
by it. 69, Action of Certain Metallic Substances on the Animal Economy.


QUARTERLY LIST OF AMERICAN MEDICAL PUBLICATIONS, 444-48




CONTENTS


ORIGINAL COMMUNICATIONS.

PAGE

ART. I. Description of the Gangrenous Ulcer of the Mouths
of Children. By B. H. Coates, M. D. one of the
Physicians to the Philadelphia Children's Asylum,
&c. 1

II. Case of Purpura in an Infant, attended with extraordinary
Symptoms. By R. M. Huston, M. D. 24

III. History of the Natural and Modified Small-pox, or
of the Variolous and Varioloid Diseases, as they
prevailed in Philadelphia in the years 1823 and
1824. By John K. Mitchell, M. D., and John
Bell, M. D., attending Physicians at the then
Small-pox Hospital. - With a plate. 27

IV. Remarks on the Pathology and Treatment of Yellow
Fever. Arranged from the Notes of Dr. J.
A. Monges, of Philadelphia. 53

V. Remarks on the Prophylactic Treatment of Cholera
Infantum. By Joseph Parrish, M. D., one of the
Surgeons to the Pennsylvania Hospital. 68

VI. Case of Neuralgia, cured by Acupuncturation.
Communicated by J. Hunter Ewing, M. D. 77


ANALYTICAL REVIEWS.

VII. Researches into the Nature and Treatment of
Dropsy in the Brain, Chest, Abdomen, Ovarium,
and Skin. By Joseph Ayre, M. D., &c. 79

VIII. An Essay on Venereal Diseases, and the Uses and
Abuses of Mercury in their Treatment. By
Richard Carmichael, M. R. I. A., with Practical
Notes, &c. by G. Emerson, M. D. 109

IX. Remarks on some means employed to destroy
Tænia, and expel them from the Human Body.
By Louis Frank, M. D., Privy Counsellor of her
Majesty, Maria Louisa, Duchess of Parma. 114

X. Researches Physiological and Pathological, instituted
principally with a View to the Improvement
of Medical and Surgical Practice. By James
Blundell, M. D., Lecturer on Physiology and
Midwifery, at the United Hospitals of St. Thomas
and Guy. 119

XI. An Inquiry into the Nature and Treatment of Diabetes,
Calculus, and other Affections of the Urinary
Organs. By William Prout, M.D. F.R.S.
With Notes and Additions, by S. Colhoun, M. D. 125


MEDICAL LITERATURE.

XII. Retrospective Review. - Tractatus de Ventriculo
et Intestinis, cui præmittitur alius, de Partibus
continentibus in Genere, et in Specie de iis Abdominis.
Authore Francisco Glissonio. Lond.
1677, 4to. 138


QUARTERLY SUMMARY OF MEDICAL AND SURGICAL
INTELLIGENCE.

I. Anatomy. 155

II. Physiology. 158

III. Pathology. 161

IV. Therapeutics, Materia Medica, and the Practice of Medicine. 166

V. Surgery. 192

VI. Midwifery. 205

VII. Chemistry and Pharmacy. 208

QUARTERLY LIST OF AMERICAN MEDICAL PUBLICATIONS. 214

FOOTNOTES:




THE

NORTH AMERICAN

Medical and Surgical Journal.

JULY, 1826.


ORIGINAL COMMUNICATIONS.

FOOTNOTES:




ARTICLE I. - _Description of the Gangrenous Ulcer of the Mouths of
Children._ By B. H. Coates, M. D. one of the Physicians to the
Philadelphia Children's Asylum, &c.


Having had opportunities of witnessing the ravages and unmanageable
character of this destructive disease, I have long and deeply felt the
want of some written account, both of the malady, and of a proper mode
of treatment. Some research and observation, made in consequence of this
feeling, have terminated in the acquisition of more fixed ideas, and of
a practice hitherto successful. This convinced me, that it became my
duty to lay the result of these inquiries before the public, for the
benefit of others. There is, perhaps, no stronger and more peculiar
reason for wishing American physicians to write, than the opportunities
they possess, of describing and recording many important varieties of
morbid affection, which were either unknown to our predecessors, or the
descriptions of which, uncombined and uncompared, are only to be found
by searching among the more neglected tomes of a public library. Of
this, the present case will afford a fair example; as well as an
instance of an American physician, who had described the disease from
nature, having, from want of encouragement, false modesty, or some other
cause, kept it back from publication.

Ever since the establishment of the Children's Asylum, under the care
of a committee of the guardians of the poor, of the city and liberties
of Philadelphia, in the spring of 1819, this useful institution has been
annually visited by the new and distressing scourge of which we are
treating. It has here prevailed in a considerable number of cases,
forming the principal source of anxiety and trouble during the winter
season, and annually sweeping off its little victims, in a manner
rendered peculiarly awful by its insidious approach, its loathsome
effects, and its apparently uncontrollable progress. Various scattered
cases of a similar affection have come within my knowledge, during the
last few years; occurring in the practice of several physicians, as well
as in my own. In no place, however, near Philadelphia, other than the
above, has there existed, so far as I know, a sufficient number of cases
at the same time, to enable a physician to examine it in much detail, or
to make comparative trials of different modes of treatment, so as
clearly to determine the most successful.

_References to Authors._ - The notices of this complaint given by
authors, to which I have been enabled to refer, are few, and generally
too scanty to supply much means of forming a satisfactory judgment, or a
practice in which confidence can be reposed. They consist, principally,
of the mere mention of an affection resembling that of which we treat;
and, in some instances, it is even doubtful whether they are describing
the same disease. No notice is taken of this affection in any of our
common books; with the exception of the last edition of COOPER'S
Surgical Dictionary,[1] and of UNDERWOOD'S work on diseases of children.
It is there described under the erroneous title of _cancrum oris_. A
reference is given to PEARSON'S Surgery; and the article in the
Dictionary is taken exclusively from that work. As this is the only
authority with which I am acquainted, that gives a tolerably full
account of a disease somewhat similar to that of which we are treating,
I have concluded to extract the whole passage, in the words of the
author.

"The canker of the mouth is a deep, foul, irregular, foetid ulcer,
with jagged edges, which appears upon the inside of the lips and cheeks;
and is attended with a copious flow of diseased saliva.

"This disease is seldom seen in adults; but it most commonly attacks
children, from the age of 18 months, to that of 6 or 7 years. When the
ulceration begins at the inner part of the lip, it exhibits a deep,
narrow, sulcated appearance, and quickly spreads along the inside of the
cheek; which becomes hard, and tumefied externally. The gums are very
frequently interested in this complaint, and, in such cases, the teeth
are generally found in a loose and diseased state; matter is often found
in their sockets, and abscesses sometimes burst externally through the
cheek, the lip, or a little below the maxilla inferior: and it is not
uncommon to see an exfoliation of the alveolar processes, or even of the
greater part of the lower jaw. Among the children of poor people, where
this disease is neglected or mismanaged at the beginning, a dreadful
gangrene will sometimes supervene.

"The remote causes that give origin to this disease are not very
obvious. I think it occurs most frequently among children that live in a
marshy situation; that are sustained by unwholesome food; and where a
due attention to cleanliness has been wanting. The cancrum oris has been
described by some writers, as a complaint very common in England and
Ireland, where it is sometimes epidemical among infants. It, however, is
commonly seen in other kingdoms, and prevails more especially in those
houses where a great number of children are crowded together. I am not
able to determine whether it is or is not contagious.

"But adults are not wholly exempted from this morbid affection, and it
is not easy in all cases, to distinguish the cancrum oris from a
cancerous or venereal ulcer in the mouth; since the uvula, tonsils or
fauces may be the seat of each disease. I have seen ulcerations on the
uvula and tonsils, with all the marks of a venereal sore, in patients
where the presence of such a virus could not be suspected; and by
treating them as canker of the mouth, they have been speedily cured.

"The canker of the mouth ought to be distinguished from aphthæ, the
epulis and parulis, scurvy, cancerous ulcers, venereal ulcers and
exulceration from the use of mercury.

"_The mode of treatment._ - It will be proper,

"1. To remove the diseased teeth, bone, &c. if possible.

"2. To prescribe a milk and vegetable diet, and to allow a prudent use
of fermented liquors.

"3. It will be adviseable to exhibit such remedies as, Peruvian bark;
sarsaparilla; elm bark; mineral acids.

"The external applications that I have generally found successful have
consisted of such as the following:

"_Preparations of copper_; a diluted mineral acid; burnt alum; decoction
of bark with white vitriol; tincture of myrrh, &c."[2]

Of the above articles, those which we have indicated by italics are



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