120 MIDDLESEX HOSPITAL. Continuation of the Case of John , Angel, page 85. April ’14th.-To-day there is a complete paralysis of the left side of the body, and the nerves of, sensation as well as those subservient to voluntary move- ment appear to have suffered, though not in an equal degree. For whilst the loss of motion is quite complete, that of sensa- tion is but partial; pulse about 60, and weak; bowels regular, appetite and spirits good. He has still/however, a propensity to the indulgence of sleep. R Hydrargyri Submuriatis gr, j. Pulveris Antimonialis, gr. jj. flat pulvis omni-nocte sumendus. April 15.—Much the same as yesterday ; bowels regular ; skin rnoist, and of the usual tem- perature, in which both sides appear to partake without, any evident increase or diminution ’, in either. April 16.-Skin . natural ; bowels regular; appetite and spirits good. Has no pain in the head; paralysis commencing’ from the angle- of the jaw, and extending down the whole of the left side.. There is also some affection, of the left eye, and -the corner of the mouth of the same side, which, however hardly, amount to paralysis. April 17 and 18.—No parti- cular alteration.—Calomel and Antimony as before. April 20.-Pulse 65, and weak; bowels regular; appetite and spirits good; has still a dis- position to sleep, though some- what less than .heretofore. The sensation in the affected side. may. be in a slight degree more. perfect. The powers of motion are, however, still completely lost; his mental faculties at the same time appear to be in some measure impaired, and his cheer- fulness at present savours a good deal of inanity or idiotism. It should be borne in mind, how- ever, that we are narrating the case of a child.—Powder con- tinued as before. On the 16th inst. another boy was admitted suffering under the effects of concussion from a fall. Coma and the usual symptoms were present, which have been relieved by venesection and leeches ; two or three doses of calomel, and the exhibition oc- casionally of house medicine to , evacuate the bowels, and the application of cold epithems to the scalp. On the 19th, about 12 ounces of blood were drawn from the tempera! artery, since which-he has,, in a great mea- sure, recovered from the stupor following the accident. April 20th.—His pulse at pre- sent, is quick and weak, and not far short of 100.; tongue a little furred; skin rather hot and dry ; pupils contracted. R : Pulv: Antimonialis, gr. jjj. Calomelanos, gr. j. Fiat pilula omni nocte su- inenda. R: Liquoris Ammonia ace- tatis, iv. Misturæ Camphoræ, i.- Fiat haustus ter die sumendus. 21st.—To-day he is tolerably sensible, at times ; but stupor or somnolency is present to a , considerable extent, and his breathing approximates very nearly to stertor; pulse quick
Continuation of the Case of John, Angel, page 85. -
April ’14th.-To-day there isa complete paralysis of the leftside of the body, and the nervesof, sensation as well as thosesubservient to voluntary move-ment appear to have suffered,though not in an equal degree.For whilst the loss of motion is
quite complete, that of sensa-tion is but partial; pulse about60, and weak; bowels regular,appetite and spirits good. Hehas still/however, a propensityto the indulgence of sleep.R Hydrargyri Submuriatis
gr, j.Pulveris Antimonialis, gr. jj.flat pulvis omni-nocte sumendus.
April 15.—Much the same asyesterday ; bowels regular ;skin rnoist, and of the usual tem-
perature, in which both sides
appear to partake without, anyevident increase or diminution ’,in either.
April 16.-Skin . natural ;bowels regular; appetite and
spirits good. Has no pain in thehead; paralysis commencing’from the angle- of the jaw, andextending down the whole ofthe left side.. There is alsosome affection, of the left eye,and -the corner of the mouth ofthe same side, which, howeverhardly, amount to paralysis.
April 17 and 18.—No parti-cular alteration.—Calomel andAntimony as before.
April 20.-Pulse 65, and
weak; bowels regular; appetiteand spirits good; has still a dis-position to sleep, though some-what less than .heretofore. Thesensation in the affected side.
may. be in a slight degree more.perfect. The powers of motionare, however, still completelylost; his mental faculties at thesame time appear to be in somemeasure impaired, and his cheer-fulness at present savours a gooddeal of inanity or idiotism. Itshould be borne in mind, how-ever, that we are narrating thecase of a child.—Powder con-tinued as before.On the 16th inst. another boy
was admitted suffering under theeffects of concussion from a fall.Coma and the usual symptomswere present, which have beenrelieved by venesection and
leeches ; two or three doses ofcalomel, and the exhibition oc-casionally of house medicine to ,evacuate the bowels, and the
application of cold epithems tothe scalp. On the 19th, about12 ounces of blood were drawnfrom the tempera! artery, sincewhich-he has,, in a great mea- sure, recovered from the stuporfollowing the accident.April 20th.—His pulse at pre-
sent, is quick and weak, andnot far short of 100.; tongue alittle furred; skin rather hotand dry ; pupils contracted.
R : Pulv: Antimonialis, gr.jjj.
Calomelanos, gr. j.Fiat pilula omni nocte su-
inenda.R: Liquoris Ammonia ace-
tatis, iv.Misturæ Camphoræ, i.- -
Fiat haustus ter die sumendus.
21st.—To-day he is tolerablysensible, at times ; but stuporor somnolency is present to a ,considerable extent, and hisbreathing approximates verynearly to stertor; pulse quick
and weak, and pupils contracted.When roused and questionedrespecting’ the seat of his pain,he refers it to the superior ang’lesof the parietal bones, at the
points where the sagittal sutureusually commdnces ; there ishowever, rio external appear-ance of injury in the neighbollr-
hood of the parts, or, indeed, inany other of the scalp or.-cranium. ,
April 21st.—The only opera-tions at this Hospital, since ourlast report,..have been two forfistula in ano.
No accidents worth recordinghave occurred.
The following report of the Hospitals was read before the LordMayor, at Christ Church, on Monday last:—
CHRIST’S HOSPITAL.Children put forth Apprentice last year........................ 176Buried last year ..... 14Children under care of the Hospital at London andHert-) 1071ford .........’.......,................................ 1071
To be admitted on Presentation this year .................... 150 ‘
St. BARTHOLOMEW’S HOSPITAL. 1411Patients admitted, cured, and discharged, last year:
In Patients ..................... 3725)Out -Patients ........,......... 4019 ...... 9343
Casualty Patients ........... 1600Buried last year ............................... 269
, Remained under care : ,
In Patients ..... 490Out patients ..... 160 .... 700,
Casualty ............... 50So that there has been under care of this hospital last 10 ,312year ........ :....... : ..............., ...........year .............................................. -..
St. THOMAS’S HOSPITAL.--There have been cured and discharged from this
Hospital last year—In Patients ..... 2874 .... 9,902- -
Out Patients ...... 7028Remaining- under Cure-In Patients ...... 448 ( . 834Out Patients ..... 386 ..... 834
Buried last year at expense ..... 248
So that there have been under care, of this Hospital.... 10,984,
BRIODEWELL HOSPITAL. ,
Vagrants committed ;bythe Lord Mayor and Aldermen .. 461Apprentices sent to solitary confinement .............. 29Persons passed to their different parishes ............. 83Apprentices to be ’put ’to different trades ..... 11
BETHLEM HOSPITAL.Remaining’ 1st January, 1823. including- those on‘
In a former number we men-tioned that a paper by M. PAS-CALIS had been lately readbefore the Royal Academy of
Medicine at Paris, in which M.PASCALIS stated that he hadtreated successfully some severecases of asthma, by galvanism.The cases have been recentlypublished in the Revue Medicale,from which we extract the twofollowing ; they tend very muchto confirm the opinions of our
countryman, WILSON PHILIP,oii this subject.
CASE I.Constant Asthma for the last ten yearsparoxysms vevy frequent in their- re-currence, and of long -duratioit;danger of suffocation; great depres-sion of the strength and spiritv; thepatient citred, ajter being galvanizedeight times. _ .
Madame ADE, thirty-two years ofage, had been asthmatic for the lastten years. The complaint had consi-derably increased within the two lastyears, to such a degree that on the 8thof last September, the day previous toher being galvanized for the first time,this lady was seized at *midnight witha fit of asthma, which continued tillthree in the morning. For the lastfortnight she had regularly every day
been attacked in the same manner, andat the same hour.The paroxysms were attended by the
following symptoms : they were tisher-ed in by a severe fit of coughing, andthe patient soon became in dangerof suffocation ; she was then lifted up’(for she had not strength sufiicient todo this herself), and placed near a
chair, against the back of which shesupported herself. The doors andwindows were obliged to be opened, inorder to obtain a curren of air ; therattle* and the cough were so violent,that the neighbours were disturbed bythem ; and besides these symptomsthere was a sense of choking present.At the termination of each paroxysm,the patient was completely exhausted.In the course of the complaint the
attacks generally returned for -fifteenor twenty days in succession ; afterthis period they abated : the patientthen. experienced an interval of twoor three weeks of ease, during whichtime she recovered a little from thestate of extreme weakness to whichshe had been reduced ; but at the mo-ment when she was thus beginning tobe convalescent ; the paroxysms. re-turned with increased force, andplunged her into the same state as be-fore. ,
Such was the situation of this lady
previous to her being galvanized.-Since she first tried tlie etlicacy of gal-vanism, her inspirations have beenmore free.and deep ; she has been able
* By this term, in French le raIl’, is under-stood the noise produced by the accumulationof mucous in the trachea or bronchia, causingan interruption to the ’free passage of air-Ed of The Lancet.