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Show ll4350w mint 182 Fluctuation 9f opinion and practice infever. with Dr. Currie at Liverpool, and saw the practice successfully employed in the house of reco- for vaccination, to the utility of which the new 183 practice in fever among us approaches. No very in London, introduced washing with cold decisive method can ever be considered as se~ water into his department of the Vienna hospital (for he was apprehensive lest the affusion should excite alarm). He gives an account of va- curely established, till its limits are pretty well determined. Careless of consequences, the large and formidable gossiping division of the ,rious successful cases, in one of which, however, community stands ever on the watch for an occasion to cry up one of us physicians, and to cry another down. Hence the fate of new practices he doubted if the cold did not produce pain of the chest and cough-adding that in a similar fever he had twice seen iced water, applied to the head, produce a. fatal pneumonia (Heist: tr. stm'ffli). Since the departure of Dr. Frank is involved in the reputation of the individual practitioner. They have sometimes sunk together; and though revived at successive pe- for Virtue, cold applications appear to have been discontinued. His pupils represented the practice as little successful (Rec. Period. xxvii. 412); probably on account of some occasional riods, not always become established, however meritorious. inconveniences.-'l‘he Germans seem peculiarly would subject to certain rheumatic affections. told their soldiers proved so in England. I am This would deserve consideration in typhus} From The cautious and unassuming tone of Dr. Currie disarms opposition; and I know not who that sometimes cold affusion could not be freely employed on account of vehement catarrhal symptoms (tie aquae usu ext, 1804, p. 38); in paucis exemplis aflfusio frigida nnllani vel these accounts son'iething may be apprehended in pnlsum vel in calorem vim habebat. for the cold atfusion, as there was once reason for catarr/mlia admodum va/el'anl." ib. p. 39. * Accounts of the Edinburgh clinical practice, in that most important case of fever-patients affected with pneumonia, do not quite agree. Frequent trials, according to Dr. Reeve, attorded most satisfactory results on this subject. " Lvot 01m . of the patients who had symptoms of catarrh or inflammation of the lungs, suffered the least inconvenience from the cold or tepid atl‘usion." Currie n.96. Of the same patients with some more, Dr. Keith, clerk to Dr. James Home, says In adhuc paucioribus Izos augelvar' ct in his exemplis solummodo, 21H .r_y111pc‘omutt2 This last account appears to be confirmed in Dr. Lampert's thesis, written at the same time p. 21. Dr. Reeve himself tells us that blistering and bleeding were practiced; qu. if before the cold dashing? and that where the catarrhnl symptoms were strong, tepid arid. sion was preferred. It appears therefore that the cold disa- greed with some, and that its disagreement with others was feared. l have never dared to recur to it in such cases without leeching at least and blistering. All this tends to confirm Dr. Jackson's practice, in which too inflammation probably that ran still higher. |