Part 8

FOOTNOTES:

Medical Notes and Reflections. Third edition, 8vo, London, 1855, p. 379.

Robert Willis, M.D., On Urinary Diseases, 8vo, London, 1838, p. 100.

“When there is a sudden cessation, or intermission, of acute pain, sleep frequently comes on instantaneously at every such interval of ease. The records of judicial torture furnish much striking evidence as to these effects.” (Sir Henry Holland’s Medical Notes and Reflections, p. 369.)

I except hydrophobia, tetanus, &c., against which it is almost powerless.

“Præstantissimum remedium cardiacum (unicum pene dixerim) quod in rerum natura hactenus est repertum.” Sydenham Thomæ Opera Omnia, edidit G. A. Greenhill, M.D., 8vo, London, 1844, p. 175.

“Vires ægri somno recreatæ sunt, atque etiam ubi salus ejus prorsus desperata fuerit, et angor summus cruciaverit, opium utique sollicitudinem aliquantum levavit. Mors quidem neque serius, neque citius venit, sed tamen minore cum cruciatu.” (Heberden De Ileo.)

Hufeland’s remarks on opium are so valuable that I give them at length. “Who would be a physician without opium in attendance on cancer or dropsy of the chest? How many sick has it not saved from despair? For one of the great properties of opium is, that it soothes not only corporal pains and complaints, but affords also to the mind a peculiar energy, elevation, and tranquility. The soothing virtue manifests itself in the most splendid manner in relieving death in severe cases, in effecting the euthanasia, which is a sacred duty and the highest triumph of the physician, when it is not in his power to retain the ties of life. Here, it is not only capable of taking away the pangs of death, but it imparts even courage and energy for dying; it promotes in a physical way even that disposition of mind which elevates it to heavenly regions. A man who had laboured for a long time under complaints of the chest and vomicas finally approached death. The most dreadful anguish of death with a constant danger of suffocation seized him, he got into real despair and his state was an insurmountable torment even for the persons around him. He now took half a grain of opium every hour. After three hours he became quiet, and after he had taken two grains he fell asleep, slept quietly for several hours, awoke quite cheerful, free from pain and anxiety, and at the same time so much strengthened and appeased in his mind, that he bade farewell with the greatest composure and satisfaction to his relatives, and after he had given them his blessing and many a good admonition fell again asleep and passed away while sleeping.” (The Three Cardinal Means of the Art of Healing, p. 46.)

Somewhat to the same purport writes De Quincey. “Simultaneously with the conflict the pain of conflict has departed, and thenceforward the gentle process of collapsing life, no longer fretted by counter-movements slips away with holy peace into the noiseless deeps of the Infinite.” (Confessions of an English Opium-Eater, p. 149.)

Ut supra, p. 516.

Holland, ut supra, p. 518. To the same effect writes Dr. James Gregory of this remedy, “Neque dubium est, utcunque periculosus videatur usus talis medicamenti vix non venenati; ægros plus fere incommodi et damni percepisse a nimis parva, quam a nimia ejus quantitate. Medici igitur est, medicamentum adeo validum et sæpe perniciosum caute et prudenter adhibere, et in illis tantum morbis ad id confugere, qui aliquid istiusmodi plane requirunt; ubi vero talis necessitas urget, oportet remedium libere et cum fiducia præscribere; tunc enim non sperare modo potest, sed fere polliceri, se effectum illum salutarem, quem cupit, per suum medicamentum esse præstiturum. Quod si timide et nimis parce datum fuerit, longe alium effectum habebit, et iisdem ægrotis haud parum nocebit, quibus largius datum multum profuisset.” (Conspectus Medicinæ Theoreticæ, § MCCXXII.)

Ut supra, p. 518.

“Audivi plus semel ægros temporarium a narcoticis levamen enixe deprecantes, quod sensuum obscuratione nimis care querebantur emi.” (p. 71.)

“Conspectus Medicinæ Theoreticæ,” § MCCXXII.

℞ Aq. Menthæ Viridis, f. ℥ v ss. Sacchari, ℥ ss. Acid. Sulphurici diluti ♏ XL. Sp. Ætheris comp. f. ʒ ij. Misce ft Mistura. Pars quarta pro dose.

Elliotson, Human Physiology, p. 1043.

Ut supra, p. 193.

Miss Nightingale’s observations on whispered conversation in the room, or just outside the door, at p. 26 of her “Notes on Nursing,” have great value and a wide application. On these points in the management of the dying chamber Professor Paradys has the following: “Sed præterea adhiberi hoc loco moderatæ sensuum externorum impulsiones utiliter possunt, quæ vividiores phantasmatum impressiones obscurent: vitari itaque nimiæ tenebræ et silentia nimis alta debent, concedi contra modica lux, permitti notæ amicorum voces, immo excitari debent lenes, placidi, animum blande demulcentes affectus.” (p. 74.)

Ferriar, p. 193.

Ibid., p. 194.

Human Physiology, p. 1043.

Ferriar, p. 203.

“Nihil adeo posses quoiquam leve tenueque membris Vortere in utilitatem.” (Lucretius vi. 1169.)

“Nor would once endure The lightest vest thrown loosely o’er the limbs.” (Mason Good, p. 595.)

“Cyclopædia of Anatomy and Physiology,” vol. i. p. 802.

P. 200.

P. 203.

Miss Nightingale’s Notes on Nursing, p. 47.