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Pleuritis.

F. A. PINELES-MONTAGU, DRURY, WAKATO, NEW ZEALAND.

I was called at one time to attend Mr. H., aged 50 years, who had been for three weeks under treatment for bronchitis, by the local chemist. As he felt that he was becoming gradually worse, and as I had just arrived in the neighborhood, he sent for me. I found the temperature 102°, pulse 120, right side slightly enlarged, movements diminished, percussion sound dull, respiratory sounds feeble. Signs of fluid plainly observed. The tongue was furred, broad and flat. I ordered him to bed at once, and directed that a linseed poultice be applied on the affected parts for about four hours. The bowels were regular, and the urine febrile. There were insomnia and anorexia. I prescribed two and one-half drams of the tincture of aconite, twenty drops of the fluid extract of bryonia, and three drams of the fluid extract of asclepias in four ounces of water. Of this, I advised that a teaspoonful be given every three hours. For the insomnia, I gave him a dram of passiflora in an ounce of water to be taken at bedtime. Improvement was rapid, and on the seventh day he was able to attend to business.


Ellingwood's Therapeutist, Vol. 2, 1908, was edited by Finley Ellingwood M.D.



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