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Quoted by Hufeland, Van Wy mentions 1256 pounds of fluid being drawn from the abdomen of a woman in five years. Kaltschmid describes a case of ascites in which, in 12 paracenteses, 500 pounds of fluid were removed. In 1721 Morand reported two cases of ascites in one of which, by the means of 57 paracenteses, 970 pounds of fluid were drawn off in twenty-two months.
In ascites he recommends that when other means fail an opening should be made three finger-breadths below the navel with a pointed phlebotomy knife, and a portion of the fluid allowed to evacuate itself. A tube should then be inserted, but closed. The next day more of the fluid should be allowed to come away, and then the tube removed and the abdomen wrapped with a firm bandage.
Kirchner has collected 17 cases of this nature, two of which were due to contusions of the chest, one each to a puncture, a cut, and a shot-wound, and three to erosion from suppuration. In the remaining cases the account fails to assign a definite cause. Chylothorax, or chylous ascites, is generally a result of this injury.
The effect of this plant in that kind of Dropsy, which is termed anasarca, where the legs and thighs are much swelled, attended with great difficulty of breathing, is truly astonishing. In the ascites accompanied with anasarca of people past the meridian of life it will also sometimes succeed.
She was absolutely constipated, and at her death her abdomen was so distended as to present the appearance of ascites. After death, the distention of the abdomen was found to be due to a coating of fat, four inches thick, in the parietes. There was no obstruction to the intestinal canal and no fecal or other accumulation within it.
An elderly woman labouring with ascites I twice saw relieved for some weeks by insanity, the dropsy ceased for several weeks, and recurred again alternating with the insanity.
Hence likewise we understand, why in the ascites, and some other dropsies, there is often no thirst, and no paucity of urine; in these cases the cutaneous absorbents continue to do their office.
The majority of cases of this kind are usually fatal, and so is almost every case of encysted dropsy. A dog had cough in February, 1825. Various medicines were administered, and at length the cough almost suddenly ceased, and evident ascites appeared. The thirst was insatiable, the dog would not touch food, and he was unable to lie down more than two minutes at a time.
If there are such serious conditions as edema, ascites, lung congestion, cyanosis and great dyspnea, the prognosis is dire. Obesity being a cause of high blood pressure, it should be treated more or less energetically, even if the individual does not continue to add weight. Int.
You observe, that there is not more than sixty drops in it, yet will these sixty drops add ten years to a man's life for it will cure him of almost as many diseases. In the first place, are any of you troubled with the ascites, or dropsy, which, as the celebrated Galen hath declared, may be divided into three parts, the ascites, the anasarca, and the tympanites.
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