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It was he who proposed me for membership of the Lake Shore Society of Antiquarians, and it was he who provided the means wherewith I published my first book, entitled "A Critical View of the Causes of Eclamptic and Traumatic Idiocy."
The great love which she had experienced because of this led her also later to imitate those attacks hysterically. In the fourth year, for example, when she had to sleep in a child's crib, no longer between the beloved parents, she immediately produced attacks of anxiety in which she saw ugly faces and witches as in the beginning of the eclamptic convulsions.
He gives it hypodermically, 15 minims at the first dose and 5 minims subsequently, until the systolic pressure is reduced to 140 or less. He admits that this is rather strenuous treatment. He does not speak of treatment by thyroid extracts, which has been regarded as valuable by some other workers. In these patients who show eclamptic symptoms, he maintains a milk diet, and purging and sweating.
Therefore in a patient with eclamptic symptoms and a low blood pressure, the prognosis is more unfavorable than when the blood pressure is high. He believes that if high blood pressure occurs early in the months of pregnancy, there is preexisting, although perhaps latent, nephritis. In these conditions the diastolic pressure is also likely to be high.
The mother's firm body gave her extraordinary pleasure, yes, not infrequently it led to the expulsion of a secretion from the cervix uteri. The patient had in fact suffered in her first year a concussion of the brain, through being thrown against a brick wall, with organic eclamptic attacks as a result.
It is worthy of trial in tetanic and eclamptic seizures, and in tonic angiospasms such as occur during the chill of malarial fevers, although in the last-mentioned condition pilocarpine is perhaps more suitable, provided the energy of the heart be unimpaired. As regards the dose, Kurz's experience demonstrates that we need not restrict ourselves to a few drops.
It should be remembered that venesection or profuse bleeding during induced parturition is more valuable than sweating in all eclamptic cases and in all nephritic convulsions. Profuse sweating does little more than take the water out of the blood, and even concentrates the poisons in the blood. Hirst causes purging by 2 ounces of castor oil and a few minims of croton oil.
With the patient eclamptic and stupid, whatever the date of the pregnancy, Hirst would do venesection immediately in amount from 16 to 24 ounces, depending on what amount seems advisable. If venesection is done before actual convulsions have occurred, the blood pressure falls temporarily but rapidly rises again.
Although he says he has found no bad action from ergot, either by the mouth or hypodermically in these eclamptic cases, it would seem inadvisable to use ergot, which may raise the blood pressure. He finds that pituitary extract "can cause dangerous rise of blood pressure." Irving believes that with proper preliminary preventive treatment most eclampsia is preventable.
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