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Updated: May 28, 2025
Collins describes spontaneous rupture of the stomach in a woman of seventy-four, the subject of lateral curvature of the spine, who had frequent attacks of indigestion and tympanites. On the day of death there was considerable distention, and a gentle purgative and antispasmodic were given. Just before death a sudden explosive sound was heard, followed by collapse.
At the beginning of her illness she was, as usual, bled, and this seemed to relieve and do her good; but in a few days she began to complain of sudden chills and heats, which were accompanied by headach and diarrhoea. We began now to use the remedy that we employ at home the antispasmodic powder.
One person would thus take not less than 20 to 30 grains of this soluble compound of tin. Yet only a little gastric and bowel disturbance followed, and from this all recovered in a few days. Pereira says that the dose of chloride of tin as an antispasmodic and stimulant is from 1/16 to ½ a grain repeated two or three times daily.
Vomiting should be immediately excited, and then the vegetable acids should be given; either vinegar, lemon-juice, or that of apples; after which, give ether and antispasmodic remedies, to stop the excessive bilious vomiting. Infusions of gall-nut, oak-bark, and Peruvian bark, are recommended as capable of neutralizing the poisonous principle of mushrooms.
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