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This country, especially towards the sea, lies very low and swampy, and the soil is extremely fertile. The air and weather are variable, the heats of summer excessive, the frosts of winter sudden, and intensely cold; so that, upon the whole, the climate is neither very agreeable nor healthy, the people being particularly subject to agues and pleuritic disorders.
These patients should rarely receive vasodilators, and hot baths, overheating, overloading the stomach and vigorous purging should never be allowed. Sometimes improvement will not take place until ascitic or pleuritic fluid, if present, has been removed. This is rare and probably always congenital, and is supposed to be due to an inflammation of the endocardium during intra-uterine life.
It is likewise found to, be of great service in removing PLEURITIC PAINS, and STITCHES in the Side, by applying it to the affected Part, in the Manner directed for external Application. The Method of taking the AETHER Inwardly. The General Dose for a grown Person is a common Tea Spoonful; and the best Vehicle to take it in is a Draught of Cold Water.
Notwithstanding subsequent pneumothorax and extensive pleuritic effusion, the patient made a good recovery at the end of the fourth week and at the time of report it was still uncertain whether the needle remained in the heart or had wandered into the mediastinum.
About this period, one afternoon in the month of March, when Atterley repaired, as usual, to the hermitage, he found the Brahmin dangerously ill of a pleuritic affection, and apprehensive that the attack might prove fatal Take them both, and use them discreetly."
In the morning, he found her with considerable fever, and suffering from a return of the pleuritic pain. Her pulse was low and quick, and had a wiry thrill under the fingers. The doctor had taken blood very freely on the night before, and hesitated a little on the question of opening another vein, or having recourse to cups.
The third complained of a pleuritic stitch, and spitting of blood, for which Doctor Mackshane prescribed exercise at the pump to promote expectoration! but whether this was improper for one in his situation, or that it was used to excess, I know not, but in less than half-an-hour he was suffocated with a deluge of blood that issued from his lungs.
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