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Updated: June 11, 2025
I may say that after the third venesection, with an interval of two hours, I withdrew a half-pound of blood from the saphena vein, and that night she slept, although she had not slept for many nights. And I did nothing more, except to prescribe a light and cool diet. The third day after the bleeding she was entirely free from any trouble in her hand.
Coma with stertor, and a full, bounding pulse, indicates liberal bloodletting. I would try venesection; then cup, if necessary, or leech the temple. I need not say, sir, calomel must complete the cure. The case is simple, and, at present, surgical: I leave it in competent hands."
The treatment in this case is quite interesting, and was as follows: venesection to faintness, castor oil in infusion of senna until there was a free evacuation of the bowels, 12 leeches to the abdomen and spine, and a saline mixture every two hours!
The nomination of course falls to him, and the doctor being called, declares the necessity of immediate venesection, which is accordingly performed by a surgeon of the association. This is one way of beginning the game.
Among these he mentions, as primary and of general application, the rule that, before all things, the body must be purified, either by venesection in cases where the material is sanguineous, or by purgation in other varieties of the disease. If the cause is rheumatic in its nature, fomentations should never be employed, for fear of increasing the flux.
The reason why less urine and cellular mucus is absorbed after a full meal with sufficient drink is owing to the blood-vessels being fuller: hence one means to promote absorption is to decrease the resistance by emptying the vessels by venesection. From this decreased absorption the urine becomes pale as well as copious, and the skin appears plump as well as florid.
In winter it is beneficial to rub the body with oil after the bath. Venesection should not be practised frequently, for it is only meant for serious illness. After passing his fiftieth year an individual should abstain from venesection. Venesection should not be practised on the day when one takes a bath or goes on a journey or returns from it.
The serious acute congestion of the lung in sthenic pneumonia in a full-blooded, sturdy person with high tension pulse may be relieved by cardiac sedatives, vasodilators, brisk purging, or by the relaxing effect of antipyretics. Venesection is often the best treatment.
When the patient takes a bath the water runs off the affected localities as if they had been greased another sign of evil omen. The angles of the eyes are rounded and shining. The skin, even when unaffected by cold, or other similar cause, is raised into very minute pimples, like the skin of a plucked goose. The blood in venesection has an oily appearance, and displays small particles like sand.
"I knew how it would be," he said; "I made venesection this morning, and commanded repose and sleep according to the aphorisms of Hippocrates; but if young gentlemen will neglect the ordinance of their physician, medicine will avenge herself. It is impossible that my bandage or ligature, knit by these fingers, should have started, but to avenge the neglect of the precepts of art."
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