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 |   Related post: Case Y. — March 14:th. — John D., aged five years. Has had a cough for nearly a month past. Does not whoop, but has CHLOEAL IN" PEETUSSIS. 183 never had pertussis. Found severe broncliitis existing, and ordered a mixture containing the syrups of squill and senega, and paregoric. 17th. — Since he was here the cough has become parox- ysmal. Coughs very frequently, whooping three or four times through the day, and every hour at night. " Has a great kink," and gets black in the face during the paroxysm. Or- dered five grains chloral every three hours. 19th. — Whoops only once or twice a day now, and not nearly so often at night as before. Still coughs considerably, and has the physiognomy of severe pertussis. His eyes are quite wa- tery, and last night he had an attack of epistaxis. Increased the chloral to seven and a half grains. 21st. — Does not whoop at all, but the cough is still trouble- some. The boy sleeps a good deal, but does not suffer the slightest inconvenience from the large doses of chloral. Or- dered the same continued. 24:th. — Remains about the same. Does not whoop, but still coughs. Vomits occasionally. Ordered the same continued. 2Qth. — Cough still troublesome, especially at night. Some vomiting Buy Urso and occasional epistaxis. \Yhooped three times last night, the first time since he first began taking the chloral. Increased the dose to ten grains. 2Sth. — Coughs still, but sleeps more. JSTo bad eficcts from the chloral. When given at night it seems to control the cough at once. Has whooped only once since he was here. Ordered the same continued. I learned afterward that the mother became discouraged, and concluded to let the disease run its course, which it did in somewhat more than two months, the paroxysms and whooping returning again with increased violence. At the end of that time I saw the boy, and he was much reduced, but is now rapidly improving on the use of cod-liver oil and iodide of iron. The next three cases were in the same family, and the ef- fect of the remedy and of its discontinuance is well shown in them all. Case YI. — February l%th. — Thomas G., aged six years. Cough of five weeks' duration. Began whooping two weeks ago. Has severe paroxysms and spits up blood. Ordered three grains chloral every three hours. 184 CHLORAL IN PERTUSSIS. l^th. — Though the medicine was not given at night, there was marked improvement up to the time it gave out (two days ago). Since then has grown much worse again. " Had a ter- rible time last night." Bloody expectoration again recurred. Ordered four grains chloral. 24^A. — A great deal better in every way. Does not spit up blood, now. Ordered the same continued. March Zd. — Was wonderfully better while the medicine lasted. It gave out some days ago, as the mother neglected to come to the dispensaiy. Has commenced spitting blood again, and whoops a great deal now. Ordered the same continued. Case YlL-^Fehruary l^th. — John G., aged three years. Has had a cough for two weeks, but is just commencing to whoop. Ordered two grains chloral every three hours. 2Mh. — Cough the same. Spits up blood now. Increased the dose of chloral to two and a half grains. March Zd. — There was great improvement after he began the medicine the last time, and the bloody expectoration ceased at once ; but, like his brother, he became worse again as soon as the supply gave out. Case YIII. — February Vlth. — James G., aged three and a half months. Cough for nearly two weeks. Has just reached paroxysmal stage. The mother says : " Baby has a dreadful kink, and almost chokes to death when a spell comes on." The child so ill that she sent for me to come to the house. Ordered three-quarters grain chloral every three hours. \^th. — After he commenced taking the medicine grew rapidly better, scarcely whooping at all. Paroxysms much less frequent and severe. The medicine gave out two days ago, and since then the child is worse again. Ordered the same continued. 'lUh. — Wonderfully improved. Ordered the same contin- ued. March 2>d. — Remained a great deal better until medicine gave out, several days since. Then began to grow worse again, and now coughs a great deal. The mother says she can plainly see the difference in all the children when taking and when not taking the remedy, and thinks its good effects are very marked. Ordered one grain chloral every three hours. These CHLORAL IN PERTUSSIS. 185 three children continued to take the chloral until the quanti- ties prescribed on the 3d of March were exhausted, when the violence of the disease seemed spent, and the mother did not think it worth while to come back for any more. Not long afterward I ascertained that they were all quite well. Case IX. — April Zd. — Sophie M., aged two and a half years. Has whooped for five or six days. Coughs frequently, and vomits sometimes. Ordered two and a half grains chloral every three hours. ^th. — Does not whoop at all. Slight cough, only noticeable when she is excited or angry. Ordered the same continued. In this case the child made a perfect recovery promptly, and it was unnecessary to give any more of the chloral. Lest it should be doubted that it was a hona-Jide case of pertussis, I will state that the little ulcer about the phrenum linguae, which is by many regarded as proof positive of the affection, was well marked in this patient. Related links: Buy Zanaflex Online, Purchase Benazepril Online, Where To Buy Sublingual B12, Price Of Xenical, Lipitor Purchase, Minoxidil For Women, accutane prices, Carbamazepine Online, Clozapine Teva, Acai Berry Sale
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