"In the treatment of a large number of cases of typhoid fever,
extending over several years' practice, the writer has never
made use of alcohol internally to support the action of the
heart, or for any other purpose.
"The number of cases of death from typhoid fever coming under
the writer's observation, where the method of treatment pursued
has been similar to that briefly indicated above, have been very
few, a much smaller per cent. than in practice where alcohol has
been used as a 'cardiac stimulant.' I believe that the use of
alcohol in the treatment of typhoid fever is not only useless,
but absolutely harmful."
Dr. Kate Lindsay, of Battle Creek Sanitarium and Hospital, contributed
an article upon Typhoid Fever to the _Bulletin of the A. M. T. A._ for
January, 1896, from which a few notes are here taken:--
"The chief toxic centre is evidently the intestinal tract,
especially the termination of the ileum. The ulcerations,
necroses, perforations and hemorrhages are most frequently found
in the last twelve inches of the small intestine, and may extend
into the large intestine. The ulcerated surface and open vessels
increase the facility with which the poison finds entrance into
the circulation. The microbes, blood clots, necrosed tissue and
pus, furnish abundant supplies of toxic matter, which,
saturating the system, over-power and stop the activity of the
functions of all the organs of the body, causing degeneration of
tissues. Death is said to take place from heart, lung or brain
failure, but the failure involves every other organ as well.
"Regarding the intestinal tract as any other abscess at this
time, the physician should seek for methods of treatment or
remedies which will remove the morbid matters, and destroy, or
at least inhibit their action, thus decreasing the fever and
stimulating the circulation. Secondary toxic centres often
develop in the course of this disease, notably in the glands,
lungs and dependent organs, the hypostatic congestion resulting
from lying in one position, causing stasis of blood, death and
necrosis of tissue, both of the external and internal organs.
All vessels connected with the dying tissues carry toxins to
other parts of the body. Suppurating glands, and phlebitis of
the femoral veins are examples of this secondary infection, and
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