Gassier ¶ successfully employed Chloroform frictions in three cases. He used a liniment composed of equal parts of Chloroform and Oil of Almonds, which was well rubbed night and morning along the course of the spine. In none of the cases in which it was used does there appear to have been any organic disease of the nerves or nervous centres.
850. In Tetanus, both Idiopathic and Traumatic, Chloroform has been employed, and in many instances has apparently contributed to the recovery of the patient. Cases successfully treated by it are recorded by Dr. Ogier,** M. Petit, Mr. Slow-man, Mr. Baker, and others. It appears certain that no treatment hitherto practised has been so generally successful as the inhalation of Chloroform; at the same time, it must be confessed that it often fails to arrest the fatal termination. Dr. Todd §§ advises that the Chloroform should be given in small and frequently repeated doses, with a large admixture of air, so as to produce a gradual and soothing effect. Chloroform frictions have also been found effectual by Dr. Morrisseau.
* Loc cit.
Raukiug's Abstract, vol. v. p. 389.
§ On Infantile Laryngismus, 8vo, 1848.
|| Med. Times, Oct 11, 1851. ¶ Med. Gazette, Nov. 15, 1850. ** Med Times, vol. xviii; p. 111. Rev. Med.Chir., Deo. 1848. Provincial Journal, Sept 5, 1849. §§ Med. Gazette, Nov. 29, 1850.
Aran* gave Chloroform internally in 8 cases. In 5, the pain disappeared permanently; in 3, the relief was only temporary. He employed a mixture of 40 parts of Chloroform and 130 of water and syrup. Of this, the dose is a teaspoonful, repeated according to the urgency of the case. He also administered it in the form of enema, and compresses moistened with dilute Chloroform were applied to the abdomen.
Latour employed the inhalation of Chloroform, with the effect of causing an immediate cessation of the spasm, which had continued upwards of three hours. Chloroform given internally in the form of Chloric Ether (Sp. Chloroformi) is an excellent sedative in Nervous and Hysterical Vomiting,
853. In Spasmodic and Irritable Stricture of the Urethra, Chloroform affords more speedy and certain relief than any other mode of treatment. The extreme irritability of the parts, the sudden and persistent spasm which so often prevents the introduction of a bougie, are removed under the inhalation of Chloroform, and the disease is rendered not only more manageable, but more easy of ultimate cure. The benefit derived from Chloroform in these cases is very marked.
854. In Neuralgic Affections, Tic Douloureux, &c., the external application of Chloroform over the seat of pain often affords speedy and permanent relief. M. Leriche, of Paris, relates a severe case of neuralgia of the cervical plexus, which entirely yielded to frictions with Chloroform (exv. at each application); andM.Moreau§ relatesthreecasesof .Lumbagopermanently relieved by the same means. The application causes a sharp burning pain, which, however, soon subsides. It proves but a palliative when the neuralgia arises from, or is symptomatic of derangement of the digestive or uterine systems. Mr. Little, of Singapore,|| speaks favourably of its use as a counter-irritant in these cases, applied much in the same manner as has been practised with Liquor AmmoniAe (sect. 195). In Nervous and Hysterical Headache, Chloric Ether (Spiritus Chloroformi) in doses of ex. - exx. is one of the most useful anodynes that can be administered internally.
855. In Toothache, Chloroform, applied on a piece of cotton to the painful tooth, will frequently afford instant relief. Mr. Tomes ¶ advises a small piece of gum-mastic to be dissolved in a few drops of Chloroform; the fluid is thus rendered thick, and it is immediately to be inserted into the hollow tooth on a small bit of cotton wool. It affords great relief, and will remain in the tooth for a considerable time.
* Brit. and For. Med. Chir. Rev., April 1851.
L'Union Medicale, Dec. 30, 1847. Gaz. des Hopitaux, Feb. 3,1849.
§ Ibid. 1848.
|| Edin. Med. Journ., April 1860. ¶ Med. Times, Dec. 2, 1848.
856. In Delirium Tremens, in furious Madness, and in some forms of Insanity, Chloroform has been administered in some instances with benefit; but its applicability and safety as a general remedy have not yet been established by extensive experience. Its administration in these cases demands especial caution. Dr. Laycock * remarks that it has been administered in very violent cases with advantage, when exhaustion is likely to come on from the constant raving and struggles of the patient: in these cases it may save life by saving strength.