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Page 95 text:
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Page 94 text:
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1933 P1?.LSCRIP'1'O Medical Therapy in 1770 N the early days of the Republic the theory and practice of medicine were still largely dominated by mediaeval tradition. Whatever treatment was in accord with authority was rational or regular and Whatever departed therefrom was empiric or quackish. The declaration of an eminent prac- titioner of the period, that he would rather be Wrong with Galen than right with any other authorityn indicates something of the resistance to innovations and of the reverence for traditional methods of practice which then largely prevailed among members of the medical profession. Judging from ancient case books, bleeding, blistering, puking, and drastic purging with heavy doses of calomel constituted the principal routine of med- ical practice. Bloodletting Was the initial treatment in almost every case, even in preg- nancy, yellow fever, consumption, broken bones, and Asiatic cholera. Even as late as 1841 a leading American exponent of the old practice declared that five-sixths of the blood was superfluous, and loaded with seeds of disease, and hence every treatment should be initiated by depletion. Bleed the patient till he is white was the admonition constantly addressed to the student of medicine, while blistering ran a close second to bloodletting, frequently car- ried to the point of suppuration and the sloughing of the broken down tissue. Medication was heroic, both in character of the remedies employed and in dosage. Tartar emetic, calomel and other drastic remedies were given in doses which to us seem perfectly enormous. Calomel was administered in doses of ten grains to a teaspoonful as compared with the present average dose of one-tenth grain, and was not considered effective until carried to the point of complete mercurialization, or salivation as it was commonly called. One authority, lVIotherby's Medical Dictionary 117751, recommended calomel in certain cases to the extent of a pound and a half in 24 hours, which, if the troy pound was meant, would be the equivalent of 86,400 modern average doses of that agent. Not only in Washington's day, but long afterward many believed that the theory and practice of medicine had reached its full measure of development. As late as 1845 one of its chosen spokesmen publicly declared that medical science does not need, or is it susceptible of, further improvement or reform. A contemporary historian also relates that it was required of every individual about to graduate at the principal medical colleges, as the condition of receiv- ing the degree of Doctor of Medicine, that he should swear to adhere to the old procedure, or forfeit his diploma. We are grateful to the American Druggist for this information, published in the February, 1933, issue. Page Nmety Two
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