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July 19, 1884

" Wolverhampton and Staffordshire Hospital. Cases of Heart Disease Relieved by Bleeding."

JAMA. 1884;III(3):73-74. doi:10.1001/jama.1884.02390520017005

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—Under this title, the Lancet, for May 31st, of current year, publishes notes of three cases, reported by W. Collier, M.A., M.B., Cantab., late House Physician. These are interesting from their novelty in this day and generation, when the lancet is almost a discarded instrument. They would seem to indicate, however, that the reaction which succeeded the indiscriminate employment of venesection, is weakening, and that a partial return to the lancet is gaining favor. Let us now examine the cases in question with reference to the blood-letting. All three presented signs and symptoms of venous stasis as a consequence of cardiac weakness. In all three were mitral murmurs, with evident enlargement of the heart. Ten minims of the tincture of digitalis and five grains of the carbonate of ammonium were administered to the first patient every five hours; also, four ounces of gin during the day. Thirty-eight hours after admission

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