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Article
October 18, 1884

PARIS LETTER.

JAMA. 1884;III(16):446-447. doi:10.1001/jama.1884.02390650026011

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Abstract

Paris, September 24, 1884.

The value of blood-letting in the treatment of apoplexy was lately discussed at the Therapeutic Society of Paris, when most of the members condemned the practice as a mere routine measure. Even the nonprofessional public are so imbued with the idea that bleeding is indispensable in this case, that a certain amount of pressure is put on the medical attendants to open a vein, and should the case prove fatal without the operation being performed, the unfortunate physician is sure to be blamed. Dr. Dujardin-Beaumetz does not approve of blood-letting in the condition usually termed apoplexy, which has no definite signification. Apoplexy may result from the rupture of a miliary aneurism, or from cerebral anæmia, whether produced mechanically or otherwise. In either case the drawing of blood would not only be useless, but positively dangerous, as it would tend to weaken the patient unnecessarily, and fulfil

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