If we glance at the etiologic conceptions which formerly existed in connection with lobar pneumonia—and unless otherwise stated lobar pneumonia is the only form of pneumonia referred to in this paper—it will not be difficult to see why the heart was neglected. Those who believed in a humoral origin of the disease assumed that the only thing requisite for the cure of pneumonia was blood-letting, and that it was not necessary to look to the heart. Indeed, with Bouillaud's formula of bleeding (1830), coup sur coup and withdrawing twelve to sixteen ounces at a time, the heart was literally neglected. Then came a time when bleeding was restricted to cases which presented some indication for it, although, as Trousseau says, most physicians and all the laity could not conceive of pneumonia patients recovering without it. The indication was not
FORCHHEIMER F. CARDIAC AND VASCULAR COMPLICATIONS IN PNEUMONIA: WITH SPECIAL REFERENCE TO TREATMENT. JAMA. 1909;LIII(18):1449–1454. doi:10.1001/jama.1909.92550180001001b
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