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Dr. Herrick of Cleveland, Ohio
—We are coming to the region of therapeutic agents for the treatment of disease, a region of great skepticism, great doubt with regard to specifics and special agents. This paper is valuable for what it has given. I think, however, that there are some problems involved in the administration of digitalin. As the author has intimated, its action is through the pneumogastric nerve, and it is applicable to a certain class of cases. Would the Doctor administer digitalin in inflammations of the heart? I think the common custom among physicians is to give digitalis in any heart disease. Heart disease: digitalis! I would put in a word of caution; never give digitalis in inflammation of the heart. But in other conditions, through the pneumogastric nerve, I think we may somewhat limit the region of its activity.
DISCUSSION ON PAPER OF DR. HENRY BEATES, "THE USE OF DIGITALIN WITH REFERENCE TO DOSE.". JAMA. 1897;XXIX(8):385. doi:10.1001/jama.1897.02440340033002o
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