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December 24, 1904


Author Affiliations

Visiting Physician to the Methodist Episcopal Hospital. PHILADELPHIA.

JAMA. 1904;XLIII(26):1949-1953. doi:10.1001/jama.1904.92500260002e

By the term internal hemorrhage, as used in this paper, I include all forms of bleeding in which the bleeding point is not within reach of direct topical application.

It will be my purpose to set forth the general principles on which rational medical treatment is based, and not to discuss the relative merits of surgical and medical means.

In the first place, it may be stated that we have no specific remedy for the control of bleeding, and secondly that the employment of many of the drugs recommended is not based on rational grounds. As will be seen presently various agents are advised for a similar condition which act antagonistically, so that if one does good, the other must do harm.

The preference given to many remedies by clinicians is too often based on insufficient data. The action on a small series of cases of certain character may not

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