It is probable that bleeding will never be employed again to the extent it has been in the past, but the question is frequently raised whether it is at present being practiced to the degree that its efficacy makes it worthy of. There can be no doubt that there are certain conditions that nothing will relieve so promptly and so certainly as does free venesection. One of these consists in the state of venous stasis resulting from failure in the activity of the right heart, whether due to degeneration of its muscular wall or secondary to similar failure on the part of the left heart or to pulmonary obstruction or to regurgitation through the tricupsid valves. Probably some conditions of local hyperemia or stasis, as of the brain or the lungs or the kidneys, may be relieved by the same measure. Then there is reason to believe that various toxic
BLEEDING IN THE TREATMENT OF UREMIA. JAMA. 1900;XXXIV(18):1134–1135. doi:10.1001/jama.1900.02460180046008
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