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August 27, 1892


JAMA. 1892;XIX(9):264. doi:10.1001/jama.1892.02420090026011

The treatment of pneumonia is ever a subject for consideration. In a recent clinical lecture, Dr. Andrew H. Smith1 has again given his views upon this subject. Dr. Smith's ideas upon the employment of arterial relaxants in the treatment of pneumonia, have been given to the profession before, but do not seem to have attracted as much attention as they really deserve.

It is generally understood that in pneumonia, the local pulmonary lesion, and the constitutional manifestations are not necessarily in harmony. That is, that while an extensive local trouble may occur concurrently with severe general symptoms, yet the reverse may obtain, and great lung consolidation not be accompanied by serious general symptoms, or there may even be slight local trouble, with the most dangerous general condition.

Each of these two general factors is to be considered in determining the plan of treatment to be employed in a given