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THE

CINCINNATI LANCET AND OBSERVER.

Vol. III.

CONDUCTED BY

E. B. STEVENS, M.D., AND JOHN A. MURPHY, M.D.

APRIL, 1860.

No. 4.

Original Communications.

ARTICLE I.-General Blood-Letting in the Treatment of Inflammation including a reply to a late paper upon the subject, by Prof. Lawson. By JAMES F. HIBBERD, M.D., Richmond, Ind. Within the last twenty years a very grave change has been effected in the method of treating a very frequent and very important pathological condition of the human system, commonly called inflammation. This change consists in the reduced amount of blood evacuated by venesection its almost abandonment, in fact, and is adopted by enlightened physicians throughout the civilized world, with individual exceptions here and there, and perhaps a national exception in Italy.

Two theories have been propounded in explanation of this radical change in therapeutics: one, that the type of inflammation has changed from sthenic to asthenic, and that the altered practice is but a rational adaptation of our means of cure to the different indications presented by the disease; the other, that a moré intimate knowledge of the nature of inflammation, its course and termination, has forced upon us the conviction that the old treatment was erroneous, and we have abandoned it in obedience to that conviction.

These theories have been discussed by their friends with hot zeal within the last three years, in Great Britain, often more VOL. III., No. 4.-13.

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