How many lives have been sacrificed by the practice of bleeding in feverish and inflammatory cases, from the non-adoption of wet-sheet packing, which causes no loss of strength, and leaves behind none of the debility and consequent long convalesence, which bleeding and strong medicines necessarily occasion. It is to us, indeed, inexplicable how so insane a process as bleeding can still be resorted to in this enlightened 19th century, a process which deprives nature of her vital fluid, and lets flow the stream on which our very existence depends.[4] How can this tapping of the springs of life [[14]]be defended when an expedient for lowering inflammation without reducing the strength, presents itself for adoption by the physician, one which by its action purifies the blood, reducing fever by the abstraction of heat, and by the removal of the serum or watery constituent of the blood, which contains all its impurities. Will the public, then, place confidence in the physician who, when invited to cure them, would weaken them by bleeding, and assist the operations of nature by depriving her of that vital fluid, on the existence of which her powers of self-restoration depend? Will they prefer a system which ensures a long convalesence to the patient, to that in which he recovers from his disease without any sensible diminution of his strength, or injury to his constitution? In short, the operation of wet-sheet packing is so extraordinary and satisfactory in its results, that he who refuses to make use of it must lag behind, whilst success will attend the efforts of him who judiciously applies it in the cases to which it is suited.
The compress and hot stupe, next demand our attention; both are usually applied to the stomach; the latter consisting of a vulcanized India-rubber bag filled with hot water, which is laid over a towel, the under folds of which are moistened and placed next the body, a most efficient and convenient form of fomentation; these remedies are applied in the treatment of nearly all chronic diseases, where there is morbid action of the stomach, liver, or kidneys; this form of stupe, Dr. Wilson calls the
“Ne plus ultra of poulticing, soothing and derivation being by it most perfectly obtained, and in the greatest degree. Each operation has on deep seated chronic irritation, as one of its qualities, the advantageous effect of a mild blister or mustard plaister, without any of its drawbacks, and in acute inflammations, in all nervous or neuralgic pains, in the sufferings of colic, biliousness, or sickness of the stomach, or other digestive derangements from dietetic errors, and in the malaise ushering in fevers and inflammations, in sore throat, &c., or affections of the lungs and air tubes, it is then found to be the most agreeable and potent anodyne and equalizer of the circulation.”
It, in effect, accomplishes the most salutary operations of opiates, without any risk of congesting the liver, or producing that sickness and atony of the stomach, and all but paralysis of the lower bowels which result from the use of narcotic drugs.
“No nervous irritations,” says Dr. Wilson, “no visceral congestions, especially if of recent formation, but are soon relieved by this powerful revulsive rubefacient and anodyne. With the dissipation of those interior [[15]]congestions comes the solution of pains and spasms, or flatulence which may have risen to a severe state of suffering, the release of bilious and nervous headaches, neuralgic pains, asthmatic fits, &c. These have all their origin near or remote in visceral obstructions, congestions, &c. In most cases where for a longer or a shorter time any organic action has been embarrassed, sleep banished or disquieted, and the patient irritated and exhausted to the last degree; by aid of the fomentations, in a brief time organic calm takes the place of organic tumult, ease succeeds to agitation, and the whole apparatus feels to work normally and with renewed alacrity. What I have just described, you may frequently hear repeated and descanted upon in the same strain by my patients.”
The effect of the hot-stupe in the removal of irritation from the viscera, the immediate cause of dysentery, &c., is very remarkable, and from our knowledge of its effects, we have often regretted that so simple and rational an expedient was not resorted to, in the treatment of those diseases by which our noble army was more than decimated in the late Crimean Campaign. On this subject Dr. Wilson remarks—
“So strong was my conviction, that I wrote to my good friend Lord Rokeby, requesting him to offer my service through Mr. Sidney Herbert. I offered to go and remain there (at Scutari) entirely at my own expense, not as a ‘water doctor,’ but as an ordinary medical practitioner, willing to lend a hand, and make himself generally useful. I stated that I had almost lived in hospitals for seven years, had afterwards witnessed the practice of nearly every great hospital in Europe, and could undertake simple operations, and any amputations with little preparation: had been twenty-five years in practice. After some weeks I received a polite letter thanking me, but fearing it could not be done, not being quite the custom. About this time there was an outcry for medical men, those at the hospitals were too few for the work, they were worn out with fatigue.”
Further on he adds—
“I have had a great many patients suffering under Chronic diseases from climate, exposure, and want of care, &c., patients from India, Ceylon, and the Antipodes, with long continued diarrhœa, dysentery, and intractable fever of an intermittent character. From the success of this simple treatment in those cases, I have not ceased to regret that I did not go to Scutari on my own account without permit or introduction. I might have introduced the practice gradually, being sure that it only required a trial to have been adopted by the medical staff with great satisfaction.”
We join Dr. Wilson heartily in this regret, as it would have led to the introduction of this remedy if proved efficient, and silenced its advocates if it proved a failure. Nowhere could the two systems have been more severely and satisfactorily tested, and we should all have benefited by the result; the relative merits of the two systems would have been decided, and the public no longer left to hang in doubt between them.