POSTSCRIPT
October 29, 1772.
Fevers of the putrid kind have been so rare in this town, and in its neighbourhood, since the commencement of the present year, that I have not had an opportunity of trying again the effects of fixed air, given by way of clyster, in any case exactly similar to Mr. Lightbowne's. I have twice given water saturated with fixed air in a fever of the putrescent kind, and it agreed very well with the patients. To one of them the aërial clysters were administred, on account of a looseness, which attended the fever, though the stools were not black, nor remarkably hot or fœtid.
These clysters did not remove the looseness, though there was often a greater interval than usual betwixt the evacuations, after the injection of them. The patient never complained of any uneasy distention of the belly from the air thrown up, which, indeed, is not to be wondered at, considering how readily this kind of air is absorbed by aqueous and other fluids, for which sufficient time was given, by the gradual manner of injecting it. Both those patients recovered though the use of fixed air did not produce a crisis before the period at which such fevers usually terminate. They had neither of them the opportunity of drinking such wine as Mr. Lightbowne took, after the use of fixed air was entered upon; and this, probably, was some disadvantage to them.
I find the methods of procuring fixed air, and impregnating water with it, which you have published, are preferable to those I made use of in Mr. Lightbowne's case.
The flexible tube used for conveying the fume of tobacco into the intestines, I find to be a very convenient instrument in this case, by the method before-mentioned (only adding water to the chalk, before the oil of vitriol is instilled, as you direct) the injection of air may be continued at pleasure, without any other inconvenience to the patient, than what may arise from his continuing in one position during the operation, which scarcely deserves to be mentioned, or from the continuance of the clyster-pipe within the anus, which is but trifling, if it be not shaken much, or pushed against the rectum.
When I said in my letter, that fixed air appeared to be the greatest corrector of putrefaction hitherto known, your philosophical researches had not then made you acquainted with that most remarkably antiseptic property of nitrous air. Since you favoured me with a view of some astonishing proofs of this, I have conceived hopes, that this kind of air may likewise be applied medicinally to great advantage.
W. H.