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In the administration of the remedies, I have had less regard to 

 the quantity than to the effect. In every case we should be governed 

 by the rule which would guide us in the use of every narcotic, viz. : 

 to make a gradual rather than a sudden impression." 



"Cautiously employed, the agents under consideration will prove 

 of more value to the human family than any medicinal agent yet 

 discovered." 



Professor Moultrie, of Charleston, S. C, reports the use of chlo- 

 roform in one instance. " This was in a case of twins, the second 

 child requiring manual assistance, in a patient who resisted with 

 brute ignorance every effort to afford her aid, even the administra- 

 tion of chloroform. The result has been quite happy. The pre- 

 sentation was the forehead and the foot. During the period of 

 insensibility, and after repeated failures before, the foot was restored 

 and the head assuming the rightful position, the labour eventuated 

 naturally." 



Professor Gross, of the University of Louisville, remarks: — "I 

 have employed chloroform in my surgical practice, almost ever since 

 it was first introduced to the notice of the American profession, 

 without having witnessed, in any instance, any other than the most 

 beneficial results. My own experience induces me to give it a 

 decided preference over ether. In the first place, it is much more 

 easily inhaled; secondly, it acts much more promptly, as well as in 

 a much smaller quantity ; thirdly, it more effectually prevents pain ; 

 and fourthly, it is less apt to be followed by nausea, vomiting and 

 headache. I have, among other cases, used it in amputating the leg, 

 in removing the arm at the shoulder-joint, in excising a large tumour 

 of the thigh, involving the femoral artery, in extirpating an encysted 

 testicle, and in the operation for hare-lip. My colleague, Professor 

 Miller, informs me that he has exhibited this agent with excellent 

 effects in several of his obstetric cases; and very recently he ad- 

 ministered it with similar results, in my presence, to two females, 

 from one of whom he removed an enormous ovary, and from the 

 other an inverted uterus." 



Professor G. adds: — "as chloroform is an article of great power, 

 I feel satisfied it ought always be used with the utmost caution, and 

 that, in order to prevent mischief, the system should be brought 

 under its influence, not rapidly and fully at once, as some have re- 

 commended, but slowly and by degrees. Employed in this manner, 

 there is not, in my opinion, the slightest probability of its producing 

 any bad effects." 

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