of a partial Obstruction of the Circulation, 505 



ditional quantity of blood directed to the internal parts was 

 speedily evident. The animal heat was soon restored, and 

 by keeping them on for sometime, and cautiously removing 

 them as the symptoms indicated, a rapid reaction and resto- 

 ration to the usual state of health followed. I have seen 

 patients recover by these means in the worst cases of collapse, 

 when the debility was so great as to prevent the action of the 

 usual remedies. 



[It would appear that the pamphlet to which Dr. Wise refers in the 

 commencement of his very curious and interesting observations, is a 

 paper by Dr. Kellie, which appeared in Duncan's Medical Commen- 

 taries for 1794 and 1797. Dr. Kellie informs us, that in fever if a 

 tourniquet be applied in the cold fit on one thigh and one arm of op- 

 posite sides for two minutes, a mild hot stage is induced, and the pa- 

 tient feels quite relieved. When the instruments were allowed to re- 

 main on for fifteen minutes, on their removal the cold symptoms did 

 not re-appear. He also thinks, that if the tourniquet be applied be- 

 fore the accession of the paroxysm, the cold stage will be entirely pre- 

 vented, and that whether the cold stage be shortened or altogether 

 prevented, the following hot stage will be rendered both milder and 

 of shorter duration. This practice seems never to have been gene- 

 rally adopted, and though not condemned, as the bleeding in the cold 

 stage of Mackintosh appears to be, by the profession, is now entirely 

 forgotten, but it is worthy of remark, that Bailly in 1825* strongly 

 recommended the adoption of this practice in malignant intermittent, 

 where a recurrence of the paroxysm is much dreaded, and it seems to 

 deserve further trial. 



The remarks of Dr. Wise on elephantiasis are especially worthy 

 of attention, as his obstruction of the circulation is analogous in its 

 operation to methodical compression, the importance of which in the 

 treatments of tumors is becoming daily more and more recognized in 

 modern surgery.] — J. M. P. 



* Traite des fievres interraittentes simples et pernicieuses. 



