|BOOKS ON OLD MEDICAL TREATMENTS AND REMEDIES
HOME PHYSICIAN AND ENCYCLOPEDIA OF MEDICINE The biggy of the late 1800's. Clearly shows the massive inroads in medical science and the treatment of disease.
ALCOHOL AND THE HUMAN BODY In fact alcohol was known to be a poison, and considered quite dangerous. Something modern medicine now agrees with. This was known circa 1907. A very impressive scientific book on the subject.
DISEASES OF THE SKIN is a massive book on skin diseases from 1914. Don't be feint hearted though, it's loaded with photos that I found disturbing.
Part of SAVORY'S COMPENDIUM OF DOMESTIC MEDICINE:
19th CENTURY HEALTH MEDICINES AND DRUGS
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Synonyms.—Rubella; German measles; Epidemic roseola; Hybrid measles;
French measles; Fr., Roséola épidémique.
Definition.—Rubella, or rötheln, is a mild, contagious, eruptive dis
ease, with a slight febrile action, and usually of but several days’ duration.
Symptoms.—The period of incubation is somewhat variable,
usually, however, from one to three weeks; with a stage of invasion,
frequently but a few hours, scarcely ever exceeding one or two days,
and characterized by slight malaise, enlargement of the cervical glands,
and less frequently the other lymphatic glands, generally insignificant
febrile action, and sometimes with headache and pains in the extremities.
Exceptionally there may be some symptoms of nervous character.
Very often, however, constitutional disturbance, which is rarely marked,
is entirely or apparently wanting, and the first recognizable sign of the
malady is the rash. This may first present upon any part, but much
more commonly on the upper half of the body, and frequently on the
face and scalp, and extends rapidly downward. Sometimes along with
the rash slight catarrhal symptoms are also noted, as mild coryza, injec
tion of the conjunctiva, with lacrimation and slight redness and soreness
of the fauces. The eruption usually consists of more or less rounded
rosy spots, varying in size from a pin-head to that of a lentil, and which
are made up of closely set points, with trifling but scarcely recognizable
elevation, being macular or maculopapular in character. The color
rarely gets beyond a pale red, never violaceous. Sometimes the tint
extends as a faint halo just a little beyond the border of the actual lesion.
The spots may be somewhat disseminated or more or less crowded, the
eruption seldom covering more than half the surface; it not only spreads
rapidly, but as it spreads the first spots are frequently already disap
pearing. The rash rarely lasts more than a few days from beginning to
the end. Desquamation is unusual, and when observed, is commonly
of an almost imperceptible branny character. The general symptoms,
if present, are scarcely ever pronounced, the temperature only occasion
ally going beyond 100° F., and very often it is normal throughout. In
exceptional instances relapse occurs, either immediately or after several
days, but not later than two weeks (Emminghaus).1 The eruption is
1 Quoted by Atkinson, Amer. Jour. Med. Sci., Jan., 1887, in an excellent paper on
the disease, giving its history, with numerous references. Relapses were also noted in a
few instances by Harrison, Brit. Jour. Derm., 1892, p. 112, and also by other writers.
not always a clearly distinctive one, as it may resemble both measles
and scarlet fever; as Crozer Griffith1 states, “the eruption is maculo-
papular, pin-head to split-pea size, pale-rose, multiform, usually discrete,
sometimes grouped as in measles, sometimes confluent as in scarlatina.”
It undoubtedly more frequently bears decided resemblance to measles,
and in considering the points of difference, Atkinson truly says that there
is no feature of either affection that may not be sometimes observed in
the other, whether it belong to the incubative, invasion, eruptive, or
The most common subjects of the disease are children, it being most
frequent between the ages of five and fifteen; adults are only rarely
affected. The disease is not thought to recur, one attack giving im
munity. It is usually epidemic in character, seldom presenting sporadic
ally, so that reported sporadic cases must be looked upon with consid
erable doubt, as the possibilities of an erroneous diagnosis are naturally
great. The danger of contagion is believed to be greatest during the
Diagnosis.—The malady is to be distinguished from measles,
scarlet fever, and the medicinal erythemata. The mildness of the dis
ease, its short period of invasion, often entirely absent; the rapid develop
ment and disappearance of the rash, the slight angina and conjunctival
injection; and, as a rule, the absence of a tendency to crescent shape or
to scarlatinous confluence; the slight or lacking febrile action, the en
larged cervical glands; and the usually almost imperceptible, often
absent, character of the desquamation, are the distinguishing features.
The importance of the glandular enlargement referred to has been em
phasized by many writers, and while taken together with other factors
is of great value, is not to be given too much weight, as Atkinson, Crozer
Griffith, and others have called attention to the fact that it is very often
observed in measles also.2 In typical examples of the malady there is
seldom any difficulty in reaching a correct diagnosis, but in atypical
cases it is only by a careful consideration of the points of difference in
these several febrile eruptive diseases, sometimes supplemented by one
or two days’ observation, that error can be avoided. From the medicinal
rashes there is rarely much trouble in distinguishing it, as these are
usually more pronounced, the eruptions more vivid or dark red, with the
absence of the other symptoms of rötheln, as well as a history of drug
Prognosis and Treatment—The malady is, as a rule, a trivial
affair and is over in the course of several days or a week or so, and there
are not, as often observed in measles and scarlet fever, any sequelć. It is
true, as in any other disease, complications may arise in this, doubtless
independently of the malady itself, and the outcome would then depend
upon the nature of the complication, a few deaths having been reported
in consequence of such accident. The treatment is purely expectant,
1 Crozer Griffith (a report of 150 cases), Med. Record, July 2 and 9, 1887 (with full
2 Crozer Griffith, “The Differential Diagnosis of Rubeola and Rubella, with Espe
cial Reference to the Enlargement of the Glands of the Neck,” University Med. Mag.,
Philadelphia, June, 1892.
and generally none is required. The patient should be kept housed,
and if there is febrile action, in bed, and with a plain diet.
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