James Batcheller Medical Notebook - "Extracts from Doct. Mussey's Lectures delivered at Hanover", 1816

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James Batcheller was born on June 5, 1791, in Royalston, Massachusetts. He attended schools and academies in his native town and then taught school in Pennsylvania for two years. He attended Dartmouth Medical School from which he received his M.D. in 1819. In 1818, he moved to Marlborough and established a medical practice. Batcheller was also a politician and was chosen as a representative and senator to the General Court of New Hampshire. From 1850-1851, he was a delegate to the convention to revise the Constitution of New Hampshire. In addition, Batcheller was a zealous advocate of the cause of abstinence. In 1855, he moved to Fitzwilliam, Massachusetts, where he died on April 14, 1866.

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(30) "Morbid excitement" "healthy point" an unmeaning terms used by Dr. Rush - mentioned the circumstances noted by Dr. Cullen from which to form our prognosis - 1st Nature of the Epidemic, 2nd Nature of the remote cause - 3rd Season [&amp] climate 4th Degree of Excitement 5th period of the disease - (1 age of the pt - 7th Diseases pt has been subject to - 8th appearance of the blood - 9th Effects of bloodletting that may have been used - General bloodletting is a powerful evacuant debilitates the system - object of bloodletting shown to be to prevent the determination to particular parts - local bloodletting cup -

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(31) ping, leeches on the temples usefull, should be more used, blisters to the ancles or back of the neck - fomentations better than than general bleeding in continued fever - Tart. Ant - Gr. 1/24 in 2 hours doubled, dissolved with sugar [&amp] water given for 3 or 4 days- if no benefit then - omit it -

12.. L.. On the use of Blisters -Diversity of opinion - some think irritation on the surface acts as counter irritation, lessening the irritation internally - bad practice, rather increases irritation, may prove fatal - Blister on the nape of the neck or forewardhead good, relieves pain of the head, if the extremities are cold a pair of Blisters to the wrists or ancles - Some think

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Blister on the forehead causes Delirium, they might have been deceived. A Pt delireous was cured by blistering the scalp -- Local tendencies treat may often be obviated by less troublesome remedies, and cold water, fomentations, vol. liniment relieves the pain Mercury less used in con tinued fevers than 10 or 15 yers ago - free use of Calo mel or mecurial friction often produces a worse disease than the one intended to cure Calomel with Rhei a Jalap may be given at the commencement of fever as a cathartic "Soreness of the mouth will save the Pt" was a maxim - but I have found it incorrect - The bad effects of mercury on certain

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constitutions are permanent; its effect on the teeth is known to all - Calomel combined with opium exhausts the Pt - Opium may be used sparingly in latter part of fever, 6 or 8 drops with wine every 2-3 or 4 hours. Drinks cold water if heat, thirst, driness of the mouth and tongue prevail - apple water is a pleasant drink - lemon juice and water or Tam., - Barley water, - Carbonate of Potash dissolved in water taking vinegar or lemon juice immediately after it - Soda water relieved thirst - water charged with carbonic acid is slightly febrifuge - Ardent spirits prohibited till fever subsides as wine cider [&amp] -

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Nourishment should be some of the farinaceous substances, as Barley water, water porrige, - Solution of some of the starches tapioca, sago, arrowroot. Crackers in powder with water good. avoid animal substan ces, also gellies. mucillage apt to become acid though have been used, Roasted apples and pairs, juice of oranges and grapes may be used. Room should be large, fire should be sometimes made even in the summer to purify the air Temperature not over 62 degrees often as low as 45 degrees. Opt to cov er the Pt too warm. no cur tains should be round the bed straw or mattress best To lower the temperature sprinkle the floor with water or vinegar. muri atic, nitric, or oxymuri atic acid gases, destroy con

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