首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >DR. WILLIAM BUCHAN ON THE INJURY DONE TO CHILDREN BY THE TOO EARLY AND UNNECESSARY USE OF MEDICINE—1804
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DR. WILLIAM BUCHAN ON THE INJURY DONE TO CHILDREN BY THE TOO EARLY AND UNNECESSARY USE OF MEDICINE—1804

机译:博士威廉·布昌(WILLIAM BUCHAN)太早和不必要地使用药物对儿童造成的伤害—1804

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Dr. William Buchan (1729-1805), the author of Domestic Medicine or the Family Physician, the most popular work of its kind ever published, served as physician to the Foundling Hospital in Ackworth, Yorkshire, for a number of years.Writing in 1804 in his Advice to Mothers, he described the sad fate of over-medicated infants:About forty years ago when I undertook the charge of a large branch of the Foundling Hospital at Ackworth in Yorkshire, I found that the children at nurse had till then been attended by the country apothecaries, who, sure of being paid for their drugs, always took care to exhibit them with a liberal hand. Every cupboard and every shelf in the house was filled with phials and gallipots. Under such treatment, half the children died annually. As it was evident to me that this mortality could not be natural, I suggested to the governors, that the children had little or no occasion for medicines, and that with proper care they would thrive and do well. A new arrangement took place. The nurses were forbidden, at their peril, to give any medicine but what should he ordered by me; and were advised to rely more on the faithful discharge of their duty than on doses of physic. The consequence was, that the expense for drugs did not amount to a hundredth part of what it had been before, and that not above one in fifty of the children died annually. An opportunity of making experiments on so extensive a scale seldom occurs.
机译:威廉·布坎(William Buchan)博士(1729-1805)是《国内医学》或《家庭医师》的作者,这是有史以来最受欢迎的著作,曾在约克郡阿克沃思的Foundling医院担任医生多年。 1804年,他在《给母亲的忠告》中描述了过度用药的婴儿的悲惨命运:大约40年前,当我负责约克郡阿克沃思(Ackworth)Foundling医院的一个大分支时,我发现护士的孩子到那时为止乡村药剂师出席了会议,他们肯定会为自己的药物付款,所以总是小心翼翼地向他们展示药物。屋子里的每个橱柜和架子上都摆满了玻璃瓶和胆盘。在这种治疗下,每年有一半的儿童死亡。正如我所知,这种死亡率不可能自然发生,我向州长建议,这些孩子很少或根本没有机会吃药,而且在适当的照顾下他们会壮成长并做得很好。进行了新的安排。护士被禁止服用任何药物,但他应按我的命令服药。建议他们更多地依靠忠实履行职责,而不是依靠物理剂量。结果是,毒品费用不及以前的百分之一,每年死于儿童的儿童不超过五十分之一。很少有机会进行如此大规模的实验。

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