The Study of Medicine, Volume 2

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Thomas and George Underwood, 1829 - Medicine

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Page 79 - ... whence, by the intervention of the cold stage and spasm connected with it, the action of the heart and larger arteries is increased, and continues so till it has had the effect of restoring the energy of the brain, of extending this energy to the extreme vessels, of restoring, therefore , their action , and thereby especially overcoming the spasm affecting them ; upon the removing of which, the excretion of sweat, and other marks of the relaxation of excretories take place.
Page 48 - There are some practitioners, anc of very high merit too, whose fingers are no more capable of catching the finer distinctions of the pulse, than the ears of other persons are the niceties of musical sounds. I suspect this was the case with Dr. Heberden, as it was also with the late Dr. Hunter ; of whom Mr. John Hunter observes, that, " though he was extremely accurate in most things, he could never feel that nice distinction in the pulse that many others did, and was ready to suspect more nicety...
Page 60 - Upon the whole, we cannot but regard the blood as, in many respects, the most important fluid in the animal machine ; from it all the solids are derived and nourished, and all the other fluids are secreted ; and it is hence the basis or common pabulum of every part. And as it is the source of general health, so it is also of general disease. In inflammation it takes a considerable share, and evinces a peculiar appearance. The miasms of...
Page 202 - ... debility, that an early tonic is indicated ; for it would seem that debility, as well as a plethoric system, is equally inimical to the specific" mercurial action. And if the patient is fortunately invigorated sufficiently in this way to give the mercury influence, and before any organ essential to life is injured, by the strictest nursing and attention afterwards, the recovery is almost certain, all morbid action yielding from the moment ptyalism is brought on. But often during this long low...
Page 191 - The exhalation infected at the distance of 300 and 400 yards; while the contagion infected only across the streets. The more narrow the streets, the more certainly the contagion infected. Few escaped it in alleys. After the 12th of September, the atmosphere of every street in the city was loaded with contagion...
Page 171 - The occurrences," says Dr. Halloran, " which preceded the epidemic of Barcelona in 1821, correspond with the old and recent observations on a similar subject in other countries ; it almost invariably happening that the yellow fever of Spain is preceded by unusual diseases of various form and force, more particularly by bilious remittent fevers, which are often so aggravated and malignant that physicians themselves do not venture to define the line of demarcation between them and the avowed epidemic.
Page 182 - The burning province of Cumana," observes M. Humboldt, " the coast of Cora, and the plains of Caraccas, prove, that excessive heat alone is not unfavourable to human life.
Page 417 - The cough which attends it, is commonly dry ; and if any thing be spit up, it is a matter of a purulent appearance, and sometimes films resembling portions of a membrane. Together with these symptoms, there is a frequency of pulse, a restlessness, and an uneasy sense of heat. When the internal fauces are viewed, they are sometimes without any appearance of inflammation : but frequently a redness and even swelling, appear ; and sometimes in the fauces there is an appearance of matter like to that...
Page 106 - The nature of the fever depends, partly upon the state of the body at the time of attack; but, chiefly, upon some modification in the powers or qualities of the febrile miasm, by the varying proportions of these agents in relation to each other, in different places and seasons. And hence, the diversities of quotidians, tertians, and quartans, remittent and continued fevers, sometimes mild and sometimes malignant.
Page 379 - ... parts ; the skin over them becomes quite cold ; the action of the heart is so weak that the pulse is scarcely perceptible, and the stomach is so irritable that nothing is retained on it.

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