WBB M4?/ THE 3 1 MEDICAL PRACTITIONER'S | POCKET COMPJUVIOjY. f^3$*vt£; ST* y^LQQO\A>r>Q£>£0&C&Z^eQQQ®^ Surgeon General's Office l(A-4! A., %% "b l^-<5& isec/um, no/ o A ■3QGGGZQQG CvC C*T O '-»~ -gj'U-'U'-J^J si v*r *R * THE MEDICAL PRACTITIONER'S i&ocftet Companion; OR, A KEY TO THE KNOWLEDGE OF DISEASES, AND OF THE APPEARANCES THAT DENOTE RECOVERY OR DANGER: BEING AN ALPHABETICAL ARRANGEMENT OF SYMPTOMS, WITH 4. THEIR VARIOUS INDICATIONS. \5 tf0 PHILADELPHVb,»e'£*- rVBUSBED BI JAMES WEBSTER, NO. 24, SOUTH EIGHTH S& Vill'wm Brown, Ptiutff, 3322. PREFACE The removal of disease and the restoration of health are objects scarcely less desirable to the medical practitioner than to the patient; since on these his reputation, and consequent success in his profession, must chiefly depend ; and, in a still greater degree, that mental satisfaction, which is the physician's best reward, and the want of which must embitter a career, that affords perhaps more sources of real hap- piness than any other, in which a man of education and talents can engage. This first and most important step to the attain- ment of this desirable end is unquestionably the knowledge of diseases, whicli can be acquired solely by the discrimination of their attendant symptoms. It was ages ago the complaint of a celebrated ancient physician, that the life of man was too short to allow him to master an art of such extent, so as to treasure up in his mind, and have constantly ready for use, every thing requisite for its successful practice. The man, therefore, whose memory, is most capacious and retentive, and whose powers are with most prompti- tude called into action, may often need a brief and -eady remembrancer, particularly at the commence- 4 ir.cnt of his career. The utility of such a guide, indeed, must be obvious: and, having often felt the want of one myself, I have been induced to attempt supplying what I conceive to be an important defi- ciency in our list of medical publications. How far I have succeeded is for others to decide: but the attempt itself, to strike out a path before untrodden, may perhaps claim some degree of merit; and the performance, I trust, will be found neither disgrace* ful to the author, nor unprofitable to the reader. t In using this key to diseases, it may be observed, that several of the.symptoms occur in different dis- eased states, of course not particularly indicating any one of them. The practitioner, therefore, reflecting, on the most probable in the case under consideration, v ill seek for other symptoms denoting this; and, if he find none, will look for those of some other; proceeding in this way till he has discovered enough to settle his judgment. Thus a symptom, however jjr.iTiineiit, should seldom be relied on alone, but taken as a clue to others, by which our opinioamay be confirmed, or, if the requisite concomitants be want- ing, rejected for some other. It will sometimes happen, too, that a single disease only is mentioned after a symptom in some particu- lar form, though by no means a decisive diagnostic of it; nay, even more common in several others; being noticed, in reality, to suggest the possibility of the symptom being occasioned by a disease to which <'. would not naturally be referred, and thus lead to 3 inquiries, that may detect a disorder which would not have been suspected. Farther, in the following work diseases will some- times be inserted as symptoms of others; ophthalmy, for instance, is given as a symptom of suppressed go* norrhcea. Now, it is obvious, that ophthalmy is often an original disease, arising from various exciting causes, and consequently not a symptom of another disease: yet, when no adequate cause for it appears, or any ground for suspicion exists, it may be prudent in the practitioner, to direct his inquiries to this point. Thus, too, there is scarcely any disease, the appearances of which are not assumed by gout. I have known, for instance, ophthalmy, toothach, tic doloureux, asthma, and other complaints, apparently present, when gout was the real disorder; as the sudden disappearance of the supposed disease, on the affection settling in one of the joints, has evident- ly proved; and their sudden transitions from one to another had previously given reason to suspect. The alphabetical order has been adopted as by far the best suited to the intended purpose ; and such a methodical arrangement of each head has been attempted, as seemed best calculated to facilitate research, or lead to due discrimination. The diag- nostic, or such as denote existing diseases, have generally been placed first, and are distinguished by the letter D ; and the prognostic, or such as indicate either a threatened disease, or the event of a disease already present, reserved to the last under each head, and marked with a P. A2 THE MEDICAL PRACTITIONER'S m POCKET COMPANION 8tc. A. ABDOMEN, rumbling noise in, with the sensation of a ball rising in it to the stomach and throat, and there causing a sense of strangulation.—D. Hysteria. ________tumid; the navel drawn inward.—D. Hysteria. —-----windy distension of.—D. Poison. ____----retraction of the.—D. Colica Pictonvm. --------drawn up, and kept as still as possible.—D. Paraph renitis. ________(in pregnancy,) great tension and hardness of, with violent pain.—P. Abortion. ____________________swelling of, with faintness and giddiness, andafailing, fluttering pulse.—D. Internal flooding. --------(after delivery,) great soreness of, with con- siderable tension.—D. Puerperal fever. --------(in children,) flaccid.—D. Rickets. ____________________tumid, while the other parts of the body are emaciated.—D. Rickets. Ankles, pitting of, toward the evening.—P. Ascites. (This inference however must not be drawn whenit occurs in pregnant women; or in old men with gross habits, when suddenly freed from an asthma, undei- s ANX—APF which they have long laboured; in both which cases it is very common.) Anxiktt, great.—D. Ardent fever. BiUous fever. Pa- raphrenias. _______very great.—D. Yellow fever. _________________with nausea.— D. Abscess of the tplem ready to break. (This is for the most part easily perceived by the pressure of a finger.) . — with vomiting and purging.—D. Cholera morbus. -------great, without either vomiting or purging, but with considerable flatulency and discharges of wind.— U; Dry cholera. -------about the prsecordia.—P. Hemoptysis. Aim.pi.kxt (in a gouty patient).—D. Atonic govt in the head. -------attack of, in the fit of an intermittent fever. —P. Danger. Afpetitl, want of.—D. Indigestion. Atonic gout in the stomach. Stone in the gall duct. ---------------chiefly in the morning.—D. Chlo- rosis. ----------------———----- evening.—D. Phthisis. ---------------rising to loathing and nausea.—D. Nervous fever. • loss of.—D. Fever. Inflammation of the spleen. ---------------, with aversion to alkalescent food. D. Alkaline acrimony in the system. -------------, at first without either cough, shortness of breath, or hectic fever, though the pulse is com- monly quicker than usual.—D. Atrophy. (As the disorder proceeds, there is an increase of febrile heat; and a shortness of breath, as well as cough, comes on.) -------capricious.—D. Nervous diseases in general. "--------------and irregular.—D. Catarrhal fever. —-----total loss of.—D. Advanced stage of catarrhal fever. APP—BLO 9 Appetite, loathing of all solid food.—D. Ardent fever. --------for solid food failing, with increase of thirst. —P. Ascites. ------variable, often ravenous.—P. St. Vitus*s dance. --------(in fever, after some continuance,) capricious. —P. Favourable. --------(-------.---------------------), longing for a particular kind of food.—P. Favourable. Arms and face emaciated.—P. Ascites. Asthma (in gouty patients).—D. Atonic gout in the lungs. (I have known the difficulty of breathing in this case very great while sitting erect, and speedily relieved by a reclining posture.) B. Back, weakness in the backbone, accompanied with a heavy dull pain, and great lassitude.—P. Caries of the spine. ------curvature of the spine, generally about the middle of the lumbar vertebrae, with a crackling sound on bending it, and great debility or total loss of motion in the lower limbs.—D. Caries of the spine. Belly, see Abdomen. Blindness, see Eye. Blood, dissolution of the texture of the.—D. Alkaline acrimony in the system. --------discharged from the intestines, bladder, &c. —D. Last stage of scurvy. ■ much discharge of, from the mouth, nose, eyes, and ears.—D. Injury of the brain. -.-------spitting of.— 1). Hcemoptysis. (It is of impor- tance in this case to distinguish whence the blood . proceeds. If brought up by coughing, it is from the lungs, and is often mixed with pus, or frothy mucus. If by vomiting, it is from the stomach, and is generally mixed with the contents of this viscus: commonly too it is more considerable in quantiy, of a darker colour, and has been preceded by nausea. When from the/awces, or dropping from the nose, it is small -,, BLO—BRE in cu«itity, and frequently discharged with hawking If the blood come from the fauces, it is generally the consequence of local inflammation or scurvy; but in women it may be a metastasis of the menstrual discharge, and perceived, on inspection, transuding through the skin.)—P. (In pleurisy and penpneu- mony the appearance of some blood with the sputum is generally) Favourable. Hlooh, discharge of, from the lungs, often recurring.— P. Phthisi*. . __________—________(in splenitis,) most commonly from the left nostril.—P. Favourable. Blood-Vessels, swelling of the carotids and jugulars while the others disappear.—D. Rickets. Bones of the palate and nose, caries of.—D. Lues vene- rea. - enlargement of the joints, particularly the wrists and ankles, and curvature of the legs and spine. —D. Rickets. callus of old fractures softening so as to dis- unite the bones afresh.—D. Scurvy. Breasts, constant inclination to uncover (in putrid fever).— P. Highly dangerous. -------growing suddenly flabby (in a pregnant woman).—P. Death of child, or approaching miscar- riage. Breathing, weak, slight, and insufficient.—D. Debi. Uty. -----------quick.—D. Irritability. -----------short and quick.—D. Ardent fever. -----------short and laborious, expiration more difficult than inspiration.—D. Empyema. —---------short, quick, and offensive.—P. Phthisis. ----;-------extraordinary shortness of, sometimes relieved by a supine posture.—D. Hydrops pectoris. Breathing, seeming to be suddenly stopped, with an impossibility of dilating the chest on attempting a deep inspiration.—D. Dropsy of the lungs.' \------difficulty of.—1). Anasarca. Scirrhou> liver. Inflammation of the liver. Nervous fever. BRE 11 Breathing, difficult, sounding as through a brass tube, without any difficulty of swallowing.—D. Croup. ----------difficult, in infants, less shrill than in croup, and generally accompanied with some wheezing.— D. Spasmodic asth?na. ----------difficult and imperfect, like that of children sobbing through anger.—D. Inflammation of the spleen. ----------difficult, with pain in the region of the heart, and fever.—D. Carditis. ----------difficulty of, and of swallowing.—D. In- flammation of the stomach. ----------difficult, suffocating, excessively quick and small, requiring an erect posture, and performed principally by the muscles of the breast.—D. Para- phrenias. ———— difficult, chiefly on inspiration, and requir ing nearly an upright posture.—D. Peripneumony. —------difficulty of, increased by inspiration, which is consequently short, but not by the head lying as low as usual.—D. Pleurisy. ----------small, frequent, and laborious.—D. Fever. ----------thick and laborious.—D. Yellotv fever. ----------difficult, intermixed with sighing, breath hot and offensive.—D. Putrid Fever. ----------interrupted.—D. Hydrocephalus. ————— fetid.—D. Scurvy. ----------suffocating.—D. Obstruction. ----------stridulous.—D. Inflammation of the trachea. ----——— stertorous.—D. Insensibility from compres- sion of the brain. ----------rattling.—D. Accumulations of phlegm.—P. (In fever) Great Danger. ----------slow, full, and deep.—P. Favourable. ----------short and inefficient (in fever).—P. Danger. ----------laborious (in putrid fever).—P. Danger. ----------intermitting.—P. Approaching death. • — the breath failing, when fainting comes on upon a full stomach (in canine appetite).—P. Danger. 12 BRE—CON Bbeat.ii>.., shortness of, gradually increasing.—P. .incites. C. Chilliness, see Shivering. Poi.iim.ss of the extremities.—D. Hysteria.—V. Hie moptysis. ___________________________ with clammy sweats and fainl'm^s— 1). Inflammation of tlie stomach. Poison. ________".____---------------with vomiting (in dy- sentery).—P. Fatal termination. --------in the back, as if water were running down it, soon extending over the whole body, and produc- ing rigour and shivering, and followed by heat.—D. Fever.— P. The longer the cold stage is protracted, the more dangerous the fever is likely to prove: a smart rigour of shorter duration is more favourable, --------and numbness of the extremities (in fever).— P. Danger. --------increasing till the patient sinks into torpor (in intermittent fever).—P. Death. --------unusual sense of, in the thighs, preceded by a heavy, dull pain and weakness in the back-bone.—P. DiUorlion of the spine from caries. C"NvuLsniNS.—D. Poison. (In children). Dentition. Small-j'ox. (In children not subject to convulsions, if dentition be completed, small-pox may always be ap- prehended as the cause.) -------------convulsive tremors.—D. Compression of the bruin. ------------convulsive twitchings, increasing to vio- lent spasms.—D. Hysteria. ------------violent convulsive motions of the limbs.— i). EpJepsy. ------------(in putrid fever).—P. Highly dangerous. ------------(in intermittent fever) violent spasms.— P. Dunger. ------------(in dysentery).—P. Fatal termination. ------------(in palsy), in parts opposite to those that •re paralytic—P. Danger. CON—COU 13 Convulsions, (in cholera morbus), convulsive contrac- tions of the legs and arms.— P. Fatal termination. —-----------(in pregnancy).—P. Death of child, or approaching miscarriage. Costiveness.—D. Catarrhal fever. ----------obstinate.- 1). Atonic gout in the boivels. (In children), Hydrocephalus. -------------------(in colic).—P. Danger. Cough, slight, with a hoarse voice.—D. Ardent fever. ------constant, troublesome, tickling.—D. Catarrh (affecting the throat. When the larynx or the tra- chea is affected, a soreness is felt in it, attended with hoarseness.) ——— violent, in which nothing, or only a watery mu- cus is at first spit up, with a soreness, tightness, and sense of fulness in the thorax.—D. Catarrh (affect- ing the lungs). ------with a defluxion of rheum.—D. Catarrhal fe- ver. ------severe and dry.—D. Influenza. ------drv.—D. Empyema. Scirrhous liver. Obstruc- tion of the gall-ducts. Inflammation of the liver. ' ----, but not very frequent.—D. Suppuration in ttie liver. ' ----, hoarse.—D. Measles. -----------, short, and suppressed.—D. Pleurisy. (When mucus is spit up from the lungs, at first thin, but gradually puriform and bloody, the inflammation has probably extended to them, constituting Pieuro- peripneumony.) -----------, short; sometimes with the discharge of a little frothy saliva, or yellow, viscid gluten—D. Pe- ripnewnony. -----------, almost incessant, with highly distressing pain in the side, and symptoms of debility.—D. Pu- trid peripneumony. -----------, with difficult expectoration, producing a pain in the head, as if it were bursting, and attended with a wheezing noise.—D. Peripneumonia notha, K 14 COU—DEL Cocoh, with pain in the region of the heart, and fever. ' D. Carditis. ______convulsive, with rapid inspirations threatening suffocation, attended with a shrill sound.—I). Hoop- ing-cough. (The peculiar hooping sound in some cases never occurs through the whole course of the disease ; but it is almost constantly observable, that within two or three minutes after a violent fit of coughing, a slighter will occur.) ------harsh, with a difficult inspiration, sounding as through a brass tube, without any difficulty in swal- lowing.—1). Croup. dry, with occasional spitting up of a flaky sub- stance, and a struggle to discharge something solid from the trachea.—D. Advanced stage of croup. -----with expectoration of pus.—D. Phthisis. of a caseous matter, curd- ling in water, round the edges of which pus is often observable.—D. Phthisis (commonly in an early stage.) -----dry, tickling.—P. Hemoptysis. sec also Expectoration. Coi nte.vance, see Face. Cramp, frequent.—P. Gout. D. Deafness.—D. Catarrh. Suppressed gonorrhoea. --------(in fever).—P. Favourable (if not the effect of insensibility). Dkbiliti, considerable, coming on suddenly.—D. In- fluenza. --------sudden, with acute pains in the stomach, and sickness.— D. Poison. --------universal.—D. Scurvy. --------great.—D. Confluent small-pox. Dkulctitiur, see Swallowing. Dejection, see Spirits. Delirium, slight, or redness of the skin gradually spreading from the face over the whole body.—D. Eating muscles or something injurious. DEL—DRE IS Delirium, wandering.—D. Atonic gout in the head. --------occasional, succeeded by coma or convulsions. —D. Ardent fever. --------in which the patient imagines himself sur- rounded by green fields.—D. Calenture. ■ violent.—D. Phrenitis. ——----rising to the height of madness.—D. Para- phrenias. --------after the cessation of a fever, unless evidently in consequence of debility.—D. Organic injury of the brain, (most commonly an abscess at the basis.) ' ----(in fever,) if it come on early, and be in a degree disproportionate to the febrile state.—P. Danger. ■■■ (in intermittent fever).—P. Danger. —-----(in dysentery).—P. Fatal termination. —------with highly flushed countenance, and quick sparkling eyes, after retrocession of erysipelas.—P. Death. Diarrhoea, frequent.—D. Alkaline acrimony in the system. --------(in a gouty constitution).—D. Atonic gout in the bowels. ——— coming on suddenly.—D. Scirrhous testicle. ■ with large and copious discharge of bile (in fever).—D. Bilious fever. ———— violent with discharge of sanious and fetid matter.—D. Abscess in the liver burst.—P Death. --------(in peripneumony,) coming on about the fifth or sixth day.—P. Dangerous. --------(in putrid fever,) with a swelled belly.—P. Highly dangerous. ———— (in phthisis,) colliquative, confirmed.—P. Fatal. Dreams, pleasing.—P. Favourable.* ——----frightful.—P. Danger.* --------(in pregnancy,) troublesome.—P. Approach- ing flooding.* [* In all these cases regard should be had to the patient's previous habit.] l6 DUE—EXP Dbeams, (in fever) hurried and violent.-P. Urli- rium. Dkowsimss.—P. Gout. ___________and stupor.—P. Smauurx (particulaily the confluent.) _____________heaviness and stupor.—P. Fit of asthma. _____________constant; the patient often falling asleep at meals, or during conversation; and, if awaked, soon falling asleep again; without fever.—D. Coma somnolentia/!.—P. Apoplexy. Dtsenteut.—I). Atonic gout in the bowels. E. Eahs soreness of the.—D. Catarrh. -----noise in.—D. Putrid fever. --------------, with excessive headach.—D. Phrenitis. Erir.KPTic paroxysms (in intermittent fever).—P. Dimmer. Enrii ations, flatulent.—D. Indigestion. Atonic gout in the stomach. ------------- nidorous.—D. Alkaline acrimony in the system. disagreeable and fetid.—D. Poison. Eruptions, see Skin. Erysipelas (in ascites).—P. Danger. E\pec:t'ihati<»> of matter sinking in water.—D. (gene- rally) Pus. (This, however, is by no means a certain criterion. Mucus is generally in rounded masses, often green or yellowish : pus flows more readily, is softer snd whiter, with little globules swimming through it; and, when mixed with a saturated solution of potash, a transparent tenacious jelly is separated, while the same solution produces no such change in mucus.) --------------of a caseous matter, curdling in water, round the edges of which pus is often ob- servable.--D. Phthisis (commonly in an early stage.) -----------------«>f purulent matter.—I). Phthisis. (Sometimes) Imposthume of the meseutcn-. EXP—EYE 17 Expectoration, (in peripneumony), more free, less glutinous, whiter, and approaching in the distinct clots to a globular form.—P. Favourable. Etes, peculiar whiteness in the transparent part of the cornea.—D. Abscess. . swelling of the opaque portion of the cornea, more especially in some particular part.—D. Abscess. -----pus in the aqueous humour, appearing as a white speck behind the pupil, or spreading all over it.—D. Deep-seated abscess. -----blindness coming on suddenly, continuing for some hours, or days, often recurring periodically.— D. Hysteria. i , ------witht he opacity of the crystalline lens or its capsule, which appears white, pearl-coloured, steel-gray, green, or yellow.—D. Cataract. .. f--------in, without any visible defect, except immobility of the pupil.—D. Gutta serena. (If it be attended with inability of moving the upper eyelid, Mr. Ware says, the disorder probably arises from a dilatation of the circulus arteriosus surrounding the sella turcica.) ------dimness of sight, with a whiteness very deep in the.—D. Incipient cataract. ,____sense of heat in.—D. Eating muscles, or something injurious. ----- rolling and starting.—D. Poison. -----loss of sight, with a dilated pupil, coming on suddenly.—D. Poison. _——. dilatation of the pupils.—D. Compression of the brain. -----pupil dilated, and scarcely contracted even by a strong light.—D. Hydrocephalus. -----double vision.—D. Hydrocephalus. -----turned upward, or contracted by a spasm, that occasions squinting.—D. Hydrocephalus. -----distorted, the white only appearing.—D. Epi- lepsy. _____yellowness of the.—D. Jaundice. Stone in the galUduct. 18 EYE Etes, watery—!>• Measles. -----unable to bear the light.—D. .Measles. -----heavy.—1). Yellow f-ver. _____red and heavy, sometimes with :i continual involuntarv motion of the lids.—D. Sunstroke. _____redoes1?, heat, sb'vness, and sense of distention in the eves and eyelids, with an unusual secretion of tears and watery mucus, which running down the cheeks inflame! them.S-D. Catarrh. -----mist before, by day, and want of sleep by night. —1). Nervout fever. -----fixed and red, with tears flowing from them.—D. Phrenitis. ---— lull, heavy, yellowish, a little inflamed.—D. Putrid fever. -----swelling and protuberant.—D. Scrofula. -----lids swollen and red, often agglutinated in the morning.—D. Scrofula. -----blackness in the lower lid toward the c:inthus. —D. Debility. -----the lids appearing fuller in the morning than in the latter p;irt of the day.—1). Anasarca. -----hollowness of the lids.—I). Empyema. -----lids swelled.—D. Measles. Eating muscles or something injurious. -----little specks appearing on objects, or small ob- jects seeming to float before the eve.—T). Gutta serena. (But these appearances may occur after exposure to a strong light, or from transitory debili- ty, and may continue for many years without any thing like blindness taking place.) -----blindness, temporary.—P. (Sometimes) Apo- plexy or palsy. -----pain in the balls of the (in pregnancy).—P. Approaching flooding. ----- inflamed redness of, with dry skin (in yellow fever).—Death in a few hours. -----apparently glaring on vacancy (in fever).—P. Danger. EYE—FAC 19 Etes, wildly staring (in putrid fever).—P. Great danger. -----dimness of sight (in fever).—P. Danger. ■-----sleep without closing (in fever).— P. Danger. -----double vision (in fever).—P. Great danger. -----too great brilliancy, or too quick motions of (in fever).—P. Delirium. . severe fixed look with (in fever).—P. J)< irium. -----glassy.—P. Approach of death. -----..lids paralytic, and iris immoveable (in hydroce- phalus).—P. Approaching death. F. Face, absence of all characteristic impression in the countenance,'a vacant stare accompanied with a kind of insensibility.—D. Fever. ____distortion and vacancy of countenance.—D. Palsy. ----sallow complexion, wanting transparency.—D. Enfeebled circulation. ----flushed cheeks, with an opaque, sallow whitenes about the lips and nose.—D. Debilitated constitution ----leaden complexion.—D. Splenalgia. ____pallid or leaden countenance.—D. Scirrhous tes- ticle. ----livid, with blackness and swelling of the lips.—D. Poison. ----flushed.—D. Yellow fever. ____circumscribed flush on the cheeks.—D. Hectic fever. ----swelled upper lip.—D. Scrofula. ----soreness of the upper lip, and about the nose and cheeks.—D. Scrofula. ____swelling of.—D. Eating muscles, or something in- jurious. , ----greater fulness of, in the morning, than m the latter part of the day.—D. Anasarca. ----puffed, particularly the nose.—D. Catarrh. ----countenance bloated.—D. Putrid fever. ____full, and of a purple colour.—D. Peripneumony. ----fulness of, with unusually florid complexion.—0 Scrofula. ■20 FAC—FiEC Fa™, pale and bloated.-D. Dropsy of the lungs. Scurvy. ----sunk.—D. Nervous fever. ____contracted, with a sorrowful aspect.—D. Hydro phobia. . , ____of a leaden paleness, except when flushed with luetic heat. —D. Abscess of the hip-joint. ----and arms emaciated.—I'. Ascites. ----(in fever,) character of, soon lost.—P. Danger. ----(in diseases in general,) a returning likeness to parents or ancestors.—P. Fatal. ----. (in peripneumony,) hippocratic countenance, with fluttering pulse.--P. Fatal. Fxces, chronic discharge of liquid, indigested aliment resembling chyle.—D. Caliaca passio. ------frequent discharge of, loose and watery, some- times mixed with blood. —I). Diarrhoea. (Without fever generally, but sometimes with more or less fever of the inflammatory kind.) ------frequent mucous or bloody stools, accompanied with much griping, and followed by a tenesmus, the ulvine faeces being for the most part retained ; fleshy or sebaceous lumps are sometimes discharged. (Attended with fever of the nervous and putrid kind, and considerable prostration of strength).—D. Dysentery. -----highly acrid and obstinate discharge of, re- sembling dysentery, and corroding all the parts they touch j attended with frequent convulsions and fixed pains.—D. Cancer in the intestines. ------purulent, preceded by throbbing pain in some part of the abdomen, with shivering and fever, and exacerbation of the symptoms in the evening.—D. Abscess in the intestines. ------accompanied with discharge of pieces of mem- brane.—D. Abscess in the intestines. ------accompanied with pus.—D. (Sometimes) Ab- scess of the mesentery. ------with an offensive, putrid smell, the food passing crude and undigested.—D. Diseased liver. F.EC—FAl -1 F.I-CF.S, pale and whitish.—D. Stones in the gall-duct. »aundice. _ ------blackish, and very offensive, often passing off insensibly.—D. Putrid fever. ———'involuntary discharge of.—D. Compression of the brain.—D. Great danger (in various diseases.) ------voided unconsciously (in hydrocephalus).—P. Approaching death. ------(in jaundice,) whiteness of, changing to a more natural colour.—P. Favourable. . (in splenalgia,) discharge of black bilious.—P. Favourable. •------ (in cholera morbus,) continual urging to discharge.—P. Fatal. ------(in fever,) scybala brought off with little straining or colic.—P. Favourable. .. liquid, frothy, watery, with little colour or smell.— P. A tedious disease. -------------a free and copious discharge of highly fetid and bilious (in the beginning of the disease).-^ P. Rather favourable. »------(in putrid fever,) ichorous and fetid.—P. Highly dangerous. ------(in bilious fever,) cadaverous.—P. Approach- ing death. ------(in hectics,) highly liquid and offensive.—P. Extreme danger. ------small, black, pitch-like.—P. Danger. Fainting, frequent, with pain in the region of the heart. -D. Carditis. .______with clammy sweats, and fixed pain in the stomach.—D Inflammation of the stomach. ______with sickness and acute pain in the stomach, coming on suddenly.—D. Poison. ______(in gouty patients).—D. Atonic gout in the head. —-— (in pregnancy).—P. Death of child, or approach- ing miscarriage. . (in canine appetite,) with a full stomach.—P. Danger (particularly if the breath fail at the same time.) 22 FAl—FEV Fainting, (in fever,) frequent, particularly on being raised to an erect position.—P. Danger. ______(in the paroxysms of intermittent fever.)—P. Danger. Fai>tness.—1). Putrid fever. _________(in pregnane}).—D. Internal flooding. [ -tcEs, heat in the—D. Catarrhal fever. ______ irritation in the larynx.—D. Catarrhal fever. .------heat, redness, and soreness in the tonsils and parts adjacent, accompanied with a secretion of watt n mucus occasioning a constant, troublesome, and tickling cough.—D. Catarrh. redness of the, accompanied with large, irregu- lar, red spots all over the skin.- - D. Scarlatina. (\\ hen ulcers in the throat are present, it is termed Scarlatina anginosa.) - inflammation beginning in the tonsils, affecting the mucous membrane of the fauces with redness and tumour, and attended with inflammatory fever.— D. Quinsy (Cynanche tonsillaris, Inflammatory sore throat.) ■ '■ tonsils and mucous membrane affected with tumours, redness, and mucous sloughs of a white or ash colour, spreading and covering ulcers, attended with typhoid fever and eruptions.—D. Quinsy (Cy- nanche maligna, erysipelatous, ulcerated, malignant, or putrid sore throat.) ------ inflammation in, with frequent vomiting, and unusual sensibili'.y in the stomach.—D. Erysipelatous inflammation of dry and rough.—D. Ichthyosis. -------------burning after eating.—D. Phthisis. FEV—HiEM 25 Fever, irregular, with considerable irritation qf the bewels.—D. Hydrocephalus. Worms? or a disordered state of the intestiiies. Fever, irregularly intermittent, commonly increased after eating and drinking, the chilliness sometimes returning in the middle of the hot fit, and the patient seldom totally free from fever.—D. Ileciic. ------ (in intermittents,) retardation of the paroxysms. —P. Decline of the disorder. .^___—__—--------earlier recurrence of the paroxysms.—P. Change to remittent or continued fever. Flatulency.—P. Gout. .-----------in the belly.—P. Hemoptysis. Bleeding piles. _____________considerable distention of the stomach and intestines by wind, which is plentifully dis- charged both upward and downward, with extreme anxiety, but without either vomiting or purging.— D. Dry cholera. „____________rumbling in the intestines, flatus ex- ploded with some violence, with a chronic discharge of liquid indigested aliment.—D. Cceliaca passio. _____________see also Stomach. Flooding, in the early months of pregnancy.—P. Abortion. ___________preceding delivery.—D. (For the most part) a dead child. Fietus, motion of, more languid and less frequent than usual.—P. Approaching death of child, or miscarriage. Food, see Appetite. G. Giddiness.—D. Compression or concussion of the brain. Atonic gout in the head. Nervous fever. Poison. -------(in pregnancy).—D. Internal flooding. _______with delirium and convulsions.—D. Poison from an overdose of Camphor. H Hemorrhage, see Blood. 24 HAN—HE A Hands weakness of the, preceded by pain in the bowils.—D. Colica Pictonum. ------see Palms. IIpah large, the sutures more visible, the fontanel often membranous, and the neck too weak to sup- port h. steadily.—D. Rickets. _____weakness of the.—D. Catarrhal fever. - loaded, especially the forehead over the eyes.— ■D. Influenza. -----heaviness of the.—D. Measles. _____sense of heat in.—D. Eating muscles, or something injurious. Headac-h.—D. Fever. Atonic gout in the head.—P. Gout. Fit of asthma. ________with a feeling as if a nail were driven into it. —D. Hysteria. ________attended with a sensation as if a cord were bound tight round the forehead.—D. Puerperal fever. —----severe.—D. Measles. --------. violent.—D. Sunstroke. with throbbing of the temporal arte- ries.—D. Yellow fever. Putrid fever. deep-seated, seeming to extend from temple to temple, and across the forehead.—D. Hydrocephalus. -------acute, produced by coughing.—D. Perip- neumonia not ha. violent, with sickness, preceded by fever.— P. Erysipelas. Heart, palpitation of, with pain, and fever.—D. Carditis. ---------------------, with sickness, and acute pain in the stomach, attacking suddenly.—D. Poison. ---------------------often excited by a slight cause, as commotions of the mind, flatulent aliment, or costiveness.—D. Polypus in the heart, or in the large vessels near it. Heartirjit.N.—1). Indigestion. -----------with bilious evacuatior s.~D. Bilious fever. HE A—IND "25 Heartburn, with pain in the region of the liver.—D. Obstruction in the gall-ducts. Heat of the body, fiery to the touch, though unequal in different places ; often less in the extremities, if they be not actually cold; internally violent.—D. Ardent fever. _______________. burning, with bilious evacuations.— D. Bilious fever. _______________coming on toward night.—D. Ca tarrhal fever. _______________alternating with cold.—D. Peripneu- monia notha. -----at the extremities of the fingers.—D. Empy- ema. -----sensation of, in the sternum.—P. Hemoptysis. Hectic fevek, with thirst, and extreme feebleness, subsequent to a tumour and sense of weight in the region of the liver, which have been preceded by signs of inflammation and suppuration there.—U. Advanced stage of suppuration in the liver. -----------continual, with oppressive uneasiness in the belly, discharge of a sanious matter by stool, and sometimes pain and beat in the intestines.—D. Abscess of the mesentery. iIiccough.—D. Hernia. Atonic gout in the stomach. Inflammation of the liver. Paraphrenitis. Poison: ________brought on by swallowing the miidest liquids.—D. Inflammation of the stomach. -------- (in ischury).—P. Unfavourable. --------(in inflammation of kidney).—P. Highly dangerous. --------(in cholera morbus).—P. Fatal termination. --------(in dysentery).—P. Fatal termination. Hoarseness.—D. Measles.—P. Hemoptysis. ----------see Speech. Hvhrophobia (probably a dread of drinking from pain previously experienced).—D. Inflammation oj t/ie stomach. I- Ixdigestion.—D. Atonic gout in the stomach.—V. Gout' C . 26 KID -LIP K. Kiunet, after symptoms of inflammation in, remission of the pain, succeeded by a pulsation, a frequently returning horror, a weight a stupor in the part, with heat and tension, and purulent urine.—1>. Abscess in the kidney. L. Laviuoh.—D. Catarrh. Stone in the gall-duct.—P Fever. Fit of asthma. --------universal.—D. Catarrhal fever. -------and aversion to motion.—P. Ascites. Lariw, see Fauces. Lassitude.—P. Gout. Fever. ----------uneasy, in the limbs.—D. Yellow fever ----------universal.—D. Putrid fever. ----------great.—D. Nervous fever. ----------extreme.—D. Ardent fever. • Laughter, involuntary.—D. Hysteria. ----------risus sardonicus.- -D. Wound of the dia- phragm. Paraphrenias. Acrid (vegetable?)poison. Legs, heaviness in the.—D. Gout. Morbus niger. ---- immobility of the.—D. Inflammation of the kid- neys. ----crossing in walking, and the knees involuntarily bending forward on standing.—D. Caries of the lumbar vertebree. ----uneasy sensations in, with the habit of drawing them up when sitting.—D. Caries of the lumbar vertebra:. ----see also Thighs. Letiiahuy.—D. Poison. Lips, the upper apt to swell, and chap, or become sore.—D. Scrofula. ----crack in, gradually widening, and assuming the pamfulness and other symptoms of cancer.__D Cancer. LIP—MOU 2r Lips and teeth furred with a black tenacious sordes. —Putrid fever. Liver, pain in,-remitting, followed.by a pulsation in the part, and shivering, with a yellowish countenance. —P. Suppuration in. _____tumour and sense of weight in, subsequent to the preceding symptoms.—D. Suppuration in. ------pain about the region of, without any ciiange in the pulse.—D. Stone in the gall-duct. Loins, a painful weight in, reaching to the thighs (in pregnancy).—P. Death of child, or approaching mis- carriage. (The pains increase, and extend to the hips, as the miscarriage draws nearer.) M. Melancholy.—D. Atonic gout in the head. Hydrophobia Motion, aversion to.—P. Ascites. ________slight, irregular, involuntary of different muscles, particularly if between the ages of 8 and 14. —P. St. Vitus''s dance. ________convulsive, more or less violent, of various muscles; none of them, in performing the most usual actions, appearing to be under the perfect control of the will.—D. St. Vitus's dance. ________one of the toes dragging a little in walking, and the limb moved circularly.— D. Palsy. Abscess of the hip joint. (The latter is distinguished by no other part being affected beside the diseased limb.) _______of picking dark spots from the bed-clothes, or desire tu have them removed (in fever).—P. Danger. --------loss of, see Sense. Mouth, ulcers in the.—D. Alkaline acrimony in the system. _____bitterness in the.—D. Alkaline acrimony in the system. -----dry.—D. Ardent fever. --------and clammy.—D. i'ejer. >2* MOU—NOS Mouth, dry, with a bitter taste in.—D. Obstruction of the gall-duct. . • ______ nauseous taste in.—D. Bile or putrid matter m the stomach. ______unusual flow of saliva from, though the fauces are drv.—D. Hydrophobia. ------fi-oth forced through the closed lips with a hissing noise.— D. Epilepsy. (Impostors in the streets often imitate this symptom by the help of a bit of soap concealed in the mouth.) ------redness in, as if excoriated.—D. Eating muscles, or something injurious. —— drawn down on one side.—D. Palsy. ------salt taste in the.—P. Hemoptysis. Musclks extenuated, particularly those of the neck.— D. Rickets. --------flexor, particularly the calves of the legs, shrinking of, sometimes with irregular hardness in them.—D. Scwvy. N. Nails, lividness of the.—D. Poison. -------------------(in cholera morbus).—P. Fatal termination. Nausea.— I). Fever. Ctnfluent small-pox. Scirrhous testicle. Eating muscles, or sometfdng injurious. ------accompanied often with a gnawing pain at the stomacii, and heat of the praecordia.—D. Ardent fever. ------with bilious evacuations.—D. JJ'liout fever. ------sometimes with a discharge of blackish or bilious matter.—I). Putrid fever. ------and anxiety, very great.—1). JIbscess of the, xpi'.ai ready to break. (This is for the most part easily perceived by the pressure of a linger.) Nose dry.—An!'-nt fever. ----heat in the nostrils attended with sneezing.—]). Catarrhal fever. ----sense of stuffing and swelling in the nostrils, with alteration in the voice, and loss of smell; if the NOS—PA1 29 inflammation run high, a thin mucus is secreted, w hich produces heat and soreness of the nostrils, sneezing, and sometimes inflammation with excoriation of the upper lip.—D. Catarrh. Nose, tickling of, with frequent and violent sneezing.— D. Influenza. ----discharge of acrid serum from, with frequent sneezing.—D. Measles. O. Oputhalmt.—D. Suppressed gonorrhoea. Gout. P. Pains, flying, increased greatly toward the evening.— D. Nervous fever. ------in the bones, chiefly the long and hard; often in the skull, particularly over the eyes and at the bottom of the orbits.—D. Lues venerea. ------violent and continued, over a bony part, with symptoms of inflammation, and irregular shiverings. __D. Abscess of the periosteum. (If the matter col- lected be little, there is often no tumour.) _____in a joint, with a sensation as of cold water poured on the part, followed by a shivering and some degree of fever, the pain commonly increasing for twelve or twenty-four hours.—D. Gout ______of the joints or muscles, much increased by motion, more or less erratic, and alleviated by the heat of the bed or other external heat.- D. Chronic rheumatism. (In general the joints are rigid, weak, readily or spontaneously growing cold, and for the most part without any swelling.) ------about the joints, following the course of the muscles, affecting the knees and laiger joints rather than those of the hands and feet, attended with fever, and increased external heat.—D. Acute rheumatism. ______in the cicatrix of a wound from a bite; some- times with flying spasmodic pains in other parts, or 30 PAI a dull pain in the head, neck, breast, belly, and along the backbone.—D. Hydrophobia. Pains, in the head, as if a nail were fixed in it.—D. Hysteria. ----■— burning, and extensive in the head, with a sense of ebullition in it; attended by a strong incli- nation to sleep, but the patient cannot sleep, or awakes presently with little or no relief; unaccom- panied by delirium.—D. Coma vigil (always asymp- tomatic disease: often attends acute fever).—P. Occasionally it is the prelude of phrensy, sometimes of h emiplegia. ----- across the forehead, with heaviness of the head. —D' Measles. ----- in the temples, over the eyes, and in the bottom of the orbits.—D. Putrid fever. -----constant, in the occiput.—D. Phrenitis. ------violent in the head and back.—D. Small-pox (most violent in the confluent.) -----deep-seated in the nose, eyes, and cheek, some- times severe in the frontal sinuses, and, after a time, perhaps a discharge of offensive matter from the nostril of the affected side, particularly on inclining the head to the other.—1). Abscess in the maxillary sinus. ------violent, in the cheek at the zygomatic process, with continued convulsive agitation of the adjacent muscles. —D. Trismus doloriflcus, tic doloureux. »-----slight, wandering, about the nape of the neck or upper extremities.—D. Hydrocephalus. -----at the clavicle and top of the right shoulder.— D. Inflammation of the liver. ------in the breast, extending to the arms, at first only to the deltoid muscle, but in succession to the elbows, wrists, and fingers' ends, coming^ on while walking, and ceasing on standing still; in time it does not cease so suddenly on standing still; will come on even in bed; and may be brought on by coughing, swallowing, speaking, or any sligltt disturbance of mind.—D. Angina pectoris. PAI 31 Pains, behind the sternum, in swallowing only, the breathing not being affected.—D. Angina pharyng dis- tinguished from psoas abscess chiefly by the difficulty of bending the body in the latter, and pain in the back on attempting it, or on turning out either toe.) Fains \iolcnt. underneath the flexor tendons of the fingers, and at the internal condyle of the humerus. — U. Paronychia. (If the pain of the condyle be absent, the abscess is underneath the periosteum. In this case, too, the pain and fever are not quite so great, and the swelling and tension of the finger are less.) .______in the eyeballs (in pregnancy).—P. Approach- ing flooding. —-----in the loins, extending to the thighs and to the hips, with a sense of weight in (in pregnancy).—P. Death of child, or approaching miscarriage. ------heavy, dull, with weakness, in the backbone, attended with great lassitude.—P. Distortion of the spina from caries. .....about the os sacrum.— P. Bleeding piles. ------ oppressive, undulatory, about the diaphragm. —P. Ilamoptyum ■ about the navel, head, and eyes (in pregnancy). —P. Dce.ili of child, or approaching miscat i-iuge. - — in.the region of the liver, remitting, followed by a pulsation in the part, shivcrings, and a yellow- ish countenance.—P. Suppuration in the liver. ------ throbbing, in the abdomen, followed by shi- vcrings and fever, with exacerbation of the symp- toms in the evening.—P. .ibscess in the intestines. ---,---tensive in the abdomen, with a sense of weight, preceded by the s} mpioms just mentioned.—P. Breaking of an abscess in the intestines. ------in the belly, like a eolic, and sometimes more like labour pains (in pregnancy).—P. Death of child, or approaching tnincmriage. • spasmodic in the bowels.—P. Ill nlingpiles. • slight, in passing the urine.—P. Gout. -----— and coldnesa in a limb, with a sensation as if wind or cold water were passing down it.—P. Gout. PAI—PUD 37 Paivs about the great trochanter, attended with lameness and swelling in the hip, and a shortening of the leg on the side affected (coming on gradually, and not by accident, as in cases of luxation or frac- ture).—P. .ibscess in the hip-joint. ------creeping, pricking, in paralytic parts.—P. Favourable. ... (in colic,) very violent, with a shivering fit at the attack.—P. Inflammation and great danger. .--------■ violent, continuing to increase, and then suddenly ceasing.—P. Mortification and death. ------(in dysentery,) and thirst suddenly ceasing.—P. Fatal termination. Palms of the hands thickened and brittle, with large painful fissures.—D. Ichthyosis. -----------------occasional redness and heat in.—D. Obstructions of the gall-ducts. -----------------burning heat in, after eating.—D. Phthisis. -----------------dry and hard.—P. Ascites, Palsy.—D. Atonic gout in the head. ------of the lower limbs, coming on gradually.—U. Distortion of the spine from caries. Penis, see Pudendum. Perspiration, see Sweating. Pervigilium, see Watchfulness. Piles.—1). Atonic gout in the rectum (often terminating in fistula.) Posture, uneasiness from lying on the left side.—D. Scirrhous liver. Inflammation of the liver. —-----(in fever) if the patient soon decline turning on his sides, and sink down in his bed.—P. Danger. ------(in hydrocephalus,) the patient unable to bear any bat the horizontal, and keeping the hands gene- rally about the head.—P. Approaching death. Phjecordia, see Thorax. Pudendum, discharge from, of a pale or whitish colour; when the disorder is more virule'i , it appears of different shades, from a slight yellow to a green wr r d oi i* id blackish green, and is then more or less fetid.— It- Fluor albus. (At first this discharge occurs only at intervals, generally succeeding that of the menses W hen more constant, it ceases during the time ol the menstrual discharge, which that of gonorrhoea does not. A discharge from internal ulceration or abscess will have been preceded in general by in- flammation, or may be traced to some violence: that from cancer will discolour polished silver, and is attended by violent lancinating pains at the bottom ' of the belly.) Pudemicm, discharge from, saniousand acrid, changing the colour of blight silver, sometimes bloody, or accompanied with sloughs.—1). Cancer in the womb. ----------oedematous swelling of the labia (extending along the thigh, if the inguinal glands be obstructed). —D. Cancer in the womb. (Sometimes, however, it occurs during pregnancy.) -----;—— discharge or a puriform matter from the vagina in women (not ceasing during menstruation,) or from the ureihra in men, attended with ardor urina..—D. Virulent gonorrhoea. —--------whitish and mild discharge from the urethra in men, producing no excoriation or other disorder in the parts—D. Gonorrhoea benigna. (When it succeeds virulent gonorrhoea,) Gleet. —■-------frequent erections of the penis, particu- larly in bed, with downward incurvation of it, and great pain.— D. Virulent gonorrhoea. -----;----swelling of the glans penis, and inflam- mation of the prepuce, which cannot be drawn forward.—I). Paraphimosis. ----------swelling and inflammation of the prepuce, so that the glans cannot be uncovered.—I). Phimosis. —-----;— puriform discharge from the corona glandis.—D. Spurious gonorrhoea. —~-------(m pregnant women,) watery discharge from, becoming bloody, afterward blood, pure or clotted; discharge of a flesh-coloured, flaky sub- stance with the water.—P. Approaching mitcarriage. PLL 39 (The last of these symptoms is the most certain sign.) Pulse that strikes the finger weakly, and can be stop- ped by a slight pressure.—D. Great debility. ------seeming to throb, or the artery, on its dilata- tion, to hang on the finger as if unwilling to leave it, thougli apparently strong.—D. Debility (the seeming strength of the impression being caused by ir- ritation.) -------unusually slow, sometimes sinking to forty in a minute, often irregular.—D. Hydrocephalus. (Digi- talis sometimes renders the pulse extraordinarily slow ; so does hyoscyamus.) ■ soft, commonly weak, and sinking on bleeding, with loss of sense, or vertigo.—D. Concussion of the brain. ------■ small, languid, and oppressed.—D. Dropsy of the lungs. ------■ —— weak, and frequent.—D. Nervous fever. ■------. ----but quick, sometimes sensibly remitting, attended with bilious evacuations.—D. Bilious fever. ------ ■ irregular, intermittent, with pain in the region of the heart.—D. Carditis. -----------quick, hard, and intermitting, with a fixed, burning pain in the stomach.—D. Inflammation of the stomach. . .----and unequal, with acute pains in the stomach coming on suddenly.—D. Poison, .----.— —— and hard.—D. Phrenias. . ----at the wrist, while the temporal arteries throb.—D. Putridfever. -------quick and weak, and continuing more or less so in the remissions.—D. Hectic fever. ------- — low; often intermitting.—D. Morafl- cation. .-----------and fluttering, or unequal and languid.— D. Hysteria. ------. frequent; sometimes small and unequal.—*D. Cholera morbus ------very frequent, small, often irregular.—D. Paraphrenias. 40 PFL Pulse, frequent, attended with increased heat, pre ceded by chilliness.—D. Fever. —— rapid and weak.—D. Puerperal fever. ------ low and quick.—D. Diubetcs mellitus. ----------and frequent.—1). Influenza. (Sometimes, though rarely, it is hard.) ■■ fuller and quicker toward night.—D. Catarr- hal fever. ------high and quick, but not hard.—D. Yellow fever. •------hard, with colicky pains and vomiting.—D. Incarcerated hernia. (If it becomes softer and more regular, with cold sweats, mortiflration of the intestine is taking place : and if this be succeeded by a small, frequent, and tremulous pulse, the mortification is in a more advanced stage.) ------—- ami strong at the beginning of the disease, but (in the true peripneumony) frequently soft, and apparently labouring with a distressing load, and at last weak, fluttering, irregular, and indistinct.—D. Peripneumony. ------remarkably hard, vibrating and strong.—D. Pleurisy. ------very irregular.—D. Hydrops pectoris. ■-------------------and labouring.—D. Hydrops pe- ricardii. —----unequal, intermitting, irregular, hard.—D. Paraphrenias. '---;--------------->------often accompanied with fainting, difficulty of breathing, or a fixed pain about the heart.—D. Polypus in the heart, or in the large vessels near it. -------------and languid, or quick and fluttering.— D. Hysteria. ------failing and fluttering (in pregnancy).— ]) Internal flooding. - very quick, in complaints in which the circu- lation is not usually' much affected.—P. Great danger. ----■— rapid, very small, and scarcely distinguishable, with cold extremities, clammy sweats/ dull eyes, PUL 41 features sunk and void of expression, and a hollow- ness particularly at the temples.—P. Approaching death. Pulse, intermitting (unless habitual, which is not uncommon).—P. Danger. (In a person whose pulse was usually 75, 1 have known smoking a small quantity of miid tobacco produce an intermission, after every third or fourth stroke, so great as to reduce the pulse to 40 in a minute. The pulse did not entirely recover itself till the third day. A some- what similar effect was produced by sitting in company with a person smoking.) ------------------returning at the close of a long fever, in a person in whom it is habitual, after having been regular from the commencement of the disease, if combined with other favourable symptoms.—P. Favourable. ----- (in fever,) very quick, low, intermitting.—P. Danger. (The quickness of the pulse is relative. In a healthy infant, during the first year, its range is from 120 to 108 : in an irritable female it may have this quickness from the beginning of a fever; while in a very old person, in a dangerous state, it may not exceed 80. In general however, if the pulse exceed 112 in the first eight or ten days of a fever, there is danger; and, if at any period it exceed 120, serious apprehensions are to be entertained.) ---------------of 120, in an early stage (unless in a peculiarly irritable habit).—P. Danger. ---------------above 120, at least considerably so, except for a very short time, in any stage.—P. Danger. ------(in fever,) becoming more thready, as if the artery were smaller, the pulsations quick, weak, and irregular.—P. Unfavourable. ------------------------more soft, somewhat fuller, and in a slight degree more slow.—P. Favourable. ------t,in peripneumony,) fluttering, irregular, and indistinct.—P. Fatal. ------(in hydrocephalus,) quickening, till at length D 2 42 pll—si:n it becomes tremulous; with laborious breathing, and excessive heat.—P. Approach of death. Pulse, rebounding.—P. Approaching critical hemorr- hage from the nose ? Purging, brought on by swallowing the mildest liquid^ —D. Inflammation of the stomach. .-■ ■ see Diarrhoea, Dysentery, and Fxccs K. Respiration, see Breathing. Restlkssness.—D. Ardent fever S. Saliva, viscid, with pain in the region of the liver.— D. Obstruction of the gall-ducts. ------salivation induced quickly by a slight dose of mercury.—1). Scurvy. ---------------coming on at the eruption of small- pox, or a day or two after.—I). Confluent small-pox. ------bloody, (in putrid fever).—P. Danger. Sknsb, temporary loss of.— 1). Compression or Con- cussion of the brain. (If there be no disehargc of blood from the nose or ears, and no apoplectic stcrtor, it is most probably concussion ; the great distinction of which is, that the pulse is soft, often weak, and sinks on bleeding.) —— abolition of the powers of, with oppressed respiration, and frequently a snorting.—D. Apo- plexy. (If the pulse be strong and full, the visage red and bloated, the neck swelled, and the respira- tion oppressed and loud, with a little hoarseness, it is sanguineous .- if the pulse be weaker, the visage pale or far less ruddy, and the breathing less oppressed, serous or spasmodic apoplexy.) —-— and motion, abolition of, the patient continuing in the posture in which he was attacked, and the limbs retaining any position in wbich they may be placed by others; he swallows greedily all that is SEN—SKI 43 given him; the countenance becomes florid; the eyes open, and seemingly fixed upon some object. The fit usually lasts only a few minutes, but some- times hours, or even days.—D. Catalepsy. Sense and motion, abolition of sudden.—1). Epi- lepsy. Shivering, frequent, in cases of topical inflammation. —D. Formation of pus. --------irregular, with evident inflammation and pulsation in the part.—I). Abscess of the periosteum. ---------and chilliness, succeeded by frequent pulse and considerable heat.—D. Fever. ---------transient, soon succeeded by a burning heat all over the body, but more particularly about the praecordia.—I). Yellow fever. ---------with coldness of the skin and extreme parts, coming on in the evening.—I). Catarrhal fever. ---------and chilliness, immediately followed by extreme heat.—D. Small-pox. ---------severe, attended with peculiar debility, coming on in the evening of the third day in child- bed women.—D. Puerperal fever. ---------succeeded by burning heat, violent head- ach, and sickness.—P. Erysipelas. ---------(in pregnant women).—P. Death of child, or approaching miscarriage. Sickness, see Stomach. Sight, see Eyes. Skin, lax.—D. Rickets. ---coldness of, and of the extremities, with shivering coming on in the evening.—D. Catarrhal fever. ---- clammy.— 1). Abscess of the hip-joiut. —— generally dry, with profuse clammy, debilitating sweats occasionally.—D. Nervous fever. ---growing hot toward night. — D. Catarrhal fever. ----hot and dry.—D. Sunstroke. Puerperal fever. —— dry.—D. Peripneumony. —— constantly dry.—D. Influenza. —— dry and fiery hot to the touch, but unequally in 44 SKI different places, and often less so in the extremities. if these be not actually cold.—D. Ardent fever. Ski\, dry and parched, sometimes scaly.— 1). Diabetes meliitus. ---- harsh, scaly, and almost horny; differing from leprosy in not falling off in branny scales.—I). Ichthyosis. (Above and below the elbow and knee the scales are small, rounded, papillary, and of a black colour, with short, narrow necks, and broad, irregular tops; elsewhere they are large and im- bricated, and sometimes divided by whitish furrows. The inner part of the wrists and hams, inside ci the elbow, furrow along each side of the spine, and inner and upper part of the thigh, are usually free.) ----thick, wrinkled, rough, unctuous, and divested of hair, chiefly on one of the legs, which becomes greatly enlarged.—D. Elephantiasis. ----intolerable itching of, someti i es attended with small, white, hard tubercles, generally with j. dark, irritable point; sometimes with longer tubercles resembling wheels; and commonly a redness of the intervening skin.— I). Nettlerash. ----a great number of small ulcers on, crowding together, creeping, and difficult to heal.—D. Tetter. (Of this there are several varieties. The dry tetter, herpes farinosus, consists of broad patches of small red pimples, attended with a troublesome itching, which soon fall off in the form of a white powder like fine bran. It occurs most frequently on the face, neck, arms, or wrists. The herpes pustulosis appears at first in separate pustules, that run to- gether, containing a thin watery serum, which at length turns yellow, and, exuding from the whole surface of the part affected, dries into a thick scab. It is most common in children, and its seat chiefly the face, behind the ears, or on some part of the head. 'Che herpes miliaris, shingles, appears in clusters on the neck, breast, loins, hips, or thighs, the heads white and watery, succeeded by a small :ound scab resembling a millet seed. The matter is SKI 45 exceedingly glutinous. They are generally attended with inflammation, and sometimes fever. Occasionally the pimples form in distinct circles, or portions of a circle, and then the disease bears the name of ringwoiin. The herpes exedens is most common about the loins. It consists of small ulcerations, always attended with more or less erysipelatous inflammation. The discbarge is thin and acrid, and though the ulcers seldom proceed beyond the true skin, yet they sometimes extend to the cellular membrane, and even to the muscles themselves. Both the herpes exedens and herpes miliaris some- times completely encircle the waist, forming what is termed the zona ignea,- which no doubt indicates '. a virulent degree of the disease, though not its proving necessarily fatal, as old women have absurdly supposed.) Skin, eruptions of a pale red, as large as the head of a small pin, appearing here and there, from the third to the fifth day after an attack of fever, first on the face, afterward on the neck, breast, and body; these grow daily fuller, and about the eighth day from the commencement of the disease, the spaces between the pustules grow red and swell; the eyelids some- times swell so as to close the eyes, and look like a shining, inflated bladder; the pustules on the face begin to grow rough and whitish, and gradually discharge a yellow matter; those of the hands and other parts appear smoother and less white : on the eleventh day the inflammation and swelling abate, and the pustules, which are about the size of a pea, begin to dry and scale off.—D. Distinct small-po.c. (In the confluent small-pox, the eruption appears more like an efflorescence, comes out on the second or third day, and the fever continues, instead of going off'on the eruption appearing; the pustules do not rise so high, but run together, appearing at first like a red bladder, and then like a thin white pellicle rising but little higher than the surface of the skin After the eighth day this pellicle grows gradually 46 SKI harder, and inclines to a brown colour instead of yellow. The earlier the eruptions appear, the darker they are; and the longer they continue, if untouched, the more violent the disease.) Skin, eruption, after a slight fixer often unnoticed, of small, red protuberances, not perfectly round, with a flat shining surface, in the centre of which a minute vesicle is soon formed; they generally appear first on the breast and back, afterward on the face and extremities: on the second day the vesicle is filled with a whitish lymph, which gradually grows yellow- ish : by the fourth day many are broken or begin to shrink: few remain entire on the fifth day: on the sixth small brown scabs appear in the place of the vesicles, which become yellowish, dry gradually from the circumference toward the centre, and on the ninth or tenth day fall off, leaving red marks on the skin, without depression.— D. Varicella, Chicken- pox. — eruption of conoidal or pointed pustules, con- taining a bright, transparent lymph, and with a hard inflamed border: on the second day they appear more turgid, and surrounded by a more tensive inflam- mation : on the third day they become shrivelled, and such as have been broken have a slight gummy scab on the top: some of the shrivelled vesicles, which remain entire, have much inflammation round them, and evidently contain a purulent fluid; these, after scabbing, leave a durable cicatrix, or pit: on the fourth day tb'>«, dark brown sca'is aopear, intermixed with others, which are rounded, yellowish, and semi-transparent: these scabs gradually dry, and fall off in four or five days. Fresh eruptions usual!} take place on the second and third days ; and as each net has a similar course, the whole duration of the eruptive stage is six days, so that the scabs last formed are not separated till the eleventh day.—I). Varicella, Stvine-pox. -----------of vesic'es, large and globated, but not exactly circular at the base ; there is an inflammation round them, and they contain a transparent lymph, SKI 47 which on the second day of the eruption resembles whey : on the third day they subside, and become puckered or shrivelled, as in the two former species; they likewise appear yellowish, a small quantity of pus being mixed with the lymph: some of them remain in the same state till the following morning, but before the conclusion of the fourth day the cuticle separates, and thin blackish scabs cover the bases of the vesicles: the scabs dry and fall off in four or five days. The eruption is usually com- pleted in three days: but sometimes a few fresh vesicles are observed on the fourth, in which case the eruptive stage occupies eight days.—D. Varicella, Hives. Skin, vesicular eruptions, the size of a hazel nut, commonly appearing first on the arms, collapsing in two or three days after exuding a little serous matter, preceded and accompanied by feverish symptoms of the low kind, sometimes very slight, in other cases highly putrid.—D. Pemphigus. ----small, red spots, the tops of which soon appear like little white pustules, which dry and scale off in branny crusts, attended with a prickling sensation. The perspiration has a peculiar frowzy smell.—D. Miliary fever. ----■-----------------crowded together, scarcely prominent, but distinguishable to the touch, ap- pearing about the fourth day after an attack of fever, and changing after three days to furfuraceous scales. —I). Measles ----covered with red spots, more numerous, larger, and redder than those of the measles, but not so uni- form, attended with a redness of the fauces.—D. Scarlatina. (If the throat be ulcerated, it is called) Scarlatina anginosa. ----red patches on, variously figured, in general confluent, or diffused irregularly over the body, leaving interstices of a natural colour, and usually accompanied with general disorder of the constitution. —D. Rash. 48 SKI Skin, spreading redness of, running quickly into small blisters filled with a watery humour, which dry and scale off, but sometimes with a more glutinous fluid, when they form a thick scurf.—D. Erysipelas. (If the disorder spread round the waist like a belt, it in tsrmed shingles, or zona ignea.) ■---redness of, appearing first in the face, and thence extending to the neck, breast, and by degrees over the whole body, attended with intolerable itching, and marked with an infinite number of minute parts of a deeper red than the rest.—D. Eating muscles, or something injurious. ----purple eruptions, and livid, gangrenous spots on. —D. Poison. ----copper-coloured spots on the breast, the arms, and the face, particularly on the forehead, and round the roots of the hair, by degrees becoming scaly, and occasionally discharging a thin fluid, which forms a scab.— 1). Lues venerea. ----differently-coloured spots on, most commonly livid, particularly at the roots of the hair.— I). Scurvy. ----yellow.—I). Jaundice. Stone in the gall-ducts. Bilious fever. Yellow fever. Bite of a viper. ----blackness in.—D. Morbus niger. ----growing pale, and afterward yellowish.—P. Ascites. —— (in measles,) livid spots on, (with delirium, and coldness of the extremities.—P. Fatal. ----(in putrid fever,) red rash on.—P. Favourable. --------------------inflamed scab below the nose, on about the lips.—P. Favourable. ---------■----------purple or livid spots on.—P. Higldy dangerous. ----(in yellow fever,) becoming of a brighter yellow the fourth day after the attack.—P. Favourable. 1 continuing dry and rough.— P. Generally fatal. -----------------------■ dark spots on.—P. Fatal. ——————---- ■. dry, accompanied by an in- flamed redness of the eyes.—P. Death in a rew hours. SLE—SPA 49 Sleep, at times apparently sweet and easy, but in general disturbed, and interrupted occasionally by a violent scream.—D. Hydrocephalus. ------occasional dosing and sighing.—D. Hydroce- phalus. ------unquiet.—D. Catarrhal fever. ______want of, by night.—D. Nei-vous fever. ------little and disturbed.—D. Phthisis. ------disturbed, with convulsive agitations on waking. —D. Hydrophobia. ------starting from, with a sense of suffocation—D. Hydrops pectoris. ------loss of, with drowsiness, and occasional delirium on being roused.—D. Sunstroke. ------heavy, with scarcely any intervals of waking; attended with such a stupidity and forgetfulness, that the patient forgets to proceed in whatever he begins to do ; pulse frequent.—D. Lethargy .—V. (In fever,) Danger. ______profound, from which the patient is with great difficulty roused: though he seems sensible of pinch- ing, or pricking him with pins, he either does not speak, or utters scr.ie incoherent words, and imme- diately relapses into his former state.—D. Cants.— P. (If on critical days in acute fevers, with a sweat, and the countenance not changed) Recovery. (If the countenance sink, and the patient's strength being exhausted, he lie apparently senseless and motionless) Death in a day or two. (If early in acute fevers, and convulsions and hiccough come on) Approaching death. ______(in fever,) refreshing, though short and inter- rupted, and the patient sensible of having slept.—P. Favourable. ______disturbed.—P. Fit of asthma. Sleeplessness.—D. Stone in the gall-ducts. Smell, fetid, of the whole body.—D. Poison. Sneezing, see Nose. Spasms of the extremities.—D. Advanced stage of cholera morbus. E 5» SPA—STO Spasms of the abdominal muscles, .ind of the whole body.—D. Violent degree of cholera morbus. ------general spasmodic contraction of all the muscles. —D. Tetanus. (If the body be rigidly bentforward,) emprosthotonos: (if backward,) opisthotonos. (if to one side,) tetanus lateralis. Speech, hoarse, with a slight cough.—D. Ardent fever. ------loss of, entire or partial.—D. Swelling of the glotas and fauces. Compression of the trachea. Wounds of the nerves of the larynx. (If only one of the recur- rent nerves be cut, the pronunciation is imperfect; if both, the speech and voice are lost.) Palsy of the tongue. Hysteria. Repelled cutaneous erupaont. Obstructed periodical evacuations. Spasmodic affecaons. Worms. Fear. Too free use of spirituous liquors. Poison.—P. An approaching hemiplegia or apoplexy ,- or, if it succeed either of these, and be complicated with a weak memory, and a sluggishness of the mental powers, its return. ------see also Voice. Spine, see Back. Spirits, dejection of.—D. Atonic gout in the head.—P Gout. -----------_-------—great.—D. Putrid fever.' ---------------------excessive, with bilious evacua- tions.—D. Bilious fever. Stomach, sudden and transient distention of the.—D. Indigestion. --------load at, attended with pain and heat.—D. Putrid fever. --------sense of weight in the region of, without any manifest hardness or tumour in the hypochondria, particularly if there be other symptoms of latent obstruction in the abdominal viscera, and still more if on pressing near the side of the stomach a tumour be perceptible, and pain occasioned.—D. Abscess of the pancreas. --------oppression at the region ©f the.—D, Ncrv- ous fever ST© 5.1 Stomach, oppression atthe,after eating.—D. Splenalgia. ---------sickness in the.—D. Alkaline acrimony in the system. Indigesaon. ---------oppression and a sense of fulness in the.—D. Stone in the gall-ducts. -------------——— considerable in, at times.—D. Hydrocephalus. ■■ unusual sensibility in, with frequent vomiting, and an appearance of inflammation in the mouth and fauces.—D. Erysipelatous inflammation in the stomach. ---------pain in the region of the.—D. Indigestion. ---------------severe, pricking, with a discharge of matter resembling chyle.—D. Coelica passio. —;--------------- with want of appetite, anxiety, frequent vomiting, an unusual sensibility to acrids, some thirst, and frequent pulse.—D. Erysipelatous inflammation of the stomach. (If accompanied with diarrhoea and mucous discharge from the rectum, the inflammation extends farther than the stomach.) ■ ----pungent, fixed, burning, with dis- tention, sometimes pulsation, and external soreness; the mildest drinks increase the pain, and bring on sickness, vomiting, purging, or hiccough.—D. Acute inflammation of the stomach. ---------acute pain in, with vomiting of blood and bile, coming on suddenly by fits, with as rapid alternations of relief.—D. Poison. • pain, burning, at the scrobiculus cordis, with a sense of constriction as if the stomach were drawn toward the back, increased by raising the body to the erect posture, often very severe, and followed by an eructation of a thin, watery fluid, sometimes acrid, but more frequently insipid.—D. Pyrosis. -------— flatulency in the.—P. Fit of asthma. Gout. ---------sense of straitness and fulness about the pit of the.—P. Fit of asthma. --------sickness in the.—P. Gout. Fit of asthma. --------(in inflammation of,) cessation of pain, with coldness about the prsecordia, languid or intermitting pulse, and a calm serenity.—P. Death. ~--------see also Flatulency. 52 S TO—SWF- Stool, *ee Faeces. Stiikngth, decrease of, with wasting of the flesh.— D. Atrophy. -----------great diminution of.—J). Nervous fever. Measles. -----------(in inflammation of the kidneys,) sudden and considerable loss of.—P. Highly dangerous. Stupor.—D. Catarrh. ------and sleepiness—1). Small-pox. ------drowsiness and heaviness.—P. Fit of asthma. Swallowim;, difficulty of.—1). Catarrhal fever. In- flammaaon of the stomach. ----------—------------with a particular dread of liquids.—1). Hydrophobia. Hysteria. Epilepsy. Fe- vers from topical inflammation of the thorax or neigh- bouring parts. Inflammation of the stomach. ——————----(in fever,) when not merely from the state of the tongue.—P. Danger. Sweating, tendency to.—D. Small-pox (generally the distinct sort, particularly if the sweating be profuse.) ----------in the morning.—D. Catarrhal fever. --------------------------appearing to exhaust rather than relieve.—D. Phthisis. Hectic fever. —---------breaking out on the temples.—D. Hydro- phobia. ----------cold (in inflammation of the kidneys,) with sudden remission of the pain without apparent cause. —D. .Mortification. --------------with spasmodic contraction of the extremities.—D. Advanced stage of cholera. --------------and clammy.—D. Poison. ----------profuse, clammy, debilitating, at times.—I) Nervous fever. ----------of a peculiar frowsy smell.—D. MHiai • fever. -----------diminution of the ordinary perspiration.— P. Ascites. ----------(in ascites,) increase of.—P. Favourable. —"--------(in colic,) colliquative, after the strength is exhausted.—P. Considerable danger. SWE—THI 53 Sweating, (in putrid fever,) cold.—P. Highly dan- gerous. ---------(in hydrocephalus,) with great heat, spreading all over the body.—P. Approaching death. T. Teeth, loose.—D. Scuny. ——— grinding of the.—1). Worms, or some other cause irritating the bowels. ■■--------------(in acute diseases).—P. Highly dangerous, (unless the patient have been accustomed to it from childhood.) -----coming forward slowly, and soon decaying.—P Rickets. Tendons of the wrist, tension of the.—D. Fever. -------(in fever,) particularly tense, and affected with occasional twitchings.—P. Danger. Testicles, swelling of the.—D. Suppressed gonorrhoea. Scirrhus. Hydrocele. ----------painful retraction of the.—D. Stone in the kidney. Inflammation of the kidney. Thighs, numbness in one of them.—D. Stone in the kidney. Inflammation of the kidney. —— wasting of one of them, with pain beginning in the hip-joint, and generally a lengthening of the limb, though it is sometimes shorter, particularly after suppuration has taken place.—D. Abscess in the hip-joint. —— unusual sense of coldness in, not arising from any obvious cause.—P. Distortion of the spine from caries. Thirst.—D. Catarrhal fever. - and desire of sour drinks.—D. Alkaline acri- mony in the system. ______irregular.—D. Obstruction of the gall ducts. _______immoderate.—D. Eating muscles, or something injurious. ■------excessive, with bilious evacuations.—D. Bilious fever. Yellow fever. E 2 .,4 Till -TIIR Thirst, intense.—D. Influenza. -------unquenchable.— D. Inflammation of tlie spleen. -------,----.--------1 though often going offsuddenly. —D. Ardent fever. ————- burning.—D. Poison. -------increasing, with a failing of the appetite for solid food—P. A.vi/e*. -------(in putrid fever,) insensibility to.—P. Danger. Thorax, straight and compresseil on its sides, the sternum rising up in a point, and the extremities of the ribs enlarged and crooked. D. Rickets. --------a fluctuation :n, perceptible on changing the position from one s-d( to the other, or on pressing the abdomen against the edge of a table.—D. Empyema ------sense of weight in the.—D. Catarrhal fever. --------a troublesome load rather than pain in.—D. Influenza. --------soreness, tightness, and sense of fulness in, with a difficult} of breathing, and a violent cough.— I). Catarrh, affecting the lungs. --------load at th. p-a:cordia.—I). Puerperal fever. --------oppression at the praecordia.—D. Hydrops pectoris. (When there is great oppression and anxi- ety, with a labouring, irregular pulse, perhaps) Hydrops pericardii. —;---------- ------------------, with a pecu- liar sensation of stricture and heaviness, a strug- gling for breath, and sighing.—D. Hydrophobia. --------continual uneasiness about the praecordia.— D. Inflammation of the stomach. ----;---- considerable anxiety about the prxcordia. with incapability of dilating the chest for a deep inspiration D. .Diopayofthelungt. --------compressive pain in the praecordia.—D. Morbus niger. —------(in intermittent fever,) great load on, seem ing to threaten suffocation.—P. Danger. Throat, sensation of a ball rising in, and threatening suffocation.—D. Hysteria. THU—TUM 55 1 uroat, tightness of.—D. Eating muscles, or something injurious. --------soreness or roughness in.—D. Measles. Thumbs, firmly fixed on the palms of the hands.—D. Epilepsy. Tongue, swollen.—D. Eating muscles, or something injurious. ————— little excoriations on the.—D. Catarrh. ■ dry.—D. Peripneumony. ——-------yellow, sometimes black, rough, and chapped.—D. Ardent fever. ————— very dry, rough, and discoloured.—D. Yellow fever. -----—--------and glossy red.—D. Puerperal fever. ——----occasionally rough and dry, after a few days white, and at length assuming a brownish hue.—D. Nervous fever. ■ ■ at first white, then growing drier and darker, sometimes livid, black, or of a dark pomegranate colour.—D. Putrid fever. --------parched.—D. Influenza. —_^—_----and hard.—D. Hecac fever. --------(in fever,) becoming dry and dark in an early stage.— P. Dangei\ ---------------a litlte softness at the edge or tip, gradually extending toward the middle and root.—P. Favourable. --------(in fever,) growing soft, and apparently clean, about the eighth or tenth day, but uniformly red and shining on the surface.—P. Protraction of the disease to the twentieth day. i, ----black.—P. Threatening, but by no means always fatal. --------(in putrid fever,) inability to put out.—P. Highly dangerous. Tumour, soft, puffy, on pressing which a crackling is perceived; it gives way on pressure, but instantly returns.—D. Emphysema. --------with paleness of the skin, pitting on being pressed, and retaining the impression some time.—D. (Edema (when confined to a particular part) : Ana. sarca (when general.) 56 TUM Tumocii, hard, in a fleshy part, with violent throbbing pain and burning heat, sometimes of considerable size, but often a mere point only rising above the skin.—D. Anthrax. --------hard, unequal, indolent, and without any discoloration of the skin.—1). Scirrhus. (Us seat is a gland; but seldom, perhaps never, in the first instance, a lymphatic gland.) --------scirrhous, first itching, then occasioning a pricking, shooting, or lancinating pain, and assuming a red, dusky purple, or livid hue, the veins around growing turgid, and a peculiar kind of burning pain attending it.—D. Cancer. (The parts usually af- fected are the breasts of women, fhc uterus, the testes, glans penis, tongue, stomach, cheeks, lips, and corners of the eyes.) —----arising from the substance of a bone, so soft as to yield to the finger.—D. Gumma. (As it becomes gradually harder it takes in succession the names of tophus, nodus, and exostosis.) ____----over a bone, with evident inflammation and pulsation in the part, and irregular shiverings (the last the principal sign).—D. Abscess of the periosteum. ________with inflammation, preceded by great pain, about a joint.—D. Gout. --------soft and pulsating, over an artery.—D. Aneurism. --------of the head, occasioned by water between the skull and integuments.—D. Hydrocephalus ex- ternus. --------of the upper lip and column of the nose.—D. Scrofula. ---------------parotid and maxillary glands after a slight inflammatory fever.—D. Mumps. -------- in the armpit.—1). Bubo. (This may be venereal, or pestilential. The former is slow in its progress to inflammation and suppuration; the latter, rapid. It sometimes occurs too after small-pox, in which case it suppurates and heals much more spec- TUM 57 dily and kindly than venereal or scrofulous swellings of the glands in general.) Tumour, oedematous of the hands, accompanied with coldness of them, and a livid colour of the lips.—D. Hydrops pectoris. --------large, in the forepart of the neck, not dis- coloured.—D. Bronchocele. --------of the breast in females, after sudden subsi- dence of swelling of the parotid and maxillary glands.—D. Metastasis of mumps. --------on the vertebrae of the neck, back, or loins, of the natural colour of the skin.—D. Spina bifida. --------of the abdomen, regular, in which a fluctu- ation may be felt by placing one hand on one side of it and striking against thejother.—D. Ascites. ------------------------partial, with a less evident fluctuation.—D. Dropsy of the ovary. ------------------------windy, with general oede- matous swellings.—D. Poison. --------in the region of the spleen, with fever.—D Splenitis. ——-------------------------------with an uneasy dull, tensive sensation, without fever.—D. Splenalgia. ' and hardness on the right side, below the ribs.—D. Scirrhous liver. --------of the ovary, moveable when the patient lies on her back, and by passing the finger up the vagina the os uteri is found to move with it (when the water is contained in several cysts, there are sometimes inequalities in the tumour, and it has the feel of scirrhus.)—D. Dropsy of the ovary. --------livid, painful, about the anus, sometimes attended with a procidentia ani on going to stool, and more particularly so if accompanied with te- nesmus.—D. Piles. (If they do not appear exter- nally, they are called blind piles,- when blood is discharged from them, bleeding piles „• when mucus only, leucorrhois.) --------in the groin, hard, circumscribed, not re- ceding on lying down, or on pressure.—D. Bubo 58 TUM (The venereal bubo is almost always solitary, sore to the touch, and appears inflamed when there is a tendency to suppuration. Scrofulous swellings of the glands are seldom single, not so sore, and nearer to the root of the penis. A testicle detained in the groin will be nainful if pressed hard, not in- flamed unless in msequence of some external injury, and the testiciv. will be found wanting on the corresponding side of the scrotum. The pes- Hleniial is inflamed, and tends to suppuration very rapidly, while the venereal is very slow in its pro- gress.) Tumour in the groin, beginning at the ring of the ab- dominal muscle, and extending more or lesa down- ward, toward or into the scrotum in men, and the la- bia pudendi in women.—D. Bubonocele. (If a portion of tht imest nal canal form the tumour, the surface will be smooth and elastic: if a part of the omentum, the surface will be more unequal, and the tumour more flabby.) ----—— irregular, elastic, of the spermatic cord.—D. Cirsocele. --------with fluctuation, either in the groin, the fore part of the thigh, the perinaeum, or the vagina; receding on pressure, and occasioning a desire to make water, or an involuntary discharge of urine.— D. Hernia vesicalis. --------of the scrotum.—D. Hernia. Hernia hu- moralis. Scirrhous testicle. Hydrocele. (If the swell- ing have begun in the groin, be increased by cough- ing or sneezing, have been capable of returning into the abdomen, and the testis can be felt distinct from the tumour, it is hernia. If the swelhng be of the testis itself, or rather of the epididymis, with acute pain and inflammation, pretty rapid in its progress, and uniformly confined to the part, it is hernia hu* moralis. If the swelling be of the testis itse if, have been slow in its progress, and have the scirrhous feel, it is scirrhous testicle. If the swelling have begun at the most dependent part, feel smooth and equable, TUM—ULC 59 ind particularly if a fluctuation can be felt, and it be in some degree capable of transmitting the light of a candle through it, it is hydrocele. Tumour of the testes, after sudden subsidence of swelling of the parotid and maxillary glands.—D. Metastasis of mumps. --------small, hard, irritable pimple, on the glans or inside of the prepuce in men, and on the internal part of the labia or at the entrance of the vagina in women.—D. Lues venerea. --------oedematous of the labia pudendi (extending along the thigh, if the inguinal glands be obstructed.) —D. Cancer in the womb. -----—— of the leg and thigh, coming on after de- livery, seldom before the second or after the third week, hard, smooth, shining, equable, painful, rapid in its progress, precedeel by pain in the groin, and accompanied by a fever of the hectic type.—D. (Edema lacteum, phlegmatia dolens, or depot laiteux. -------on the shin bones, those of the arm, or the os frontis, preceded by pain, and terminating in foul ulcers.—D. Lues venerea. --------in the hip, with lameness, and a shortening of the leg on the affected side, not coming on sud- denly and by accident, as in cases of luxation or fracture.—P. Abscess in the hip. --------of one of the inguinal glands, succeeded by a severe fever, a red streak running down the thigh from the gland to the leg, and soon swelling.—P. Elephantiasis. ________of the feet toward evening, pitting when pressed.—P. Ascites. (If the legs and thighs pro- ceed to swell, the case is plain.) U. Ulcers in a glandular part, with a constant sense of ardent and occasionally shooting pains; irregular in figure; unequal on the surface, discharging sordid, sanious, or fetid matter, often with a peculiar hepatic St, ULC— UKl smell; having thick, indurated, and often exquisitely painful edges, which are sometimes inverted, at other times retorted, and exhibit a serrated ap- pearance ; subject to frequent hemorrhage.— D. Cancer. Ulceus that have been long healed breaking out afresh. —D. Scurvy. ------discharging sanies, or covered with a coagulated cruor, renewed as often, as-s<-pavited, the edges generally livid, and puffed up with fungous excres- cences rising from under the skin.—D. Scu,-iy. ------many, round, livid, foul, and incurable, over the whole body.—D. InflammaHon of the spleen. ------on the lips, tongue, and other parts in the mouth.—I). Alkaline acrim»ny in the system. ------on the inside of the lips and cheeks, deep, foul, irregular, fetid, with ragged edges, attended with a copious flow of offensive saliva.—I). Canker. ------in the throat and fauces, deep, sloughy, with ragged edges, without fever or prostration of strength.- D. Lues venerea. ------small, with edges elevated, somewhat hard, and painful, generally in the glans or inside of the pre- puce in men, on the internal parts of the labia or entrance of the vagina in women. -D. Lues venerea. Urine, stoppage or suppression of.—D. Ischury. (If the bladder be distended with urine, pain and swell- ing about the pubes will take place. If there be rather a sense of emptiness a' this part, the seat of the disorder is the kidneys; and this is called the spurious ischury. Vomiting accompanying it indicates a stone in the kidney . pain and heat in the region of the kidneys, inflammation of them .- pain in the blad- der, recurring by fits with great violence, and ex- tending along the urethra, tenesmus; a discharge of mucus or pus, mixed with pale urine, **o?»e in the bladder: pain in the perinaeum, with an intolerable burning sensation on the slightest discharge of urine, inflammation of the neck of the bladder.) Poison. URI 61 i in si., retention of, with frequent calls to make water, though voided in very small quantities, if at all, and with difficulty.— D. Strangury. ----— small in quantity, with a frequent desire of making water.—D. Catarrhal fever. ------frequent inclination to void, pain during the discharge, and the stream sometimes suddenly in- terrupted.—D. Stone in the bladder. (If the pain occur on the discharge of the first portion, the stone is small,- if on that of the last, large; if during the whole time, it is not caused by a stone.) —— frequent voiding of, either thin and transparent or very red.—D. Inflammation in the kidney. ------ excessive discharge of, pale, and nearly insipid. —D. Diabetes. ------involuntary discharge of.—D. Compression of the brain. ------painful discharge of, sometimes with fever, but more frequently without, nearly half the urine consisting of a light, flocculent matter, not purulent. —D. Catarrhus vesicce. ------sweet, affording on analysis a considerable quantity of saccharine matter, generally but not always copious.—D. Diabetes mellitus. ------bloody.— D. Gravel. ------ purulent.—. (Sometimes) Imposthume in the mesentery. ---------------and fetid.—D. Abscess in the kidney. ----->- mixed with whitish, but not offensive, pus.—1). Abscess in the kidney. ------pale anel profuse in quantity.— D. Hysteiia. ------at first pale and vapid, high coloured as the dis- ease advances, and at last very brown or blackish, with an offensive smell—I). Putrid fever. ------inconstant in its colour, but generally high, and in small quantity.—D. Atrophy. ------yellow.—D. Stone in the gall-ducts. ------orange-coloured, depositing a thick mucous sediment.—D. Scirrhous liver. ------ red.—D. Gout. Intermittent fever. F 6J URI Urine, dark or yellowish red.—D. Peripneumony. ------intensely red, and turbid.—D. Peripneumonia not ha. ——— bigh-coloured.—D. Measles. --------------------and red.—D. Alkaline acrimony in the system. ------ . ----giving a yellow tinge to white rags.—D. Jaundice. ------high-coloured and fetid.—D. Scurvy. ——— depositing a lateritious branny sediment.—D. Hectic fever. (Parr says, the urine varies so much in in this disease, that nothing can be ascertained from *•) ------slight pain in passing.—P. Gout. ------pale.—P. Fit of asthma. ------gradually diminishing in quantity, turbid, high- coloured, and depositing a large quantity of a late- ritious sediment.—P. Ascites. ------(in fever,) a scum on the top in the early pe- riod of it.—P. A slow and tedious disease. ---------------a cloud suspended at first near the top, and afterward falling lower, till in succession it reaches the bottom of the glass.—P. Favourable. ----------—— a suspended cloud previous to the fourteenth day.— D. Termination of the disease on the fourteenth. ----------------a suspended cloud after the four- teenth.—P. Termination on the twenty-first. ---------------reddish, or white, and of a mucous consistence.—P. Favourable. ------(in violent fevers,) fetid.—P. Danger. ------(in putrid fever,) depositing a dark or blackish sediment.—P. Highly dangerous. ------(in inflammation of the kidney,) black, fetid, and foul, or retained, with a sudden and considerable loss of strength.—P. Highly dangerous. ------ (in the iliac passion,) complete suppression of. —P. Danger. ------(in ischury,) smell of, proceeding from \\\* mouth and nostrils.—P. Extreme danger. URI—VOM 63 Urivl, (in ascites,) plentiful discharge of.—P. Fa- vourable. -----(in chronic diseases, as dropsy, scurvy, and phthisis,) red, depositing a copious, red, scaly, or branny sediment.—P. Very unfavourable. V. Vagina, see Pudendum. Veins, turgidity of the.—D. Varix. Cancer.—P. Gout. Vertigo, see Giddiness. Voice, imperfect articulation.—D. Palsy. -----(in putrid fever,) alteration of.—P. Danger. -----see also Speech. Vomiting.—D. Ardent fever. Hernia. Inflammation of the liver. Small-pox (in adults, but not in chil- dren.) -------brought on by swallowing the mildest drinks. —D. Inflammation of the stomach. ----- up all liquids, sometimes with, sometimes without coughing.—D. Peripneumonia notha. -------attended with pain in the region of the kidneys.—D. Gravel or stone in the kidney. ------------------------at the pit of the stomach, or about the region of the liver, sometimes extreme- ly acute, but in some cases slight, without any change in the puls.e.—D. Stone in the gall-ducts. -------incessant, the discharge at first watery, then bilious, and at last feculent, with violent colicky pains.—D. Incarcerated henua. -------of blood and bile, coming on suddenly, with acute pain.—D. Poison. -------preceded by faintness, with rapidly sinking strength, convulsions, anel coldness of the extremi- ties.—D. Narcotic poison. (If attended with bloody discharges from the bowels and bladder) an over- dose of nitre. —---- ---------inflammation in the mouth or fauces, with a burning heat at the scrobiculus cordis, and the sensation of a heavy load at the stomach.— D. Poison from a mineral acid or ammonia. 64 VOM—YAAV Vomit 1 nh, first the remains of food; afterward bilious fluids more or less mixed with frothy mucus of u yellow, green, and at last often a black colour; some< times bloody like the washings of flesh, extremely acrid, and almost corrosive.— D. Cholei-a morbus. \oMiTiN«of the faeces from an inversion of the pe- ristaltic motion, attended with violent pain.—U. Iliac passion. ------of bile, with fever.—1). Bilious fever. ------- of black and highly bilious matter.—1). Yellow fever. -----------------or very dark matter.—D. Morbus niger. (If it be blood, it will be reddish when diluted; if bile, of a dark yellow generally, though this some- times consists of black flakes, or a dark, pitchy matter.) --------dark, sanious, offensive matter, preceded by symptoms of abscess in the liver.—D. hursting of the Abscess.—P. Death. ——— (in cholera morbus,1) ineffectual strainings to. —P. Bad. ---------------------------- of matter smelling like excrement.—P. Extremely dangerous. • (in yellow fever,) incessant, and the dis- charges growing darker coloured.—P. Fatal. W. Watchings, intense, continual, or, if any sleep occur, it is interrupted, troubled, and accompanied with terrible dreams.— P. Phrenitis. Wind, *ee Flatulency. V. YaWmxgs, frequent.—D. Nervous fcvpi. IJIE VA'D. V 2 JAMES WEBSTER, The publisher of this Uook, respectfully informs the Medical Profession that he keeps for sale a general assortment of Medical Books : among them are, THE AMERICAN MEDICAL RECORDER, Of Original Papers and Intelligence in Medicine and Surgery, 5 volumes, containing upwards of 600 different articles, the most of which are very im- portant to the Practitioner of Medicine. The pub- lication of this work is continued: the numbers are published in January, April, July, and October, of each year; conducted by John Eberle, M. D. 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