The Works of Thomas Sydenham, M.D. on Acute and Chronic Diseases;: Wherein Their Histories and Modes of Cure, as Recited by Him, are Delivered with Accuracy and Perspicuity. To which are Subjoined Notes, Corrective and Explanatory, from the Most Eminent Medical Writers; Adapting the Whole to the Present Improved State of Physic, and Shewing Under what Classes, Orders, and Genera, Most of the Complaints Treated of are Arranged by Nosologists: with a Variety of Annotations, Volume 2

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G. G. J. and J. Robinson, W. Otridge, S. Hayes, and E. Newbery., 1788 - Chronic diseases
 

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Page 188 - ... either internal or external, the tone of the extremities, and perhaps of the whole system, is weakened ; so that the inflammatory state, before it had either proceeded to the degree, or continued for the time requisite for restoring the tone of the system, suddenly and entirely ceases. Hence the stomach, and other internal parts relapse into the state of atony; and perhaps have this...
Page 184 - There is a certain, vigorous, and plethoric ftate of the fyftem, which, at a certain period of life, is liable to a lofs of tone in the extremities ; this is in fome meafure communicated to the whole fyftem, but appears more efpecially in the functions of the ftomach. When this lofs of tone occurs, while the energy of the brain ftill retains its vigour, the vis medicatrix...
Page 188 - A third case of variation from the ordinary course of gout is when, to the atony usually preceding, an inflammatory re-action fully succeeds, but its usual determination to the joints by some circumstances prevented ; and is, therefore, directed to an internal part, where it produces an inflammatory affection, and that state of things which we have named the misplaced gout.
Page 430 - ... defcription which Sydenham gives of that difeafe. " This diforder is a kind of convulfion. It manifefts itfelf by halting or unfteadinefs of one of the legs, which the patient draws after him like an ideot. If the hand of the fame fide be applied to the breaft, or any other part of the body, he cannot keep it a moment in the fame pofture, but it will be drawn into a different one by a convulfion, notwithftanding all his efforts to the contrary.
Page 373 - ... with firmnefs and moderation. Inftead of confining the patient to his bed, or his room, when the fymptoms of the eruptive fever come on, he is directed, as foon as the purging medicine has operated, to keep abroad in the open air, be it ever fo...
Page 181 - This observation leads us to remark, that there is a balance subsisting between the state of the internal and that of the external parts ; and, in particular, that the state of the stomach is connected with that of the external parts ; (44.) so that the state of tone in the one may be communicated to the other.
Page 351 - ... though he seemed, in a manner, expiring, the outward parts felt so cool that I could not persuade the attendants he had a fever, which could not disengage and show itself clearly, because the vessels were so full as to obstruct the motion of the blood. However, I said they would soon see the fever rise high enough upon bleeding him. Accordingly, after taking away a large quantity of blood, as violent a fever appeared as I ever met with, and did not go off till bleeding had been used three or...
Page 185 - Hence numberless fruitless endeavors are used to ease the pain by continually changing the situation of the body and the part affected, which notwithstanding abates not till two or three in the morning — that is, till after twenty-four hours from, the first approach of the fit.
Page 185 - The dullness and shivering abate in proportion as the pain increases, which is mild in the beginning but grows gradually more violent every hour and comes to its height towards evening, adapting itself to the numerous bones of the tarsus and metatarsus, the ligaments whereof it affects; sometimes resembling a tension or laceration of those ligaments, sometimes the gnawing of a dog and sometimes a weight and coarctation, or contraction, of the membranes of the parts affected, which become so...
Page 181 - ... which has fo univerfal a confent with the reft of the fyftem, is the internal part that is the moft frequently, and often very confiderably affected by the gout ; the paroxyfms of the difeafe are commonly preceded by an affection of the ftomach ; many of the exciting caufes...

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