Chapter LXVI: Part II: , Showing Predominance of Malarial Element . . . . 617 (65)

Oedema, 69
complicating relapsing fever, 400
scarlet fever, 529
typhoid fever, 297
from nervous influence, 71
of glottis, complicating scarlet fever, 512, 529
of lungs, Welch on cause of, 72
significance of, in general diagnosis, 159

Oesophagus, lesions of, in typhoid fever, 265

Offensive effluvia, symptoms due to, 181

Oil, inunctions of, in the plague, 784

Open wounds, liability of, to diphtheria, 679

Opisthotonos in cerebro-spinal meningitis, 809

Opium, use of, during cold stage of intermittent fever, 595
during hot stage of intermittent fever, 595
in algid form of pernicious malarial fever, 608
in cerebro-spinal meningitis, 832
in cholera, 767
in dengue, 885
in influenza, 874, 877
in puerperal fever, 1031
in relapsing fever, 429
in remittent fever, 604
in typhus fever, 366

Ophthalmia, chronic, following rubeola, 574

Optic nerve, lesions of, in cerebro-spinal meningitis, 824

Organic disease, hereditary nature of, 129

Organisms, microscopic, classification, 141
minute, convertibility, 145

Organoid tumors, 116

Origin of vaccinia, 457

Origins, specific, of the plague, 776

Ossification, 87

Otitis, chronic, following rubeola, 574
complicating scarlet fever, 520
in scarlet fever, results, 521
treatment, 547

Ovaries, lesions of, in septicæmia, 972
in pelvic peritonitis in puerperal fever, 989

Overcrowding as a cause of cholera, 721
of typhus fever, 341

Overwork as a cause of disease, 204
of the plague, 775

Ozone, use of, in diphtheria, 709

P.

Pain, in idiopathic parotitis, 623
in inflammation, 41
significance of, in general diagnosis, 165

Pains, muscular and joint, in relapsing fever, 385
of general peritonitis in puerperal fever, 1010
peritoneal, in para- and perimetritis of puerperal fever, 1007
rheumatic, in relapsing fever, 399

Palpitation of heart in beriberi, 1039

Pancreas, lesions of, in relapsing fever, 417

Pandemic nature of cerebro-spinal meningitis, 804

Panum's view of bacteria of diphtheria, 667

Papayotin, use of, in diphtheria, 703

Papule in variola, morbid anatomy, 446

Paralysis, complicating diphtheria, 676
variola, 445
diphtheritic, date of appearance, 676
seat, 676
treatment, 713
following cerebro-spinal meningitis, 819
typhoid fever, 293
in cerebro-spinal meningitis, 810
local, in relapsing fever, 398
motor, in relapsing fever, 385
muscular, in beriberi, 1039
sensory, in diphtheria, 676

Paralytic form of rabies in dogs, 896
stage of hydrophobia in man, 900

Parenchymatous inflammation, 53

Para- and perimetritis in puerperal fever, symptoms, 1005

Parametritis in puerperal fever, lesions, 987

Paresis following cerebro-spinal meningitis, 819

Parotid glands, lesions of, in idiopathic parotitis, 621
gland, lesions of, in symptomatic parotitis, 626
in pyæmia, 967
swelling, character of, in symptomatic parotitis, 627
complicating typhoid fever, 296

PAROTITIS, IDIOPATHIC, 620
Definition, 620
Nature, 620
Etiology--predisposing causes, 620
Age, influence, 620
Sex, influence, 620
Season, influence, 620
Relation to measles, diphtheria, and scarlet fever, 620
Peculiarities in mode of occurrence, 621
Anatomical appearance, 621
Changes in parotid gland, 621
Symptoms, 621
Duration of incubation stage, 621
Of invasion stage, 621
Actual attack, 621
Local, 621
Physiognomy, 622
Mouth and tongue, 622
Digestive tract, 622
Temperature and pulse, 623
Respiration, 623
Pain, 623
General, 623
Complications, 623
Metastasis, 623
Frequency, 623
Date of appearance, 623
Orchitis, 623
Symptoms, 624
Diagnosis, 624
Significance of outward displacement of lobe of ear, 624
Prognosis, 624
Result of metastatic orchitis, 624
Treatment, 624
Delirium and headache, 624
Difficult deglutition, 624
Sleeplessness, 625
Local, 625
Suppuration of gland, 625
Incomplete resolution, 625
Metastasis, 625
in females, 625
with depression, 625

PAROTITIS, SYMPTOMATIC or METASTATIC, 625
Definition, 625
Etiology, 625
Mechanical nature of exciting cause, 626
Altered blood as a cause, 626
Morbid anatomy, 626
Changes in parotid gland, 626
Suppuration of muscles of neck, 626
Changes in periosteum and cranial bones, 626
lymphatics, veins, and nerves, 626
in middle ear, 626
Thrombi of jugular veins, 626
Symptoms, 626
Characters of swelling, 627
Date of pointing of abscess, 627
Physiognomy, 627
Prognosis, 627
Of bilateral form, 627
Diagnosis--from idiopathic parotitis, 627
Treatment of, 627
Local, 628
Of incomplete resolution, 628
Of gangrene, 628

Parotitis, complicating cholera, 735
influenza, 870
relapsing fever, 404
typhus fever, 356
treatment, 367

Paroxysm of intermittent fever, 592
primary, of relapsing fever, 375, 378
of remittent fever, 599

Paroxysms of hydrophobia in man, 899
of pertussis, characters, 837
duration, 840
frequency, 840
of rabies in dogs, 896

Pasteur's experiments as to infectiveness of rabies, 892, 893
method of inoculation in anthrax, 937
for prevention of rabies and hydrophobia, 905

Pathognomonic lesions of rabies in dogs, 903

Pathology of glanders in man, 916, 918
of influenza, 871
of pyæmia, 963

Pearly distemper, relation of, to tuberculosis, 99

Pelvic abscesses in puerperal fever, treatment, 1036
cellulitis in puerperal fever, lesions, 988
exudations, treatment of, in puerperal fever, 1036
peritonitis, in puerperal fever, lesions, 988

Peppermint-test for defects in plumbing, 190

Pepsin, use of, in diphtheria, 703

Perforation, intestinal, in typhoid fever, 289, 290
in typhoid fever, treatment, 333

Pericarditis in relapsing fever, 402
complicating influenza, 870

Pericardium, lesions of, in cholera, 747
in pyæmia, 968

Peri-glandular lesions in the plague, 782

Periostitis, complicating typhoid fever, 297

Peritoneal effusions, encysted, in puerperal fever, treatment, 1036

Peritoneum, lesions of, in relapsing fever, 417

Peritonitis, complicating relapsing fever, 406
typhoid fever, 295
general, in puerperal fever lesions, 989
in puerperal fever, symptoms, 1010
pelvic and diffused, of puerperal fever, 988

Pernicious malarial fever, 605

Perspiration in pyæmia, 974
in yellow fever, 645

PERTUSSIS, 836
History, 836
Definition, 836
Etiology, 838
Specific poison, 838
seat, 838
period of greatest virulence, 838
inoculation of animals with, 839
Childhood, influence of, in occurrence, 839
Age at which most prevalent, 839
Sex, influence of, in causation, 839
Catarrhal affections as predisposing causes, 839
Symptoms, 840, 841
Initial stage, 840
Second stage, 840
Stage of decline, 841
Paroxysm, characters of, 837
duration, 840
frequency, 840
Frænum linguæ, ulceration, 841
Urine, condition, 841
Mortality, 841
Morbid anatomy, 843
Complications, 843
Prophylaxis, 843
Treatment, 844
Inhalations, 844
Emetics, 845
Potassium carbonate, 845
Alum, 845
Belladonna, 846
Ammonium bromide, 846
Chloral hydrate, 846
Quinia, 847
Pilocarpine muriate, 847
Sodium benzoate, 847
Caustic irritation, 848
Diet, 848
Hygiene, 848

Pertussis, following the plague, 781

Petechiæ, characters of, in grave form of the plague, 779

Petrifaction, 87

Peyer's patches, lesions of, in typhoid fever, 261

Pharyngeal spasm in rabies and hydrophobia, 899

Pharyngitis in scarlet fever, treatment, 545
and tonsillitis, complicating relapsing fever, 405

Pharynx, lesions of, in rabies and hydrophobia, 902
in relapsing fever, 413
in typhoid fever, 265

Phlebitis and phlebo-thrombosis, lesions of, in puerperal fever, 989

Phlegmonous inflammation, 52

Phthisis, complicating influenza, 870
following typhus fever, 355
from damp soil, 187
pulmonary, hereditary nature of, 128

Physicians as carriers of contagion in puerperal fever, 1017
mortality in, 207
relation of, to public hygiene, 207

Physiognomy of cerebro-spinal meningitis, 812
of dengue, 881
of erysipelas, 632
of hydrophobia, 899
of idiopathic parotitis, 622
of influenza, 866
of symptomatic parotitis, 627
of relapsing fever, 376
of typhoid fever, 272
of yellow fever, 644
significance of, in general diagnosis, 150, 151

Pigmentation, 90

Pilocarpine, use of, in diphtheria, 704
in rabies and hydrophobia, 907
muriate, use of, in pertussis, 847

Pitting, frequency of, in varicella, 482
prevention of, in variola, 452

Placenta, symptoms of diphtheria, 674

PLAGUE, THE, 771
Definition, 771
Synonyms, 771
Classification, 771
History, 772
Etiology--Predisposing causes of, 774
Poverty and filth, 774
Bodily and mental overwork, 775
Sex and age, influence, 775
Season, 775
Exciting causes, 775
Dissemination by bodies dead from, 775
Specific origin, 776
Contagiousness, 776
Nature of the poison, 776
Air as a medium of transmission, 776
Period of incubation, 777
Forms of, 777
Grave or ordinary form, 777
Fulminant form, 779
Abortive form, 780
Symptoms, 777
Grave form, different modes of onset, 779
Invasion stage, 777
Second stage, or stage of fever, 778
Stage of fully-developed local manifestations, 778
Seat of enlarged lymphatics, 778
of buboes, 778
Characters of bubonic swellings, 778
Date of appearance of buboes, 778
Seat and character of carbuncles, 778
of petechiæ, 779
Character of vomited matter, 779
Constipation, 779
Condition of urine, 779
Stage of convalescence, 779
Fulminant form, 779
duration, 779
Abortive form, 780
General duration of, 780
Complications and sequelæ, 780
Followed by catarrhal pneumonia, 781
Pertussis, 781
Mental troubles, 781
Ulcers and abscesses, 781
Morbid anatomy, 781
Changes in lymphatic system, 781
Appearance of buboes, 781
Peri-glandular tissue, 782
Abdominal viscera, 781
Diagnosis, 782
Prognosis, 780
Mortality, 780
Treatment, 782
Preventive, 782
Isolation, 783
Quarantine, 783
Disinfection, 784
Clinical, 784
Inunction of oil, 784
Buboes, 784
Drugs used, 784

Pleura, lesions of, in pyæmia, 968
in relapsing fever, 413
in septicæmia, 972

Pleurisy, complicating typhoid fever, 294
typhus fever, 355
in septicæmia lymphatica of puerperal fever, 1012

Pleuritis, complicating erysipelas, 634
influenza, 870
relapsing fever, 404
scarlet fever, 523
in scarlet fever, treatment, 556

Plumbing, examination of defects, 190
of houses, 188

Pneumonia, catarrhal, complicating influenza, 869
following the plague, 781
complicating erysipelas, 634
relapsing fever, 404
rubeola, 571
typhoid fever, 294
typhus fever, 355
fibrinous, complicating diphtheria, 672
in rubeola, treatment, 581
in typhoid fever, treatment, 335
lobar, complicating influenza, 869

Pneumonias, nature of, complicating influenza, 870

Pock of vaccinia, date of appearance, 459
depression, 459
desquamation, 460
development, 459
incrustation, 460
in variola, characters of mature, 439

Poison, diphtheritic, fixity, 678
transmission, 678
influence of intensity of, on severity of cholera, 730, 731
of anthrax, modes of transmission, 929
of cholera, nature, 749
of malaria, nature, 589, 591
of the plague, nature, 776
of yellow fever, birthplace, 641
characteristics, 641
influence of heat and cold on development, 641
transportability, 641
specific, of beriberi, 1038
of pertussis, 838

Polluted soil as a means of disseminating typhoid fever, 253

Potassium bromide, use of, in cerebro-spinal meningitis, 834
carbonate, use of, in pertussis, 845
chlorate, danger of large doses, 701
use of, in diphtheria, 699, 700
iodide, use of, in cerebro-spinal meningitis, 834

Poverty as a cause of typhus fever, 342

Predisposing causes of beriberi, 1042
of cholera, 720
of glanders in horse, 912
of idiopathic parotitis, 620
of the plague, 774
of typhoid fever, 242
of typhus fever, 341

Predisposition to disease, hereditary nature, 126

Predispositions, inherited, evidence, 132

Pregnancy, complicating influenza, 871
typhoid fever, 296

Preliminary papule of anthrax, treatment, 943

Premonitory symptoms of rabies and hydrophobia, 895
of scarlet fever, 502

Prevention of anthrax by inoculation, 937

Preventive treatment of anthrax in animals, 936
in man, 943
of cholera, 755
of erysipelas, 636
of glanders in horses, 919
in man, 925
of influenza, 873
of the plague, 782
of puerperal fever, 1021
of pyæmia and septicæmia, 979, 980, 983
of rabies and hydrophobia, 903
of scarlet fever, 536
of typhoid fever, 321
of typhus fever, 361

Previous attacks of variola, protection from, 436

Primary vaccine, 473

Privy vaults, contamination of water-supply by, 192
dangers from, 192

PROCESSES, GENERAL MORBID, 35

Prodromal stage of diphtheria, 667
of intermittent fever, 592
of leprosy, 789
of remittent fever, 599
of rötheln, 585
of rubeola, 564
of varicella, 482

Prognosis, general, 167
of anthrax in animals, 936
in man, 943
of beriberi, 1042
of cerebro-spinal meningitis, 828
of cholera, 753
of dengue, 885
of diphtheria, 692-694
of erysipelas, 636
of idiopathic parotitis, 624
of influenza, 872
of intermittent fever, 594
of glanders in horse, 918
in man, 924
of leprosy, 793
of the plague, 782
of relapsing fever, 422-425
of remittent fever, 602
of rötheln, 588
of scarlet fever, 533
of simple continued fever, 235
of symptomatic parotitis, 627
of typho-malarial fever, 616
of typhoid fever, 314-316
of typhus fever, 359, 360
of vaccinia, 464
of varicella, 484
of variola, 450
of varioloid, 444
in yellow fever, 646, 647
effect of constitution, 168
of nature of malady, 169
of present state of patient, 169
influence of nursing, 169
modifying effects of medicinal agents, 169

Prophylactic treatment of diphtheria, 696

Prophylaxis, individual, in contagious diseases, 206
of leprosy, 794
of pertussis, 843
of puerperal fever, 1021

Prostration in dengue, 882
in typhus fever, 348
treatment, 365

Protective power of vaccination, 466
duration of, 468
against pertussis, 468

Pseudo-membrane, solvents of, 703

Psoas abscess in puerperal fever, 1010

Psychical treatment of hydrophobia, 906

Public sewers, 224

PUERPERAL FEVER, 984
Definition, 984
Frequency, 984
Etiology, 1013
Atmosphere, impure, influence on causation, 1013, 1014
Malaria, nosocomial, influence on causation, 1013
Micro-organisms, influence on causation, 1013-1015
Lochial discharge, influence on causation, 1015
Atmosphere, peculiar states of, on causation, 1016
Direct inoculation, 1016
Contagiousness of, 1017
Contagion, physicians as carriers of, 1017
Dissecting poison, 1018
Self-inoculation, 1019
Morbid anatomy, 985
Spiegelberg's classification of puerperal inflammations, 986
Endocolpitis and endometritis, 986
Diphtheritic ulceration, 986
Metritis and parametritis, 987
Diphtheritic endometritis, 987
Pelvic cellulitis, 988
Cellulitis from specific infection, 988
Peritonitis, pelvic and diffused, 988
exudation in, 989
general, 989
appearance of abdominal cavity, 989
ovaries, 989
Phlebitis and phlebo-thrombosis, 989
Thrombi in uterine and pelvic veins, 989
Abscesses, 989
pulmonary, 989
Veins, inflammation, 989
Thrombi, growth, 990
Septicæmia, 990
Abscesses, metastatic, 990
Endocarditis, ulcerative, 990
Pleuritis, 990
Joints, purulent inflammation, 990
Earlier views concerning nature, 990
Modern view concerning nature, 992
Septic origin, 993-1003
Bacteria, relation to causation, 994
Koch's investigations of, 997
physical characters, 999
modes of entering the circulation, 1000
action of, upon the blood, 1000
Diphtheria of genitalia, characters, 1002
Relation of, to erysipelas, 1002
Inflammatory affections of non-specific origin, 1003
Symptoms, general, 1004
Incubation period, 1004
Chill, significance of, 1005
Of endometritis and endocolpitis, 1005
temperature, 1005
Parametritis and perimetritis, 1005
Incubation, 1006
Temperature, 1006
Pulse, 1006
Relapse, 1006
Headache, 1007
Pains, 1007
Vomiting, 1007
Duration, 1007
Exudation, 1007
Uterus fixity of, 1007
Tumors in iliac fossa, 1008
Abscesses, 1008
location, 1008
pointing of, 1008
Local peritonitis, 1009
Of psoas abscess, 1010
Of peritonitis, general, 1010
Pains, 1010
Abdomen, state, 1010
Respiration, 1010
Vomiting, 1010
Vomit, characters, 1010
Fever, 1010
Skin, 1010
Pulse, 1010
Pyæmic form, 1011
Of septicæmia lymphatica, 1011
Mode of onset, 1011
Temperature in, 1011
Abdomen, state, 1011
Skin, state, 1011
Vomiting, 1011
Tongue, condition, 1011
Pulse, condition, 1011
Respiration, 1012
Pleurisy in, 1012
Endocarditis, 1012
Mental condition, 1012
Joint affections in, 1012
Duration, 1012
Of septicæmia venosa, 1012
Chills in, 1012
Fever in, 1012
Temperature in, 1012
Pulse in, 1012
Abdomen, state of, 1012
Uterus in, 1012
Of pure septicæmia, 1013
Mortality, 1020
Relation of, to zymotic diseases, 1020
Prophylaxis, 1021
Maternity hospitals, advantages, 1021
Necessity of light and air, 1024
Antisepsis, value, 1024
methods, 1025
Sulphurous acid, use, 1025
Corrosive sublimate, use, 1025
Iodoform, use of, intra-uterine, 1025
Vaginal injections, carbolized, use, 1025
Tarnier's maternity pavilions for prevention, 1027
Treatment--indications, 1028
Disinfection, 1028
Local, 1028
Use of hydrochloric acid, 1028
Persulphate of iron, 1028
Intra-uterine injections, use, 1029
dangers of, 1029
methods, 1029
Corrosive sublimate, use, 1025, 1029
Pain, peritoneal, 1031
Use of opium, 1031
in pyæmic variety, 1031
Leeches, 1031
Turpentine stupes, 1032
Hyperpyrexia, 1032
Use of purgatives, 1032
Quinia, 1032
Sodium salicylate, 1032
Veratrum viride, 1033
Digitalis, 1033
Alcohol, 1033
Cold in, 1033
Cold, method of applying, 1034
Cold water, intra-uterine injections, 1034
Baths, cold, use, 1034
Kibbie's fever-cot, use, 1034, 1035
Coil, 1036
Diet, 1036
Encysted peritoneal effusions, 1036
Quinia, use, 1036
Pelvic exudations, 1036
Pelvic abscesses, 1036

Puerperal septicæmia, relations of, to obstetrical scarlatina, 499
women, general sepsis from diphtheria in, 674
symptoms of diphtheria in, 674

Pulmonary abscess in puerperal fever, 989
collapse, complicating influenza, 869
complications of typhus fever, treatment, 367
oedema, complicating rubeola, 572

Pulsation of jugular veins, significance of, in general diagnosis, 156

Pulse and temperature, relation of, in yellow fever, 644
average frequency in health and disease, 154
characters of, in erysipelas, 633
in idiopathic parotitis, 623
in general peritonitis of puerperal fever, 1010
in septicæmia, 977

Pulse, characters of, in septicæmia lymphatica of puerperal fever,
1011
venosa of puerperal fever, 1012
condition of, in acute glanders in man, 921
in beriberi, 1040
in cerebro-spinal meningitis, 815
in cholera, 737
in dengue, 881
in influenza, 866
in pyæmia, 975
in relapsing fever, 382
in typhus fever, 351
significance of, in general diagnosis, 152
in malignant scarlet fever, 507
in typhoid fever, 275
kinds of, 154
methods of examining, 153
relation to respiration, 154
temperature, relation of, in relapsing fever, 382

Pupil, significance of state of, in general diagnosis, 151

Pupils, condition of, in cerebro-spinal meningitis, 810

Pure septicæmia of puerperal fever, 1013

Purgatives, use of, during hot stage of intermittent fever, 596
in cerebro-spinal meningitis, 830
in hemorrhagic form of pernicious malarial fever, 613
in puerperal fever, 1032
in remittent fever, 604

Purity of water, standards of, 184

Purpura, complicating diphtheria, 674

Pus, 48
influence of, in production of pyæmia, 955
in stools, significance in diagnosis, 164

Pustule, malignant, 926

Putrefaction of cadaver, rapidity of, in puerperal fever, 971

Putrified flesh as a means of disseminating typhoid fever, 257

PYÆMIA AND SEPTICÆMIA, 945-955
History, 945-952
Nomenclature, 952
Pyæmia, 953
Definition, 953
Septicæmia, 953
Definition, 954
Etiology of pyæmia, 955
Theories concerning, 955
Pus, influence of, in production, 955
Character of production, 956
Thrombosis, relation of, to causation, 957, 958
Contamination of blood, influence of, in causation, 958
sources, 958
Germs, disease-, influence of, in causation, 958
Wounds, characters of, influence on causation, 958
Etiology of spontaneous pyæmia, 959
Wounds of alimentary canal and genito-urinary apparatus as cause,
959
Air, vitiated, influence of, on causation, 959
Spontaneous origin, 959
Contagiousness, 960
Chemical origin, 960
Living organisms, influence of, on causation, 958-960
Etiology of septicæmia, 960
Septic intoxication, relation of, to, 961
Traumatic fever, relation of, to, 962
Dissecting wounds, relation of, to causation, 962
Putrid substances, maximum toxic action of, on the body, 962
Lymphatics as channel of entrance of poison, 963
Etiology of septo-pyæmia, 963
Pathology, 963
Condition of blood, 963
in pyæmia simplex, 963
multiplex, 963
Metastasis, conditions, 964
Pus, mode of entering the circulation, 964
Metastatic abscesses, production, 964
from primary infection, 964
from secondary infection, 964
Emboli, action of, in production of metastatic abscesses, 964
Thrombi, action of, in production of metastatic abscesses, 965
Seat of pathological changes, 965
Fat emboli, influence of, in production, 966
Morbid anatomy, 966
Of pyæmia, 966
Appearance of body, 966
Rigor mortis, 966
Lesions of cellular tissue, 966
Muscles, 966
Brain and membrane, 966
Retina and choroid, 967
Cornea, 967
Ear, 967
Bones, 967
Joints, 967
Parotid gland, 967
Arteries and veins, 967
Blood, 968
Pericardium, 968
Pleuræ, 968
Lungs, 968
Liver, 969
Spleen, 969
Kidneys, 969
Micro-organism in blood, changes effected by, 970
Pyæmia simplex, 970
Absence of abscesses in, 970
Septicæmia, 971
Putrefaction of bodies, rapidity of, 971
Blood, lesions of, 971
Sepsin, nature, 971
Lesions, nervous system, 972
Endo- and pericardium, 972
Lungs, 972
Pleuræ, 972
Kidneys, 972
Spleen, 972
Uterus, 972
Ovaries, 972
Bladder, 972
Of septo-pyæmia, 972
Symptoms, 972
Of pyæmia, 972
Prodromal stage, 973
Chills, date of appearance, 973
frequency, 973
Temperature, 974
Perspiration, 974
Eruptions, 974
Pulse, 975
Tongue, condition of, 975
Vomiting, 975
Singultus, 975
Diarrhoea, 975
Stools, character of, 976
Heart, condition of, 976
Lungs, condition of, 976
Liver and spleen, enlargement, 976
Urine, 976
Joints, suppuration, 976
Abscesses, frequency, 976
Delirium, 976
Breath, odor of, 976
Wound, changes, 976
Of septicæmia, 976
General, 976
Wound, condition of, 977
Temperature, 977
Abdomen, state of, 977
Pulse, 977
Diarrhoea, 977
Vomiting, 977
Tongue, 977
Singultus, 977
Bronchitis in, 977
Of gangrene foudroyante, 977
Skin, condition, 977
Diagnosis, 978
Of pyæmia from septicæmia, table showing, 978, 979
Treatment, 979
In fully-developed cases unsuccessful, 980
Preventive, 979, 980
Cleanliness, necessity of, in prevention, 980
Atmosphere, pure, necessity of, in prevention, 980
Food and drink, proper, necessity of, in prevention, 980
Cheerful and pleasant surroundings, in prevention, 980
Antiseptics, use of, 980
Local, 981
Of wound, 981
Metastatic abscesses, 981
Constitutional, 982
Sulphites of magnesium, sodium, potassium, and lime, use of, 982
Use of alcohol, 982
Quinia, 982
Ergotine, 982
Diet, 982
Stimulants, 982
Of septicæmia, 982
Indications for, 982
Local, 983
Preventive, 983
Of wound, 983
Diarrhoea, 983
Antisepsis, 983
Sulphites and hyposulphites, use of, 983
Quinia, use of, 983
Of puerperal septicæmia, 983
complicating erysipelas, 634
typhoid fever, 295
typhus fever, 356

Pyæmic form of general peritonitis of puerperal fever, 1010

Q.

Quarantine in cholera, 204, 755
in leprosy, 794
in the plague, 783

Quinia, use of, in cerebro-spinal meningitis, 833
in dengue, 885
in diphtheria, 708, 712
in erysipelas, 637
in influenza, 874-876
during cold stage of intermittent fever, 595
hot stage of intermittent fever, 596
sweating stage of intermittent fever, 597
to prevent the return of intermittent fever, paroxysm, 598
in hemorrhagic form of pernicious malarial fever, 612
in pertussis, 847
in puerperal fever, 1032, 1036
in pyæmia, 982
in relapsing fever, 426
in remittent fever, 603
in rubeola, 580
in scarlet fever, 543
in septicæmia, 983
in typhoid fever, 330
in typho-malarial fever, 618
in typhus fever, 365
in yellow fever, 651
and opium, use of, in yellow fever, 651

R.

RABIES AND HYDROPHOBIA, 886
Synonyms, 886
Definition, 886
History, 886
Geographical distribution, 886
Etiology, 887
Climate, relation of, to causation, 887
Season, relation of, to causation, 887
Summer heats, relation of, to causation, 887
Hunger and thirst, relation of, to causation, 888
Improper food, relation of, to causation 888
Sex, relation of, to causation, 888
Liability of special breeds, 889
From skunk-bite, 889
Spontaneous origin, 890
Contagion, 891
Modes of dissemination, 891
Milk, propagation by, 891
Saliva, propagation by, 891
Specific germ, 892
Pasteur's experiments as to infectiousness, 892
Point of election of germ, 892
Antagonism between blood and germ, 892, 893
Localization of the virus in the wound, 893
Relation of successful inoculation to bites, 893
Insusceptibility to, 894
Incubation, 894
Duration of, in lower animals, 894
in man, 894
Condition of cicatrix during, 895
Symptoms, 895
In dogs, 895
Importance of recognizing premonitory, 895
Of prodromal stage, 895
Of furious form, 896
During paroxysms, 896
Between paroxysms, 896
Of paralytic form, 896, 897
Of lethargic form, 897
Popular fallacies regarding, 897
In horse and other animals, 897
In man, 898
Symptoms, 898
Prodromal stage, 898
Appearance of wound, 898, 899
Of paroxysms, 899
Duration, 899
Reflex irritability during, 899
Facies during, 899
Mental condition, 900
Delirium during, 900
Relative severity in men and women, 900
Paralytic stage, 900
duration, 900
Without paroxysms, 900
Diagnosis, 900
Pathognomonic features in, 900
From tetanus, 900
From diphtheria, 900
From pharyngeal anthrax, 900
From acute mania, 900
From epilepsy, 901
From hysteria, 901
From pseudo-hydrophobia, 901
Inoculation in doubtful cases, 902
Morbid anatomy, 902
Post-mortem appearance of body, 902
Changes in mucous membranes, 902
Bronchi and pharynx, 902
Lungs, 902
Heart and blood-vessels, 902
Gastro-intestinal tract, 902
Liver and spleen, 902
Kidneys, 902
Bladder, 902
Brain and spinal cord, 902
Pathognomonic changes in dogs, 903
Treatment, 903
Preventive, 903
Registration of dogs, 904
Modes of preventing diffusion, 904
Inoculation, 904
Pasteur's method, 905
Of bites, 905
Use of caustics, 905
Excision of cicatrix, 906, 908
Futility of eliminating measures, 906
Hygienic, 906
Psychical, importance of, 906
Therapeutic, 907
Use of chloroform, 907
Chloral, 907
Pilocarpine, 907
Curare, 907
Morphia, 907
Atropia and daturia, 907
Vaccine virus, 907
Warm baths, 907
Faradization, 907
Inhalation of oxygen, 907
Importance of rest and quiet, 907
Intravenous injections, 908
Venesection, 908

Race, influence of, in causation of variola, 436
protection as a preventive of small-pox, 130
relation of, as causation of rubeola, 561

Rachialgia in cerebro-spinal meningitis, 808

Rash of variola, date of appearance of, 437
significance of, 437
variolous, 437

Raspberry excrescence in vaccinia, 461

Reaction in cholera, 734
treatment, 763

Reflex irritability in hydrophobia, 899
symptoms in diphtheria, treatment, 694

Registration of dogs for prevention of rabies, 904

Relapse, in relapsing fever, 381

Relapses, cause of, in typhoid fever, 309
duration of, in typhoid fever, 304
frequency of, in typhoid fever, 302
in cerebro-spinal meningitis, 820
of diphtheria, prognosis of, 694
in rubeola, 563

RELAPSING FEVER, 369
Definition, 369
Synonyms, 369
History and geographical distribution, 369
Etiology, 370
Destitution and filth as causes, 370
Intemperance as a cause, 370
Starvation and over-crowding as a cause, 371
Age, relation of, to causation, 371
Sex, relation of, to causation, 371
Nationality, relation of, to causation, 371
Season, relation of, to causation, 371
Occupation, relation of, to causation, 372
Specific origin, 370, 372
Contagious nature, 372
Transmission of contagion, 373
Area of contagious atmosphere, 373
Spirillum, 373
Mode of detecting, 373
Inoculation, 374
Incubation period, 376
General clinical description, 374
Invasion, 376
Special symptoms, 376
Odor, 378
Physiognomy, 376
Bronzing of face, 376
Eruptions, 377
Hepatic eruptions, 377
Sudamina, 377
Desquamation, 377
Primary paroxysms, duration, 378
Temperature, 378
at crisis, 378
peculiarities, 382
Relapse, 381
Duration, 381
Absence, 380
Frequency, 382
Later relapses, 381
Cases illustrating frequency of relapses, 394
Average duration of paroxysms, 381
Intermission, duration, 381
Pulse, 382
Relation of pulse to temperature, 382
Character of pulse during paroxysm, 383
Pulse at crisis, 382
During intermission, 383
Character of heart-sounds, 383
Convulsions, 384
Mental condition, 384
Headache, 383
Wakefulness, 384
Vertigo, 384
Delirium, 384
General tremor, 384
Muscular rigidity, 384
Muscular and joint pains, 385
Cause of muscular and joint pains, 385
Seat of muscular and joint pains, 385
Motor paralysis, 385
Debility, 386
Perversion of special senses, 386
Respiration, 386
Relation of respiration, temperature, and pulse, 386
Bronchitis and pneumonia, 387
Condition of urine, 387
Urine of paroxysm, 388
of intermission, 388
Thirst, 389
Anorexia, 389
Condition of tongue, 389
Nausea and vomiting, 390
Hæmatemesis, 390
Condition of bowels, 390
of abdomen, 390
Spleen, enlargement, 391
Liver, enlargement, 391
Jaundice, significance of, 391
Epistaxis, 393
Hemorrhages, 393
Convalescence, 393
Varieties, 395
Grave form, 395
Multiple or protracted form, 395
Abortive form, 395
Case illustrating subintrant form, 396
Complications, 396
Peculiarities of temperature, 397
Mental hebetude, 398
Local palsies, 398
Severe rheumatic pains, 399
Disorders of vision, 399
Ophthalmia, 399
Disorders of hearing, 400
Otorrhoea, 400
Swellings and effusions of joints, 400
Bed-sores, 400
Gangrene, 400
Abscesses, 400
Anæmia, 400
Oedema, 400
Sudden collapse and syncope, 401
Hemorrhages from mucous surfaces, 401
Pericarditis, 402
Heart-clot, 402
Thrombosis and embolism, 402
Laryngitis, 403
Bronchitis, 403
Splenic enlargement, 403
Rupture of spleen, 403
Parotitis, 404
Pleurisy, 404
Pneumonia, 404
Pulmonary gangrene, 404
Metastatic abscesses of lungs, 404
Pharyngitis and tonsillitis, 405
Hiccough, 405
Diarrhoea, 405
Dysentery, 406
stools, 406
Suppuration of mesenteric glands, 406
General and local peritonitis, 406
Emaciation, 407
Renal disorders, 408
Albuminuria, 407
Suppression of urine, 407
Incontinence of urine, 407
Hæmaturia, 409
Glycosuria, 410
Metastatic inflammation of kidneys, 410
Disorders of menstruation, 410
Pregnancy, 410
Sequelæ, 398
Local palsies, 398
Acute miliary tuberculosis, 404
Dyspepsia, 406
Anæmia, 400
Morbid anatomy, 410
Post-mortem appearance of body, 410
Changes in voluntary muscles, 410
Blood, 411
Granule-cells of blood, 412
Changes in pericardium, 411
Heat, 411
Gastro-intestinal canal, 412
Solitary and agminated glands, 413
Mesenteric glands, 413
Larynx and pharynx, 413
Pleura, 413
Lungs, 413
Brain and membranes, 413
Liver, 414
Bile-ducts and gall-bladder, 415
Spleen and capsule, 416
Pancreas, 417
Peritoneum, 417
Kidneys, 414
Bladder, 414
Lymphatic glands, 417
Marrow of bones, 417
Diagnosis, 418
Presence of spirillum as a means, 418
From typhus fever, 418
From typhoid fever, 419
Grave form of, from typhoid fever, 420
From bilious remittent fever, 420
Yellow fever, 420
Small-pox, 421
Acute gastro-hepatic catarrh, 421
Simple febricula, 421
Rheumatic fever, 421
Acute yellow atrophy of liver, 422
Parotitis, 422
Cerebral diseases, 422
Prognosis, 422
Symptoms indicating unfavorable, 424
Influence of variations of temperature, 424
Cerebral symptoms, 424
Character of eruption, 425
Hiccough upon, 425
Epistaxis, 425
Cough upon, 425
Heart complications on, 425
Hepatic enlargement upon, 425
Splenic enlargement upon, 425
Jaundice upon, 425
Albuminuria, 425
Mortality--bilious typhoid form, 422
Influence of type of disease, 423
Stage of disease, 423
Season, 423
Habits and previous health, 424
Sex, 424
Age, 424
Race, 424
Cause of death in, 426
Treatment--indications for treatment in regular cases, 426
Hyperpyrexia, 426
Cause of failure of antipyretics, 429
Insomnia, 429
Headache, 429
Nausea and vomiting, 430
Constipation, 430
Jaundice, 431
Muscular tremor, 432
soreness and pains, 432
At critical fall of temperature, 432
Renal complications, 432
Epistaxis, 432
Collapse, 433
Necessity of absolute rest in, 432
Résumé of treatment, 432
Diet, 430
Special remedies, 431
Use of antiperiodics, 428
Arsenic, 427
Atropia, 429
Bromide and chloral, 430
Blisters, 431
Chloroform, 431
Cold baths, 428
Digitalis and other antipyretics, 428
Hyposulphite of sodium, 428
Opium, 429
Quinia, 426
Salicylic acid and salicylates, 428
Simple febrifuges, 428
Stimulants, 430
Venesection, 431

REMITTENT FEVER, 598
Definition, 598
Malarial nature, 598
Etiology, 598, 599
Relation of, to intermittent fever, 599
Symptoms, 599
Prodromal stage, 599
Paroxysm, 599
Temperature, 599
Epistaxis, 602
State of tongue, 600
Stomach, 602
Bowels, 602
Urine, 602
Jaundice, 600
cause, 600
Nervous symptoms, 602
Physiognomy, 600
Pulse in, 602
Duration of, 602
Diagnosis, 600
From intermittent fever, 600
From typhoid fever, 600
From yellow fever, 600
Prognosis, 602
Mortality, 599
Morbid anatomy, 602
Changes in skin, 603
Liver, 602
Spleen, 602
Treatment, 603
Main indications, 603
Use of quinia, 603
Amount of quinia, 603
Causes of failure of quinia, 604
Adjuvants to quinia, 604
Use of depuratives, 604
Purgatives, 604
Opium, 604
Of hemorrhage, 605
Of tympanites, 605
Of vomiting, 605

Renal disease, complicating relapsing fever, 408
scarlet fever, 525

Residence, change of, in treatment of beriberi, 1042

Resolution, incomplete, in idiopathic parotitis, treatment, 625
of symptomatic parotitis, treatment, 628
of erysipelas, 633
of inflammation, 54

Respiration in cerebro-spinal meningitis, 814
characters of, in idiopathic parotitis, 623
in general peritonitis of puerperal fever, 1010
in mild scarlet fever, 504
in relapsing fever, 386
in septicæmia lymphatica, 1012
in typhoid fever, 276
in typhus fever, 352
in croup, 157
in disease, 156
kinds of, 156
significance of, in general diagnosis, 156

Respiratory diseases, relation of, to rubeola, 561
organs, lesions of, in typhus fever, 356
spread of diphtheria into, 671
tract, alterations of, in scarlet fever, 531

Rest, necessity of, in cholera, 760
in rabies and hydrophobia, 907
in relapsing fever, 432
in yellow fever, 654

Retention-cysts, 116, 122

Retro-vaccine, 473

Re-vaccination, time of, 467

Rheumatic and cardiac inflammation in scarlet fever, treatment, 556

Rheumatism, complicating scarlet fever, 521

Rickets, hereditary nature, 128

Rigidity, muscular, in relapsing fever, 384

Rindfleisch's definition of diphtheritic inflammation, 686

RÖTHELN, 582
Definition, 582
Synonyms, 582
History, 582
Etiology, 583
Age as a cause, 583
Sex as a cause, 583
Specific origin, 583
Nature of contagion, 583
Modes of transmission, 583
Period of greatest contagiousness, 583
Distinct nature, 584
Frequency of second attacks, 584
Relapses, 584
Symptoms, 585
Incubation period, 583, 585
Duration of incubation period, 583
Prodromal stage, 585
Eruption, 585
Duration of eruption, 585
Characters of eruption, 586
Types of eruption, 586
Condition of mucous membranes, 586
Swelling of lymphatic glands, 586
Temperature, 587
Complications and sequelæ, 587
Diagnosis, 587
From measles, 587
From scarlet fever, 587
From symptomatic skin eruptions, 588
Prognosis of, 588
Treatment of, 588

RUBEOLA, 557
Definition, 557
Synonyms, 557
History, 557
Etiology, 557
Nature of contagion, 558
Relation of straw fungus, 558
Mode of entrance into body, 558
Modes of dissemination of contagion, 559
Inoculation, 559
Stage when most easily propagated, 560
Race, influence of, 561
Age, influence of, 561
Sex, influence of, 562
Climate as a cause, 560
Pregnancy and parturition as a cause, 561
Scrofula as a cause, 561
Diseases of respiratory organs as a cause, 561
Relation of, to acute diseases, 561
to chronic diseases, 561
to whooping cough, 561
Influence of nervous diseases upon susceptibility, 561
Frequency of epidemics, 560
in new-born, 562
second attacks, 563
Relapses in, 563
Symptoms, 563
Incubation stage, 563
Duration of incubation stage, 560
Prodromal stage, 564
Temperature, 564
Catarrhal symptoms, 564
Punctated appearance of palatal and faucial mucous membrane, 564
Convulsions, 565
Duration of, 565
Eruptive stage, 565
Temperature of, 566
Character and seat of eruption, 566
General symptoms, 567
Symptoms at decline, 567
Temperature at decline, 567
Duration of eruptive stage, 567
Varieties of, 568
Inflammatory or synochal, 568
Hemorrhagic (rubeola nigra), 569
Without eruption, 568
catarrh, 568
Deviations from ordinary course, 569
Peculiarities in seat of eruption, 569
in character of eruption, 569
Relapses of eruption, 570
Complications, 570
Causes, 570
Complicated with epistaxis, 570
Skin disorders, 570
Pemphigoid eruptions, 571
Ear diseases, 570
Eye diseases, 571
Faucial inflammation, 571
Laryngitis, 571
Bronchitis and capillary bronchitis, 571
Pneumonia, 571
Pulmonary oedema, 572
Acute miliary tuberculosis, 572
Heart-clot, 572
Intestinal catarrh, 572
Convulsions, 572
Diphtheria, 573
Sequelæ, 573
Followed by general miliary tuberculosis, 574
Chronic pulmonary tuberculosis, 573
Coryza, 574
Ophthalmia, 574
Otitis, 574
Intestinal catarrh, 574
Cutaneous diseases, 574
Bone and joint disease, 574
Nervous affections, 574
Granular meningitis, 574
Albuminuria, 574
Gangrenous affections, 574
Morbid anatomy, 575
Changes in skin, 575
Diagnosis, 575
Value of punctated appearance of palatal and faucial mucous
membranes, 575
Salient points in diagnosis, 575
From rötheln, 576
Scarlet fever, 576
Variola, 576
Roseola and erythema, 577
Typhus, 577
Roseola syphilitica, 577
Prognosis, 577
Factors to be considered in making, 577
Influence of hygienic surroundings, 577
previous health, 578
complications, 578
Mortality, 578
Influence of stage of disease, 578
of age, 578
Treatment, 578
Preventive, 578
Isolation, 578
Hygienic, 579
Diet, 579
Uncomplicated cases, 579
Results, 579
Hyperpyrexia, 580
Retrocession of eruption, 580
Epistaxis, 580
Diarrhoea, 581
Nausea and vomiting, 581
Constipation, 581
Cough, 581
Eye complications, 581
Aural complications, 581
Bronchitis and pneumonia, 581
Convulsions, 581
Use of aconite, 580
Inunctions, 580
Quinia, 580
Stimulants, 580

S.

Salicylic acid, use of, in diphtheria, 707
in relapsing fever, 428

Saliva, propagation of rabies and hydrophobia by, 891

Salivary glands, lesions of, in typhoid fever, 268

Sanitary inspection of houses, 187

Sarcoma, 118

SCARLET FEVER, 486
History, 486
Etiology--Specific origin, 487
Germ theory, 488
Microbes, 488
Modes of cultivation of microbes, 488
Modes of entering the system, 490
Modes of communication, 490
Dissemination of, by milk, 491
Fixity of the poison, 491
Solid nature of the poison, 492
Duration of incubation, 492, 493
Contagiousness, 494
Area of contagiousness, 494
Age, influence of, in causation, 500
Variations in type, 494
Surgical, 495
distinguished from septicæmic efflorescence, 497
effect of poison upon inflammation of wounds, 498
Obstetrical, 498
liability of parturient women to, 498
relation of, to puerperal septicæmia, 499
Immunity of infants, 500
Clinical facts regarding, 501
Relapses in, 501
Frequency of second attacks, 501
Sympathetic sore throat in, 502
albuminuria in, 502
Symptoms, 502
Ordinary form, 502
Premonitory, 502
Nervous system, 503
Vomiting in, significance, 503
Diarrhoea, 503
Condition of tongue, 504
of faucial and nasal membranes, 504
Respiratory, 504
Efflorescence, 504
Seat of greatest intensity of eruption, 504
Cause of absence of eruption, 505
Date of desquamation, 506
Temperature, 505
Digestive system, 505
Urine, characters, 505
Duration, 506
Malignant or grave form, 507
Digestive system, 507
Pulse, 507
Eruption, 507
Temperature, 507
Nervous symptoms, 507
Condition of fauces, 508
Of throat, 508
Nasal cavities, 508
Lymphatic glands, 508
Duration, 508
Irregular form, 508
Causes, 508
Absence of eruption, 508
Hemorrhagic form, 509
Anginose form, 510
Complications and sequelæ, 510
Complicated by severe nervous symptoms 510
Throat symptoms, 511
Adenitis, 511
Inflammation of neck, 511
Gangrene of neck, 512
Oedema of glottis, 512
Diphtheria, 514
course of diphtheria, complicating, 516
Croupous inflammation of fauces, 516
Coryza, 520
Otitis, 520
course of otitis, complicating, 520
results of otitis, complicating, 521
By rheumatism, 521
By cardiac inflammations, 522
By dilatation of heart, 523
By heart-clot, 523
By pleuritis, 523
By nephritis, 525
By glomerulo-nephritis, 527
By albuminuria, 525
By anasarca and oedema, 529
Order and date of appearance of anasarca, 529
By head symptoms due to uræmia, 530
Morbid anatomy, 530
Changes in the blood, 530
Respiratory tract, 531
Abdominal organs, 531
Post-mortem appearance of eruption, 532
Changes in the kidneys, 526
hyaline degeneration of kidneys, 527
intestinal nephritis, 528
parenchymatous nephritis, 526
Changes in the liver, 531
Diagnosis, 532
From measles, 532
From erythema, 533
From rötheln, 533
From diphtheria, 533
Prognosis, 533
Influence of complications upon, 533, 535
type upon, 534
age upon, 534
Of grave cases, 535
Mortality, 534
Treatment, 536
Preventive, 536
Isolation in, 537
Inoculation as a prophylactic, 536
Belladonna as a prophylactic, 536
Sodium sulpho-carbolate as a prophylactic, 537
Listerine as a prophylactic, 537
Boric acid as a prophylactic, 537
Disinfection in, 201, 538
Hygienic, 539
Therapeutic, 539
Mild cases, 540
Inunction in, 541
Hyperpyrexia, 541
by cold, 541
Mode of applying cold, 542
Antiseptic, 545
Complications and sequelæ, 545
Pharyngitis, 545
local, 546
Coryza, 546
local, 547
Otitis, 547
local, 549
paracentesis of tympanum, 548
Nephritis and albuminuria, 550
modes of producing diaphoresis, 551
local, 555
Convulsions, 556
Rheumatic and cardiac inflammation, 556
Pleuritis, 556
Convalescence, 544
Use of aconite and veratrum viride, 543
Alcohol, 544
Ammonium carbonate, 544
Carbolic acid, 545
Cathartics, 554
Diuretics, 555
Digitalis, 543, 555
Ice, 542
Jaborandi and pilocarpine, 552
Sodium salicylate, 543
Quinia, 543

Scarlet fever, relation of, to idiopathic parotitis, 620

Scarlatina, disinfection in, 201, 538

Schools, closure of, for prevention of disease, 203

Scrofula, relation of, to causation of rubeola, 561
relation to tuberculosis, 96, 101

Scrofulosis, hereditary disposition to, 127

Scrofulous habit, peculiarities of tissue, 101

Scurvy, complicating typhus fever, 355

Season, influence of, on causation of anthrax, 931, 940
of cerebro-spinal meningitis, 802
of diphtheria, 682
of typhoid fever, 245
of erysipelas, 630
of idiopathic parotitis, 620
of influenza, 860
of the plague, 775
of rabies and hydrophobia, 887
of relapsing fever, 371
of typhus fever, 343
of variola, 435
on cholera, 720
proper, for vaccination, 477

Seborrhoea, following erysipelas, 633

Second attack of rubeola, frequency of, 563
stage of pertussis, 840

Secondary form of diphtheria, 671

Segregation of lepers, 794

Self-infection, danger of, in treating diphtheria, 696
prevention of, in treating diphtheria, 696

Sensibility, altered, significance of, in general diagnosis, 161
modifications of, in typhoid fever, 279

Sepsin, 971

Septicæmia, 945
complicating erysipelas, 634
distinguished from pyæmia, 978, 979
lymphatica of puerperal fever, 1011
venosa, 1012

Sequelæ of cerebro-spinal meningitis, 819
of cholera, 735
of erysipelas, 633
of grave form of the plague, 780, 781
of influenza, 868
of relapsing fever, 396
of rötheln, 587
of rubeola, 573
treatment, 580
of scarlet fever, 510
of vaccinia, 464
of variola, 445

Serous inflammation, 47
inflammations complicating erysipelas, 634

Severe form of diphtheria, symptoms, 668
of influenza, treatment, 875
of typhus fever, 354

Sewerage, 213

Sewer- and soil-pipes, importance of position, 188

Sewer-gas, 189
diseases produced by, 190
symptoms due to, 189

Sewers, characters of efficient, 224
public, 224
ventilation of, 224

Sewer-traps, test as to their efficiency, 190
varieties, 191

Sex, influence of, on causation of cerebro-spinal meningitis, 802
of diphtheria, 680
of erysipelas, 630
of idiopathic parotitis, 620
of influenza, 860
of leprosy, 789
of pertussis, 839
of the plague, 775
of rabies and hydrophobia, 880
of relapsing fever, 371
of rötheln, 583
of variola, 436
typhoid fever, 243
relation of, to causation of rubeola, 563

Silver nitrate, use of, in typhoid fever, 332

Simon's triangles, 437

SIMPLE CONTINUED FEVER, 231
Definition, 231
Synonyms, 231
History, 231
Etiology, 232
Symptoms, 233
Asthenic form, 233
Morbid anatomy, 235
Diagnosis, 234
From typhoid fever, 234
From typhus fever, 234
From relapsing fever, 235
From tubercular meningitis, 235
Prognosis, 235
Treatment, 236

Simple form of yellow fever, treatment, 649

Singultus in pyæmia, 975
in septicæmia, 977
significance of, in general diagnosis, 158

Skin, alterations in sensibility of, in cerebro-spinal meningitis, 808
anæsthesia of, in beriberi, 1039
appearance of, in typhoid fever, 273
character of lesions in erysipelas, 631
chronic diseases of, following rubeola, 574
color of, in cholera, 737
condition of, in cholera, 736
in influenza, 866
in septicæmia, 977
coolness of, in cerebro-spinal meningitis, treatment, 831
diseases of, complicating vaccination, 471
effects on course of erysipelas, 634
following vaccination, 471
disorders of, complicating rubeola, 570
eruptions of, complicating cholera, 735
in pyæmia, 974
erysipelas of, migration, 632
hyperæsthesia of, in typhus fever, 352
lesions of, in erysipelas, 635
course of, 631
in leprosy, 791
in remittent fever, 603
in rubeola, 575
morbid anatomy of lesions of, in variola, 446
odor of, in typhoid fever, 273
in typhus fever, 352
significance of color of, in general diagnosis, 159
swelling of, in erysipelas, 632

Skunk-bites as cause of rabies and hydrophobia, 889

Slaking lime, use of, in diphtheria, 703

Sleep, danger of prolonged, in nasal diphtheria, 712

Sleeplessness in idiopathic parotitis, treatment, 625

Small-pox, 434
black, 442
freedom of liability to, from race-protection, 130

Sodium benzoate, use of, in pertussis, 847
chloride, venous injection of, in cholera, 762, 768
hyposulphite, use of, in relapsing fever, 428
salicylate, use of, in diphtheria, 707
in puerperal fever, 1032
in scarlet fever, 543
in typhoid fever, 330
sulpho-carbolate as a prophylactic in scarlet fever, 537

Softening, cerebral, from embolism, 65
mucous, 82

Soil, character of, as cause of disease, 187
composition of, 187
diminished dryness of, a cause of phthisis, 187
drainage of, for prevention of anthrax, 937
of disease, 226
examination, 188
filtering power, 187
humidity of, as a cause of cholera, 722

Soils, alkaline, relation of, to causation of anthrax, 930

Soil-pipes, importance of position of, 188
tests as to their efficiency, 190
ventilation of, 189

Solitary glands, lesions of, in typhoid fever, 261

Spasm of pharyngeal and respiratory muscles in hydrophobia, 899

Special senses, perversion of, in relapsing fever, 386
in typhus fever, 349

Specific origin of anthrax, 720, 726
of cholera, 727
of glanders, 911
of rötheln, 583
of yellow fever, 640

Speech, impairment of, following cerebro-spinal meningitis, 820

Spinal cord, lesions of, in cerebro-spinal meningitis, 823
marrow, lesions of, in cholera, 746
rigidity in cerebro-spinal meningitis, 809

Spirillum, 142
of relapsing fever, 373

Spleen, condition of, in relapsing fever, 391
enlargement of, in pyæmia, 976
lesions of, in anthrax in animals, 935
in man, 942
in cholera, 746
in diphtheria, 687
in glanders, 922
in hydrophobia, 903
in pyæmia, 969
in relapsing fever, 416
in remittent fever, 602
in septicæmia, 972
in typhoid fever, 264
in typhus fever, 357
rupture of, in relapsing fever, 403

Spontaneous cow-pox, 456
origin of pyæmia, 959
of typhoid fever, 254

Stages of yellow fever, 645

Standards of purity of water, 184

Starvation and over-crowding as causes of relapsing fever, 370

Steam, use of, in diphtheria, 701

Sthenic inflammation, 46

Stimulants, use of, in diphtheria, 695
in relapsing fever, 431
in rubeola, 580
in variola, 453

Stomach, lesions of, in cholera, 743
state of, in remittent fever, 602

Stools, as a medium of disseminating typhoid fever, 249
character of, in cholera, 739
in pyæmia, 976
in typhoid fever, 287
in typho-malarial fever, necessity of disinfecting, 619
necessity of disinfection in prevention of typhoid fever, 321
significance of, in general diagnosis, 163

Strabismus in cerebro-spinal meningitis, 810

Straw-fungus, relation of, to rubeola, 558

Strychnia, use of, in diphtheritic paralysis, 713
in dry beriberi, 1043

Stupor in typhoid fever, treatment, 334
in typhus fever, treatment, 366

Subsoil-water, level of, 188

Sudamina in typhoid fever, 274
in typhus fever, 352

Sulphites and hyposulphites, use of, in pyæmia, 982
in septicæmia, 983

Sulphur, use of, in diphtheria, 709

Summer heats, relation of, to causation of rabies and hydrophobia, 887

Suppuration in idiopathic parotitis, treatment, 625
influence of minute organisms in production of, 144

Suppurative stage of variola, 439

Surgical scarlatina, 495
treatment of erysipelas, 638

Swelling of parotid glands in cerebro-spinal meningitis, 814

Swellings, significance of, in diagnosis, 159

Sweating stage of intermittent fever, 593
of intermittent fever, treatment, 597

Symptomatic parotitis, 625

Symptomatology, general, 148

Symptoms at decline of eruptive stage of rubeola, 567
constitutional, of vaccinia, 459
due to sewer-gas, 189
general, of idiopathic parotitis, 623
of anæsthetic form of leprosy, 791
of tubercular form of leprosy, 790
of confluent small-pox, 441
local, of anthrax, 935, 940
of idiopathic parotitis, 621
anæsthetic form of leprosy, 790
of glanders, 914, 915, 921
of tubercular form of leprosy, 789
nervous, in mild scarlet fever, 503
in typhus fever, 348
special, in typhus fever, 347
of anthrax in animals, 934
in man, 940
angina, 941
intestinalis, 941
of malignant anthrax, 940
of beriberi, 1039
of cerebro-spinal meningitis, 806
of cholera, 731
of comatose form of pernicious malarial fever, 608
of dengue, 884
of diphtheria, 667
of endometritis and endocolpitis of puerperal fever, 1005
of erysipelas, 631
of glanders in horses, 914
in man, 920
of hydrophobia, in man, 898
of influenza, 865
of idiopathic parotitis, 621
of intermittent fever, 592
of gangrene foudroyante, 977
of general peritonitis of puerperal fever, 1010
of leprosy, 789
of malignant scarlet fever, 507
of para- and perimetritis in puerperal fever, 1005
of pertussis, 840
of the plague, 777
of puerperal fever, 1004
of pyæmia, 972
of rabies and hydrophobia in dogs, 895
of relapsing fever, 374
of remittent fever, 599
of rötheln, 585
of rubeola, 563
of scarlet fever, 502
of septicæmia, 976
lymphatica of puerperal fever, 1011
venosa of puerperal fever, 1012
of simple continued fever, 233
of symptomatic parotitis, 626
of typho-malarial fever, 615
of typhoid fever, 268
of typhus fever, 346
of vaccinia, 458
of varicella, 481
of variola, 436
of varioloid, 443
of yellow fever, 644

Synonyms of anthrax, 926
of cerebro-spinal meningitis, 795
of cholera, 715
of dengue, 879
of diphtheria, 656
of erysipelas, 629
of glanders, 909
of influenza, 851
of leprosy, 785
of the plague, 771
of rabies and hydrophobia, 886
of relapsing fever, 369
of rötheln, 582
of rubeola, 557
of simple continued fever, 231
of typhoid fever, 237
of typhus fever, 338
of vaccinia, 455
of vaccination, 465
of varicella, 481
of variola, 434
of yellow fever, 640

Syphilis, complicating vaccination, 469
modes of preventing, 470
treatment of, 471
constitutional, hereditary nature of, 127

T.

Tâches bleuâtres in typhoid fever, 275
in typhus fever, 352

Tarnier's maternity pavilions for prevention of puerperal fever, 1028

Taste, modifications of, in typhoid fever, 280
significance of modification, in general diagnosis, 162

Technics of vaccination, 472

Teeth, significance of condition, in diagnosis, 152

Temperature in anthrax in man, 940
at decline of eruptive stage of rubeola, 567
elevated, influence of, in origin and spread of cholera, 720
in cerebro-spinal meningitis, 815
in cholera, 736
in dengue, 881
in eruptive stage of rubeola, 565
in erysipelas, 633
in fevers, 38-40
in general peritonitis of puerperal fever, 1010
in idiopathic parotitis, 623
in influenza, 864
in malignant scarlet fever, 507
in mild scarlet fever, 505
in para- and perimetritis in puerperal fever, 1006
in prodromal stage of rubeola, 564
in pyæmia, 974
in relapsing fever, 378, 382
in remittent fever, 599
in rötheln, 587
in septicæmia, 977
venosa of puerperal fever, 1012
in typhoid fever, 280
in typhus fever, 349
significance of, in general diagnosis, 158
respiration and pulse, relations of, in relapsing fever, 386

Tenderness, muscular, in beriberi, 1039

Teratoid tumors, 124

Test, peppermint, for defects in plumbing, 198

Tests as to efficiency of soil-pipes, 190

The plague, 771

Thermometer, use of, in typhoid fever, 284

Thirst in cerebro-spinal meningitis, 814
in rabies and hydrophobia, 899
in relapsing fever, 389
in typhoid fever, 285
in typhus fever, 350
treatment, 367
significance of, in general diagnosis, 162
treatment of, in cholera, 770

Throat symptoms, complicating scarlet fever, 511

Thoracic duct, obstruction of, as cause of dropsy, 69

Thrombi, action of, in production of metastatic abscesses in pyæmia,
965
calcification of, 60, 89
in uterine pelvic veins, 989
growth of, in puerperal fever, 989

Thrombosis, 56
relation of, to causation of pyæmia, 957
and embolism, 56
causes, 57
symptoms, 66
in relapsing fever, 402
in typhoid fever, treatment, 335

THROMBUS, 56
Calcification, 60, 88
Characteristics, 59
Changes, 60
Composition, 56
Distinguished from thrombosis, 56
From compression, 58
From death of leucocytes, 57
From dilatation, 58
From marasmus, 59
From traumatism, 58
Mechanical effects, 62
Organization, 60
Softening, 61
Varieties, 57, 58

Tongue, condition of, in cerebro-spinal meningitis, 813
in dengue, 881
in erysipelas, 633
in idiopathic parotitis, 622
in mild scarlet fever, 504
in typhus fever, 350
in yellow fever, 644
state of, in pyæmia, 975
in relapsing fever, 389
in remittent fever, 600
in septicæmia, 977
in typhoid fever, 285
signification of state of, in diagnosis, 152

Tracheal diphtheria, prognosis of, 692

Trachea, formation of diphtheritic membrane in, 671

Tracheotomy in diphtheria, prognosis of, 692

Transmission of cholera, 721, 723
of variola, 435

Transudation, 68
causes, 69
mechanism, 68

Traps, ventilation, 221

Traumatic fever, relation of, to septicæmia, 961
fevers, 37

Treatment of anthrax in animals, 938
in man, 943
preventive, of anthrax, 936, 943
of beriberi, 1042
of cerebro-spinal meningitis, 829
of cholera, 759
of dengue, 885
of diphtheria, 694
general, importance of, in diphtheria, 695
of erysipelas, 636
of idiopathic parotitis, 624
local, of idiopathic parotitis, 625
of intermittent fever, 594
of leprosy, 793
local, of leprosy, 794
of comatose form of pernicious malarial fever, 609
of glanders in horse, 918
in man, 924
preventive, in horse, 919
in man, 925
of influenza, 873
of pertussis, 844
of the plague, 782
of puerperal fever, 1028
of septicæmia, 983
of pyæmia, 979
of rabies and hydrophobia, 903
preventive, 903
of relapsing fever, 426-433
of remittent fever, 603
of rötheln, 587
of rubeola, 578
hygienic, of rubeola, 579
preventive, of rubeola, 578
of scarlet fever, 536
of septicæmia, 982
of simple continued fever, 236
of symptomatic parotitis, 627
local, of symptomatic parotitis, 628
of typhoid fever, 320
of typho-malarial fever, 618
of typhus fever, 361
of variola, 451
hygienic, of variola, 451
of variola, preventive, 451
of varioloid, 451
of yellow fever, 649

Treeak farook, use of, in wet beriberi, 1042

TUBERCLE, 94
Calcification, 96
Cheesy degeneration, 96
Fibrous transformation, 96
Histology, 95
Horn-like change, 96
Infectious origin, 97
Inoculability, 97
Miliary and gray, cause of infectious qualities, 99
Origin of, from absorption of cheesy products, 97

Tubercular form of leprosy, 789

TUBERCULOSIS, 94
Bacilli of, 99, 100 _et seq._
Dissemination, 103
Hereditary nature, 101
Primary seat, 104
Relation of, to pearly distemper, 99
to scrofula, 101

Tuberculosis, acute miliary, complicating rubeola, 572
chronic pulmonary, following rubeola, 573
general miliary, following relapsing fever, 404
following rubeola, 574
relation of, to pearly distemper, 99
to scrofula, 96, 101

TUMORS, 105
Method of origin, 106
Cohnheim's theory of origin, 106
Influence of irritants in producing, 108
Growth, 109
concentric, 109
continuous, 109
eccentric, 109
influence of seat, 109
rapidity, 109
Primary, 110, 111
Secondary, 110, 112
Metastasis, 110
Multiple, 110
Recurrence, 110
Transplantation, 110
Embolic nature, 112
Changes occurring, 113
inflammatory, 113
Analogy of structure in primary and secondary, 113
Benignant, 114
Cachexia, 114
Malignant, 114
Resemblance of, to normal tissue of body, 115
Histoid, 116
Organoid, 116
Relation of, to each other, 117
Connective tissue, 118, 122
Cystic, 115, 116, 121
Influence of age upon development, 119
Classification, 114, 121
Infective group, 120, 124
Epithelial group, 123
Congenital, 124

Turpentine inhalations in diphtheria, 704
stupes, use of, in puerperal fever, 1032
use of, in typhoid fever, 326

Tympanites in remittent fever, treatment, 605
in typhoid fever, 286
treatment of, 332
in typho-malarial fever, treatment, 619
in typhus fever, 350

Tympanum, paracentesis of, in scarlet fever, 548

Types of cerebro-spinal meningitis, 804
of intermittent fever, 594
of scarlet fever, 494
of varioloid, 444