Chapter V: Parasites of the Liver (12)

Spinal applications, use of, in enteralgia, 664, 665
cord, effects of abnormal condition of, on rectum and anus, 906
and membranes, lesions of, in acute rheumatism, 40
inflammation complicating acute rheumatism, 40
irritation, influence of, on causation of pruritus ani, 909

Spirit-drinking, influence of, on causation of functional dyspepsia,
446

Splashing sound on palpation in dilatation of stomach, 597

Spleen, amyloid degeneration in rachitis, 153
lesions of, in acute intestinal catarrh, 677
in chronic intestinal catarrh, 705
in scurvy, 173
in tabes mesenterica, 1188
in acute yellow atrophy of liver, 1026
enlargement of, in amyloid liver, 1044
in cirrhosis of liver, 994
in hydatids of liver, 1104
in phosphorus-poisoning, 1031
in thrombosis and embolism of portal vein, 1096
in rachitis, 140
in hereditary syphilis, 305

Spondylitis following gonorrhoeal rheumatism, 106

Spontaneous disintegration of biliary calculi, 1066
origin of acute peritonitis, 1136, 1137

Sprays, medicated, use of, in acute pharyngitis, 398
in chronic pharyngitis, 405, 406

Squamous-celled form of cancer of oesophagus, 426

Starchy food, influence on causation of intestinal indigestion, 625

Steam inhalations, use of, in acute pharyngitis, 397, 398

Stenosis, influence on causation of dilatation of stomach, 587
of cardia as a cause of atrophy of stomach, 616
of ductus communis choledochus, 1082
of portal vein, 1095
of oesophagus, as a cause of atrophy of stomach, 616
of orifices of stomach in gastric cancer, 566
of pylorus in carcinoma of stomach, treatment, 578
in simple ulcer of stomach, 503
hypertrophic, 615

Stercoraceous vomit, in acute internal strangulation of intestines,
843
in intussusception, 848, 849
vomiting, in enteralgia, 662
significance of, in intestinal obstruction, 862
in stricture of bowel, 856

Stimulants, use of, in cancrum oris, 344
in cholera morbus, 725
in dysentery, 812
in entero-colitis and cholera infantum, 761
in acute gastritis, 469
in chronic intestinal catarrh, 716
in intestinal obstruction, 865
in abscess of liver, 1021
in aphthous stomatitis, 331
in gangrenous stomatitis, 344

STOMACH, ATROPHY OF, 616
Etiology, 616
General inanition and marasmus, 616
Result of stenosis of oesophagus or cardia, 616
Anæmia, 616
Secondary nature, 616
Acute infectious diseases, 616
Mineral poisoning, 616
Chronic gastric disease, 616
Morbid anatomy, 616
Gastric tubules, degeneration of, 616
atrophy of, 616
Symptoms, 616
Digestive disturbances, 616
Anorexia, 616
Vomiting, 616
Anæmia, 616
_Anomalies of Form and Position_, 617
Hour-glass contraction, 617
Diverticula, from ingestion of foreign substances, 617
Loop-shaped form, 617
In hernial sacs, 617
In diaphragmatic hernias, 617
umbilical hernias, 617
Displacements, 617
by tumors, 617
by tight-lacing, 617
Twisting of, 617

STOMACH, CANCER OF, 530
Definition, 530
Synonyms, 530
History, 530
Etiology, 531
Frequency, 532
Sex, 533
Age, 534
Geographical distribution, 535
Race, 535
Heredity, 535
Simple ulcer of stomach, 536
Chronic gastritis, 536
Depressing emotions, 536
Individual predisposition, 537
Local predisposition, 537
Symptoms, 537
Course of typical cases, 538
Loss of appetite, 538
Pain, 539
Seat, 539
Effect of food on, 539
Character of, 539
Absence of, 539
Functional disturbance of stomach, 540
Eructations, 540
Breath, fetid, 540
Hiccough, 540
Tongue, appearance, 540
Vomiting, 541
Character, 541
Effect of situation of cancer on, 541
Time of, 541
In pyloric form, 541
cardiac form, 541
Frequency, 542
Cause of, 542
Vomit, characters of, 542
Gastric fluids, detection of cancerous fragments in, 542
absence of free hydrochloric acid in, 543
tests for hydrochloric acid in, 543, 544
Vomit, bloody, 545
detection of blood in, 545
coffee-grounds, 546
Hemorrhages, frequency, 545
Dysphagia, 546
Tumor, presence of, 546
frequency of, 546
method of examining for, 546-549
seat of, 548, 561
size of, 548
consistence of, 548
inflation of stomach with carbonic acid gas in diagnosis of, 549
Constipation, 550
Diarrhoea, 550
Black stools, 550
Urine, state of, 550
Albuminuria, 551
Emaciation, 551
Debility, 551
Depression of spirits, 552, 554
Anæmia, 552
Cachexia, 552
Physiognomy, 552
Oedema, 553
Ascites, 553
Pulse, 553
Epigastric pulsation, 553
Hæmic murmurs, 553
Venous thrombosis, 553
Temperature, 554
Dyspnoea, 554
Headache and vertigo, 554
Intelligence, 554
Coma, 554
dyspnoeic, 555
cause of, 555
Secondary growths, 556
of liver, 556
diagnosis of, 556, 557
growth of peritoneum, 557
Enlargement of supra-clavicular glands, 557
Perforation, 558
frequency of, 558
formation of fistulæ, 558
gastro-colic fistula, 558
Fecal vomiting in gastro-colic fistulæ, 558
Death, cause of, 559
Duration, 559
In early life, 559
Complications, 560
Jaundice, 560
Pylethrombosis, 560
Peritonitis, 560
Catarrhal enteritis, 560
Chronic diffuse nephritis, 560
Pleuritis, 560
Pericarditis, 560
Hydrothorax, 560
Pyo-pneumothorax, 560
Oedema of lung, 560
Pneumonia, 560
Embolism, 560
Aphthæ, 560
Fatty degeneration of heart, 560
Phlegmasia alba dolens, 560
Insanity, 560
Purpura hæmorrhagica, 560
Chronic catarrhal gastritis, 560
Morbid anatomy, 560
Varieties, 561
relative frequency of, 561
Method of growth, 562
Of annular form, 562
Of diffuse form, 562
Relation to coats of stomach, 562
Ulceration, 562
causes of, 562
cicatrization of, 563
Suppuration, 563
Medullary form, 563
peculiarities of, 563
histology of, 563
tendency to metastasis, 563
origin in gastric tubules, 563
Cylindrical-celled epithelioma, 564
histology of, 564
origin from gastric tubules, 564
Scirrhous form, 564
histology of, 564
Colloid form, 564
histology of, 564
Flat-celled epithelioma, 565
Secondary form, 565
peculiarities of, 565
seat of, 565
Changes, secondary, in stomach, 566
Hypertrophy of gastric wall, 566
Obstruction of orifices of stomach, 566
Atrophy of stomach, 566
Dilatation of stomach, 566
Hour-glass contraction of stomach, 566
Adhesions to adjacent organs, 566
Metastasis, 567
relative frequency of, 567
causes of, 568
Wasting of various organs, 568
Pathenogenesis, 568
Theories regarding origin, 569
Diagnosis, 569
Presence of a tumor, value in, 569
Detection of fragments of cancer in vomit, 569
Absence of free hydrochloric acid in gastric fluid, 569
Value of coffee-ground vomit, 569
From gastric ulcer, 569-571
chronic gastric catarrh, 569-571
gastralgia, 571
nervous dyspepsia, 571
fibroid induration of stomach, 571
chronic interstitial gastritis, 571
non-malignant stenosis, 571
non-malignant tumors, 572
tumors of adjacent organs, 572
of liver, 572
cancer of pancreas, 572
tumors of omentum and intestines, 573
aneurism of aorta, 573
spasm of rectus muscle, 573
pernicious anæmia, etc., 574
cirrhosis of liver, 574
of position of growth, 574
of form of growth, 574
Mortality, 574
Prognosis, 575
Treatment, 576
Diet, 576
Pain, 576
Vomiting, 576
Acid eructations and heartburn, 576
Constipation, 577
Diarrhoea, 577
Hæmatemesis, 577
Stenosis of pylorus, 578
Use of condurango, 576
of opium, 576
of ice, 576
of hydrocyanic acid, 576
of bismuth, 576
of oxalate of cerium, 576
of rectal alimentation, 576
of antacids, 576
of charcoal, 576
of washing out of stomach, 577
Surgical measures, 577
Resection, 577
Gastrostomy for stenosis, 578
_Non-cancerous Tumors of_, 578
Polypi of, 578
Adenomata, 578
Myomata, 578
Myosarcomata, 578
Sarcoma, 578
Miliary aneurisms, 579
Cysts of mucous membrane, 579
Fibromata and lipomata, 579

STOMACH, CIRRHOSIS OF, 611
Definition, 611
Synonyms, 611
History, 611
Etiology, 612
Sex, influence on causation, 612
Age, influence on causation, 612
Alcohol, abuse of, 612
Syphilis, 612
Injury, 612
Chronic catarrhal gastritis, 612
Symptoms, 612
Of chronic dyspepsia, 613
Appetite, impaired, 613
Gastralgia, 613
Inability to ingest large quantities of food, 613
Loss of flesh and strength, 613
Vomiting, 613
Vomit, characters of, 613
Diagnosis, 613
Significance of long duration of dyspepsia, 613
Value of physical examination, 613
Presence of a tumor, 613
Stomach-tube, use of, 613
From cancer, 613
Morbid anatomy, 613
Contraction of stomach, 613
Cavity of stomach, size of, 613
Thickening of gastric walls, 614
Mucous membrane, lesions, 614
Muscular coat, hypertrophy of, 614
Fibrous tissue, increase of, 614
Microscopical appearances of mucous membrane, 614
Gastric tubules, atrophy of, 614
Formation of adhesions, 614
Peritoneum, lesions of, 614
Prognosis, 614
grave nature of, 614
Treatment, 615

Stomach, condition of, in rachitis, 153

STOMACH, DILATATION OF, 586
Definition, 586
Synonyms, 586
History, 586
Etiology, 587
Stenosis of pyloric orifice, 587
Carcinoma, 587
Cicatricial growths from simple ulcer, 587
from corrosive poisons, 587
Hypertrophy of pyloric orifice, 587
Obstruction of pylorus by polypi, 587
Narrowing of pylorus by tumors of adjacent organs, 587
Congenital stenosis, 588
Spasm of pylorus, 588
Obstruction from distortion and displacement, 588
Without obstruction (atonic form), 589
Abnormal gastric contents, 589
Excessive eating and drinking, 589
use of beer, 589
Abuse of condiments, 589
of tobacco, 589
Fermentation of contents of stomach, 589
Impairment of gastric muscular force, 590
Organic changes in muscular coat, 590
Destruction by ulcers and cancers, 590
Chronic catarrhal gastritis, 590
peritonitis, 590
Degenerations (fatty, colloid, and amyloid), 590
Oedema of coats of stomach, 590
Cirrhosis of stomach, 590
Mechanical restraint of gastric movements, 590
Adhesions, 590
Weight of herniæ, 590
Impaired general nutrition, 590
Paresis from neuropathic causes, 590
Frequency of, in its causal relation, 592
Age, 592
Infrequency of atonic form among the poor, 592
Sedentary life, 592
Symptoms, 592
Disturbance of gastric functions, 592
Impaired appetite, 593
Increased appetite (polyphagia), 593
Thirst, 593
Pain, 593
Fulness and weight, 593
Eructations and heartburn, 593
Gases, nature of, 593
inflammability of, 593
Vomiting, 593
time of, 593
Vomited matters, abundance of, 593
amount of, 593
fermentation of, 594
odor of, 594
presence of micro-organisms in, 594
sarcinæ, bacteria, etc. in, 594
absence of free hydrochloric acid in, 594
presence of blood in, 594
Constipation, 594
Diarrhoea, 594
Urine, state of, 594
Dyspnoea and cardiac palpitation, 595
General condition, 595
Tetanic spasms, 595
seat of, 595
muscles of calves and abdomen, 595
of flexors of hand and forearm, 595
Coma, 596
Temperature, 596
Physical signs, 596
Prominence of epigastric region, 596
Peristaltic movements, 596
Splashing sound on palpation, 597
method of producing, 597
Percussion, 598
Auscultation, 598
Displacement of adjacent organs, 599
Morbid anatomy, 599
Degrees of, 599
Capacity, 599
Fundus, size of, 599
Oesophagus, dilatation of, 599
Hypertrophy of gastric walls, 599
Atrophy of gastric walls, 599
Fatty and colloid degeneration of muscular coats, 600
Mucous membrane, state of, 600
Atrophy of abdominal viscera, 600
Diagnosis, 600
Distension of stomach with carbonic acid gas in, 596, 601
Ingestion of water to aid, 598, 602
Stomach-tube, use of, 597, 602
Determination of lower gastric border, 598, 602
From chronic catarrhal gastritis, 603
atonic dyspepsia, 603
Prognosis and course, 603
Death, mode of, 603
Treatment, 603
Prophylactic, 603
Diet, 603, 608
Washing of stomach, 603
object of, 604
modes of, 604
apparatus used in, 604-607
siphon process, 604-606
stomach-pump, 604
frequency of, 607
objections to, 607
contraindications, 608
Of heartburn, 609
Of anæmia, 609
Of constipation, 609
Use of electricity, 608
of nux vomica, 609
of strychnia, 609
of abdominal bandage, 609
of hydrochloric acid, 609
of pepsin, 609
of sodium bicarbonate, 609
of Carlsbad water, 609
of iron and arsenic, 609
of resection of pylorus, 609
of gastrotomy, 609
_Acute Dilatation of_, 610
Definition, 610
Etiology, 610
Symptoms, 610
Pain, 610
Tympanites, 610
Vomiting, cessation of, 610
Prognosis, 610
Treatment, 610
Use of stomach-tube, 610

Stomach, functional and inflammatory diseases of, 436

STOMACH, HEMORRHAGE FROM, 580
Definition, 580
Synonyms, 580
Etiology, 580
Ulcer of stomach, 580
Cancer, 580
Traumatism, 580
Corrosive poisons, 580
Diseases of gastric vessels, 580
Aneurism of gastric arteries, 580
Varices of veins, 580
Degenerations of vessels, 581
Congestion, active, 581
passive, 581
Portal vein, 581
Pulmonary blood-vessels, 581
Heart disease, 581
Violent vomiting, 581
Acute infectious diseases, 581
Hemorrhagic diathesis, 582
Malaria, 582
Anæmia, 582
Cholæmia, 582
Bright's disease, 582
Neuropathic conditions, 582
Melæna neonatorum, 582
Bursting aneurisms, 582
Idiopathic causes, 582
Hemorrhage from nose, mouth, lungs, etc., 583
Symptoms. See _Gastric Ulcer_.
Morbid anatomy, 583
Source of, 583
From diapedesis, 583
From rupture of blood-vessels (rhexis), 583
Diagnosis, 584
Significance of black stools, 584
Examination of vomit, 584
From hysterical vomiting, 584
Examination of nose and throat, 584
From oesophageal hemorrhage, 584
Use of oesophagoscope in, 584
From hæmoptysis, 584, 585
Of causes, 585
Prognosis, 585
Treatment. See _Gastric Ulcer_.

Stomach, lesions of, in cholera infantum, 743, 744
in entero-colitis, 739
minor organic changes in, 611
organic diseases of, 480

STOMACH, RUPTURE OF, 618
Etiology, 618
Injury, 618
From over-distension by solids or gas, 618
Symptoms, 618
Prognosis, 618
Treatment, 618

STOMACH, SIMPLE ULCER OF, 480
Definition, 480
Synonyms, 480
History, 480
Etiology, 481
Frequency, 481, 482
Sex, influence on causation, 483
Age, influence on causation, 483
when most frequent, 484, 485
Climate, influence on causation, 485
Geographical distribution, 485
Poverty, 486
Occupation, 486
Needle-women, cooks, and maid-servants, 486
Shoemakers and tailors, 486
Injury, 486
Corrosive poisons, 486
Pulmonary phthisis, influence of, on causation, 487
Menstrual disorders, 487
Chlorosis and anæmia, 487
Diseases of heart and blood-vessels, 487
of kidneys, 487
of stomach, 488
Diabetes mellitus, 488
Intermittent fever, 488
Abuse of alcohol, 488
Burns of skin, 488
Symptoms, 488
Pain, 488
Character, 489
Localized nature of, 489
Seat, 489
Effect of food upon, 489
pressure, 490
rest, 490
mental emotion, 490
Distribution of, 490
Intermittence of, 491
Causes of, 491
Vomiting, 491
Time of, 491
Character of, 491, 492
Causes of, 492
Hemorrhage, 492
Quantity, 492
Voided by bowels, 492
appearance of stools in, 493
Hæmatemesis, 493
Appearance of blood in, 493
Causes, 493
Hemorrhage, effect upon other symptoms, 494
Relief of pain after, 494
Sources of, 494
Of indigestion, 494
Appetite, loss of, 494
Thirst, 494
Constipation, 494, 495
Flatulence, 494
Nausea and vomiting, 494
Headache, dizziness, etc., 494
Tongue, condition, 495
Amenorrhoea, 495
Temperature, 495
General health, 496
Physiognomy, 496
Cachectic dropsy, 496
Physical signs, 496
Perforation, 496
Frequency, 497
in sexes, 497
May occur without symptoms, 497
Cause, 498
Pain in, 498
Collapse in, 498
Physiognomy in, 498
Temperature, 498
Pulse, 498
Vomiting, 498
Constipation, 498
Thirst, 498
Respiration, 498
Suppression of urine, 498
Abdomen, state of, 498
Tympanites, 498
Retraction of testicle, 498
Position of patient, 498
Death in, cause of, 499
Peritonitis in, 499
Peritoneal abscesses, 499
Pyo-pneumothorax subphrenicus of Barlow and Wilks, 499
Into pleural cavities, 500
transverse colon, 500
pericardium, 500
Sequelæ, 500, 503
Gastro-cutaneous fistulæ, 500
Stenosis of pylorus, and dilatation, 503
Complications, 502
Pylephlebitis, 502
Chronic peritonitis, 502
Catarrhal gastritis, 502
Interstitial gastritis, 502
Extension to pleura, 503
Fatty degeneration of heart, 503
Embolic pneumonia, 503
Pulmonary tuberculosis, 503
Bright's disease, 503
Heart disease, 503
Hepatic degenerations, 503
Course, 500
Forms of, 501
Latent, 501
Acute perforating, 501
Hemorrhagic, 501
Gastralgic-dyspeptic, 501
Chronic hemorrhagic, 501
Cachectic, 501
Recurrent, 501
Stenotic, 501
Duration, 501
Terminations, 501
Tendency to recovery, 501
Causes of death, 502
Mortality, 502
Morbid anatomy, 503
Ulcers, number, 503
Position, 503
Size, 504
Shape, 504
tendency to become conical, 504
Tendency to transverse extension, 504
Appearance of edges, 505
floor, 505
Microscopic appearance of surrounding tissue, 505
Cicatrization, 506
method, 506
deformities of stomach from, 506
Peritoneum, lesions of, 506
Perforations, seat, 509
Lesions resulting from, 507
Ulcerations of surrounding viscera, 507
Circumscribed peritoneal abscess, 507
Gastro-cutaneous fistulæ, 508
-colic fistulæ, 508
-duodenal fistulæ, 508
Pneumo-pericardium, 508
Gastro-pleural fistulæ, 508
Emphysema of areolar tissue, 509
time of appearance, 509
nature of the gas, 509
Gas in arteries, 510
Hemorrhage, source of, 510
Changes in blood-vessels, 510
Embolism, 510
Thrombosis of vessels about ulcer, 510
Fatty and waxy degeneration and calcification of gastric
vessels, 511
Varicosities of veins, 511
Aneurism of vessels about ulcer, 511
Pathenogenesis, 512
Theories regarding development, 512
Digestive action of gastric juice on development, 512
Inflammatory theory of origin, 512
Neurotic theory of origin, 512
Theory, circumscribed hemorrhagic infiltration, 512
Disease of gastric blood-vessels, 513
Böttcher's view of mycotic origin, 513
Artificial production of, 514
Daettwyler and Cohnheim's experiments, 514
Diagnosis, 514
From nervous gastric disorders, 515
nervous vomiting, 516
gastralgia, 516
gastric crises, 517
cancer. See _Stomach, Cancer of_.
chronic catarrhal gastritis, 517
hepatic colic, 517
Prognosis, 518
Treatment, 519
Removal of sources of irritation, 519
Importance of rest, 519
Diet, 519-522
Use of nutrient enemata, 519
Milk, 519
peptonized, 520
Leube's beef, solution of, 520
Beef-juice, freshly-expressed, 521
Avoidance of coarse food and fruits, 521
Of pain, 524
Of vomiting, 524
Of hemorrhage, 525
Of dyspepsia, 527
Of perforation, 527
Importance of maintaining nutrition, 527
Of anæmia, 528
Of sequelæ, 528
Of convalescence, 529
Carlsbad waters, use of, 522
method of preparing, 522
Use of stomach-tube, 523, 525
method of, 523
of bismuth, 523, 524
of argentum nitratis, 523, 524
of opium, 524
of codeia, 524
of astringents to relieve pain, 524
of tr. ferri-chlor. to relieve pain, 524
of counter-irritation, 524
of subcutaneous injection of milk, oil, and beef-tea, 525
of ice, 525
of antiemetics, 525
of ingluvin, 525
of ergotin in hemorrhage, 525
of dil. sulphuric acid in hemorrhage, 526
of acetate of lead in hemorrhage, 526
of ligature of upper extremities in hemorrhage, 526
of rubber balloon tampon in hemorrhage, 526
of alkalies in dyspepsia, 527
of poultices in perforation, 527
of laparotomy in perforation, 527
of inunctions of oil, 527
of iron in anæmia, 528
hypodermic, 528

Stomach, tubercular ulcers of, 529
typhoid ulcers of, 529
syphilitic ulcers of, 529
necrotic ulcers of, 529
catarrhal ulcers of, 529
follicular ulcers of, 529

Stomach and intestines, lesions of, in acute yellow atrophy of liver,
1026
perforation of, by gall-stones, 1068, 1074

Stomach-pump, use of, in chronic gastritis, 478

Stomach-tube, use of, in cancer of oesophagus, 428
in dilatation of oesophagus, 434
in organic stricture of oesophagus, 426
in paralysis of oesophagus, 430
in simple ulcer of stomach, 523, 525
in washing of stomach in gastric dilatation, 604
value of, in diagnosis of organic stricture of oesophagus, 424
in diagnosis of cirrhosis of stomach, 613
in diagnosis of dilatation of stomach, 597, 602

STOMATITIS, 321
Definition, 321
Varieties, 321
_Stomatitis Catarrhalis_, 321
Synonyms, 321
Definition, 321
Etiology, 321
Irritation of alimentary canal, 321
Local causes, 321
Foreign substances, 321, 322
Medicines, certain, 322
Morbid dentition, 322
Protracted crying, 322
Distant causes, 322
Intestinal derangements, 322
Improper food, 322
Cold, 322
Acute exanthemata, 322
Age, 322
Symptoms, 322
Initial, 322
Heat of mouth, 322
Unwillingness to nurse, 322
Painful deglutition, 323
Increased secretion, 323
Impaired taste, 323
Fetor of breath, 323
Loss of appetite, 323
Diarrhoea, 323
Swelling of lymphatic glands, 323
Pyrexia, 323
Chronic form, 323
Vomiting, 323
Duration, 323
Pathology and morbid anatomy, 323
Hyperæmia of tissues, 324
Mucous membrane, state of, 324
Tongue, engorgement of, 324
Ulcerations, 324
Congestion of palate, 324
Lips, state of, 324
Diagnosis, 325
From gastric catarrh, 325
Prognosis, 325
Treatment, 325
Correction of intestinal disturbances, 325
Local, 325
Ice, use of, 325
Salicylic acid, 325
_Aphthous Stomatitis_, 325
Definition, 325
Synonyms, 326
Etiology, 326
Age, 326
Scrofula, influence on causation, 326
Heredity, influence on causation, 326
Improper food, influence on causation, 326
Excessive heat, influence on causation, 326
Overwork, influence on causation, 326
Excessive menstruation, influence on causation, 326
Pregnancy, influence on causation, 326
Debility, influence on causation, 326
Chronic diseases, influence on causation, 326
Acute exanthemata, influence on causation, 326
Exciting causes, 326
Morbid dentition, 326
Dampness of atmosphere, 326
Personal habits, 326
Drugs, 326
Pathology and morbid anatomy, 326
Vesicles, nature of, 327
rarity of their detection, 327
Lesions, characteristics of, 327
Ulceration, anatomy of, 328
cause, 328
method of repair, 328
Lesions, seat of, 328
in confluent, 328
in discrete, 328
Symptoms and course, 328
Discrete form, 328
Confluent form, 328, 329
Constitutional, 329
Diarrhoea, 329
Vomiting, 329
In parturient women, 329
Local, 329
Heat of mouth, 329
Increased secretion, 329
Difficult mastication, 329
Duration, 329
Discrete form, 329
Confluent form, 329
Complications and sequelæ, 329
Diagnosis, 329
Of confluent form from ulcerative stomatitis, 330
Of confluent form from thrush, 330
Prognosis, 330
Of confluent form, 330
In parturient women, 330
Treatment, 330
Diet, 330
Local, 330
Use of sodium hyposulphite, 330
of ice, 330
of astringents, 330
of iodoform, 330
Of confluent form, 331
Necessity of constitutional, 331
Use of iron and quinia, 331
of stimulants, 331
of chlorate of potassium, 331
_Stomatitis Parasitica_ (_Thrush_), 331
Definition, 331
Synonyms, 331
History, 331
Etiology, 331
Innutrition, influence on causation, 332
Want of cleanliness, influence on causation, 332
Age, influence on causation, 332
Season, influence on causation, 332
Exhausting diseases, influence on causation, 332
Intestinal disorders, influence on causation, 332
Contagiousness, 332
Pathology and morbid anatomy, 332
Deposit, description of, 332
microscopic appearance, 333
seat of, 333
Parasite of, 333
Oïdium albicans, nature, 333
Mucous membrane, condition, 333
Deposit in oesophagus and larynx, 334
in intestinal canal, 334
Symptoms, 334
Initial, 334
Cry in, 334
Growth, seat of, 334
Constitutional, 334
Duration, 334
Cause of death, 334
Diagnosis, 334
Value of microscopic examination, 335
Treatment, 335
Preventive, 335
Diet, 335
Local, 335
Constitutional, 335
Use of astringents, 335
of sodium bicarbonate, 335
of sodium salicylate, 335
_Stomatitis Ulcerosa_, 336
Synonyms, 336
Definition, 336
Etiology, 336
Atmosphere, impure, 336
Uncleanliness, 336
Food, improper, 336
Measles, influence on causation, 336
Age, influence, on causation, 336
Season, influence on causation, 336
Sex, influence on causation, 336
Contagiousness, 336
Pathology, 336
Fibro-purulent infiltration of lymph-spaces, 336
Ulcers, description of, 336, 337
seat of, 336
course of, 337
Symptoms, 337
Initial, 337
Mouth, heat of, 337
Appetite, loss of, 337
Difficult deglutition, 337
Lymphatic gland, swelling, 337
Salivation, excessive, 337
Duration, 337
Diagnosis, 337
From mercurial stomatitis, 338
cancrum oris, 338
Prognosis, 338
Treatment, 338
Preventive, 338
Hygienic, 338
Air, fresh, necessity of, 338
Constitutional, 338
Local, 338
Use of antiseptics, 338
of astringents, 338
of potassium chlorate, 338
Extraction of carious teeth, 338
_Stomatitis Gangrenosa_ (_Cancrum Oris_), 338
Definition, 338
Synonyms, 338
History, 338, 339
Etiology, 339
Hygiene, improper, 339
Endemic character, 339
Age, 339
Sex, 340
Acute exanthemata, 340
Symptoms, 340
Initial, 340
Tumefaction of cheek, 340
Ulceration of cheek, 340
Odor of breath, 340
State of gums, 340
Difficult deglutition, 340
Eschar, characters of, 340
Constitutional, 341
Intelligence, 341
Pulse, 341
Appetite, 341
Gastro-intestinal canal, 341
Death, cause of, 341
Complications and sequelæ, 341
Pneumonia, 341
Lungs, gangrene, 341
Vulva, gangrene, 341
Larynx and pharynx, gangrene, 341
Hemorrhage, 341
Pathology and morbid anatomy, 341
Nature, 341
Character and seat of ulceration, 341
Ulceration, color, 342
rapidity, 341
of gums, 342
Gangrene, date of appearance, 342
Skin, appearance of, 342
Perforation of cheek, 341, 342
Glands, swelling of, 342
Diagnosis, 342
From malignant pustule, 342
Prognosis, 342
Treatment, 343
Local, 343
Cauterization, 343
by nitric acid, 343
by muriatic acid, 343
by acid nitrate of mercury, 343
by actual cautery, 343
Use of disinfectants, 343
Constitutional, 343
Use of stimulants, 344
_Stomatitis, Toxic_, 344
Definition, 344
_Stomatitis Mercurialis_, 344
Definition, 344
Synonyms, 344
Etiology, 344
Special vulnerability to toxic influence of mercury, 344
Difference in susceptibility, 344
Depraved constitution, 344
Idiosyncrasy, 344
Occupation, 344
Symptoms, 345
Subjective, 345
Gums, state of, 345
Mouth, tenderness of, 345
Teeth, state of, 345
Difficult deglutition, 345
Saliva, increase of, 345
amount secreted, 345
Lymphatic glands, enlargement, 346
Tongue, inflammation of, 346
Larynx, oedema of, 346
Gangrene of mucous membranes, 346
Necrosis of inferior maxilla, 346
Constitutional, 345, 346
Fever, 346
Cachexia, 346
Duration, 346
Complications, 346
Erysipelas, 346
Pyæmia, 346
Metastatic abscesses, 346
Pathology and morbid anatomy, 346
Nature of, 346
Microscopic appearance of detritus, 346
Ulceration of gums, 347
Characters of ulcers, 347
Mucous membrane, lesions of, 347
Tongue, inflammation of, 347
Tongue and mucous membrane, ulcers of, 347
Teeth, loosening of, 347
Larynx and pharynx, lesions of, 347
Diagnosis, 347
Prognosis, 347
Death, cause of, 347
Treatment, 347
Preventive, 347
Use of potassium chlorate, 348
of opium, 348
of astringents, 348
of detergents, 348
of enemata, nourishing, 348
of tonics, 348
Local, 348
Constitutional, 348
Of glossitis, 348
Of oedema of larynx, 348

Stomatitis, catarrhal, in morbid dentition, 373

Stomatorrhagia, 370
Definition, 370
Synonym, 370
Etiology, 370
Disease or injury, 370
Hæmophilia, 370
Vicarious of menstruation, 370
Symptoms, 371
Gums most frequent source, 371
Results, 371
Diagnosis, 371
Prognosis, 371
Treatment, 371
Use of ergot, 371
of turpentine, 371
of astringent washes, 371

Stony concretions as a cause of intestinal obstruction, 838

Stools, appearance in hemorrhage from bowels, 833
and characters of, in chronic intestinal catarrh, 707
black, in hemorrhage from bowels, 833
in intestinal ulcer, 827
in cancer of stomach, 545
in simple ulcer of stomach, 492, 493
bloody, in carcinoma of pancreas, 1126
in intestinal ulcer, 827
and mucous, in intestinal cancer, 871
characters of, in catarrh of bile-ducts, 1054, 1055
in cholera morbus, 722
in acute colitis, 684
in constipation, 646
in dysentery, 796, 803
in pseudo-membranous enteritis, 766
in acute intestinal catarrh, 678, 680-682
in chronic intestinal catarrh, 706-708
in intestinal indigestion, 627
in intussusception, 848
in intestinal ulcer, 827
in cirrhosis of liver, 994
in fatty liver, 1048
in proctitis, 887
in ulceration of rectum and anus, 893
in tabes mesenterica, 1190
condition of, in hyperæmia of liver, 986, 987
fatty, in diseases of pancreas, 1115, 1122, 1125, 1131
frequency and characters, in cholera infantum, 741
in entero-colitis, 733, 734, 736
in non-malignant rectal stricture, 886
mucous, in proctitis, 684
number of, in acute intestinal catarrh, 679
of hepatic colic, 1073
mode of searching for calculi in, 1073
phosphorescent, in phosphorus-poisoning, 1031
significance of cancerous fragments in, in malignant diseases of
intestine, 873
undigested striped muscular fibres in, in pancreatic diseases, 1116

Stramonium ointment, use of, in hemorrhoids, 923
in acute oesophagitis, 418

Strangulation, acute internal, as a cause of intestinal obstruction,
840
of bowels, acute internal, 840
removal of hemorrhoids by, 924

Strangury in dysentery, 803

Stricture, cicatricial, in syphilitic pharyngitis, 407
congenital, a cause of intestinal obstruction, 835
following chronic oesophagitis, 417
of bowel, 854
following chronic intestinal catarrh, 710
of oesophagus, 419
spasmodic, 419
seat of, in organic stricture of oesophagus, 424
of rectum, symptoms, 856
malignant, of rectum and anus, 902
non-malignant, of rectum, 885
treatment, 917

Strongylus longevaginatus, 956

Structural diseases of liver, 983

Struma, See _Scrofula_.
as a cause of ulceration of rectum and anus, 894

Strumous articular disease, as a sequel of gonorrhoeal rheumatism, 106
diathesis, influence on causation of intestinal indigestion, 624
form of intestinal indigestion, treatment, 636

Strychnia, effect on rectum, 911
use of, in constipation, 654-657
in diabetes mellitus, 227
in functional dyspepsia, 455
in gastralgia, 463
in chronic intestinal catarrh, 714, 715
in intestinal indigestion, 636
in dilatation of oesophagus, 435
in oesophageal paralysis, 430
in prolapsus ani, 921
in rachitis, 164
in dilatation of stomach, 609

Stupes, digitalis, use of, in cirrhosis of liver, 1001
turpentine, use of, in perihepatitis, 990

Stupor in abscess of liver, 1010
in cholera infantum, 742

Subacute articular rheumatism, 46
symptoms, 46

Substernal pain in acute oesophagitis, 413

Sucking, influence on causation of macroglossia, 350

Suffocation, from hypertrophy of tongue, 350
sensation of, in organic stricture of oesophagus, 423

Sugar, absorption of, in digestion, 623
in urine of diabetes mellitus, amount of, 207
substitutes for, in food of diabetics, 224
tests for, in diabetic urine, 211-217

Suicide, relation of displacements of colon to, 647

Sulphate of copper, use of, in acute and chronic intestinal catarrh,
696, 717
in superficial glossitis, 357
in syphilitic pharyngitis, 408
of manganese, use of, in fatty liver, 1050
of sodium, use of, in biliary concretions, 1079
in intestinal indigestion, 636
of zinc, enemata of, in chronic intestinal catarrh, 714, 717
and alum, use of, in pruritus ani, 917

Sulpho-carbolate of calcium, use of, in acute intestinal catarrh, 696

Sulphur, use of, in constipation, 656
in pseudo-membranous enteritis, 775

Sulphuric acid, use of, in purpura, 193
in simple ulcer of stomach, 526

Summer heats, influence on causation of cholera infantum, 727
of entero-colitis, 727
of acute intestinal catarrh, 669

Superficial glossitis, 355

Supporting treatment in hereditary syphilis, necessity of, 315

Suppositories, iodoform, use of, in fissure of anus, 912
medicated, use of, in seat-worms, 951
nutrient, 929

Suppuration, duodenal, in chronic intestinal catarrh, 703
of bone, influence on causation of amyloid liver, 1041
seat of, in parenchymatous glossitis, 363
symptoms of, in tonsillitis, 383

Suppurative hepatitis, 1002
pylephlebitis, 1097

Supra-clavicular glands, enlargement, in gastric cancer, 557

Surgical measures in gastric cancer, 577
treatment of intestinal obstruction, 865

Sutures of head, condition of, in rachitis, 147

Sweating, in acute rheumatism, 30, 31
in hepatic abscess, 1009, 1010
in trichinosis, 960
of head, in rachitis, 146

Swedish movements, value, in intestinal indigestion, 632

Sympathetic nerve, to production of glycosuria, 196
nervous symptoms, in chronic gastritis, 474

Symptomatology, general, of pancreatic disease, 1114

Symptoms due to migration of gall-stones, 1070
to presence of gall-stones of original site, 1069
of Anchylostomum duodenale, 955
of Ascaris lumbricoides, 953
of ascites, 1175
of catarrh of bile-ducts, 1053
of occlusion of biliary passages, 1086
of biliousness, 966
of compression and contraction of bowel, 857
of hemorrhage from bowels, 830
of stricture of bowel, 856
of cancrum oris, 340
of cholera infantum, 741
of cholera morbus, 722
of acute colitis, 684
of constipation, 645, 853
of diabetes mellitus, 204
of acute duodenitis, 682
of dysentery, 802
of functional dyspepsia, 448
of enteralgia, 660
of entero-colitis, 733
of pseudo-membranous enteritis, 765
of Filaria medinensis, 963
sanguinis, 963
of fistula in ano, 898
of fluke-worms, 947
of gastralgia, 460
of acute gastritis, 467
of chronic gastritis, 472
of superficial glossitis, 357
of chronic superficial glossitis, 357
of parenchymatous glossitis, 360
of chronic parenchymatous glossitis, 368
of glossitis parasitica, 359
of glossanthrax, 368
of gout, 118, 120
of hemorrhoids, 883
internal, 884
of hepatic colic, 1070
of hepatic glycosuria, 973
of acute ileitis and jejunitis, 683
of acute intestinal catarrh, 677
of chronic intestinal catarrh, 706
of intestinal indigestion, 626
time of appearance after eating, 629
obstruction from foreign bodies, 839
of acute internal strangulation of intestines, 840
of intestinal ulcer, 825
of cancer of intestines, 869
of lardaceous degeneration of intestine, 874
of intussusception, 848
of jaundice, 977
of lithæmia, 969
of abscess of liver, 1008
of acute yellow atrophy of liver, 1026
of amyloid liver, 1043
of carcinoma of liver, 1036
of cirrhosis of liver, 993
of fatty liver, 1048
of hydatids of liver, 1102
of hyperæmia of liver, 986
of liver-flukes, 1110
of liver in phosphorus-poisoning, 1031
of morbid dentition, 371
of cancer of oesophagus, 427
of dilatation of oesophagus, 431
of paralysis of oesophagus, 429
of organic stricture of oesophagus, 423
of spasmodic stricture of oesophagus, 419
of ulceration of oesophagus, 418
of acute oesophagitis, 413
of chronic oesophagitis, 417
of carcinoma of pancreas, 1124
of hemorrhage into pancreas, 1129
of acute pancreatitis, 1118
of acute secondary pancreatitis, 1120
of chronic interstitial pancreatitis, 1122
of obstruction of pancreatic ducts, 1131
of paratyphlitis, 819
of perihepatitis, 989
of hemorrhagic effusion of peritoneum, 1181
of acute diffuse peritonitis, 1141
of chronic peritonitis, 1162
of infantile peritonitis, 1173
of perforative form of peritonitis, 1155, 1156
of tubercular peritonitis, 1165
of peri-rectal and anal abscesses, 896
of acute pharyngitis, 394-396
of chronic pharyngitis, 404
of syphilitic pharyngitis, 407
of tuberculous pharyngitis, 401
of proctitis, 684, 887
of thrombosis and embolism of portal vein, 1096
of purpura, 187
of purpura hæmorrhagica, 188
of purpura rheumatica, 189
of purpura simplex, 187
of suppurative pylephlebitis, 1099
of hypertrophic stenosis of pylorus, 615
of rachitis, 146
of dilatation of rectal pouches, 885
of neuralgia of rectum, 910
of non-malignant stricture of rectum, 886
of obstruction of rectum, 891
of polypi of rectum, 882
of prolapse of rectum, 881
of rodent ulcer of rectum, 889
of follicular ulceration of rectum and anus, 895
of ulceration of rectum and anus, 893
of fissure of rectum and anus, 888
of acute rheumatism, 26
of chronic articular rheumatism, 71
of gonorrhoeal rheumatism, 104
of muscular rheumatism, 75
of rheumatoid arthritis, 80
of general progressive form of rheumatoid arthritis, 80
of partial form of rheumatoid arthritis, 84
of seat-worms, 951
of scrofula, 243
of scurvy, 176
of atrophy of stomach, 616
of cancer of stomach, 530
of cirrhosis of stomach, 612
of dilatation of stomach, 592
of acute dilatation of stomach, 610
of hemorrhage from stomach, 493
of simple ulcer of stomach, 488
of perforation in simple ulcer of stomach, 496
of rupture of stomach, 618
of aphthous stomatitis, 328
of catarrhal stomatitis, 322
of mercurial stomatitis, 345
of stomatitis ulcerosa, 337
of stomatorrhagia, 371
of hereditary syphilis, 273
of tabes mesenterica, 1189
of tape-worm, 939
of thrush, 334
of hypertrophy of tongue, 350
of syphilitic ulceration of tongue, 370
of tubercular ulceration of tongue, 369
of tonsillitis, 381
of trichinosis, 959
of Triocephalus dispar, 954
of typhlitis and perityphlitis, 818

Syncope in hemorrhage from bowels, 833

Synonyms of Anchylostomum duodenale, 955
of Ascaris lumbricoides, 952
of Bothriocephalus latus, 938
of cancrum oris, 338
of cholera morbus, 719
of constipation, 638
of Distomum hepaticum, 946
of functional dyspepsia, 436
of enteralgia, 658
of pseudo-membranous enteritis, 763
of Filaria sanguinis, 963
of gout, 108
of superficial glossitis, 355
of parenchymatous glossitis, 359
of glossitis parasitica, 357
of acute intestinal catarrh, 667
of lardaceous degeneration of intestine 874
of intestinal ulcers, 823
of macroglossia, 349
of morbid dentition, 371
of cancer of oesophagus, 426
of dilatation of oesophagus, 430
of organic stricture of oesophagus, 422
of spasmodic stricture of oesophagus, 419
of oesophagitis, 409
of acute oesophagitis, 409
of chronic oesophagitis, 416
of Oxyuris vermicularis, 950
of acute pharyngitis, 390
of chronic pharyngitis, 402
of syphilitic pharyngitis, 406
of tuberculous pharyngitis, 400
of hypertrophic stenosis of pylorus, 615
of rheumatism, acute, 19
of chronic articular rheumatism, 69
of gonorrhoeal rheumatism, 102
of muscular rheumatism, 74
of rheumatoid arthritis, 78
of scrofula, 231
of scurvy, 167
of cancer of stomach, 530
of cirrhosis of stomach, 611
of dilatation of stomach, 586
of hemorrhage from stomach, 580
of simple ulcer of stomach, 480
of aphthous stomatitis, 326
of catarrhal stomatitis, 321
of mercurial stomatitis, 344
of stomatitis ulcerosa, 336
of stomatorrhagia, 370
of Tænia echinococcus, 943
of Tænia saginata, 933
of Tænia solium, 935
of tabes mesenterica, 1182
of thrush, 331
of tongue-tie, 349
of tonsillitis, 379

Synovial membranes, lesions of, in gout, 115
in acute rheumatism, 46
in chronic articular rheumatism, 70
in gonorrhoeal rheumatism, 103
in rheumatoid arthritis, 86

Syphilides, pustular, in hereditary syphilis, 279

Syphilis, distinguished from carcinoma of liver, 1040

SYPHILIS, HEREDITARY, 254
Marriage of syphilitics, 255-265
Essential nature of syphilis, 256
of tertiary syphilis, 257
Duration of transmissive power, 257-260
Period when marriage is admissible, 260, 261
Treatment of married syphilitics, 260, 261, 269
Methods of infection between parents, 262, 264
Infection of mother by foetus in utero, 262
by conception, 264
Colles' law of infection of mothers of syphilitic children, 263
Modes of infection of the child, 265
From the father, 265
From the mother, 266
By infection previous to conception, 266
at moment of conception, 262, 267
during utero-gestation, 267
during birth, 269
Summary of facts in regard to transmission, 269, 270
Placental, pathology of, 271, 272
Modes of manifestation, in offspring of syphilitics, 272
Danger to offspring in untreated syphilitics, 272
Influence of interval between infection and conception on
development of, 272
Mortality of syphilitic children, 272, 273
Symptoms and course, 273
Average time of appearance, 273, 274
Symptoms of secondary period, 274
Pemphigus, 274
Objections to specific origin of, 274
Arguments favoring specific origin of, 275
Description of eruption, 276
Diagnosis, 276
Coryza, 277
Symptoms of, 277
Difficulty in suckling from, 277
Flattening of nose, 277
Erythema, or Roseola, 277
Seat and character of, 277, 278
Diagnosis, 278
Papules, 278
Seat and character, 278
Mucous patches, 278
Seat and character, 278
Diagnosis, 278, 279
Danger of transmission from, 279
by nursing-bottles, etc., 279
by caresses and kisses, 279
Condylomata, 279
Seat and character, 279
Pustular syphilides, 279
Date of appearance, 279
Seat and character, 279
Diagnosis, 279, 280
Furuncular eruption, 280
Iritis, 280
Specific character, 280
Symptoms, 280
Age when most frequent, 281
Prognosis, 281
Symptoms of intermediate period, 281
Of tertiary period, 282
Ear disorders, 282
catarrh of middle, 282
Deafness, 282, 283
duration of, 283
Liver, disease of, 283
enlargement of, 283
Pathology, 283, 284
Diagnosis, 286
Bones, disease of, 286
Pathology, 286-288
Osteo-chondritis, symptoms, 288
Most attacked, 288
Pseudo-paralysis, 289, 312
Formation of osteophytes, 289
Diagnosis, 289, 290
from rickets, 289, 290
Osteo-periostitis, 291
diagnosis from non-specific form, 291
Dactylitis, 291
Varieties, 291
Diagnosis, 291
Prognosis, 291
Teeth, disease of, 292
Temporary, 292
Permanent, 293
Hutchinson on malformation of central upper incisors, 293,
294
Diagnosis from non-specific malformations, 293, 297
Erosions of, 298
Keratitis, interstitial, 299
Symptoms, 299
Complications, 299
Diagnosis, 299
from non-specific forms, 299
Age when most frequent, 300
Nerve-centres and nerves, disease of, 302
Resemblance to adult form, 303
Age and date of appearance, 304
Pathology, 304
Diagnosis, 304
Prognosis, 304
Spleen, disease of, 305
enlargement, 305
cause, 306
Gastro-intestinal tract, disorders, 306
Peyer's patches, degeneration of, 306
Intestinal ulcers, 306
Pancreas, disease of, 306
Peritoneum, disease of, 307
Lungs, disease of, 307
gummata of, 307
pneumonia, specific, 307
Larynx, disease of, 308
Testicles, disease of, 308
Kidneys, disease of, 308
Bright's disease of, 308
Parenchymatous nephritis, 308
Thymus gland, disease of, 309
Diagnosis, 309
Chief elements of, 310
Relative importance of a specific parental history, 310
Appearance of child at birth, 311
Physiognomy of syphilitics, 313
Abortions, frequent, significance of, in, 310
Prognosis, 310
Treatment, 314
Preventive, 314
Of parents, 260, 261, 314, 315
Necessity of supporting, 315
Nursing of syphilitic children, necessity of maternal, 315
Wet-nurses, for syphilitic children, question of, 315
Diet, 315
Mercury, use of, 315, 316
mode of administration, 316
inunctions of, 316
Iodide of potassium, use of, 316
Local, 317

Syphilis as a cause of infantile peritonitis, 1172
influence on causation of enteralgia, 669
of glossitis parasitica, 358
of chronic intestinal catarrh, 700
of intestinal indigestion, 623
of acute yellow atrophy of liver, 1024
of amyloid liver, 1041
of cirrhosis of liver, 991
of oesophageal paralysis, 429
of organic stricture of oesophagus, 423
of chronic intestinal pancreatitis, 1121
of acute pharyngitis, 390
of rachitis, 144, 145
of fissure of rectum and anus, 888
of non-malignant rectal stricture, 885
of ulceration of rectum and anus, 894
of cirrhosis of stomach, 612
of rectum and anus, 900

Syphilitic parents, treatment of, 314, 315
pharyngitis, 406
ulcers of stomach, 529
ulceration of tongue, 370
influence on causation of hemorrhage from bowels, 831

Syphilitics, marriage of, 255-265

Syringe, variety of, in rectal alimentation, 928

T.

TABES MESENTERICA, 1182
Definition, 1182
Synonyms, 1182
History, 1183
Pathology, 1183
Secondary character, 1183, 1186
Tuberculous nature, 1183
Relation to scrofula and tuberculosis, 1183, 1186
Age, 1184
Sex, 1184
Frequency, 1184
Geographical distribution, 1185
Etiology, 1185
Scrofulous and tuberculous diathesis, 1185
Heredity, 1185
Diet and food, improper, 1185, 1186
Filth and poverty, 1186
Malaria, 1186
Inflammation of intestinal mucous membrane, 1186
Acute exanthemata, 1186
Dentition, 1186
Whooping cough, 1186
Mild of diseased cows, 1186
Cure of chronic skin disease, 1187
Morbid anatomy, 1187
Glands, mesenteric, changes in, 1187
enlargement, 1187
cheesy degeneration, 1187
softening of, 1187
cretaceous degeneration, 1187
Spleen, lesions of, 1188
Lungs, lesions of, 1188
Liver, lesions of, 1188
Gastro-intestinal canal, lesions of, 1188
Pancreas, lesions of, 1188
Symptoms, 1189
Precursory, 1189
Debility and anæmia, 1189
Digestive disorders, 1189
Tongue, state of, 1189
Appetite, state of, 1189
Stools, characters of, 1190
Bowels, irregular, 1190
Pyrexia, 1190
Abdomen, state of, 1190
Tympanites, 1190
Tumor, presence of, 1190
Diagnosis, 1191
From fecal accumulation, 1191
tumors of omentum, 1191
Prognosis, 1191
Course, 1192
Duration, 1193
Complications, 1193
Rickets, 1193
Treatment, 1193
Preventive, 1193
Hygienic, 1193
Pain, 1194
Diarrhoea, 1194
Cod-liver oil, 1194
Iodide of iron, 1194
Lacto-phosphates, 1194
Ointment of iodide of lead, 1194

Tabes mesenterica following chronic intestinal catarrh, 710

Tænia acanthotrias, 945
cucumerina, 937
echinococcus, 943
migration of, from intestinal canal, 945
mode of dissemination of, 944
elliptica, 937
flavopunctata, 938
madagascariensis, 938
nana, 937
saginata, 933
solium, 935
tenella, 938

Tampon, use of, in hemorrhage from rectum, 927

Tannic acid, use of, in acute intestinal catarrh, 695
in hemorrhage from bowels, 834

Tape-worms, 131
method of examining evacuations for, 940

Tapping in cirrhosis of liver, 1002
of gut in intestinal obstruction, 865

Taraxacum, local use of, in pseudo-membranous enteritis, 775

Tarry stools in hemorrhage from bowels, 833

Taxis, abdominal, in intestinal obstruction, 864

T-bandage, use of, in prolapsus ani, 919

Teeth, condition of, in scrofula, 246
displacement of, from hypertrophy of tongue, 351
eruption of, in second dentition, 375
irregular and jagged, influence on causation of superficial
glossitis, 355
of parenchymatous glossitis, 360
malformation of, in hereditary syphilis, 292
order of normal eruption, 372
precipitate eruption of, 372
state of, in mercurial stomatitis, 345
tardy eruption of, 372
wisdom, eruption of, 376

Teething, anomalies of, in rachitis, 150, 151

Temperament, influence on causation of pseudo-membranous enteritis,
764
of gout, 110
of acute intestinal catarrh, 671
of amyloid liver, 1041
of acute rheumatism, 21
of scrofula, 235

Temperature in occlusion of biliary passages, 1091
in cholera infantum, 742
in cholera morbus, 723
in diabetes mellitus, 204
in entero-colitis, 734, 736
in acute gastritis, 467
in jaundice, 980
in abscess of liver, 1008
in acute yellow atrophy of liver, 1028
in carcinoma of pancreas, 1125
in acute pancreatitis, 1119
in acute peritonitis, 1142
in tuberculous peritonitis, 1165
in acute pharyngitis, 394, 395
in phosphorus-poisoning, 1032
in purpura hæmorrhagica, 189
in suppurative pylephlebitis, 1100
in acute rheumatism, 27, 29
in rheumatic form of gonorrhoeal rheumatism, 104
in scrofula, low, 245
in scurvy, 182
in cancer of stomach, 554
in dilatation of stomach, 596
in simple ulcer of stomach, 495
in tabes mesenterica, 1190
in tonsillitis, 381, 382
sudden changes of, as a cause of gout, 112

Tenderness of epigastrium in chronic gastritis, 473

Tenesmus in acute colitis, 684
in dysentery, 796, 802
in polypi of rectum, 882
in proctitis, 684

Termination of catarrh of bile-duct, 1055
of occlusion of biliary passages, 1092
of lithæmia, 970
of abscess of liver, 1017
of acute yellow atrophy of liver, 1029
of carcinoma of liver, 1039
of cirrhosis of liver, 999
of fatty liver, 1049
of hydatids of liver, 1106
of perihepatitis, 989
of suppurative pylephlebitis, 1101
of phosphorus-poisoning, 1032
of gonorrhoeal rheumatism, 106
of simple ulcer of stomach, 501

Terminations of cholera morbus, 723
of enteralgia, 464
of intestinal indigestion, 630

Tertiary period of hereditary syphilis, 282
ulcers of tongue, 370

Test, Fehling's, for sugar in urine, 211
fermentation, for sugar in urine, 212
indigo-carmine, for sugar in urine, 216
for inosite in diabetic urine, 217
iodine, for amyloid liver, 1043
for lardaceous degeneration of intestines, 875
picric acid and carmine, for sugar in urine, 213

Testicle, atrophy of, in diabetes mellitus, 202
retraction of, in paratyphlitis, 819
in perforation of simple gastric ulcer, 498

Testicles, disease of, in hereditary syphilis, 308

Tests for bile in urine, 978
for free hydrochloric acid in vomit of gastric cancer, 543, 544
for sugar in diabetic urine, 211-217

Thermic fever, relation to cholera infantum, 745

Thermo-cautery, use of, in hypertrophy of tongue, 354

Thigh, flexure upon leg, in paratyphlitis, 819

Thirst in cholera infantum, 742
in cholera morbus, treatment of, 725
in diabetes mellitus, 204
in acute gastritis, 467
in chronic gastritis, 473
in parenchymatous glossitis, 362
in acute intestinal catarrh, 680, 681
treatment of, 690
in carcinoma of pancreas, 1125
in acute rheumatism, 27
in dilatation of stomach, 593
in simple ulcer of stomach, 494
in hypertrophy of tongue, 351
in trichinosis, 960
in typhlitis and perityphlitis, 818

Thorn-head worms, 949

Thread-worms, 949

Thrombi, as a cause of suppurative pylephlebitis, 1098

Thrombosis in simple ulcer of stomach, 510
of portal vein, 1095
in cirrhosis of liver, 999
venous, in gastric cancer, 533

Thrush. See _Stomatitis Parasitica_.

Thymol, use of, in treatment of Distomum hepaticum, 1110

Thymus gland, disease of, in hereditary syphilis, 309

Tight-lacing, a cause of perihepatitis, 989
displacement of stomach by, 617
influence of, on causation of intestinal indigestion, 624

Tincture of aloes, use of, in seat-worms, 951
of chloride of iron, use of, in simple ulcer of stomach, 524
of gelsemium, use of, in pruritus ani, 917
of iodine, use of, in diabetes mellitus, 228
locally, in rheumatoid arthritis, 100
of iron, use of, in hemorrhage from bowels, 834

Tobacco, abuse of, influence of, on causation of constipation, 641
of enteralgia, 660
of acute intestinal catarrh, 671, 672
of intestinal indigestion, 625
of parenchymatous glossitis, 360
of superficial glossitis, 355
of acute oesophagitis, 410
of diseases of pancreas, 1114
of chronic pharyngitis, 402
of dilatation of stomach, 589

TONGUE, ABNORMALITIES AND VICES OF CONFORMATION, 348
Congenital deficiency of, 348, 349
Bifid, 349
_Ankyloglossia_ (_Tongue-tie_), 349
Definition, 349
Synonyms, 349
Pathology and morbid anatomy, 349
Diagnosis, 349
Prognosis, 349
Treatment, 349
_Macroglossia_ (_Hypertrophy of Tongue_), 349
Definition, 349
Synonyms, 349
History, 349
Etiology, 350
Congenital nature of, 350
Age, 350
Sex, 350
Sucking, influence of, on causation, 350
Dentition, influence of, on causation, 350
Convulsions and epileptic seizures, 350
Idiocy and cretinism, relation of, to, 350
Symptoms, 350
Character of enlargement, 350
Suffocation from, 350
Saliva, increase of, 351
Thirst, 351
Larynx and hyoid bone, displacement of, 351
Ulceration of tongue, 351
Teeth, displacement of, 351
Difficult mastication, 351
Pathology and morbid anatomy, 352
Nature of, 352
Microscopic changes, 353
Size of, 353
Diagnosis, 353
Prognosis, 353
Treatment, 353
Use of bandaging and compression, 353
of leeching, 353
Operative measures, 353
Ligation, 354
Excision, 354
Ignipuncture, 354
Thermo-cautery, 354
Medication, futility of, 354

TONGUE, ULCERATION OF, 369
Tuberculous ulceration of, 369
Etiology, 369
Pathology, 369
Epithelium, shedding of, 369
Ulcer, anatomical characters of, 369
formation of, 369
Nodular tubercular infiltration, 369
Symptoms of, 369
Seat of, 369
Course, 369
Characters, 369
Induration, 369
Indolence of, 369
Saliva, increased secretion, 369
Pain, 369
Diagnosis, 369
From squamous-celled carcinoma, 369
syphilitic ulcer, 370
Treatment, 370
Syphilitic ulceration of, 370
Symptoms, 370
Secondary ulcers, 370
seat, 370
pain, 370
characteristics, 370
Tertiary, 370
sequelæ of gummata, 370
seat, 370
characteristics, 370
Prognosis, 370
Treatment, 370

Tongue, state of, in catarrh of bile-ducts, 1053
in biliousness, 966
in cholera infantum, 742
in constipation, 646, 647
in dysentery, 804
in functional dyspepsia, 450
in enteralgia, 661
in pseudo-membranous enteritis, 766
in gastralgia, 461
in acute gastritis, 467
in chronic gastritis, 473
in parenchymatous glossitis, 361
in chronic parenchymatous glossitis, 367
in chronic superficial glossitis, 366
in acute intestinal catarrh, 678, 680, 681
in chronic intestinal catarrh, 707
in intestinal indigestion, 628
in abscess of liver, 1013
in acute yellow atrophy of liver, 1028
in acute pancreatitis, 1119
in acute rheumatism, 27
in scurvy, 177
in cancer of stomach, 540
in simple ulcer of stomach, 495
in tonsillitis, 381, 383
in typhlitis and perityphlitis, 819
enlargement of, in catarrhal stomatitis, 324
in parenchymatous glossitis, 361
inflammation of, in mercurial stomatitis, 346

Tongue-tie, 349

TONSILS, DISEASES OF, 379
_Tonsillitis_, 379
Definition, 379
Varieties, 379
Synonyms, 379
History, 379
Etiology, 380
Of idiopathic form, 380
Diathetic causes, 380
Rheumatism, 380
Scrofula, 380
Heredity, 380
Chronic disease of tonsils, 380
Age, 380
Of deuteropathic form, 380
Of hepatic form, 380
Of traumatic form, 380
Of mycotic form, 381
due to cryptogam, 381
Symptomatology, 381
Onset, 381
Pulse, 381
Temperature, 381, 382
Appearance of throat, 381
Pain, 381, 382
Ears, noises in, 381
Involvement of adjacent structures, 381, 382
Appearance of soft palate, 381
of uvula, 382
Deglutition, difficult, 381
Salivation, excessive, 382
Regurgitation of liquids, 382
Glands, lymphatic, swelling, 382
Voice, alteration of, 382
Respiration, difficult, 382
Headache, 383
Tongue, condition of, 381, 383
Urine, condition of, 383
Albuminuria, 383
Termination, 383
Resolution, 383
Suppuration, 383
symptoms of, 383
Abscess, point of rupture, 383
Gangrene, 383
Metastasis, occurrence, 383
Ulceration of maxillary and carotid arteries, 383
Oedema of glottis, 383
Paralysis of palate, 383
Hypertrophy of tonsil following, 383
Complications and sequelæ, 383
Pathology and morbid anatomy, 383
Of catarrhal form, 384
Of lacunar form, 384
condition of epithelium, 384
deposit, nature of, 384
presence of micrococci and bacteria, 384
mode of subsidence, 384
Of follicular form, 384, 385
Of parenchymatous form, 385
result of lacunar form, 385
mode of subsidence, 385
Secretion, character of, 385
Presence of micro-organisms, 385
Submaxillary glands, lesions of, 385
Of herpetic form, 386
Of mycotic form, 386
nature of parasite, 386
seat of deposit, 386
subjective symptoms, 386
Diagnosis, 386
From diphtheria, 387
sore throats of cachectic conditions, 387
Prognosis, 387
Recurrence, frequency of, 387
Treatment, 387
Mild cases, 387
Local, 388
Pyrexia, 388
Pain, 388
Severe cases, 388
Rheumatic form, 388
Herpetic form, 388
Mycotic form, 389
Diet, 388
Gargles, use of, 388
Ice, use of, 388
Tincture of guaiacum, 388
of aconite, 388
Sodium bicarbonate, 388
Poultices, 388
Sodium salicylate in rheumatic form, 388
Mercuric chloride in herpetic form, 388
Operative measures, 388
Cauterization in mycotic form, 389

Tonsils, hypertrophy of, following tonsillitis, 383
ulceration of, in pseudo-membranous enteritis, 766

Torsion of cæcum from constipation, 853

Torticollis, 78
treatment, 78

Toxæmic period of acute yellow atrophy of liver, 1027

Toxic form of acute gastritis, 467
of intestinal ulcer, 823
stomatitis, 344

Tracheotomy in acute pharyngitis, 398, 399

Transfusion of blood in diabetes mellitus, 229
in hemorrhage from bowels, 834
in phosphorus-poisoning, 1033
in purpura, 194

Transmission of syphilis at moment of conception, 262, 267
by infection prior to conception, 266
during utero-gestation, 267

Traumatic causes of perihepatitis, 989
form of intestinal ulcer, 823

Traumatism, influence on causation of gout, 112
of hemorrhagic effusion into peritoneum, 1181
of abscess of liver, 1003
of non-malignant stricture of the rectum, 885
of acute rheumatism, 22
of hemorrhage from stomach, 580

Travel, value of, in functional dyspepsia, 455
in gastralgia, 463

Treatment of Ascaris lumbricoides, 953
of ascites, 1178
of Anchylostomum duodenale, 956
of Bilharzia hæmatobia, 949
of catarrh of bile-ducts, 1056
of biliary calculi in situ, 1080
calculus state, 1079
concretions, 1079
of occlusion of biliary passages, 1094
of biliousness, 967
of cancrum oris, 343
of cholera infantum, 759
morbus, 724
of constipation, 651
in children, 656
of diabetes mellitus, 218
of diarrhoea in chronic intestinal catarrh, 715
of duodenitis, 698
of dysentery, 809
of functional dyspepsia, 452
of enteralgia, 664
of nervous form of enteralgia, 665
of pseudo-membranous enteritis, 774
of entero-colitis, 746
of impaction of feces, 918
of Filaria medinensis, 963
of Filaria sanguinis, 964
of fissure of anus, 911
of fistula in ano, 921
of fluke-worms, 948
of gastralgia, 462
of acute gastritis, 468
of chronic gastritis, 475
of parasitic glossitis, 359
of parenchymatous glossitis, 364
of chronic parenchymatous glossitis, 368
of superficial glossitis, 357
of chronic superficial glossitis, 367
of glossanthrax, 368
of gout, 127
of acute articular gout, 133
of hemorrhage from bowels, 833
of hemorrhoids, 923
of hepatic colic, paroxysms, 1081
of hepatic glycosuria, 974
of lardaceous degeneration of intestine, 876
of acute intestinal catarrh, 687
of chronic intestinal catarrh, 714
of intestinal cancer, 874
of intestinal indigestion, 632
of intestinal obstruction, 862
from fecal impaction, 863
surgical, 865
of intestinal ulcer, 828
of invagination, low in rectum, 864
of intussusception, 864
of jaundice, 982
of Leptodera stercoralis, 954
of lithæmia, 971
of abscess of liver, 1020
of acute yellow atrophy of liver, 1030
of amyloid liver, 1045
of carcinoma of liver, 1040
of cirrhosis of liver, 1000
of fatty liver, 1050
of hydatids of liver, 1106
of hyperæmia of liver, 988
of liver-flukes, 1110
of lumbago, 77
of macroglossia, 353
of cancer of oesophagus, 428
of dilatation of oesophagus, 434
of organic stricture of oesophagus, 425
of spasmodic stricture of oesophagus, 421
of oesophageal paralysis, 430
of ulceration of oesophagus, 418
of acute oesophagitis, 415
of chronic oesophagitis, 417
of carcinoma of pancreas, 1127
of hemorrhage into pancreas, 1129
of obstruction of pancreatic duct, 1131
of acute pancreatitis, 1120
secondary pancreatitis, 1121
of chronic interstitial pancreatitis, 1122
of peri-anal and peri-rectal abscess, 918
of perihepatitis, 990
of acute peritonitis, 1144
of cancerous peritonitis, 1172
of infantile peritonitis, 1173
of perforative peritonitis, 1156
of puerperal peritonitis, 1146
of tubercular peritonitis, 1168
of peri- and endocarditis in acute rheumatism, 63, 64
of phosphorus-poisoning, 1033
of acute pharyngitis, 397
of phlegmonous form of acute pharyngitis, 397
of chronic pharyngitis, 404
of syphilitic pharyngitis, 408
of tuberculous pharyngitis, 402
of pleurodynia, 78
of proctitis, 919
of prolapsus ani, 919
of purpura, 193
of suppurative pylephlebitis, 1101
of hypertrophic stenosis of pylorus, 615
of rachitis, 158
of cancer of rectum, 913
of dilatation of rectal pouches, 916
of gonorrhoea of rectum, 918
of hemorrhage of rectum, 926
of irritable rectum, 919
of polypi of rectum, 913
of rodent ulcer of rectum, 913
of non-malignant stricture of rectum, 917
of ulceration of rectum, 912
of tuberculous ulcer of rectum, 913
of diseases of rectum and anus, 911
of congenital malformation of rectum and anus, 880
of acute rheumatism, 51
of chronic articular rheumatism, 73
of gonorrhoeal rheumatism, 107
of muscular rheumatism, 76
of rheumatoid arthritis, 96
local, of rheumatoid arthritis, 100
of scrofula, 249
of scurvy, 183
of seat-worms, 951
of sphincterismus, 916
of cancer of stomach, 576
of cirrhosis of stomach, 615
of dilatation of stomach, 603
of acute dilatation of stomach, 603
of hemorrhage from stomach, 585
of rupture of stomach, 618
of simple ulcer of stomach, 519
of aphthous stomatitis, 330
of catarrhal stomatitis, 325
of mercurial stomatitis, 347
of stomatitis ulcerosa, 338
of stomatorrhagia, 371
of tabes mesenterica, 1193
of Tænia echinococcus, 945
of tape-worm, 941
of thrombosis and embolism of portal vein, 1096
of thrush, 335
of tongue-tie, 349
of syphilitic ulceration of tongue, 370
of tubercular ulceration of tongue, 370
of tonsillitis, 387
of torticollis, 77
of trichinosis, 961
of Triocephalus dispar, 954
of typhlitis, peri- and paratyphlitis, 822

Trematodes, 946

Trichina spiralis, 957
appearance of meat affected with, 959
discovery of, in muscles, 958
method of migration to muscles, 959
symptoms of, 959

Trichinosis. See _Intestinal Worms_.
in children, 961
prophylaxis of, 962
symptoms of, 959
treatment of, 961

Trimethylamine, use of, in acute rheumatism, 62
in chronic articular rheumatism, 74

Triocephalus dispar, 954
symptoms and treatment of, 954

Tropical form of hepatic abscess, lesions of, 1006

Trypsin, action of, in digestion, 622

Tubercle of pancreas, 1128

Tubercular peritonitis, 1165
ulcers of stomach, 529

Tuberculosis complicating chronic intestinal catarrh, 710
influence of, on causation of intestinal ulcer, 824
relation of, to scrofula, 240-242

Tuberculous affections of rectum and anus, 901
nature of tabes mesenterica, 1183, 1184
pharyngitis, 400
ulcer of rectum, treatment of, 913
ulceration, as a cause of hemorrhage from bowels, 831
of bowel, distinguished from chronic intestinal catarrh, 713
of tongue, 369

Tuberose vitiligoidea of skin, in jaundice, 981

Tubules, gastric, alterations in chronic gastritis, 472

Tumefaction of cheek in cancrum oris, 340