Copy 1, Volume 1

The study of medicine. Improved from the author's manuscripts, and by reference to the latest advances in physiology, pathology, and practice / [John Mason Good].

  • John Mason Good
Date:
1834
Catalogue details

Licence: Public Domain Mark

Credit: The study of medicine. Improved from the author's manuscripts, and by reference to the latest advances in physiology, pathology, and practice / [John Mason Good]. Source: Wellcome Collection.

    130/784 page 76
    Py S Sy GLa] COELIACA. ~ LorD. 1. Gen. II. equally serviceable about the acme of small-pox* ; though in one Srec. I. or two cases death has succeeded. + The fluid of dropsies is said vee - melli- +o have been carried off at times by the same channel. Chronic In the Medical Obs. and Inquiries, vol. iii. p. 241., there is a vomiting singular case of an obstinate vomiting of five months’ standing hereby re- being relieved, upon a return of salivation, which for this period lieved. had ceased. But perhaps one of the most extraordinary instances to be met with is related by Dr. Huxham, in the Phil. Trans. vol. xxxiii. for 1724. The patient was a man aged forty, of a spare, | bilious habit, who had an attack of jaundice, followed by a paroxysm of cholic, this last being produced by drinking too freely of cyder. Among other medicines was given a bolus, containing a scruple of jalap, eight grains of calomel, and a grain of opium. Copious dejections followed; and a few hours afterwards the patient com- plained of pain and swelling in the fauces, spat up a little thick, brown saliva, which was soon considerably increased in quantity, of a deep colour, resembling greenish bile, though somewhat thinner. This flux of green and bilious saliva continued for about forty hours ; during which time the quantity discharged amounted to four pints. The colour of the saliva then changed to yellow, like a solution of gamboge, with an increase rather than a diminution of the quantity. It continued of this colour for the space of forty hours more, after which it gradually became pellucid, and the salivation ceased as suddenly as it came on. During the flow of the saliva, the teeth and fauces were as green as if they had been stained with verdigris, and the teeth retained the same colcur for a fortnight after the ptyalism had ceased. The patient had a few years before been suddenly attacked by a spontaneous salivation, so excessive as to endanger his life. In the present instance, there- fore, it is probable, that the dose of calomel co-operated with the peculiarity of the constitution in exciting the discharge. But, whatever was its cause, it proved critical both of the jaundice and the cholic; for, from the moment it took place, the pain of the bowels ceased, and the greenish colour of the skin began to subside, the urine being at the same time secreted more abundantly, and of a blackish hue. SPECIES II. PTYALISMUS INERS. DRIVELLING OR SLAVERING. INVOLUNTARY FLOW OF SALIVA FROM A SLUGGISHNESS OF DEGLUTITION WITHOUT INCREASED SECRETION. Gen. II. ‘TueERE is a second species, which belongs to this genus, in the pre- Srec. II. sent system, distinguished by the name of inert ptyalism, and which depends upon a want of command or power over the muscles of * Act. Nat. Cur. vol. vii. Obs. 109. Fich, Diss. de Salivatione spontaned, precipué Variolarum. Jen. 1713. ¢ Riedlin, Lin. Med. 1695, p. 384, Weber, Obs. Med. Fascie. i.
    digitised image 1
    digitised image 2
    digitised image 3