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
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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.

    145/784 page 91
    ail s . . cL. I.) DIGESTIVE FUNCTION. [orp. t. ‘do not yield to this plan, the elongated and pendulous part must be extirpated. In a few rare instances, the uvula and even the tonsils become hard and cartilaginous; and, in such cases, the morbid portion must be cut away. The uvula in its natural state appears also to be concerned in deglutition ; and, [as one of its purposes is to examine, as-it were, the nature of the aliment previously to its being swallowed, and by its sympathetic relations to excite an aversion in the gastric organs to substances not of a fit consistence and quality to be con- veyed into the stomach, it is endued with a much higher degree of sensibility than the rest of the soft palate. By means of this -quick sensibility, and the sympathy of the rest of the organs of deglutition with it, they are in all probability excited duly to perform the harmonious and successive actions by which the function of deglutition is accomplished.] And hence, when, from ulceration or any other cause, the uvula is lost or deficient, deglu- tition is rendered more or less troublesome, and even difficult. In this case, the healing art can administer nothing, and habit becomes the only physician. Examples are related, however, of so total a loss of the uvula, from gangrene, or the barbarous cruelty of cutting out the tongue, that the sad sufferer has been compelled to force the food in every meal into the cesophagus with his fore-finger.* SPECIES V. DYSPHAGIA LINGUOSA. LINGUAL DYSPHAGY. SWALLOWING OBSTRUCTED OR TROUBLESOME FROM PROTRUSION OR MAGNITUDE OF THE TONGUE. Tuts species exhibits itself under the two following forms or varieties : — a Exsertoria. Tongue extended from the mouth, often Lolling tongue. with enlargement of its substance. 6 Ranula. Intumescence of the salivary glands or Frog-tongue. ducts. It is necessary, as in the last speciés, to distinguish both these affections from inflammatory enlargements. [According to the editor’s views of this subject, the only cases, which strictly accord thick and. corneous, but thin and very pointed in the light, silvery, soprano singers. The observations of M. Bennati leave no doubt that the uvula and soft palate have considerable influence over the modulation of the voice ; and he has demonstrated that these organs contract in proportional degrees to the ascent of the several musical notes. (See Annali Universali for June, 1830; Bulletin des Sciences Méd. for May, 1830; and Lancet, No. 377.) — Ep. ~ * The simple loss of the uvula would scarcely create so complete an inability to swallow as what is here described. Many persons who have lost the whole of the uvula from syphilitic ulceration continue to swallow without inconvenience, 91 Gen. ITI. Srrc. IV. D. Uvu- losa. Medical treatment. Conse- quence of the uvula becoming lost. Gen. IIL. Spec. V. Congenital and chronie enlarge- ments of the tongue.
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