Vicious circles in disease / by Jamieson B. Hurry.

  • Jamieson Boyd Hurry
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: Vicious circles in disease / by Jamieson B. Hurry. Source: Wellcome Collection.

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    The modus operandi will vary with the special circumstances of each case. But some illustrations may be grouped under the following heads : I. The Breaking of the Circle by Hygienic Measures. II. The Breaking of the Circle by Surgical Appliances. III. The Breaking of the Circle by Drugs. IV. The Breaking of the Circle by Operation. I.—THE BREAKING OF THE CIRCLE BY HYGIENIC MEASURES Rest. Physical rest is a powerful means of breaking some Circles. An illustration is presented by many cases of cardiac failure, where a dilated and over-burdened myocardium is associated with visceral engorgement, the two conditions acting and reacting on each other. Gibson thus describes the Circle : “ Sooner or later, according to its form and severity, chronic valvular disease, with compensation, itself disposes to failure by establishing a Vicious Circle of slow pro¬ gressive impairment of the viscera and their great vital functions—the lungs, liver, stomach, bowels, kidneys, indeed the myocardium itself.” 1 In many such cases if the patient is kept so quiet as “ not to take one beat out of the heart that can 1 Textbook of Medicine, Vol. II., p. 127.