The effect of thyroid extract in exophthalmic goitre and in psoriasis / by A.G. Auld.
- Auld, Alexander Gunn.
- Date:
- 1894
Licence: Public Domain Mark
Credit: The effect of thyroid extract in exophthalmic goitre and in psoriasis / by A.G. Auld. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![Table I. Cardio-vascular Hypercesthesia. Source of Altered Innervation. Exciting Cause. Method. Rhythm. 1. Undue perception of heart's action, whether normal or altered Central neurosis, here- ditary j Mental shock ( Nervous exhaustion Variable degrees oi arterial tension Variable, with varying tension 2. Oppressed heart’s action with raised arterial resistance Paroxysms of palpitation, see also Table II, Nos. 2 and 4 Central ( Mental overstrain 1 Nicotine -J Constipation Uric acid surcharge [ Uraemia Vasomotor vagus irritation Regular, with arhythmic in- terludes 2. Angina pectoris (a) Vasomotoria (b) Vera (certain forms of) in which the vasomotory excitation causes embarrassment to a heart structurally diseased Cardiac plexus (Mental emotion ) Peripheral excitation ‘j (a) Surface (. (6) Visceral Vasomotory excita- tion causing se- condary cardiac embarrassment Slow and labour- ed or quick and disorderly Table II. Heart’s Action Accelerated. Source of Altered Innervation. Exciting Cause. Method. Rhythm. 1. Paroxysmal palpitation under mental excitement Central Intense volition in emer- gencies ((o) Shock, vaso- motory inhibition (6) reaction, vaso- motory stimulate. I (c) Intra - cardiac pressure vagus control (d) Vessel relaxa- tion from altered ( blood Regular 2. Paroxysmal palpitation from indirect vagus irritation Visceral irritation Central irritation Dyspepsia Gout Vagus inhibition Irregular 3. Paroxysmal palpitation from direct irritation Cardiac plexus i Cardiac overstrain Pericarditis ( Endocarditis i Sympathetic irri- tation f Vagus irritation Irregular 4. Paroxysmal palpitation from vasomotor relaxation Centra ( Nerve storm 2 Hot bath (Amyl nitrite, etc. Anaemia of vaso- motory centre Variable -5. Sustained hurry of heart with paroxysmal increase] (tachy- cardia) ? Central ( Mental shock < Mental overstrain ( Physical overstrain P Regular Table III. Heart’s Action Retarded. Source of Altered InnervaUon. Exciting Cause. Method. Rhythm. f congenital 1. Sustained retardation (bradycardia) sequel to acute illness (.from overstrain ? Cardiac periphery Sequela of acute fever j Malarial influence - Influenza ( Uric acid retention Results of ? neuritis Morbid blood affect- ing heart muscle Regular. 2. Paroxysmal retardation (1) from ' increased intracardiac pressure » „ (2) from nervous shock .I (3) from cardiac neuritis or neurasthenia ( (a) Haemic (central ((6) Peripheral ? Central (rare) nerve ) storm j Injury to visceral (. nerves, blows, etc. Cardiac plexus i Raised arterl. tension - Influenza ( Uric acid diathesis Surface chill ? Influenza, diphtheria, etc. Vasomotory and secondary vagus irritation ? Vagus Vagus excitation Impaired nervous conduction Regular. Irregular, with low arterial tension. Variable, with low arterial tension. of fourteen years’ duration; their grandmother was on the verge of insanity, and their brother is highly neurotic. With regard to the gentleman aged 46, when a student at the age of 17 he overworked himself. He had a seizure of some undefined kind, losing consciousness for a time. He left the student’s life and went into business. Since that time he has been a victim to irritable heart and insomnia. He is extremely sensitive to noises, and is subject to occa- sional chilliness which is quite independent of external temperature, sometimes finding it necessary to put on extra clothing on a hot summer’s day. He is always conscious of palpitation of the heart; under slight provocation his heart’s action becomes very disturbed. Unless he keeps quiet for an hour or more after the midday meal, his heart functions grow more and more disturbed as the day goes on. He is subject to neuralgia, and whilst the pain lasts his heart symptoms may be in complete abeyance ; this is one of the features frequently met with in this class of disease. I see sometimes an old lady who rings the changes upon various vagus neuroses ; at one time suffering from sighing dyspncea and then perhaps an attack of irregular heart’s action, approaching on two or three occasions to syncopal angina; again with enormous distension of the bowels from paresis of the abdominal section of the vagus ; then again she will](https://iiif.wellcomecollection.org/image/b22325190_0007.jp2/full/800%2C/0/default.jpg)
