A Treatise on the Eclectic Southern Practice of Medicine Page: 476 of 724
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BLEEDING AT THE NOSE.
It is very irregular in its occurrence, duration and
progress; the hemorrhage is so extensive at times as
to justify alarm, and it has been known to prove fatal.
The most dangerous form of the disease is when the
bleeding is of a strictly passive character, in such cases
great quantities of blood are sometimes lost, and it is
quite difficult to arrest it; this variety is generally con-
fined to persons of a sanguine and plethoric habit, and
those who have not advanced to manhood; and it is
frequently the result of a peculiar weakness in the
vessels of the part, or in persons in the decline of life.
I have, in this climate, seen cases occur from the
result of lesions elsewhere; and it is by no means un-
common in our malarious districts to find persons with
enlarged spleens or indurating livers particularly liable
to this form of hemorrhage.
Causes.-It occurs at all ages, and when no predispo-
sition to this variety of hemorrhage exists it is seldom
produced except by direct violence, generally under such
circumstances it is of no consequence; if, however, there
should be a predisposition to it, in such cases there may
not only be danger from the flow of blood itself, but of
hemorrhage from other parts, as huemoptysis, (spitting
of blood.)
It has been taught from Hippocrates down to the pre-
sent time, that they who have been much subject to
epistaxis, (bleeding at the nose) when young, are, at a
later period, liable to haemoptysis, (spitting of blood,)
and phthisis pulmonalis, (consumption,) and it is
asserted also that they suffer from huamorrhoides, (piles.)
The exciting causes are very appreciable, such as a
blow upon the nose, blowing the nose, the exercise of
running, tight cravats, and in general any agency capa-476
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/476/: accessed May 8, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.