A Treatise on the Eclectic Southern Practice of Medicine Page: 54 of 724
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origin of a spinal nerve, "not unfrequently manifests
itself by severe and protracted pain in some remote part
of the body; as in the chest, the abdomen, or inferior
extremities." Another important consideration, and
which you will frequently find in this climate, is that in-
flammation of the mucous membrane of the alimentary
canal, often attends in a variety of diseases with symp-
toms so slight as often to escape the notice of even the
most acute observers, and in relation to diagnosis on
this point, especial care and attention must be paid to
the examinations of the symptoms, and especially in
regard to the condition of the tongue.
It will be well to consider the Diagnostic Signs which
I have divided into those exhibited by the countenance;
the attitude; the nervous system; the digestive organs;
the circulatory system; the respiratory organs; the cir-
cular surface; the lymphatic system and the secretions.
THE COUNTENANCE.-The features to be particularly
examined are: the eyes, the nostrils, the lips, the brows.
In acute simple fever.-Eyes and face red; respiration
hurried; motions of the nostrils rapid. In acute sympa-
thetic fever these signs are absent. (Hall.)
Acute pain from inflammation in the chest.-Features
much contracted; the aloe nasi acute and elevated, the
nostrils contracted and expanded by the acts of respira-
tion, sometimes a vivid flush terminating abruptly; heat
"Dull pain in the chest.-Less constriction of the fea-
tures; an expression of great anxiety; nostrils widely
dilated before inspiration.
Effusion into the lungs.-Countenance livid,, anxious,
turgid, with great dyspnoea (difficulty of breathing) and
dilation of the nostrils on inspiration.
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (texashistory.unt.edu/ark:/67531/metapth143817/m1/54/: accessed March 18, 2018), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.