A Treatise on the Eclectic Southern Practice of Medicine Page: 61 of 724
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inflammatory or spasmodic pain; it is transient and ex-
tremely violent in its paroxysms. It passes with tele-
graphic rapidity along the ramifications of the affected
In regard to pain I wish to impress upon your mind
a very important fact-there is a variety of pain, and
we frequently obtain important diagnostic indications
from the different character it assumes in each structure
of the animal system. For instance in the mucous
membranes, inflammation is accompanied with a burn-
ing or stinging pain, and generally not very violent;
and again in the serous membranes the pain is sharp
and lancinating, and remarkably acute; in the fibrous
tissues it is dull, aching and boring; in the nerves it is
rapid, darting and excruciating; in the cellular struc-
tures it is throbbing, heavy and dull. Consequently we
find the pain experienced, from inflammation of the
pleura acute, piercing and severe; whilst that from in-
flammation of the substance of the lungs, is dull, press-
ing and inconsiderable in violence. Another important
fact, that in hip disease, pain in the knee is felt for a
considerable time before any unpleasant sensations are
complained of in the hip.
Organic Disease of the Heart is accompanied with
laborious breathing on muscular exertion, or strong
mental excitement. (We have already given the symp-
toms of wakefulness and jactitation under this head.)
A cold clammy state of the extremities, nose and cheeks,
with heat in the rectum and under the tongue, and a
puffy swelling under the eyes, are also indicative of or-
Coughing.-We alluded to this before, and it is a
symptom which requires close observation, and like pain
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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/m1/61/: accessed December 16, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.