A Treatise on the Eclectic Southern Practice of Medicine Page: 62 of 724
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there is quite a variety of cough; patients affected with
inflammation of the pluera, lungs, or peritoneum, always
endeavor to repress the cough as much as possible. The
cough attending acute inflammation of the mucous
membrane of the bronchia has a much duller sound,
and a rattling in the chest; these you seldom find in
acute inflammation of the pluera; this only applies to
the early period of these affections. In phlthiis laryn-
gea the cough comes on in violent and spasmodic pa-
roxysms, particularly in the morning on rising from
bed, whilst in phthisis pulmonalis (consumption) the
cough is much less sudden and violent, and destitute of
the spasmodic character of the former.
The character and appearance of the matter expec-
torated afford important diagnostic indications; and a
variety of tests have been proposed, and with just claims
to confidence. The muriate of ammonia coagulates
pus, but it has no effect upon mucus. Heat coagulates
mucus, but not pus.
A purple or bluish color of the skin, if not the result
of cold, indicates deficient decarbonization of the blood
in the lungs, seen in a striking manner in cholera.
Urine.-This secretion affords frequently valuable
diagnostic signs,-in inflammatory affections it is red
and in small quantity; in nervous and hysterical affec-
tions it is copious and limpid; in biliary derangements
almost invariably tinged with bile.
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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/m1/62/: accessed December 18, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.