A Treatise on the Eclectic Southern Practice of Medicine Page: 64 of 724
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The mere fact of a single symptom cannot be sufficient
to the scientific practitioner to base a positive prognosis;
all the causes, as well as the general phenomena, the
habits and temperament of the patient, must be care-
fully taken into consideration.
Alterations in the face.-A great many important signs
are discernable from this portion of the human system.
If the heart's action is great, we see it in the face. If
there be congestion in the body, we have coldness of the
face, especially the cheeks, nose and lip. If hectic fever,
we soon perceive the redness of the clheek. If we have
jaundice, we soon discover it in the face, especially the
eyes. Two of the chief marks of scrofula are shown in
the face-the dilated pupil and the tumid under lip.
IHe countenance is a sure indication to the state of
your patient, and especially in cases of a serious and
dangerous character. We frequently find a countenance
that strikes us forcibly, and we view it as the harbinger
of death, that is almost indescribable; it is termed the
Hippocratic countenance, and described by some authors
viz: "nose pointed, eyes sunk, temples hollow, ears cold
and shrivelled, the lobes everted, skin on the forehead
hard, tense and dry, countenance pale, livid or leaden."
We are satisfied immediately from the countenance,
whether the patient is in pain or not, if he has colic, it
is depicted on his countenance, and to all the numerous
mental diseases, we need not capitulate, as the counte-
nance affords the best indication of their character.
The attitude.-We learn from observation considerable
in regard to position. It is an alarming symptom to
discover your patient first on his side and gradually get-
ting on his back, until he is in a supine position; unfa-
vorable, when we have great restlessness of the whole
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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/m1/64/: accessed July 22, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.