A Treatise on the Eclectic Southern Practice of Medicine Page: 65 of 724
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body; it betokens great prostration, when we find the
patient upon his back, his mouth and pupils dilated, and
still worse when we find he has involuntary discharges.
Insensibility, with mouth closed and eyes fixed, a sure
sign of convulsions. A great desire to sit up, with dif-
ficulty of breathing, or laying upon the back with the
knees drawn up, and one leg flexed over the other, in
pneumonic diseases, almost certainly fatal, but still more
so when attended with a good pulse; reaching into the
air, picking the bed clothes, visceral inflammations,
tumefaction of tike abdomen, are alarming signs. "Ster-
torous breathing, attended with a rattling in the upper
part of the chest, is highly dangerous. Short and very
accelerated breathing, always a bad sign; hiccough, in
the advanced stages of fevers, indicates great danger."
Constant wakefulness, or great degree of somnolency, is
quite unfavorable; great pain in the head, with a puffed,
red countenance, is indicative of much danger. "Un-
equal distribution of temperature--a sensation of cold
externally, and of heat internally, are bad signs,-still
more unfavorable when a sense of burning heat on the
surface is attended by a feeling of cold internally.
The Hand.-In this portion of the system, many
symptoms appear that are positive signs for good or bad;
it shows the first fall of the temperature of the body;
the cold clammy perspiration is soon discovered here,
difficulty of breathing produces a purple hue of the nails,
and, in fact, its heat, its firmness or softness, are all sig-
The Excretions.--They consist of blood, bile, secretions
from the alimentary canal, of urine, of perspiration, of
saliva and of semen; and with respect to them, the sight
and smell gives us most information. The urine is fre-
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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/m1/65/: accessed May 23, 2017), University of North Texas Libraries, The Portal to Texas History, texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.