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In cases where great oppression is felt at the epigastrium that corded sensation so much complained of by opium-eaters during their earlier period of abandonment, and that peculiar self-consciousness of the stomach which follows in the track of awakening organic vitality the greatest relief may be expected from "hot fomentations," This is the well-known "hot and wet external application" of the regular practice, and consists of a many-folded square of flannel wrung out of water as hot as the skin can bear, and laid over the pit of the stomach, with renewals as often as the temperature perceptibly falls.
He also gives a portrait of a man who had a parasitic head proceeding from his epigastrium, and who was born in Germany the same year that peace was made with the Swiss by King Francis. This creature lived to manhood and both heads were utilized in alimentation.
I have had the cows, after they had eaten up my garden, break into the stable where my own milcher was tied, and gore her and devour her meal. Yes, life presents but one absorbing problem to the street cow, and that is how to get into your garden. She catches glimpses of it over the fence or through the pickets, and her imagination or epigastrium is inflamed.
I see people of my standing really good for nothing, decrepit, effete, la levre inferieure deja pendante, with what little life they have left mainly concentrated in their epigastrium.
If you put leeches at once on the epigastrium, and reduce the irritation in that part, which is the very seat of man's life, and if you diet the patient, the monomania will leave him. I will say no more to Dr. Bianchon; he should be able to grasp the whole treatment as well as the details.
He followed this up by a kick in the side and a blow on the head, neither of which, however, was as severe as the first blow. The man fell unconscious and died. At the autopsy there were no signs indicative of death, which must have been due to the shock following the blow on the epigastrium.
On the following day there was pain in the epigastrium, and by the fourth day the pain extended to the vertebrae, with vomiting, delirium, and death on the fifth day. At the autopsy it was found that a foreign body, seven cm. long had perforated the pericardium, causing a suppurative pericarditis.
It is a remarkable fact that young children, whose bones, cartilages, and tissues are remarkably elastic, are sometimes able to sustain the passage over their bodies of vehicles of great weight without apparent injury. There is a record early in this century of a child of five who was run over across the epigastrium by a heavy two-wheeled cart, but recovered without any bad symptoms.
At the expiration of that time he begins to feel a peculiar corded and tympanic tightness about the epigastrium. A feverish condition of the brain, which sometimes amounts to absolute phantasia, now ensues, marked off into periods of increasing excitement by a heavy sleep, which, after each interval, grows fuller of tremendous dreams, and breaks up with a more intensely irritable waking.
The Lancet records an account of a suicide by the penetration of a darning-needle in the epigastrium. There were nine punctures in this region, and in the last the needle was left in situ and fixed by worsted. In 1851 the same journal spoke of an instance in which 30 pins were removed from the limbs of a servant girl.
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