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The same author speaks of a gentleman under treatment for stricture who could not eat figs without experiencing the most unpleasant formication of the palate and fauces. The fine dust from split peas caused the same sensation, accompanied with running at the nose; it was found that the father of the patient suffered from hay-fever in certain seasons.
The first consists of inflammation of the fauces with the classic symptoms, the second presents no inflammation of the mouth nor of the fauces, but is complicated by a sense of suffocation apparently our croup. The third consists of external and internal inflammation of the mouth and throat, extending towards the chin.
They are usually most intense either towards the palatine arch or the larynx. Sometimes an inflammatory character is diffused through its whole extent, but occasionally it is more or less intense towards one or both of the terminations of the fauces, while the intermediate portion retains nearly its healthy hue.
The tongue gathers it up and forces it backwards between the pillars of the fauces into the pharynx. There is only one pathway for the food to travel, and that is down the oesophagus. The slow descent of the food may be seen if a horse or dog be watched while swallowing. Even liquids do not fall or flow down the food passage.
The larynx must rise and descend unimpeded by the tongue, soft palate and pillars of the fauces rise and sink, the soft palate always able more or less to press close to the hard. Strong and elastic contractions imply very pliable and circumspect relaxation of the same.
Now also, from the same cause, another very unpleasant circumstance occurs: the saliva fails of being directed to the back part of the fauces, and hence is continually draining from the mouth, mixed with the particles of food, which he is no longer able to clear from the inside of the mouth.
Faintness, nausea, incessant vomiting, epigastric pain, headache, diarrhoea, tightness and heat of throat and fauces, thirst, catching in the breath, restlessness, debility, cramp in the legs, and convulsive twitchings. The skin becomes cold and clammy. In some cases the symptoms are those of collapse, with but little pain, vomiting, or diarrhoea.
Pare says the wife of Pierre de Feure, an iron merchant, living at Chasteaudun, menstruated such quantities from the breasts each month that several serviettes were necessary to receive the discharge. Cazenave details the history of a case in which the mammary menstruation was associated with a similar exudation from the face, and Wolff saw an example associated with hemorrhage from the fauces.
Both remain to the last breath united, mutually supporting each other in ascending and descending passages, and alternately but inaudibly increasing and diminishing. These things go to make up the form: The raising and lowering of the soft palate, and the corresponding lowering and raising of the pillars of the fauces.
The reason why a tone sounds too low the so-called transition tones from the lower to the middle range and from this to the higher, come up for consideration chiefly is that the pillars of the fauces are raised too high toward the back, preventing the head tones from sounding at the same time; or the soft palate is lowered too far under the nose, which results in pressing the tone too long and too far toward the teeth.
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