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It was as though some diabolical force had taken possession of his brain, and he fought it off, but was unable to conquer. Kennedy followed the staring glance of Whitney's eyes, which seemed almost to pop out of his head, as though he were suffering from the disease exophthalmic goitre. I looked also.
These creatures are enabled to produce this vast volume of voice in consequence of a hollow bony structure at the root of the tongue, which acts as a drum, and which gives them the appearance of a swelling, or goitre, in the throat. This is common to all the howling monkeys as well as the guaribas.
Poor sickly people were these of the ten in the first row three were suffering from goitre, one from strabismus, and two from ophthalmia. All were poorly clad and poorly nourished; all were very dirty, and their heads were unshaven of the growth of days. But, despite their poverty, nearly all the women, the children as well as the grandmothers, wore silver earrings of pretty filigree.
One fortunate circumstance the traveller will notice in Yungchang there is a marked diminution in the number of cases of goitre. And the diminution is not confined to the town, but is apparent from this point right on to Burma. Long after our arrival in Yungchang my opium-eating coolie "Bones" had not come, and we had to wait for him in anger and annoyance.
The characteristics of this form of idiocy are an enlarged thyroid gland constituting a goitre or bronchocele, a high-arched palate, dwarfed stature, squinting eyes, sallow complexion, small legs, conical head, large mouth, and indistinct speech. Feeble-mindedness may affect the moral nature only, rendering the person selfish, untruthful, obscene, or unemployable.
If people have protuberances in wrong places, it of course requires a little time for the eye to become accustomed to them. It may be that a goitre is a beauty in the eyes of many a young Nepaulese swain.
He advises internal medication with the building up of the general health, or suggests allowing the inflamed glands to empty themselves after pustulation. After much meddlesome surgery we are almost back to his methods again. He did not hesitate to treat goitre surgically, though he considered there were certain internal remedies that would benefit it.
I observed several of the natives of this district afflicted with goitre, and I was informed that cretinism was also prevalent, a fact which proves clearly the fallacy of the old doctrine that these complaints are attributable to snow-water, for all the water drunk by the inhabitants of the Terai rises in the Cheriagotty hills, on which snow rarely if ever falls.
Within the last thirty years the general health and physique have immensely improved, owing to better food and wholesomer dwellings. Goitre and other maladies arising from insufficient diet have disappeared. Epidemics, I was assured, seldom work havoc in this valley; and though much remains to be done in the way of drainage and sanitation, the villages have a clean, cheerful look.
As a result, numerous cases of goitre occur. Iodine in the form of sodium iodide in small doses will act as a prophylactic. The amount of iodine in the blood is about one or two parts to ten millions, and that of the liver is about three or four parts to ten millions.
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