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Not only were the deaths referred to unknown causes, to apoplexy, to anasarca, and to debility, traceable to scurvy and its effects; and not only was the mortality in small-pox, pneumonia, and typhoid fever, and in all acute diseases, more than doubled by the scorbutic taint, but even those all but universal and deadly bowel affections arose from the same causes, and derived their fatal character from the same conditions which produced the scurvy.
A corpulent man, accustomed to large potation of fermented liquors, had vehement cough, difficult breathing, anasarca of his legs, thighs, and hands, and considerable tumour, with evident fluctuation of his abdomen; his pulse was equal; his urine in small quantity, of deep colour, and turbid. These swellings had been twice considerably abated by drastic cathartics.
The fire was still burning in secret, but needed to be rekindled by potent artificial breath. A dessert spoonful or two would have saved them. Avaunt! you wicked 'Temperance' medallist! repent as fast as ever you can, or, perhaps the next time we hear of you, anasarca and hydro- thorax will be running after you to punish your shocking excesses in water.
Ascites. A young lady of delicate constitution having been exposed to great fear, cold, and fatigue, by the overturn of a chaise in the night, began with pain and tumour in the right hypochondrium: in a few months a fluctuation was felt throughout the whole abdomen, more distinctly perceptible indeed about the region of the stomach; since the integuments of the lower part of the abdomen generally become thickened in this disease by a degree of anasarca.
If the right hand is laid on one side of the belly, and the other side is gently struck with the left hand, an undulating motion will be readily perceived. In old dogs, dropsy, under the title of "anasarca," is an unfrequent but occasional accompaniment of ascites.
The last attack showed few well-defined delusions, as patient was in a bewildered and incoherent state. One statement is characteristic: if patient had remained in Denmark, he might have inherited the throne. The autopsy showed most extensive arteriosclerosis, including basal cerebral. Death from general anasarca and jaundice.
You observe, that there is not more than sixty drops in it, yet will these sixty drops add ten years to a man's life for it will cure him of almost as many diseases. In the first place, are any of you troubled with the ascites, or dropsy, which, as the celebrated Galen hath declared, may be divided into three parts, the ascites, the anasarca, and the tympanites.
The fire was still burning in secret, but needed to be rekindled by potent artificial breath. A dessert spoonful or two would have saved them. Avaunt! you wicked 'Temperance' medallist! repent as fast as ever you can, or, perhaps the next time we hear of you, anasarca and hydro- thorax will be running after you to punish your shocking excesses in water.
P. about 50 years of age, had for many weeks been afflicted with anasarca of his legs and thighs, attended with difficulty of breathing; and had repeatedly been relieved by squill, other bitters, and chalybeates.
And as drastic purges act also by inverting the motions of the lacteals; and thence the other branches of lymphatics are induced into more powerful natural action, by sympathy, and drink up the fluids from all the cells of the body; and by their anastomoses, pour them into the lacteal branches; which, by their inverted actions, return them into the intestines; and they are thus evacuated from the body: these purges also are used with success in discharging the accumulated fluid in anasarca.
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