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Updated: May 29, 2025
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.
Does not something similar to this occur in the anasarca of the lungs, when the disease is very great, and thus prevent those patients also from lying down?
Is the difficulty of breathing, arising from anasarca of the lungs, relieved by sweats from the head and neck; whilst that difficulty of breathing, which arises from a dropsy of the thorax, or pericardium, is never attended with these sweats of the head? and thence can these diseases be distinguished from each other?
Darwin in the Medical Transactions, vol. iii. in which there is a mistake in respect to the dose of the powder of foxglove, which should have been from five grains to one, instead of from five grains to ten. Anasarca of the Lungs. A lady, between forty and fifty years of age, had been indisposed some time, was then seized with cough and fever, and afterwards expectorated much digested mucus.
Upon the reperusal of this book I found the bishop only asserting his opinion that tar-water might be useful in the dropsy, since he had known it to have a surprising success in the cure of a most stubborn anasarca, which is indeed no other than, as the word implies, the dropsy of the flesh; and this was, at that time, a large part of my complaint.
Hence also the difficulty of promoting copious sweats in anasarca is accounted for, as well as the great thirst, paucity of urine, and loss of fat; since, when the cutaneous branch of absorbents is paralytic, or nearly so, there is already too small a quantity of aqueous fluid in the blood: nor can these torpid cutaneous lymphatics be readily excited into retrograde motions.
When the original disease is a general anasarca, do not the cutaneous lymphatics always become paralytic at the same time with the cellular ones, by their greater sympathy with each other? and hence the paucity of urine, and the great thirst, distinguish this kind of dropsy?
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.
This is owing to a beginning torpor of the absorbent system, and precedes anasarca, which commences in the day, but is cured in the night by the increase of the irritability of the absorbent system during sleep, which thus imbibes from the cellular membrane the fluids, which had been accumulated there during the day; though it is possible the horizontal position of the body may contribute something to this purpose, and also the greater irritability of some branches of the absorbent vessels, which open their mouths in the cells of the cellular membrane, than that of other branches.
Can any one explain how these partial sweats should relieve the difficulty of breathing in anasarca, but by supposing that the pulmonary branch of absorbents drank up the fluid in the cavity of the thorax, or in the cells of the lungs, and threw it on the skin, by the retrograde motions of the cutaneous branch? for, if we could suppose, that the increased action of the cutaneous glands or capillaries poured upon the skin this fluid, previously absorbed from the lungs; why is not the whole surface of the body covered with sweat? why is not the skin warm?
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