RECTUM AND ANUS, DISEASES OF, 877

Forms of, 877

Anatomy of, 877-879

_Congenital Malformations_, 879

Imperforate anus, 879

Abnormal anal openings, 880

Absence of anus, 880

Greater liability of males to, 880

Prognosis, 880

Treatment, 880

_Primary Diseases of Rectum and Anus_, 881

_Prolapse and Procidentia of Rectum_, 881

Etiology, 881

Age, infancy and senility, 881

Worms, 881

Diarrhoea, 881

Constipation, 881

Coughing and crying, 881

Loss of tone of anus and rectum, 881

Abuse of cathartics, 881

Urethral stricture, 881

Polypi, 881

Tumors, 881

Symptoms, 881

Size, 881

Appearance of mucous membrane, 881

_Polypi of Rectum_, 882

Varieties, 882

Gelatinoid form, 882

Fibroid form, 882

Nature, 882

Physical characters, 882

Symptoms, 882

Frequent desire to stool, 882

Heat and tenesmus, 882

Hemorrhage, 882

Number, 882

Seat, 882

_Hemorrhoids or Piles_, 882

Etiology, 882

Abnormal state of blood-vessels, 882

External, 883

Sex, influence of, on causation, 883

Age, influence of, on causation, 883

Exciting causes, 883

Tendency to inflammation, 883

Obliteration of vessels in, 883

Structure of, 883

Symptoms, 883

Pain, 883

Tenesmus, 883

Inability to urinate, 883

Suppuration of, 883

Internal, 883

Physical characters, 883

Structure of, 883

Color, 883

Etiology, 884

Constipation, 884

Diseases of liver, 884

Abdominal tumors, 884

Horseback riding, 884

Dysentery, 884

Diarrhoea, 884

Sedentary life, 884

Age, 884

Sex, 884

Rich food, 884

Symptoms, 884

Pain, 884

Tenesmus, 884

Spasm of sphincters, 884

Hemorrhage, 884

Weight and fulness, 884

_Dilatation of the Rectal Pouches_, 885

Rarity of, 885

Causes, 885

Symptoms, 885

Weight and uneasiness of rectum, 885

Pain, 885

Mucus, increased secretion of, 885

Exploration of bowel with blunt hook, 885

_Non-malignant Stricture of Rectum_, 885

Nature, 885

Etiology, 885

Traumatism, 885

Following operations, 885

Secondary of pelvic inflammation, 885

of syphilis, 885

Constipation, 886

Sex, influence of, on causation, 886

Symptoms, 886

Physical characters, 886

Violent straining at stool, 886

Wire-drawn feces, 886

Irregular bowels, 886

Appetite, impaired, 886

Digestive disturbances, 886

Pain, 886

Mucous discharges, 886

Seat, 886

of syphilitic, 886

Characters of syphilitic, 886

_Proctitis_, 887

Frequency, 887

Etiology, 887

Intestinal worms, 887

Rhus toxicodendron, 887

Gonorrhoeal poison, 888

Unnatural intercourse, 888

Symptoms, 887

Pain, 887

Tenesmus, 887

Mucous and bloody discharges, 887

_Fissure of Anus and Rectum_, 888

Frequency, 888

Character, 888

Position, 888

Etiology, 888

Uterine disease, 888

Frequency in women, 888

Constipation, 888

Syphilis, 888

Symptoms, 888

Pain, 888

Spasm of sphincters, 888

Mental depression, 889

_Rodent or Lupoid Ulcer of Rectum_, 889

Frequency, 889

Seat, 889

Characters, 889

Symptoms, 889

Pain, 889

Spasm of sphincters, 889

_Obstruction of Rectum_, 889

Etiology, 889

Foreign bodies, 889, 890

Sex, 889

Loss of nervous and muscular tone, 889

Impaction of feces, 889

Concretions, 890

Enteroliths, 890

composition, 890

Gall-stones, 891

Intestinal worms, 891

Tumors, pelvic, 891

Symptoms, 891

Appetite impaired, 890

Digestive disturbances, 890

Melancholia, 890

Vomiting, 890

Tenesmus, etc., 890

Sloughing of rectum, 891

_Cutaneous Eruptions and Parasitic Conditions of Anus_, 892

Eczema, 892

Erythema intertrigo, 892

Prurigo podicis, 892

Herpes, 892

Furunculi, 892

Hairs on mucous membrane, 892

Sarcoptes hominis, 892

Acarus autumnalis, 892

Rhus toxicodendron, 892

_Ulceration of Rectum and Anus_, 893

Frequency, 893

Etiology, 894

Syphilis, 894

Struma, 894

Traumatic, 894

Foreign bodies, 894

Impacted feces, 894

Symptoms, 893

Initial, 893

Diarrhoea, 893

Stools, character, 893

Pains, 893

Muco-purulent discharges, 894

Sphincters, loss of power in, 893

Abscesses, formation, 893

Ulcers, physical character, 893

Enlargement of rectal glands, 893

_Follicular Ulcerations_, 894

Etiology, 894

Origin, 894

From chancroidal invasion, 895

Symptoms, 895

_Peri-anal and Peri-rectal Abscess_, 895

Etiology, 895

Acute form, 895

Anatomical causes, 895, 896

Sex, influence on causation, 896

Cold and wet, 896

General debility, 896

Hepatic disorders, 896

Symptoms, 896

Sudden onset, 896

Chills, 896

Heat and fulness, 896

Pain, 896

Dysuria, 896

Appetite impaired, 896

Malaise, 896

Chronic form, 896

Etiology, 896

From traumatic causes, 896

ulceration of rectum, 896

Seat, 896

Symptoms, 896

Hectic, 896

Emaciation, 896

Slow formation, 896

Difficult to heal, 897

_Fistula in Ano_, 897

Great frequency, 897

Etiology, 897

Abscesses, 897

From traumatic causes, 897

Age, 897

Male sex, 897

Phthisis, 897

Forms, 897

complete, 897

incomplete, 897

Multiple, 897

Seat of external opening, 897

internal opening, 898

Course, 898

Discharges, character of, 898

Pain in, 899

Diagnosis, 898

Use of probe, 898

_Hemorrhage from Rectum_, 899

Primary and Secondary, 899

_Secondary Diseases of Rectum and Anus_, 900

_Syphilis of Rectum and Anus_, 900

Frequency, 900

relative, in the sexes, 900

Seat and character, 900, 901

Mucous patches, 900

Gummatous deposits, 900

Condylomata, 901

_Scrofulous and Tuberculous Affections_, 901

Pathology of tubercular form, 901

Description and course, 901

Causation from ingestion of morbid products of tuberculous

lungs, 902

Seat, 902

_Cancer, Malignant Stricture and Malignant Ulceration_, 902

Forms, 902

Relative frequency of forms, 903

Sex, influence on causation, 903

Age, influence on causation, 903

Scirrhous, method of growth, 903

Pain in, 903

Difficult defecation, 904

Odor of patient, 904

Exhaustion, 904

Encephaloid, rapid growth of, 904

hemorrhage in, 904

Lymphatic glands, enlargement of, 904

Disease of rectum, by extension from colon, 904

Ulceration of rectum following typhoid fever and dysentery, 905

Ulceration from mechanical causes, 906

_Effects of Abnormal Conditions of Spinal Cord and Membranes on

Rectum and Anus_, 906

Constipation in, 906

Loss of control, 907

Paralysis of rectum in pressure myelitis, 907

rectal, in spinal meningitis, 907

in fracture of vertebræ, 908

Sphincters, condition of, in convulsions of epilepsy, 908

Paralysis, in chronic heart disease, 908

in malaria, 908

_Spasm of Rectum and Anus_, 909

_Pruritus Ani_, 909

Etiology, 909

Neurotic origin, 909

Digestive derangements as causes, 909

Overwork, 909

Spinal irritation, 909

Worms, 909

Rheumatism, 909

Diabetes mellitus, 909

_Neuralgia of Rectum_, 909

Frequency of, 910

Causes of, 910

Malaria, 910

Reflex, 910

Uterine disease, 910

Symptoms, 910

_Effect of Cholera and Certain Poisons and Remedies on Rectum_,

910

Of cholera, 910

Of arsenic, 910

Of corrosive sublimate, 910

Of croton oil, 910

Of strychnia, 911

Of morphia, 911

Of jaborandi, pain in rectum, from, 911

Of mineral acids, 911

Treatment, therapeutical and surgical, 911

Of anal fissure, 911

Cauterization with nitrate of silver, 912

Incision and dilatation, 912

Of rectal ulcer and deep anal fissure, 912

Cleanliness, 912

Bougies of soap, 912

Cauterization, 912

Glycerite of tannin, 912

Astringent, 912

Red precipitate ointment, 912

Use of acid nitrate of mercury, 912

Nitric acid, 912

Incision, 912

method of, 913

Dilatation, method of, 912

Of tuberculous ulcer of rectum, 913

Of chronic ulcer of rectum, 913

use of Ward's paste, 913

Of rodent ulcer, 913

excision in, 913

Of cancer of rectum, 913

use of anodynes, 913

enemata of warm water, 914

bougies, use of, 914

excision, 914, 915

method of, 915

lumbar colotomy, 915

method of, 916

Of dilatation and inflammation of rectal pouches, 916

incision, 916

Of loss of co-ordination in muscles of defecation, 916

Of sphincterismus, 916

Use of purgatives, 916

of hot hip-baths, 916

of bougies, 916

of incision and dilatation, 916

Of pruritus ani, 917

Use of enemata, 917

of carbolic acid, 917

of turpentine, 917

of hot water, 917

of sulphate of zinc and alum, 917

of chloroform, 917

of iron and quinine, 917

of mercurial ointment, 917

of tincture gelsemium, 917

Of non-malignant rectal stricture, 917

Use of bougies, 917

of dilatation, 917

Of syphilitic form, 917

Of peri-anal and peri-rectal abscess, 918

Use of poultices, 918

of incision, 918

Of gonorrhoea of rectum, 918

Astringent injections, 918

Of impaction of feces, 918

Use of dilatation of sphincter, 918

of enemata, 918

of purgatives, 918

of iron and quinine, 919

of electricity, 919

Of irritable rectum, 919

Anodyne enemata, 919

Cauterization with nitric acid, 919

Of concretions of rectum, 919

Of proctitis, 919

Use of copaiba, 919

of black pepper, 919

of ice, locally, 919

Of prolapsus ani and procidentia, 919

Use of astringent solutions, 919

of anal pad and T-bandage, 920

of cauterization, 920

method, 920

of excision, 920

method, 920

of dilated gum pessary, 920

of ergotin, locally, 920, 921

of strychnia, locally, 921

of nitric acid, locally, 920

of nitrate of silver, 920

Of polypus, 921

Ligation, 921

Clamp and cautery, 921

Of fistula in ano, 921

Palliative, 921

Operative, 921

by incision, 922

by ligation, 922

methods, 922

question of operation in phthisical cases, 922

Of hemorrhoids, 923

Palliative, 923

Astringent ointments, 923

Enemata of potassium chlorate, 923

of lime-water, 923

Use of copaiba, 923

of black pepper, 923

Oil of amber, locally, 923

Use of hamamelis virginica, 923

of ergotin, 923, 924

of aloes, 923

of cold water, 924

Rest after defecation, 924

Of prolapsing, 924

Operative, 924

Of external, 924

Of internal, 924

by strangulation, 924

method, 925

by clamp and cautery, 925

by écraseur, 925

by caustics, 926

by nitric acid, 926

by caustic potash, 926

Of hemorrhage from rectum, 926

Ice, use of, 927

Injections of ice-water, 927

of perchloride of iron, 927

Use of tampon, 927

method, 927

of Agnew's rectal chemise, 927

of ligature, 927

Rectum, heat of, in dysentery, 802

in pseudo-membranous enteritis, 765

painful disease of, influence on causation of constipation, 642

suppuration of, as a cause of suppurative pylephlebitis, 1098

stricture of, symptoms, 856

Recurrence of spasmodic stricture of oesophagus, frequency of, 421

of tonsillitis, frequency of, 387

Reflex causes of enteralgia, 660

nervous disturbance, due to biliary concretions, 1078

symptoms in morbid dentition, 374

spasm of muscles in general form of rheumatoid arthritis, 80

Regimen, restricted, influence on causation of functional dyspepsia,

444

Regurgitation, in functional dyspepsia, 449

of food in cancer of oesophagus, 427

in dilatation of oesophagus, 432

in organic stricture of oesophagus, 423

time of, in spasmodic stricture of oesophagus, 420

in ulceration of oesophagus, 418

in acute oesophagitis, 413

in cancer of cardiac orifice of stomach, 542

Relapses, frequency of, in typhlitis and peri- and paratyphlitis, 820

influence of salicyl treatment on frequency of, in acute rheumatism,

52

tendency to, in acute rheumatism, 44, 45

Remissions in chronic variety of general rheumatoid arthritis, 82

in tubercular peritonitis, 1165

Remittent and typhoid fever, distinguished from acute gastritis, 468

Renal affections complicating acute rheumatism, 42

colic complicating gout, 124

distinguished from enteralgia, 664

disease, influence on causation of chronic gastritis, 470

influence on causation of simple ulcer of stomach, 488

Resection, in gastric cancer, 577

of pylorus, in dilatation of stomach, 609

Respiration, in ascites, 1177

in acute peritonitis, 1141

difficult, in tonsillitis, 382

laborious, in parenchymatous glossitis, 361

Rest after defecation, in hemorrhoids, 924

in hemorrhage from bowels, 834

in perforative peritonitis, 1156

importance of, in dysentery, 809

in chronic gastritis, 476

in treatment of simple ulcer of stomach, 519

local, importance in rheumatoid arthritis, 100

necessity of, in acute gastritis, 469

in treatment of heart, complications of acute rheumatism, 64

value of, in treatment of acute intestinal catarrh, 690

in chronic intestinal catarrh, 716

Restlessness in cholera infantum, 742

Results of chronic articular rheumatism, 71, 72

Retention of food in dilatation of oesophagus, 431

Rhamnus, fl. ext., use in constipation, 656

Rheumatic and arthritic diathesis, relation of, to causation of

gonorrhoeal rheumatism, 103

form of acute pharyngitis, symptoms, 394

treatment, 398

of gonorrhoeal rheumatism, symptoms, 104

of tonsillitis, treatment, 388, 389

RHEUMATISM--_Acute_, 19

Synonyms, 19

Definition, 19

Etiology, 19

Climate, influence of, on causation, 19

Season, influence of, on causation, 19

Occupation, influence of, on causation, 20

Age, influence of, on causation, 20

Sex, influence of, on causation, 21

Heredity, influence of, on causation, 21

Temperament, influence of, on causation, 21

Cold and damp, influence of, on causation, 22

Fatigue and exhaustion, influence of, on causation, 22

Depressing passions, influence of, on causation, 22

Traumatism, influence of, on causation, 22

Polyarticular inflammation of acute diseases, relation of, to,

23

Pathology, 23

Theories regarding origin, 23

Lactic-acid theory, 23

Latham's theory of hyperoxidation, 24

Nervous theory, 24

Miasmatic theory, 26

Infective-germ theory, 26

Symptoms, 26

Invasion, 26

General description, 27

Local, 27

date of appearance of, 27

Joints, condition of, 27

most affected, 27

Pain, character of, 27

Tendency to invade fresh joints, 27

Description of special symptoms, 29

Temperature, 27, 29

Hyperpyrexia, 29, 66

Defervescence, mode of, 29

Digestive tract, 27

Tongue, 27

Appetite, 27

Constipation, 27

Thirst, 27

Urine, condition of, 30

amount of urea and uric acid in, 30

during convalescence, 30

Albuminuria in, 30

Saliva, condition of, 30

Perspiration in, 27, 30

Blood, condition of, 31

Complications, 31

Cardiac affections in, 28, 31

frequency of, 32

causes of, 32

occupation, 33

age, 32

date of appearance of, 28, 33

forms of, 32

relative frequency of forms of, 33

endocarditis and pericarditis, symptoms, 28, 33, 34

ulcerative endocarditis, 33

myocarditis, 34

symptoms of, 34

subacute, 35

murmurs in, 28, 35

relative frequency of different murmurs, 35

anæmic murmurs, 36

Pulmonary affections, 36

frequency of, 36

relation of, to cardiac complications, 36

pneumonia and pleuritis, 36, 37

congestion of lungs, 37

Nervous affections, 37

delirium, 37, 38

coma, 38

convulsions, 38

chorea, 38

meningitis, 39

embolism of cerebral arteries, 39

spinal inflammation, 40

causes of, 40

hyperpyrexia as a cause of, 41

intemperance, 40

rheumatic poison as a cause of, 41

Renal affections, 42

Pharyngitis, 42

Gastralgia, 42

Diarrhoea and dysentery, 42

Peritonitis, 42

Cystitis and orchitis, 42

Cutaneous affections, 42

Nodosities, 43

Position, 43

Duration, 43

Pathology of, 44

Course and duration, 44

Average duration of acute symptoms, 45

Relapses, tendency to, 44, 45

Morbid anatomy, 46

Articulations, changes in, 46

Synovial membrane, changes in, 46

Microscopic appearance of effusion, 47

Cartilages, changes in, 47

Soft parts about joints, changes in, 47

Brain and membranes, changes in, 39

Spinal cord and membranes, changes in, 40

Blood, changes in, 31

Heart and membranes, changes in, 31-36

Diagnosis, 47

From pyæmia, 47

acute glanders, 48

periostitis, 48

articular enlargements of rickets, 48

of hereditary syphilis, 48

inflammation of cerebral softening and hemorrhage, 49

of spinal disease, 49

Prognosis, 50

Mortality, 50

Cause of sudden death in, 50

Rheumatism, acute articular, in children, 49

Peculiarities of, 49

Treatment, 51

Use of salicylic acid and salicylates, 51-59

Influence of, upon joint-pains, 51, 52

on pyrexia and hyperpyrexia, 52, 55

on frequency of relapses, 52

on frequency of heart complications, 53-55

on duration, 55

Unpleasant effects of, 56

Effects of, upon the heart, 57

Heart-failure from, 57

Delirium from, 57

Albuminuria and hæmaturia from, 58

Doses of, 58

Mode of administration, 59

Use of salicine, advantages of, 58

Dose of, 58

of oil of wintergreen, 59

of alkalies, 60

Method of administration, 60

Influence of, on pain and pyrexia, 60

on duration, 60

on heart complications, 60, 61

and salicylates, relative power of, 60, 61

combined use of, 61

of quinia, 61

of potassium iodide, 62

of ammonium bromide, 62

of cold, 66

of trimethylamine, 62

of benzoic acid, 62

of chloral and morphia, 65

of lemon-juice, 63

of perchloride of iron, 63

of alcohol, 69

of blisters, 63, 68

of aconite, 64

Of complications, 63

Of peri- and endocarditis, 63, 64

Of pericardial effusions, 64

Of myocarditis, 64

Necessity of rest in heart complications, 64

Of meningitis, 65

Of nervous affections, 65

Of delirium, 65

Of sleeplessness, 65

Of hyperpyrexia, 66

by cold, 66

modes of applying, 67

Summary of treatment, 68

Diet in, 69

Hygienic management, 69

Convalescence, 69

_Subacute Articular_, 46

Symptoms of, 46

_Mono- or Uni-articular Acute and Subacute_, 49

_Chronic Articular_, 69

Synonyms, 69

Definition, 69

Etiology, 69

Primary nature, 70

Predisposing causes, 70

Heredity, 70

Acute rheumatism, 70

Cold and damp, 70

Exciting causes, 70

Symptoms and course, 71

Mild forms, 71

Pain, character of, 71

Local, 71

Creaking of joints, 71

Alteration of joints, 71

Anæmia and debility, 71

Tendency to exacerbation, 71

Influence of weather on, 71

Joints most affected, 72

General condition of, 71

Complications, 72

Cardiac disease, 72

Endarteritis, 72

Asthma, 72

Bronchitis, 72

Neuralgia, 72

Dyspepsia, 72

Results, 71, 72

Ankylosis from, 71

Thickening, 71, 72

Duration, 72

Termination, 72

Morbid anatomy, 70

Of simple form, 70

Changes in joints, 70

synovial membrane, 70

Capsule and ligaments, 70

Cartilages, 70

Muscles, 71

Diagnosis, 73

From rheumatoid arthritis, 73

From articular enlargement of spinal diseases, 73

of syphilis and struma, 73

of tubercular disease, 73

From chronic articular gout, 73

Prognosis, 73

Treatment, 73

Hygienic, 73

Importance of proper clothing, 73

Therapeutic, 73

Use of salicylates in, 73, 74

of salicylate of quinia, 74

of propylamine, 74

of trimethylamine, 74

of potassium iodide, 74

of arsenic, 74

of cod-liver oil, 74

of quinia, 74

of guiaiac, 74

of bromide of lithium, 74

of pilocarpine, 74

of iron, 74

Local, 74

Diet, 74

_Muscular_, 74

Synonyms, 74

Definition, 74

Etiology, 74

Age, influence of, on causation, 74

Sex, influence of, on causation, 75

Cold, influence of, on causation, 75

Fatigue and strain, influence of, on causation, 75

Heredity, 75

Symptoms, 75

Pain, character of, 75

effect of pressure upon, 75

Cramp, muscular, 75

Spasm, muscular, in, 75

Muscles most affected, 76

Digestive tract, 76

Appetite, 76

Constipation, 76

General, 76

Duration, 76

Diagnosis, 76

Tendency to error, 76

From organic spinal disease, 76

functional spinal disease, 76

lead and mercurial poisoning, 76

neuralgia, 76

Morbid anatomy, 74

Varieties, 77

Lumbago, 77

Symptoms, 77

Diagnosis, 77

Pleurodynia, 77

Symptoms, 77

Diagnosis, 77

from intercostal neuralgia, 77

Torticollis, 78

Symptoms, 78

Diagnosis, 78

Treatment, 76

Indications, 76

Relief of pain, 76

Use of morphia, 76

of diaphoretics, 77

of potassium iodide, 77

of alkalies, 77

of citrate of potassium, 77

of salicylates, 77

of baths, hot, 77

of galvanism, 76

Local, 76, 77

Heat, 76

Poultices, 76

Hygienic, 77

necessity of proper clothing, 77

Of lumbago, 77

Of pleurodynia, 78

Of torticollis, 78

_Rheumatoid Arthritis_, 78

Synonyms, 78

History, 78

Etiology, 88

Of general progressive form, 88

Influence of age on causation, 88

of sex on causation, 88

of cold and damp on causation, 88, 90

of heredity on causation, 88

of rheumatism on causation, 88, 89

of gout on causation, 89

of diseases of pregnancy on causation, 90

of disorders of menstruation, 90

of scrofula on causation, 90

of phthisis on causation, 90

of poverty on causation, 91

of injury on causation, 91

Of partial form, 91

Advanced age, influence of, on causation, 91

Sex, influence of, on causation, 91

Local irritation of joint, influence of, on causation, 91

Cold and damp, influence of, on causation, 91

Of Heberden's nodosities, 91

Advanced age, influence of, on causation, 91

Female sex, influence of, on causation, 91

Poverty, influence of, on causation, 91

Heredity, influence of, on causation, 91

Varieties, 79

Symptoms, 80

Of general progressive or polyarticular form, 80

Acute variety, 80

Resemblance to acute rheumatism, 80

Mode of onset, 80

General, 80

Local, 80

Wasting of muscles, 80

Reflex muscular spasm, 80

Duration, 80

Of chronic variety, 81

Mode of onset, 81

Local, 81

Pain, character of, 81

Position and shape of joints, 81

Creaking of joints, 81

Ankylosis, 81

Course and duration, 82

Remissions, 82

Deformities of upper extremities, description, 82

of hand, description, 82

of lower extremities, description, 82

of feet, description, 82

General condition, 82

Digestive symptoms, 82

Loss of appetite, 83

Constipation, 83

Skin, condition of, 83

Urine, condition of, 83

Of partial or oligo-articular form (arthritis deformans), 84

Mode of onset, 85

Local, 85

Condition of joint, 85

Deformities of special joints, description, 85, 86

Remissions, 85

Duration, 85

Of Heberden's nodosities, 86

Seat and nature, 86

Pain in, 86

Exacerbations, acute, in, 86

Complications, 83-86

Of progressive form, 83

Endo- and pericarditis, 83

Pulmonary affections, 84

Nervous affections, 84

Cutaneous affections, 84

Migraine, 84

Eye diseases, 84

Rheumatic nodules, 84

Of partial form, 84, 85

Of Heberden's nodosities, 86

Morbid anatomy, 86

Changes in the joints, 86

in synovial membranes, 86

fluid, 86

in cartilages, 87

in bones, 87

in ligaments, 87

in muscles, 88

Formation of osteophytes, 87

Frequency of ankylosis, 87

Pathogenesis, 92

Relation of, to rheumatism, 92

Nervous origin of, 92

Specific origin, 92

Diagnosis, 92

Of acute form, from subacute or chronic rheumarthritis, 92

Of chronic form, from chronic articular rheumatism, 93

Of partial form, from chronic articular rheumatism, 93

from chronic traumatic arthritis, 93

from chronic periarthritis of shoulder-joint, 93

from articular affection of locomotor ataxia, 94

from articular affections of progressive muscular atrophy, 94

From chronic gout, 94, 95

arthritis of late syphilis, 95

Prognosis, 95

Of progressive or polyarticular form, 95, 96

Of partial form, 96

Of Heberden's nodosities, 96

Treatment, 96

Unsatisfactory, 96

Indications, 96

Removal of causation, 96

Use of salicylic acid and salicylates, 97

of salicylate of quinia, 97

of sodium, 97

of potassium iodide, 98

of cod-liver oil, 98

of iodine, 98

of quinia, 98

of iodide of iron, 98

of iron, 98

of arsenic, 98

of baths, hot, 99

mineral, 99

selection of, 99

indications for, 99

mud, 100

local, 100

of anodyne applications, 100

of poultices, 100

of tinct. iodine, 100

of rest in acute forms, 100

of blisters, 100, 101

of passive movements in chronic forms, 100

of mercurial ointment, 100

of iodine ointment, 100

of vapor baths, 100

of sand baths, 101

of electricity, 101

mode of applying, 101

of massage, 100, 101

of compression by rubber bandage, 101

Hygienic, 101

Use of flannel clothing, 102

Change of climate, 102

Diet, 102

Duration of, 102

_Gonorrhoeal Rheumatism, or Gonorrhoeal Arthritis_, 102

Synonyms, 102

Etiology, 102

Non-gonorrhoeal origin, 102

Stage of gonorrhoea at which most frequent, 102

Predisposing causes, 103

Cold and damp, 103

Fatigue, 103

Rheumatic and arthritic diathesis, 103

Heredity, 103

Sex, 103

Morbid anatomy, 103

Changes in joints, 103

in synovial membrane, 103

fluid, 103

in cartilages, 103

Symptoms, 104

Joints most affected, 104

Order of invasion, 104

Arthralgic form, 104

pain in, 104

Rheumatic form, 104

mode of invasion, 104

local, 104

temperature, 104

perspiration, 104

pain, 104

digestion, 104

deformity in, 104

Acute gonorrhoeal arthritis, 105

pain in, 105

condition of joint in, 105

general, 105

Chronic hydrarthrosis, 105

joints most affected, 105

condition of, 105

formation of pus, 105

Involvement of tendons and sheaths, 105

Periarticular form, 105

pain in, 105

Gonorrhoeal bursitis, 105

Nodes in periosteum, 105

Complications, 106

Neuralgia, 106

Sciatica, 106

Myalgia, 106

Affections of the eye, 106

Iritis, 106

Erythema, 106

Cardiac affections, 106

Endocarditis, 106

Pulmonary affections, 106

Termination, 106

Followed by ankylosis, 106

spondylitis, 106

rheumatoid arthritis, 106

strumous articular disease, 106

Course and duration, 106

Prognosis, 106

Mortality, 106

Diagnosis, 107

Treatment, 107

Local, 107

General, 107

Use of iron, 107

of quinia, 107

of potassium iodide, 107

of sodium salicylate, 107

of baths, 107

Diet in, 107

Rheumatism complicating dysentery, 805

influence on causation of acute oesophagitis, 410

of pruritus ani, 909

of tonsillitis, 380

acute and chronic, influence of, on causation of rheumatoid

arthritis, 88, 89

and gout, influence on causation of gastralgia, 460

of chronic gastritis, 470, 471

of acute pharyngitis, 390

Rheumatoid arthritis following gonorrhoeal rheumatism, 106

Rhubarb, use of, in constipation, 655, 656

in functional dyspepsia, 458

in pseudo-membranous enteritis, 774

in jaundice, 982

Rhus toxicodendron, eruption of anus from, 892

influence on causation of proctitis, 887

Ribs, changes in, in rachitis, 152

Rickets, as a cause of tardy eruption of teeth, 372

complicating tabes mesenterica, 1193

influence on causation of intestinal indigestion, 623

Ridge's foods for infants, 754

Rigors in hepatic abscess, 1008

in acute secondary pancreatitis, 1121

Rilliet and Barthez on lesions of cholera infantum, 742

Rochelle salts in biliousness, 967

use of, in constipation, 655

Rockbridge alum water, use of, in chronic intestinal catarrh, 714, 717

Rodent ulcer of rectum, 889

treatment of, 913

Roseola of hereditary syphilis, 277

diagnosis of, 278

Round-worms, 952

Rubeolous form of acute pharyngitis, 394

Rubber bandage, compression by, in treatment of rheumatoid arthritis,

101

Rupture of stomach, 618

Russian baths, use of, in intestinal indigestion, 633

S.

Saccharine foods, use of, in diabetes mellitus, 220

Sacculation of ductus pancreaticus, from obstruction, 1130

of fluid, in chronic peritonitis, 1162

Salicine, advantages of, in treatment of acute rheumatism, 58

Salicylate of quinia, use of in chronic articular rheumatism, 74

in rheumatoid arthritis, 97

of sodium, use of, in gonorrhoeal rheumatism, 107

in thrush, 335

and salicylic acid, use of, in diabetes mellitus, 229, 230

Salicylates, use of, in muscular rheumatism, 77

and alkalies, combined use of, in acute rheumatism, 61

relative power of, in acute rheumatism, 60, 61

Salicylic acid, use of, in acute intestinal catarrh, 696

in catarrhal stomatitis, 325

in rheumatism of dysentery, 809

and salicylates, influence of, on duration of acute rheumatism, 55

on frequency of relapses in acute rheumatism, 52

on heart complications of acute rheumatism, 53-55

use of, in acute rheumatism, 51-59

in acute gout, 135

in chronic articular rheumatism, 73, 74

in rheumatoid arthritis, 97

Saliva, action of, in digestion, 620

condition of, in acute rheumatism, 30

dribbling of, in parenchymatous glossitis, 361

Salivary glands, condition of, in scurvy, 177

Salivation, excessive, in morbid dentition, 373

in pancreatic carcinoma, 1125

diseases, 1114

in aphthous stomatitis, 329

in catarrhal stomatitis, 323

in mercurial stomatitis, 345

in stomatitis ulcerosa, 337

in tonsillitis, 382

Salted meats, influence of, on causation of scurvy, 171

Sanguinarin, use of, in intestinal indigestion, 636

in constipation, 665

Sanguine form of scrofulous habit, 243

Santonin, use of, in Ascaris lumbricoides, 954

in tape-worms, 942

Sarcinæ and bacteria in vomit of dilatation of stomach, 594

Sarcoma of pancreas, 1128

of stomach, 578

of liver, 1036

Sarcoptes hominis of anus, 892

Scalds, influence on causation of organic stricture of oesophagus, 422

Scarification in acute pharyngitis, 397

Scarlatina, influence on causation of acute gastritis, 466

Scarlatinous form of pharyngitis, 394

Scarlet fever, influence on causation of infantile peritonitis, 1172

Sciatica complicating gonorrhoeal rheumatism, 106

Scirrhous carcinoma of pancreas, secondary nature of, 1124

form of gastric cancer, 564

of intestinal cancer, 868

method of growth, 872

state of pylorus in chronic gastritis, 471

of rectum and anus, 903

Sclerosis, cranial, in rachitis, 148

of central vein, in hepatic hyperæmia, 985

of liver. See _Liver, Diseases of_.

Scolex of tape-worm, 932

SCROFULA, 231

Synonyms, 231

Definition, 231, 232

Etiology, 232

Predisposing causes, 232

Formad on the scrofulous peculiarity, 232

Heredity, influence on causation of, 232

Bad hygienic surroundings, influence on causation of, 232

Food, improper, influence on causation of, 232

Air, impure, influence on causation of, 232

Locality and climate, 233

Season, 233

Age, 233

Sex, 234

Social position, 234

Consanguineous marriages, 234

Complexion and temperament, 235

Race and nationality, 235

Acquired scrofula, 236

Exciting causes, 236

Injury, 236

The eruptive fevers, 237

Vaccination, 237

Pregnancy and lactation, 237

Eczemas, 237

Catarrhs, 237

Ophthalmia and otitis, 237

Pathology and morbid anatomy, 238

Anatomical peculiarity of tissue, 238

Excessive cell-growth in, 238

Low vitality of cells in, 239

Cornil and Ranvier on causes of scrofulous inflammation, 239

Fatty degeneration of cells in scrofulous infiltration, 239

Caseation of cells, 239

Glands, changes in, 239, 240

caseation of, 239, 240

Relation of, to tuberculosis, 240, 241, 242

Causes of tendency to appear in early life, 242

Symptoms, 243

Physiognomy of, 243, 244

Scrofulous habits, 243, 244

forms of, 243

Phlegmatic form, description of, 243

Erethistic form, description of, 243

Torpid form, description of, 243

Sanguine form, description of, 243

Features peculiar to, 245

Deficient circulation, 245

Tendency to chilblains, 245

to catarrhs and eczema, 245

Low temperature, 245

Scanty menstruation, 245

Mental condition, 245

Downy hair, growth on forehead and shoulders, 246

Cutting and ulceration of lobe of ear from ear-rings, 246

Thick upper lip, 246

Teeth, condition of, 246

Clubbing of fingers, 246

General manifestations, 246

Influence upon other diseases, 246

Modification of measles by, 247

of boils by, 247

ordinary injuries by, 247

conjunctivitis by, 248

No such disease per se, 248

Diagnosis, 248

From syphilis, 248

lupus, 248

Prognosis, 248

Treatment, 249

Preventive, 249

Intermarriage, danger from, 249

Diet, 249

Importance of breast-milk, 249

Starchy food, danger from, 249

Weaning, proper time for, 250

Air, pure, importance of, 250

Bathing, value, 250

Therapeutic, 251

Necessity of exercise, 252

Use of iodine, 251

of iodide of iron, 251

of mercury, 251

of cod-liver oil, 252

of alkalies, 252

of hypophosphites and lactophosphates, 252

Of enlarged glands, 252

Scrofula, influence on causation of acute pharyngitis, 390

of rheumatoid arthritis, 90

of tonsillitis, 380

acquired, 236

and tuberculosis, relation to tabes mesenterica, 1183, 1185

Scrofulous affections of rectum and anus, 901

A system of practical medicine. By American authors. Vol. 2 · 第 180 / 184 段