Dysphonia clericorum or clergyman's sore-throat : its pathology, treatment, and prevention / by James Mackness.

  • Mackness, James, 1804-1851.
Date:
1848
Catalogue details

Licence: Public Domain Mark

Credit: Dysphonia clericorum or clergyman's sore-throat : its pathology, treatment, and prevention / by James Mackness. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    far greater degree, productive of disturbance to the respira- tory functions than incipient pulmonary phthisis, and at the same time more striking, from its influence upon the voice, and from its more painful character. Stokes, therefore, judiciously recommends the closest attention to be paid to the condition of the lungs during the progress of the other affection. (p. 356.) In Dr. Ranking's ' Half-Yearly Abstract' for December, 1845, is quoted the observations of Dr. Cless, practising physician at Stuttgard, and published in Schmidt's Jahrbuch, Heftiii, 1845: Amongst the cases observed by this author, not a single one appears where the tuberculosis, or ulceration of the larynx and of the trachea, formed the primary and predomi- nating affection; it was always secondary, and attendant upon the simultaneous disease of the lungs. It is impossible to find any single word, or even phrase, which shall accurately express the whole series of morbid changes which we have in view, and thus be a fit designa- tion of the malady. Clergyman s sore-throat is evidently apt to mislead, because the affection may continue in its simpler form for years, even without any sensation of soreness being experienced ; perhaps the American vernacular designation Throat-ail is most expressive, although not very definite. A symptom which appears to be invariably present in this affection is a declension of the customary power of speak- ing. In its earlier stages there is no imperfection in the voice itself, but an inability to give utterance to sound without additional effort. As the disease progresses the difficulty of speaking increases, and thus (not to introduce into our alreadv overloaded medical nomenclature a new term) I think the affection may not improperly be called Ih/sphonia Clericorwm. Among the predisposing causes which may give rise to