On the functional diseases of the renal, urinary, and reproductive organs : with a general review of urinary pathology / by D. Campbell Black.

  • Black, D. Campbell (Donald Campbell), 1841-1898.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: On the functional diseases of the renal, urinary, and reproductive organs : with a general review of urinary pathology / by D. Campbell Black. Source: Wellcome Collection.

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    which suppression is found to exist as one of the phenomena of other diseases, notably of cholera; and more particularly during the algide stage of this dire malady, whose mysterious selection of locaHty, as it were in obedience to some law, and whose indiscriminateness of attack, suggest the existence of a specific poison.^- What are the manifestations of cholera associated with the condition of suppression? In the stage of collapse there is an impeded, if not absolute stagnation of blood in the capillaries, and consequently pallor of smface and intense coldness, accompanied with a copious purging of the albuminous, alkaline, and saline matters of the blood. Two explanations have been offered for the capillary stagnation: the one —the mechanical—that the blood has become so in- spissated by the loss of its fluid constituents, that it cannot be propelled through the vessels; the other— the vital one—the well-known theory of Dr Johnson, that there exists an impediment to the passage of the blood through the minute branches of the pulmonary artery in consequence of spasm of their muscular coat, and that this explains the retrograde engorgement of the systemic venous system, the lividity of face, cold- ness, &c. With the correctness of this theory we are not concerned. We take the facts, that there are an obstructed, or actual arrest of the circulation in the capillaries, prostration, a copious purging of the saline and albuminous compounds of the blood, along with the interesting fact, that the branches of the sympa- thetic are distributed over surfaces having an alkaline reaction, and, further, the beneficial effects which un- * Vide Review by the author, of nn onthrenk of cholera in the United States Army, Glas. Med. Journal, 1867.