A treatise on indigestion and its consequenses, called nervous and bilious complaints : with observations on the organic diseases in which they sometimes terminate / by A.P.W. Philip.

  • Philip, Alexander Philip Wilson, 1770-1847.
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on indigestion and its consequenses, called nervous and bilious complaints : with observations on the organic diseases in which they sometimes terminate / by A.P.W. Philip. Source: Wellcome Collection.

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    time of their appearance, at whatever period this liappens, we shall find its nature, and consequently the plan of treatment suited to it, changed. These symptoms are generally accompanied with others in- flicating some degree of feverishness. The chilliness of which the patient has long complained, is now, independently of any cliange of temperature in the surrounding medium, sometimes interrupted by languid and oppressive fits of heat; and the hands and feet, instead of being uniformly cold, as in the earlier stages, often burn, particularly during the first part of the night, while at other times they are more obstinately cold. The thirst also often increases, and sometimes there is a ten- dency to partial sweats in the morning, especially if the patient lie longer than usual; and the change we are considering is for the most part attended with an increase in .some of the other symptoms of the first stage. When the tenderness and hard pulse are considerable, there is generally, more or less, an inability of exercise, except of the passive kind, much active exercise producing an insup- portable languor; but slighter degrees of the above symp- toms are generally unattended by this inability. The tenderness, after it has lasted for some time, begins to extend downwards along the edge of the cartilages, and to be attended with a degree of fulness in the tender part, till at length there is some fulness, and often tenderness, through- out a great part of the right side of the abdomen, which feels firmer than the left; but the tenderness is seldom so great as in the part above described. Sometimes the pressure, both there and as far as the fulness extends, rather produces a sense of oppression affecting the breathing than pain. Sometimes, particularly near the stomach, it occasions pain passing through the body towards the back, sometimes quite to the back, at other times, pain or a sense of oppression under the breast- bone, and, in some cases, a pain extending to the left side. There is often, we have seen, a degree of fulness in the right side at earlier periods, which is then more transitory, being generally relieved and sometimes removed by purgatives, and not unfrequently spontaneously disappearing and returning again. Such is the regular course of wh.it I have called the first and