A collection of the published writings of William Withey Gull ... : medical papers / edited and arranged by Theodore Dyke Acland.

  • Acland Theodore D. (Theodore Dyke), 1851-1931.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: A collection of the published writings of William Withey Gull ... : medical papers / edited and arranged by Theodore Dyke Acland. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    327/684 (page 305)
    ANOREXIA NERVOSA. (APEPSIA HYSTERICA, ANOREXIA HYSTERICA.)1 In an address on medicine, delivered at Oxford in the autumn of 1868,2 I referred to a peculiar form of disease occurring mostly in young women, and characterised by ex- treme emaciation, and often referred to latent tubercle and mesenteric disease. I remarked that at present our diagnosis of this affection is negative, so far as determining any posi- tive cause from which it springs ; that it is mostly one of inference from our clinical knowledge of the liability of the pulmonary or abdominal organs to particular lesions, and by proving the absence of these lesions in the cases in question. I he subjects of this affection are mostly of the female sex, and chiefly between the ages of sixteen and twenty-three! 1 have occasionally seen it in males at the same age. Io illustrate the disease I may give the details of two cases, as fair examples of the whole. Miss A set. 17, under the care of Mr. Kelson Wright, of the Clanham Road, was brought to me on January 17th, 1866. Her emaciation was very peat {vide Fig. No. 1,» p. 306). It was stated that she had lost 33 \bl m weight. She was then 5 st. i2 lbs.; height S ft. 5 in. Amenorrhma to nearly a year No cough. Respirations throughout chest everywhere normal. Heart-sounds normal. Resp. ia ; pulse 56. No vomhing2 p ^Reprinted from the ‘Clinical Society’s Transactions,’ vol. vii, 1874, 2 ‘Lancet,’ August, 1868. The woodcuts illustrating this tographs exhibited at the time the paper are fac-similes of the original pho- paper was read. 20