Part 210

Douche, cold, use of, in constipation, 653

Drinking-water, dissemination of Ascaris lumbricoides by, 952 necessity of pure, in prevention of dysentery, 808

Dropsy, general, in amyloid liver, 1044 in chronic intestinal catarrh, 709 of gall-bladder from biliary calculi, 1077

Drowsiness in entero-colitis, 735, 736

Dry colic, 662

Dryness, influence on causation of dysentery, 788

Ductus communis choledochus, stenosis of, 1082 seat of occlusion of, 1083, 1084 pancreaticus, obstruction, 1129

Duodenal catarrh complicating diabetes mellitus, 210 form of gastric ulcer, etiology, 825 of intestinal cancer, symptoms, 870 of chronic intestinal catarrh, diagnosis, 711 ulcers, in chronic intestinal catarrh, 703, 713

Duodenitis, 667, 682 acute, relation to integumental burns, 682

Duodenum, congenital stricture of, 836 lesions of, in entero-colitis, 737 in acute intestinal catarrh, 674 perforation of, by gall-stones, 1068-1074

Durande's solvent for biliary calculi, 1080

Duration of catarrh of bile-ducts, 1055 of biliousness, 967 of occlusion of biliary passages, 1092 of cholera infantum, 723 of cholera morbus, 746 of diabetes mellitus, 210 of enteralgia, 660 of pseudo-membranous enteritis, 774 of parenchymatous glossitis, 362 of acute gout, 119 of paroxysms of hepatic colic, 1071 of hepatic glycosuria, 974 of cancer of intestines, 871-873 of acute intestinal catarrh, 682 of intestinal indigestion, 630 of intestinal obstruction, 862 of intestinal ulcer, 827 of acute internal strangulation of intestines, 843 of intussusception, 849 of jaundice, 981 of abscess of liver, 1017 of acute yellow atrophy of liver, 1029 of amyloid liver, 1044 of carcinoma of liver, 1039 of cirrhosis of liver, 999 of fatty liver, 1049 of hydatids of liver, 1105 of hyperæmia of liver, 987 of lithæmia, 970 of acute oesophagitis, 414 of spasmodic stricture of oesophagus, 420, 421 of carcinoma of pancreas, 1126 of obstruction of pancreatic ducts, 1131 of chronic interstitial pancreatitis, 1122 of perihepatitis, 989 of acute peritonitis, 1143 of acute pharyngitis, 395, 396 of syphilitic pharyngitis, 407 of phosphorus-poisoning, 1032 of suppurative pylephlebitis, 1101 of acute rheumatism, 44 of chronic articular rheumatism, 72 of gonorrhoeal rheumatism, 106 of muscular rheumatism, 76 of acute variety of general rheumatoid arthritis, 80 of chronic variety of general rheumatoid arthritis, 82 of aphthous stomatitis, 329 of catarrhal stomatitis, 323 of mercurial stomatitis, 346 of stomatitis ulcerosa, 337 of cancer of stomach, 559 of simple ulcer of stomach, 501 of transmission power of syphilis, 257-260 of tabes mesenterica, 1193 of thrush, 334 of trichinosis, 960 of typhlitis and paratyphlitis, 820

Dyscrasia, gouty, symptoms of, 120

Dysenteric ulceration, influence on causation of abscess of liver, 1004

DYSENTERY, 777 Definition, 777 Etymology, 777 History, 777 Ancient, 777-780 Modern, 780-784 General remarks, 784 Nature, 784 Primary nature, 784 Secondary nature, 784 Periodicity of recurrence, 784, 786 Tendency to circumscription, 785 A disease of armies, 785, 786 Etiology, 786 Climate, influence on causation, 786 Hot seasons, influence on causation, 787 Moisture, influence on causation, 788 Dryness, influence on causation, 788 Decay of animal and vegetable matter, 787, 789 Atmospheric changes, 789 Taking cold, influence on causation, 789, 790 Nervous influence, 790 Food, irritating and improper, 791 Water, impure, 791 Dejecta, influence on causation, 791 mechanical irritation of colon by, 791 propagation of the disease by, 792 Specific nature, 792 Micro-organism, influence on causation, 792 Contagiousness, 793, 794 Poison, duration of activity of, 794, 795 Pathology, 796 Local nature, 796 Discharges, characters of, 796, 803 Morbid anatomy, 797 Mucous membrane, an inflammation of, 797 Lesions of catarrhal form, 797 Mucous membrane, state of, 798 Cells, desquamation of, 798 Follicles, intestinal, alterations in, 798 Protuberances of mucosa, 798, 799 Tenesmus, cause of, 799 Of pseudo-membranous form, 799 False membranes, formation, 799 Ulcers, character and seat of, 799 Perforation, 799 date of occurrence, 800 Perityphlitis, lesions of, 800 Of chronic form, 800 Ulceration, seat and character, 800 Cicatrization in, 800 Mesenteric glands, lesions of, 801 Kidneys, lesions of, 801 Joints, lesions of, 801 Liver, lesions of, 801 abscess of, 801 Symptoms, 802 Onset, 796, 802 Pains of, 796, 802 seat and character, 802 physiognomy during, 802 Tenesmus, 796, 802 Heat of rectum, 796, 802 Vomiting, 803, 804 Strangury, 803 Prolapsus ani, 797, 803 Stools, 796, 803 character, 796, 803 bloody, 796, 803 boiled-sago matter in, 803 Fever, 796 Skin, state, 796, 804 Abdomen, state, 796, 804 Typhoid state, occurrence of, 797, 804 Tongue, state, 804 Pulse, 804 Physiognomy, 796 Appetite impaired, 796, 804 Brain, condition, 804 Pyæmia, occurrence of, 797, 804 Gangrene of intestine, 804 Complications and sequelæ, 805 Rheumatism, 805 Paralysis, 805 seat, 805, 806 Hepatic abscess, 806 Kidney disease, 806 Parotitis, 806 Hyperæsthesia of intestinal mucous membrane, 806 Diagnosis, 806 From intestinal catarrh, 807 Typhoid fever, 807 Cholera morbus, 807 Cancer of rectum, 807 Intussusception, 807 Prognosis, 807 Mortality, 807 Prophylaxis, 808 Prevention of over-crowding, 808 Cleanliness, 808 Ventilation, 808 Drinking-water, necessity of good, 808 Disinfection of discharges, 808 Food, improper, avoidance of, 808 Cold, avoidance of, 808 Treatment, 809 Rest, 809 Diet, 809, 812 Local, 809 Of ulcers, 812 Of paralysis, 813 Of abscess of liver, 813 Of rheumatism, 813 Change of air, 813 Laxatives, use of, 809 Enemata, use of, 809 Irrigation of bowel, 809 method, 809, 810 by ice-water, 810 Nitrate of silver, use of, 809, 812 Salicylic acid, use of, 809 Corrosive sublimate, use of, 809 Ipecacuanha, use of, 810 mode of administering, 811 Opium, use of, 811 Alum, use of, 810 Stimulants, use of, 812 Ergotin, use of, 812 Carbolic acid, use of, 810 Dilatation of bowel, 812 Electricity, use of, 813

Dysentery as a cause of intestinal ulcer, 824 of hemorrhage from bowels, 831

DYSPEPSIA, FUNCTIONAL, 436 Definition, 436 Synonyms, 436 Etiology, 438 Predisposing causes, 438 Depressed vitality, 438 Heredity, 438 Age, 438, 439 Anæmia, 439 Febrile states, 440 Exhaustion of nerves of organic life, 440 Mental state, influence on digestion, 437 Nervous system, influence on digestion, 437 Gastric juice, action of, 437 Privation and want, 441 Deficient gastric secretion, 441 Gastric juice, analysis of, 442 Exciting causes, 442 Errors of diet, 442 Excess of nitrogenous food, 443 Unwholesome food, 443 Over-eating, 444 Restricted regimen, 444 Defective cookery, 445 Hasty eating, 445 Imperfect mastication, 445 Irregularity in meals, 446 Spirit-drinking, 446 Hepatic disturbance, 447 Pancreatic disease, 447 Constipation, 447 Nervous sympathy, 448 Pregnancy, 448 Menstruation, 448 Uterine disease, 448 Cardiac disease, 448 Pulmonary disease, 448 Symptoms, 448 Fulness after meals, 448 Pain, seat and character, 448 Flatulence, 449 Nature of eructations, 449 Regurgitation, 449 Nature of liquids regurgitated, 449 Cardialgia, 449 Nausea and vomiting, 449 Vomiting, time of, 450 Vomit, character of, 450 Tongue, condition of, 450 Constipation, 450 Urine, condition of, 451 Gastric vertigo, 451 Skin diseases, 451 Disturbed innervation, 451 Languor and drowsiness, 451 Palpitation and cough, 451 Hypochondriasis, 451 Depression of spirits, 451 Sleeplessness, 451 Pathology, 451 Atrophy of mucous membrane of stomach, 451 Fatty and amyloid degeneration of stomachal walls, 451 Diagnosis, 452 From subacute or chronic gastritis, 452 From gastric ulcer, 452 From gastric carcinoma, 452 Treatment, 452 Removal of cause, 452 Improvement of general health, 452 Diet, 452 kinds of, 453 Use of peptonized food, 453 Exercise, 454 Fresh air, 454 Mental and moral means, 454 Travel, 455 Pain, gastric, 459 Anæmia, 457 Hepatic form, 457 Constipation, 458 Nausea and vomiting, 458 Use of bitters, 455 of nerve-tonics, 455 of nux vomica and strychnia, 455 of mineral acids, 456 of ipecacuanha, 456 of pepsin, 456 of bismuth, 457 of iron, 457 form of, 457 of silver salts, 457 of arsenic, 457 of mercury in hepatic forms, 457 of aperient mineral waters, 458 of belladonna in constipation, 458 of nux vomica in constipation, 458 of aloes in constipation, 458 of tincture of colocynth, 458 of hydrocyanic acid, 458, 459 of creasote, 458 of carbolic acid, 459 of ice, 458 of lime-water, 458 of sulphurous acid, 459 of alkalies, 458 of alcohol, 459 of hydrotherapy, 457 of electricity, 457

Dyspepsia in diabetes mellitus, 204 in gout, 118

Dysphagia, in acute oesophagitis, 413 in cancer of oesophagus, 427 in dilatation of oesophagus, 431 in organic stricture of oesophagus, 423 in oesophageal paralysis, 429 in acute pharyngitis, 394 in cancer of stomach, 546

Dysphonia, in cancer of oesophagus, 427 in organic stricture of oesophagus, 423

Dyspnoea in enteralgia, 661 in acute gastritis, 467 in chronic gastritis, 475 in dilatation of stomach, 595

Dyspnoeic coma, in gastric cancer, 555

Dysuria, complicating gout, 124 in paratyphlitis, 819 in peri-rectal and anal abscesses, 896

Early life, influence on causation of rachitis, 141, 142 cause of tendency to scrofula in, 242

Ear disorders in hereditary syphilis, 282

Eating, hasty, influence on causation of functional dyspepsia, 445

Echinococci, seat of deposit in liver, 1102 mode of growth in liver, 1102, 1103

Echinococcus of liver, 1101