A Treatise on the Eclectic Southern Practice of Medicine Page: 60 of 724
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GENERAL DIAGNOSIS.
trary, patient writhes and changes posture frequently,
and rather desires pressure over the abdominal region.
Inflammed or highly irritated condition of the Mucous
Membrane of the Alimentary Canal.-There is a clean
and red appearance of the tongue, sometimes rough. In
chronic gastritis and enteritis, the tongue invariably ex-
hibits a dark red appearance; sometimes it is granulated.
Dyspepsia.-The tongue loaded, mouth clammy, taste
bitter, breath fetid. The tongue does not differ mate-
rially from that which is presented in chlorosis, except
that the latter is pale instead of red, and indicates in
addition to gastric derangement, a? defect in the process
of sanguification.
Synochus Fever.-One of the first symptoms is that of
a tremulous tongue; as the disease progresses, it turns
a dark brown.
"Wakefulness is indicative of great cerebral irritation
or exhaustion. It is particularly apt to occur from
sympathetic excitement of the brain, depending on in-
testinal irritation, anid exhaustion from loss of blood."
When morbid wakefulness depends on these causes, it
is almost invariably attended with great restlessness or
jactitation, (to toss about,) a distressing feeling of anxie-
ty in the region of the heart, a constant disposition to
draw long breaths, with a pale and contracted counte-
nance. Sudden starting during sleep is generally con-
nected with latent indigestion. Similar symptoms occur
in organic affections of the heart. I was called in con-
sultation to a patient, with my friend Dr. McCraven,
laboring under the above symptoms, and we were an-
noyed to arrive at a just diagnosis, whether it was cere-
bral irritation or an organic affection of the heart.
Morbid Sensation.-Neuralyic pain differs widely from60
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Massie, J. Cam. A Treatise on the Eclectic Southern Practice of Medicine, book, 1854; Philadelphia, Pennsylvania. (https://texashistory.unt.edu/ark:/67531/metapth143817/m1/60/: accessed April 28, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting University of Texas Health Science Center Libraries.