A system of practical medicine. By American authors. Vol. 1

Volume 1 — INDEX TO VOLUME I.

Reading edition

Abdomen, state of, in cholera,

741

in general peritonitis of puerperal fever,

1010

in relapsing fever,

390

in septicæmia,

977

in septicæmia lymphatica,

1011

in septicæmia venosa,

1012

Abdominal cavity, lesions of, in general peritonitis of puerperal fever,

989

glands, lesions of, in typhoid fever,

264

organs, alterations of, in scarlet fever,

531

Abortion from septicæmia,

972

Abortive form of the plague,

777

of relapsing fever,

395

of typhoid fever,

298

of typhus fever,

354

Abortive treatment of erysipelas, value,

638

Abscess in symptomatic parotitis, date of pointing,

627

metastatic, of lungs, complicating relapsing fever,

404

Abscesses complicating cholera,

735

variola,

445

following the plague,

781

frequency of, in pyæmia,

976

in erysipelas, treatment,

638

in para- and perimetritis,

1008

in puerperal fever,

989

metastatic, of pyæmia, modes of production,

963

of pyæmia, treatment,

981

pelvic, of puerperal fever, treatment,

1036

pulmonary, in puerperal fever,

989

Acids, mineral, use of, in cholera,

768

Aconite, use of, in rubeola,

580

in scarlet fever,

543

in yellow fever,

651

Acute diseases, relation of, to rubeola,

561

form of glanders in man,

920

in horse,

914

Adenitis complicating scarlet fever,

511

vaccination,

468

Adenopathy complicating erysipelas,

634

Adhesions from infiltration,

Adulteration of food,

197

Adynamic form of typhus fever,

354

Age, influence of, on causation of anthrax in man,

940

of cerebro-spinal meningitis,

802

of diphtheria,

680

of erysipelas,

630

of influenza,

860

of idiopathic parotitis,

620

of the plague,

775

of pertussis,

839

of relapsing fever,

371

of rötheln,

583

of rubeola,

561

of typhoid fever,

242

of typhus fever,

342

proper for vaccination,

477

Aged, typhoid fever in the,

301

Agminated glands, lesions of, in cholera,

745

Air, amount supplied in ventilation,

179

carbonic acid as a cause of impurity,

177

-currents, direction of, test,

178

distribution of, in ventilation,

180

estimation of carbonic acid,

178

fresh, value of, in convalescence,

206

humidity of, as a cause of disease,

133

impure, as a cause of disease,

177

influence of, on causation of glanders,

912

impurities of, due to offensive effluvia,

181

sources of impurity,

177

standards of impurity,

178

transmission of the plague by,

776

velocity of, in ventilation,

180

vitiated, as a cause of pyæmia,

959

supply, method of calculating amount of, in ventilation,

179

Albuminoid infiltration,

Albuminuria complicating diphtheria,

674

relapsing fever,

407

scarlet fever,

525

typhus fever,

355

following rubeola,

574

in typhoid fever, treatment,

334

Alcohol, use of, in algid form of pernicious malarial fever,

608

in anthrax,

938

944

in cerebro-spinal meningitis,

831

in cholera,

767

in influenza,

876

in puerperal fever,

1033

in pyæmia,

982

in scarlet fever,

544

in typhoid fever,

324

in typhus fever,

366

Algid form of pernicious malarial fever,

606

causes of death,

607

frequency,

607

mortality-rate,

607

symptoms,

606

treatment,

607

Alum, use of, in pertussis,

845

Ammonium bromide, use of, in pertussis,

846

carbonate, use of, in scarlet fever,

544

chloride, use of, in diphtheria,

704

705

Amyloid bodies,

degeneration,

Anæsthesia of skin in beriberi,

1039

significance of, in general diagnosis,

165

Anæsthetic form of leprosy,

790

Analysis of urine, importance of, in general diagnosis,

165

Anasarca,

complicating scarlet fever,

529

date of appearance in scarlet fever,

529

in beriberi,

1040

Anginose form of anthrax,

941

of scarlet fever,

510

Animals, cerebro-spinal meningitis in,

804

diphtheria in,

683

transmission of diphtheria from,

683

Animal vaccine, advantages,

475

Anodyne liniments, use of, in beriberi,

1043

Anorexia in relapsing fever,

389

in typhoid fever,

285

in typhus fever,

350

significance of, in general diagnosis,

162

NTHRAX

ALIGNANT

USTULE

926

Synonyms,

926

Definition,

926

History,

926

Geographical distribution,

926

Etiology—specific origin,

928

Modes of transmission,

928

Transmission from eating flesh of anthrax animals,

928

by milk,

929

by insects,

929

by alkaline soils,

929

Season, relation of, to causation,

931

Plethora, relation of, to causation,

931

Sex, relation of, to causation,

931

Age, relation of, to causation,

931

Bacillus,

931

relation to causation,

931

physical characters,

932

effect of heat and cold on activity,

933

effect of oxygen on activity,

933

mode of entering body,

933

effect on blood-vessels,

934

Forms,

934

Symptoms—Incubation period,

934

duration of,

934

Apoplectiform form,

934

Anthrax fever,

934

Localized external anthrax,

935

Character and seat of lesions,

935

Morbid anatomy—changes in blood,

935

Spleen,

935

Lymphatic glands,

935

Connective tissue and muscles,

935

Gastro-intestinal tract,

936

Vagina and uterus,

936

Liver and kidneys,

936

Diagnosis—from other bacteridian diseases,

936

Swine plague,

936

Prognosis,

936

Mortality,

936

Treatment,

937

Preventive,

936

Drainage of anthrax soil,

937

Disinfection of stables, etc.,

937

Disposal of carcases of sick animals,

937

Isolation,

937

By inoculation,

937

Methods of,

937

Pasteur's method,

937

Dangers in,

938

General, alcohol,

938

Use of carbolic acid,

938

nitro-muriatic acid,

938

potassium iodide, hypodermically,

938

quinia sulphate, hypodermically,

938

Local,

938

Cauterization,

938

Incision of nodule,

938

Anthrax or Malignant Pustule in Man

939

Synonyms,

939

History,

939

Etiology,

939

Origin from lower animals,

939

Modes of infection,

939

direct,

939

by handling sick animals,

939

by insect-bites, etc.,

939

by food,

939

by blood,

939

by air,

939

Occupation, relation of, to causation,

939

Age and sex, relation of, to causation,

940

Relative susceptibility of man and animals,

940

Forms,

940

Symptoms—of incubation period,

940

Local lesions,

940

Temperature,

940

Relation of, to local lesions,

940

Malignant anthrax,

940

Symptoms,

940

local,

940

941

general,

941

Anthrax intestinalis,

941

Symptoms,

941

general,

941

eruptions,

941

gastro-intestinal tract,

941

nervous system,

941

Duration,

941

Anthrax angina,

941

Symptoms,

941

general,

941

local,

941

Duration,

941

Morbid anatomy,

941

Changes in blood,

942

Spleen,

942

Lymphatic glands,

942

Liver and kidneys,

942

Skin and mucous membranes,

942

Appearance of pustule,

942

Position of bacillus,

942

Diagnosis—signs, pathognomonic of,

942

From bites of insects,

942

Boils and carbuncles,

942

Plague-boil,

942

Glanderous nodule,

942

Importance of detection of bacillus,

942

Of malignant anthrax oedema,

942

Internal anthrax,

943

Prognosis,

943

Mortality,

943

Treatment—Preventive,

943

Disinfection,

943

Local,

943

Cauterization of preliminary papule in external form,

943

Method of cauterization,

943

Excision of parent nucleus,

943

Caustics used in,

943

Hypodermic injections into swelling,

943

Constitutional,

944

Carbolic acid, use of,

944

Alcohol, use of,

944

Diet,

944

Of anthrax oedema,

944

Antipyretics, use of, in relapsing fever,

428

in cerebro-spinal meningitis,

833

Antisepsis in septicæmia,

983

value of, in prevention of puerperal fever,

1024

Antiseptic treatment of scarlet fever,

545

Antiseptics, use of, in cholera,

770

in glanders in man,

924

in pyæmia,

980

Aphasia in cerebro-spinal meningitis,

810

Apoplectic form of anthrax in animals,

934

Appetite in cerebro-spinal meningitis,

814

as a guide to necessary amount of food,

195

loss of, significance, in general diagnosis,

162

Arcus senilis, significance, in general diagnosis,

151

Argyria,

Arsenic, use of, in relapsing fever,

427

Arsenical poison as cause of obscure diseases,

193

Arterial emboli,

murmur in beriberi,

1040

thrombosis following typhoid fever,

293

Arteritis from thrombosis,

in pyæmia,

967

Articular enlargement, significance of, in general diagnosis,

160

Artificial alimentation in diphtheria,

713

Asthenic form of simple continued fever,

233

of inflammation,

Ataxic form of typhus fever,

354

Ataxo-adynamic form of typhus fever,

354

Atmosphere, impure, influence of, on causation of puerperal fever,

1013

1014

necessity of, for prevention of pyæmia and septicæmia,

980

Atmospheric variations as a cause of diphtheria,

682

Atrophy following diphtheritic paralysis,

676

Atropia, use of, in relapsing fever,

429

Auditory nerve, lesion of, in cerebro-spinal meningitis,

824

Bacillus of anthrax, characters of,

931

932

mode of entering body,

933

of glanders,

914

of pearly distemper, innocuousness of, from cooking,

105

species of,

142

tuberculosis,

et seq.

description,

100

duration of effects,

104

cultivation,

100

local and general effects of invasion,

103

methods of detection,

102

milk as a means of dissemination,

105

mode of entrance into intestinal canal,

104

into respiratory organs,

104

typhosus,

258

Bacteria in healthy bodies,

144

influence of, on causation of pyæmia,

958

liability to error, from minuteness,

143

of cholera,

748

of leprosy,

791

of puerperal fever,

995

Bacterium termo as a cause of putrefaction,

142

Barometric variations, influence of, on course and causation of disease,

134

Bartholini's glands, suppuration of, complicating typhoid fever,

296

Baths, cold, use of, in puerperal fever,

1034

in relapsing fever,

428

warm, use of, in hydrophobia,

907

in variola,

453

Bed-linen, as a means of disseminating typhoid fever,

253

Bed-sores, complicating relapsing fever,

400

typhoid fever,

297

typhus fever,

355

in typhoid fever, treatment of,

335

Belladonna as a prophylactic in scarlet fever,

536

use of, in cerebro-spinal meningitis,

833

in pertussis,

846

Benignant tumors,

114

Benzoic acid as a prophylactic in scarlet fever,

537

ERIBERI

1038

Definition,

1038

Geographical distribution,

1038

History,

1038

Etiology—Specific poison,

1038

resemblance of, to marsh-miasm,

1038

Predisposing causes,

1039

Varieties,

1039

Symptoms—Anæsthesia of skin,

1039

Muscular paralysis,

1039

Peculiarity of gait,

1039

Cramps,

1039

Muscular tenderness,

1039

Periosteal tenderness,

1039

Palpitation of heart,

1039

Symptoms, special—Of wet form,

1040

Anasarca,

1040

Quality of pulse,

1040

Cardiac murmur,

1040

Arterial murmur,

1040

Of dry form,

1040

Quality of pulse,

1040

Condition of heart,

1040

Morbid anatomy,

1040

Alterations in blood,

1041

Heart,

1041

Muscles,

1041

Prognosis,

1042

Treatment—By change of residence,

1042

By diet,

1042

Of wet form by hydragogue cathartics,

1042

Sulphate of magnesium,

1042

Elaterium,

1042

Treeak farook,

1042

Diuretics,

1042

Juniper gin,

1042

Of the dry form by electricity,

1043

Strychnia,

1043

Frictions,

1043

Use of anodyne liniments,

1043

Use of hypodermics of morphia,

1043

Bites of rabid dogs, treatment,

905

Bladder, diphtheria of, general sepsis from,

674

lesions of, in rabies,

903

in relapsing fever,

414

symptoms of diphtheria of,

674

Blindness in cerebro-spinal meningitis,

811

Blisters, use of, in cerebro-spinal meningitis,

830

Blood, alterations of, in anthrax,

935-942

in beriberi,

1041

in cerebro-spinal meningitis,

824

in cholera,

747

in pyæmia,

968

in relapsing fever,

411

in scarlet fever,

530

in septicæmia,

971

in typhoid fever,

268

in typhus fever,

356

altered, as a cause of symptomatic parotitis,

626

condition of, in pyæmia,

963

contamination of, sources, in pyæmia,

958

degeneration of, complicating diphtheria,

675

Blood-vessels, calcification of,

changes in inflammation,

lesions of, in typhoid fever,

267

new formation of,

Body, portion of, most suitable for vaccinating,

477

Bones, chronic diseases of, following rubeola,

574

cranial, lesions of, in symptomatic parotitis,

626

in glanders,

922

in pyæmia,

967

Bone-marrow, lesions of, in relapsing fever,

417

Boric acid, use of, in diphtheria,

709

Bovine vaccine,

473

Bowels, state of, in relapsing fever,

390

in remittent fever,

602

condition of, in typhus fever,

350

Brain, lesions of, in cerebro-spinal meningitis,

823

in cholera,

746

in glanders,

923

in relapsing fever,

413

in typhoid fever,

266

in typhus fever,

358

and membranes, lesions of, in cerebro-spinal meningitis,

822

in pyæmia,

966

and spinal cord, lesions of, in rabies and hydrophobia,

903

softening of, following cerebro-spinal meningitis,

820

Breath, odor of, in typhus fever,

353

Bright's disease, aggravation of, by influenza,

870

Bromine, use of, in diphtheria,

708

Bromide of potassium, use of, in relapsing fever,

430

Bronchi, lesions of, in rabies and hydrophobia,

902

symptoms of formation of diphtheritic membrane,

671

Bronchial glands, lesions of, in influenza,

872

Bronchitis, complicating influenza,

868

rubeola,

571

typhoid fever,

294

typhus fever,

355

frequency of, in typhoid fever,

277

in rubeola, treatment,

581

in septicæmia,

977

in typhus fever,

353

354

Broncho-pneumonia, complicating diphtheria,

672

Bryce's test of vaccinal infection,

461

Buboes, characters of, in grave form of the plague,

778

date of appearance of, in grave form of the plague,

778

of the plague, treatment,

784

pathology of, in the plague,

781

seat of, in grave form of the plague,

778

Cadaveric rigidity after cholera,

741

Cæcum and colon, lesions of, in typhoid fever,

263

Calcification,

causes,

of blood-vessels,

of thrombi,

Calabar bean, use of, in cerebro-spinal meningitis,

834

Calm stage of yellow fever,

645

Calomel as a specific in typhoid fever,

336

use of, in cholera,

766

in hemorrhagic form of pernicious malarial fever,

613

Camphor, use of, in cholera,

768

Cancer,

117

123

hereditary nature,

129

relation of, to epithelial tumors,

118

Capillary bronchitis, complicating influenza,

868

Capillaries, intestinal, lesions of, in cholera,

745

Carbolic acid, use of, in anthrax,

938

in diphtheria,

707

in glanders,

924

in scarlet fever,

545

Carbonic acid, as a cause of impure air,

177

amount of, in pure and impure air,

178

Carbuncles, character of, in grave form of the plague,

778

seat of, in grave form of plague,

778

Cardiac degeneration, complicating diphtheria,

675

following typhoid fever,

293

complicating typhus fever,

355

dilatation, complicating scarlet fever,

523

inflammation, complicating scarlet fever,

522

murmur in beriberi,

1040

sounds in typhoid fever,

276

thrombi in diphtheria,

687

Caseation,

Cataract, hereditary, nature,

129

Catarrh, absence of, in rubeola,

568

of influenza, treatment,

874

Catarrhal affections as predisposing causes of pertussis,

839

inflammation,

pneumonia, complicating influenza,

869

pock in vaccinia,

463

symptoms in influenza,

866

in prodromal stage of rubeola,

564

Causes of otitis in scarlet fever,

520

Caustics, use of, in hydrophobia,

905

Cauterization, use of, in external anthrax,

938

943

Cathartics, use of, in wet beriberi,

1042

in scarlet fever,

554

Cellular tissue, lesions of, in pyæmia,

966

Cellulitis, pelvic, in puerperal fever,

988

Cerebral softening from embolism,

symptoms in yellow fever,

644

Cerebro-spinal meningitis,

795

Certificates of death, duty of a physician in regard to,

210

Cesspools beneath dwellings, dangers of,

192

contamination of water by,

192

evils of,

126

Change of residence as cause of typhoid fever,

244

Cheesy degeneration,

metamorphosis,

Chicken-pox,

481

Child-bed fever, relation to erysipelas,

630

Childhood, influence of, on occurrence of pertussis,

839

Children, causes of frequency of diphtheria in,

682

typhoid fever in,

301

Chills in pyæmia,

973

Chinolin, use of, in diphtheria,

703

Chloral hydrate, use of, in cerebro-spinal meningitis,

834

in hydrophobia,

907

in pertussis,

846

in relapsing fever,

430

Chloride test for detecting pollution of water-supply,

192

Chloroform, use of, in cholera,

768

in hydrophobia,

907

in relapsing fever,

431

HOLERA

715

Definition,

715

Synonyms,

715

History,

715

et seq.

Etiology—predisposing causes,

720

Influence of high temperature in origin and spread,

720

Season, influence of, on causation,

720

Over-crowding and filth as causes,

720

Intemperance as a cause,

721

Contagiousness,

721

Modes of transmission,

721

Channels of entrance into system,

721

Propagation of, by fomites,

721

by drinking-water,

723

Cases illustrating spread of, by drinking-water,

724

Influence of height of subsoil-water on prevalence,

722

Humidity of soil as a cause,

722

Special fomites of,

723

Cases illustrating spread of, by fomites,

727

Cases illustrating contagiousness,

728

Objections to contagious nature,

729

Individual immunity,

730

Different grades of, from intensity of poison,

731

Specific origin,

747

Nature of poison,

748

Influence of bacteria in production,

748

Koch's investigations in regard to bacilli,

745

749

Symptoms,

731

Mild forms,

732

"Cholerine" stage,

732

Number of stools in mild forms,

732

Character of stools in mild forms,

732

Grave forms,

733

Physiognomy in grave forms,

733

Stools in grave forms,

733

Typhoid state,

734

Stage of collapse,

734

Reaction,

734

Convalescence,

735

Temperature,

736

Difference between axillary, vaginal, and rectal temperature,

736

Special symptoms—Low temperature of mouth,

736

Condition of skin,

736

Color of skin,

737

Condition of heart and pulse,

737

Veins,

737

Vomiting,

738

Character of vomit,

738

Diarrhoea,

738

Results of diarrhoea,

738

Characters of stools,

739

Condition of urine,

739

Cramps,

740

Causes of cramps,

740

State of abdomen,

741

of nervous system,

741

Complications and sequelæ,

735

Complicated by diphtheritic exudations,

735

Inflammation of parotid and submaxillary glands,

735

Abscesses and ulcers,

735

Cutaneous eruptions,

735

Morbid anatomy—general appearance after death,

741

Cadaveric rigidity,

741

Muscular contractions after death,

741

Appearance, post-mortem, of abdominal cavity,

743

Changes in stomach,

743

Intestinal canal,

743

Intestinal mucous membrane,

743

Nature of exfoliation from intestinal canal,

744

Changes in isolated and agminated glands,

745

Capillaries and veins of intestinal canal,

745

Liver,

745

Gall-bladder,

746

Spleen,

746

Heart,

746

Pericardium,

747

Lungs,

746

Brain and spinal marrow,

746

Kidneys,

746

Blood,

747

Diagnosis—from cholera morbus,

750

from irritant poisoning,

752

Order of symptoms as a ground for,

753

Prognosis,

753

Symptoms indicating favorable and unfavorable,

754

Mortality—in different epidemics,

754

Influence of age,

754

Sex,

754

Social condition,

754

Treatment,

759

Preventive,

755

Disinfection,

758

Modes of applying disinfectants,

758

Importance of maintaining high degree of health during epidemics,

758

Quarantine and sanitary cordons for prevention,

755

et seq.

Mode of carrying out quarantine,

757

Cases illustrating value of quarantine,

757

Use of drinking-water during epidemics,

759

General management,

760

Importance of early recognition,

732

Necessity of rest,

760

of prompt,

760

Diarrhoea,

760

Vomiting,

761

Hiccough,

762

Injection of sodium chloride into veins,

762

Stage of collapse,

763

Diet of stage of reaction,

763

For restoration of circulation in stage of collapse,

763

Stage of reaction,

763

Undue reaction,

764

Urinary suppression in stage of reaction,

764

Convalescence,

764

Use of venesection in,

764

Emetics,

765

Calomel,

766

Alcohol,

767

Opiates,

767

Mineral acids,

768

Camphor,

768

Chloroform,

768

Intravenous injections,

768

Hot applications,

769

Cold affusions,

769

Of cramps,

769

Necessity of cold water to allay thirst,

770

Use of antiseptic remedies,

770

Cholerine,

732

Chorea, following typhoid fever,

293

Chronic diseases, relation of, to rubeola,

561

forms of erysipelas,

634

of glanders,

915

923

Cicatrix, condition during incubation of hydrophobia,

895

in hydrophobia, excision,

906-908

in vaccinia, description,

460

Classification of puerperal inflammations,

986

Cleanliness, importance of, in prevention of pyæmia,

980

in variola,

454

Climate, as a cause of disease,

185

definition of term,

185

influence of, on causation of influenza,

860

on causation of rabies and hydrophobia,

887

of rubeola,

560

Clinical history of influenza,

864

Clothing as a cause of disease,

198

Cloudy swelling,

Coagulation of exudations,

Cohnheim's theory of production of morbid growths,

106

Colchicum, use of, in dengue,

885

Cold as a cause of disease,

133

and damp, influence of, on causation of glanders,

912

bath, use of, in diphtheria,

702

in puerperal fever,

1034

in typhoid fever,

327

Contra-indications to use of, in diphtheria,

703

Use of, in algid form of pernicious malarial fever,

608

in cerebro-spinal meningitis,

830

in cholera,

769

in diphtheria,

702

in puerperal fever,

1033

in the hyperpyrexia of scarlet fever,

541

in scarlet fever,

542

in yellow fever,

651

water, intra-uterine injections of, in puerperal fever,

1034

mode of applying, in scarlet fever,

542

Cold stage of intermittent fever,

592

of intermittent fever, theory of cause,

593

treatment,

594

of yellow fever, treatment,

653

Cold water, use of, in typhus fever,

364

Collapse in cerebro-spinal meningitis, treatment,

831

in cholera,

734

treatment,

763

of lungs, complicating influenza,

869

Collections of water, influence on health of a community,

187

Colloid degeneration,

metamorphosis,

Color of skin, significance of, in general diagnosis,

159

Coma, in cerebro-spinal meningitis,

812

significance of, in general diagnosis,

166

Comatose form of pernicious malarial fever,

608

Diagnosis,

609

Symptoms,

609

Treatment,

609

Coma-vigil in typhus fever,

349

Compresses, hot water, use of, in variola,

453

Complications of cholera,

735

of erysipelas,

633

of idiopathic parotitis,

623

of influenza,

868

of pertussis,

843

of plague,

780

of relapsing fever,

396-410

of rötheln,

587

of rubeola,

570

causes,

570

of scarlet fever,

510

of typhoid fever,

292

treatment,

335

of vaccination,

468

of vaccinia,

464

of varicella,

483

of variola,

445

Confluent small-pox,

440

Conjunctiva, condition of, in human glanders,

921

symptoms of diphtheria of,

670

Conjunctival diphtheria, local treatment,

712

Conjunctivitis, diphtheritic, symptoms,

670

Consanguineous marriages, effects,

131

Constipation in cerebro-spinal meningitis,

814

in grave form of the plague,

779

in rubeola, treatment,

581

in typhoid fever, treatment,

333

in typhus fever, treatment,

367

significance of, in general diagnosis,

163

Constitutional infection, absence of, in vaccinia,

460

of syphilis, hereditary nature,

127

taints, conveyance of, by vaccination,

471

treatment of anthrax,

944

of pyæmia,

982

Contagion as a cause of disease,

135

200

definition of,

200

of dengue,

884

of erysipelas, manner of propagation,

630

nature,

630

of influenza,

862

of relapsing fever, transmission,

373

of rabies and hydrophobia,

891

dissemination,

891

of rötheln, nature,

583

of rubeola, modes of dissemination,

558

mode of entering the body,

558

nature,

557

in typhus fever, nature,

343

modes of transmission,

344

Contagium of variola, duration of activity,

435

mode of entering body,

435

nature,

435

period of greatest activity,

435

Contagious diseases, characteristics,

137

Contagious nature of cholera, objections to,

729

Contagiousness of anthrax,

928

of cerebro-spinal meningitis,

803

of cholera,

721

of dengue,

884

of diphtheria,

678

of erysipelas,

630

of glanders,

911

of influenza,

862

863

of leprosy,

788

of the plague,

776

of puerperal fever,

1017

of pyæmia,

960

of rabies and hydrophobia,

891

of scarlet fever,

494

of typhoid fever,

248

of typhus fever,

343

period of greatest,

345

of varicella,

481

of variola,

435

Convalescence, choice of diet,

206

in cerebro-spinal meningitis,

819

management,

835

in cholera,

735

management,

764

in chronic glanders in man,

922

in dengue,

882

in grave form of the plague,

779

in erysipelas, management,

639

in influenza, treatment,

875

in relapsing fever,

393

in scarlet fever, management,

544

in typhoid fever, management,

335

in typhus fever, management,

368

Convulsions during hot stage of intermittent fever, treatment,

597

in cerebro-spinal meningitis,

810

in relapsing fever,

384

complicating rubeola,

572

in prodromal stage of rubeola,

565

in rubeola, treatment,

581

in yellow fever, treatment,

653

Cooking, necessity of a physician's knowledge of,

196

Corpuscles, pus-,

Corrosive sublimate, use of, as antiseptic in puerperal fever,

1025

1029

Coryza, chronic, following rubeola,

574

complicating scarlet fever,

520

of scarlet fever, treatment,

546

Cough, in rubeola, treatment,

581

significance of, in general diagnosis,

158

Counterirritants, use of, in pertussis,

848

Course of vaccinia,

458

irregularities,

460

Cow-pox,

456

spontaneous,

456

Cramps in beriberi,

1039

in cholera,

740

treatment,

769

causes,

740

Cretinism and goitre, hereditary nature,

128

Croup, respiration,

157

Croupous inflammation distinguished from croup,

of fauces, complicating scarlet fever,

516

membrane,

685

characters,

685

mode of formation,

685

metamorphosis,

Crust in vaccinia, composition,

464

Crusts, objections to use of, in vaccination,

476

Cubebs, use of, in diphtheria,

709

Cultivation of bacillus tuberculosis,

100

Curare, use of, in treatment of hydrophobia,

907

Cutaneous deposits in glanders, microscopic characters,

917

diphtheria, treatment,

713

lesions of glanders in man,

922

symptoms of glanders in man,

921

Cysts, definition,

115

121

Deaf-mutism following cerebro-spinal meningitis,

819

Deafness in cerebro-spinal meningitis,

811

Death, causes of, in cerebro-spinal meningitis,

818

in glanders,

915

Debility in cerebro-spinal meningitis,

813

in influenza, treatment,

876

influence of, in causation of glanders,

912

in relapsing fever,

386

Decline, stage of, in pertussis,

841

Decubitus, significance of, in general diagnosis,

150

Definition of anthrax,

926

of beriberi,

1038

of cerebro-spinal meningitis,

795

of cholera,

715

of contagion,

200

of cysts,

115

121

of dengue,

880

of diphtheria,

656

of erysipelas,

629

of glanders,

909

of idiopathic parotitis,

620

of influenza,

851

of leprosy,

785

of pernicious malarial fever,

605

of pertussis,

836

of the plague,

771

of puerperal fever,

984

of pyæmia,

953

of rabies and hydrophobia,

886

of relapsing fever,

369

of remittent fever,

598

of rötheln,

582

of rubeola,

557

of septicæmia,

953

of simple continued fever,

231

of symptomatic parotitis,

625

of term "climate,"

185

of typhoid fever,

237

of typho-malarial fever,

614

of vaccinia,

455

of varicella,

481

of variola,

434

of yellow fever,

640

Degeneration,

amyloid,

cheesy,

colloid,

fibrinous,

fatty,

granular,

hyaline,

lardaceous,

mucous,

of tubercle,

parenchymatous,

waxy,

Deglutition, difficult, in idiopathic parotitis, treatment,

624

Delirium in cerebro-spinal meningitis,

812

in erysipelas, treatment,

637

in idiopathic parotitis, treatment,

624

in pyæmia,

971

in relapsing fever,

384

in typhoid fever,

278

treatment,

334

in typhus fever,

348

treatment,

366

in yellow fever, treatment,

653

significance of, in general diagnosis,

166

Demonstration of bacillus of glanders,

914

ENGUE

879

Synonyms,

879

History,

879

Definition,

880

Etiology,

883

Specific origin,

884

Contagiousness,

884

Symptoms—prodromal stage,

880

Mode of onset,

880

Temperature,

881

Pulse,

881

Delirium,

881

Facies,

881

State of gastro-intestinal tract,

881

State of tongue,

881

Stomach and bowels,

881

State of urine,

881

Eruptions,

881

Hemorrhages,

882

Prostration,

882

Convalescence,

882

Duration of,

882

Morbid anatomy,

882

Specific nature of,

882

Relation to acute articular rheumatism,

883

Changes in abdominal organs,

883

Diagnosis,

884

From acute articular rheumatism,

884

From yellow fever,

884

Prognosis,

885

Treatment,

885

Use of colchicum,

885

quinia,

885

opium,

885

Depletion, local, use of, in cerebro-spinal meningitis,

830

Depressing emotions, as a cause of typhoid fever,

245

Dermatitis, complicating vaccination,

468

vaccination, treatment,

469

Desquamation, date of, in mild scarlet fever,

506

in erysipelas,

633

in relapsing fever,

377

Desiccation in varicella,

482

in variola,

440

Diagnosis, general,

148

divisions of,

148

main direction of inquiries,

148

proper method of procedure,

150

significance of alteration of voice in,

158

of anthrax in animals,

936

in man,

942

of cerebro-spinal meningitis,

826

of cholera,

750

of comatose form of pernicious malarial fever,

609

of dengue,

884

of diphtheria,

689

of erysipelas,

635

of idiopathic parotitis,

624

of glanders in horse,

918

of glanders in man,

923

of influenza,

872

of intermittent fever,

594

of leprosy,

792

of the plague,

782

of pyæmia from septicæmia,

978

979

of remittent fever,

600

of rabies and hydrophobia,

900

of relapsing fever,

418-422

of rötheln,

587

of rubeola,

575

of scarlet fever,

532

of simple continued fever,

234

of symptomatic parotitis,

627

of typhoid fever,

311-314

of typho-malarial fever,

616

of typhus fever,

358

359

of vaccinia,

464

of varicella,

483

of variola,

447

of varioloid,

444

of yellow fever,

648

Diaphoretics, use of, in yellow fever,

649

Diarrhoea in cerebro-spinal meningitis,

814

in cholera,

738

results,

738

treatment,

760

in mild scarlet fever,

503

in pyæmia,

975

in relapsing fever,

405

in rubeola, treatment,

581

in septicæmia,

977

treatment,

983

in typhoid fever,

287

treatment,

331

Diarrhoeal diseases from impure water,

182

Diathesis,

127

hereditary, transmission,

130

Diet in anthrax,

944

in beriberi,

1042

in cerebro-spinal meningitis,

834

in cholera,

763

in convalescence,

206

in erysipelas,

639

in glanders,

924

in influenza,

874

in relapsing fever,

430

in pertussis,

848

in puerperal fever,

1036

in pyæmia,

982

in rubeola,

579

in typhoid fever,

323

in typho-malarial fever,

619

in typhus fever,

362

in yellow fever,

654

of convalescence,

206

Digestion, condition of, in cerebro-spinal meningitis,

814

Digestive tract, condition of, in glanders,

921

in idiopathic parotitis,

623

Digitalis, use of, in puerperal fever,

1033

in relapsing fever,

428

in scarlet fever,

543

in typhoid fever,

330

in yellow fever,

651

IPHTHERIA

656

Synonyms,

656

Definition,

656

History,

656

et seq.

Panum's view regarding relation of bacteria to,

667

Etiology—Age, influence of, on causation,

680

Sex, influence of, on causation,

680

Causes of frequency of, in childhood,

680

Pharyngeal, buccal, and nasal catarrh a cause of, in children,

680

Physiological causes of, greater frequency in childhood,

681

Family predisposition,

681

Thermometric and barometric changes a cause,

682

Season as a cause,

682

Filth as a cause,

682

Polluted air as a cause,

682

water as a cause,

683

milk as a cause,

683

Contagiousness,

678

Modes of transmission of poison,

678

In the lower animals,

683

Transmission of, from lower animals to man,

683

Artificial production of membrane,

684

Invasion,

676

duration of incubation period,

679

Symptoms—Prodromal stage,

667

duration,

667

localized redness of mucous membranes,

667

Different manifestations of diphtheritic process,

668

Severe form,

668

appearance of membrane in severe form,

668

Gangrenous condition of membrane,

669

Swellings of glands at angle of jaw as sign of invasion of nasal cavities,

669

670

Mode of invasion of nasal cavities,

669

Mode of spread to nasal cavities,

669

Nasal form,

669

Conjunctival form,

670

Aural form,

670

Laryngeal form,

671

Formation of membrane in larynx,

671

Tracheal and bronchial forms,

671

primary form,

672

Oral form,

672

673

Intestinal form,

673

Of wounds,

673

Eruption of,

674

Vulvar and vaginal forms,

674

In puerperal women,

674

Vesical form,

674

Placental,

674

Liability of open wounds,

672

679

Tendency to second attacks from chronic nasal and pharyngeal catarrh following,

670

Complications and sequelæ,

672

complicated by fibrinous pneumonia,

672

by broncho-pneumonia,

672

by erysipelas,

673

by urticaria and purpura,

674

by kidney affections,

674

by albuminuria,

674

by granular degeneration of blood,

675

by cardiac degeneration,

675

by symptoms of cardiac degeneration,

675

by embolism,

675

by acute endocarditis,

675

by leucocythæmia and Hodgkin's disease,

675

by nervous diseases,

675

by paralysis,

676

seat of,

676

date of appearance,

676

fatty degeneration and atrophy following,

676

sensory,

676

Secondary form,

671

Morbid anatomy—characters of the membrane,

685

Mode of formation of membrane,

685

Varieties of membrane in,

686

Rindfleisch's definition of diphtheritic inflammation,

686

Changes in the heart,

686

fatty and granular degeneration,

686

endocarditis,

687

cardiac thrombi,

687

Changes in lungs,

687

Spleen,

687

Liver,

687

Kidneys,

687

Muscles,

687

Lymphatic glands,

687

Mucous membranes,

688

Influence of different mucous membranes upon characters of false membrane,

688

epithelia upon growth and spread of false membrane,

688

Changes in intestines,

689

nervous system,

689

Diagnosis—significance of localized pharyngeal injection,

689

From muguet or thrush,

690

Follicular stomatitis,

690

Significance of glandular swelling,

690

lymphadenitis in nasal form,

690

Of laryngeal form,

691

Significance of absence of fever,

691

Of paralysis,

691

Prognosis—symptoms indicating favorable,

692

unfavorable,

692

Significance of glandular swelling,

692

In nasal,

692

Of fetid and putrid discharges,

693

Of epistaxis,

693

In laryngeal,

692

In tracheal,

692

Of tracheotomy,

692

significance of state of pulse after,

692

of dry respiration after,

692

of temperature-range after,

692

of character of membrane,

692

Influence of temperature,

693

state of pulse,

693

complications,

693

bronchitis and pneumonia,

693

endocarditis,

693

albuminuria,

693

affections of sensorium,

693

purpura,

693

icteric discoloration of skin,

693

Of relapses,

694

Treatment—hyperpyrexia,

694

Reflex symptoms,

694

Vomiting,

694

Futility of expectant,

694

Use of stimulants,

694

Amount of stimulants necessary,

695

Importance of general treatment,

695

Futility of venesection,

695

Prophylactic,

696

Danger of self-infection,

696

Prevention of self-infection,

696

Isolation,

696

Closure of schools and public places during epidemics,

697

Disinfection,

698

Special,

701

Local,

701

709

by steam,

701

Use of water,

702

Ice and cold,

702

Cold baths,

702

Mode of applying cold,

702

Contra-indications to use of cold,

703

Solvents of pseudo-membrane,

703

Use of lime-water,

703

Slaking lime,

703

Lactic acid,

703

Pepsin, neurin, and chinolin,

703

Papayotin,

703

Pilocarpine,

704

objections to,

704

Turpentine inhalations,

704

Ammonium chloride,

704

Mercury,

705

Tincture of chloride of iron,

706

Carbolic acid,

707

Salicylic acid,

707

Quinia,

708

Bromine,

708

Boric acid,

709

Sodium salicylate,

709

Ozone,

709

Sulphur and cubebs,

709

Chlorate of potassium,

699

Dose of chlorate of potassium,

700

Danger in large doses of chlorate of potassium,

701

Mechanical removal of membrane,

709

Cauterization of membrane,

709

Glandular swellings,

710

Abscess of glands,

710

Of nasal form,

710

danger of permitting sleep in,

712

local applications,

710

Of conjunctival form,

712

Of laryngeal form,

712

use of emetics,

712

Of paralysis,

713

by strychnia,

713

by electricity,

713

artificial alimentation,

713

Of cutaneous form,

713

Diphtheria, complicating rubeola,

573

scarlet fever,

514

of genitalia in puerperal fever,

1002

Diphtheritic endometritis,

987

exudations, complicating rubeola,

735

membrane, cauterization,

709

mechanical removal,

709

conjunctivitis,

670

treatment,

712

inflammation, causes,

distinguished from diphtheria,

paralysis, treatment,

713

pock in vaccinia,

463

Disease,

Causes,

125

175

arsenical poisoning,

193

climate,

185

cold,

133

contagion,

135

200

epidemic influences,

135

errors of diet,

135

exciting,

125

exercise, abnormal,

134

198

deficient,

135

functional,

134

habitation,

186

heat,

133

hereditary,

132

humidity of atmosphere,

133

improper clothing,

198

impure air,

177

ice,

185

water,

182

ingestive,

135

intemperance,

197

mental,

204

minute organisms,

141

predisposing,

125

pre-natal,

126

175

poisons and misuse of medicines,

135

soil, condition of,

187

Definition of,

135

Elevation of site, influence of,

134

Means of discovery,

175

Abdominal, hot climate as a cause,

133

Respiratory, cold as a cause,

133

Prevention,

175

Respiration in,

156

Theory of—bioplastic,

140

chemical,

138

140

fermentation,

138

germ,

138

points of objection,

142

undecided state,

147

Zymotic, table of,

136

Disinfectants, varieties,

202

Disinfection in anthrax,

937

943

in cholera,

758

in diphtheria,

698

of glanders,

925

in the plague,

784

in puerperal fever,

1025

1028

in pyæmia and septicæmia,

980

in scarlet fever,

201

538

in typhus fever,

362

methods,

201

practical difficulties,

201

principles,

201

Dissecting poison, relation of, to causation of puerperal fever,

1018

wounds, relation of, to causation of septicæmia,

962

Dissemination of influenza,

863

in typhoid fever,

249

of puerperal fever by physicians,

1018

Diuretics, use of, in scarlet fever,

555

in wet beriberi,

1042

RAINAGE AND

EWERAGE

213

Back, ventilation of traps,

221

Disposal of liquid wastes by irrigation,

225

Frequency of leakage in waste-pipes,

222

Necessity of, in prevention of typhoid fever,

321

Of houses,

188

Necessity of abundant water-supply in,

220

Of soil,

226

Perfect, fundamental requirements,

213

Removal of human excrement,

215

of liquid household wastes,

220

Varieties of grease-traps,

221

Ventilation of waste-pipes,

223

Drainage-pipes, effects of large traps,

220

of too large bore,

220

of vertical position,

220

Drinking-water as a medium of disseminating typhoid fever,

248

propagation of cholera by,

723

Dropsies,

67-71

Drugs, use of, in the plague,

784

Dry form of beriberi, symptoms,

1040

treatment,

1043

Duration of cerebro-spinal meningitis,

818

of dengue,

882

of anthrax,

940

941

of acute form of glanders in horses,

915

of chronic form of glanders in horses,

915

of acute form of glanders in man,

921

of chronic form of glanders in man,

922

of influenza,

865

of malignant scarlet fever,

508

of mild scarlet fever,

506

of prodromal stage of rubeola,

565

of remittent fever,

602

of rabies and hydrophobia,

900

of septicæmia lymphatica,

1012

Dysentery complicating relapsing fever,

406

typhus fever,

355

Dysphagia, significance of, in general diagnosis,

162

Dyspnoea, causes,

157

Ear, affections of, in rubeola, treatment,

581

diseases of, complicating rubeola,

570

displacement of lobe in idiopathic parotitis,

624

internal, lesions of, in cerebro-spinal meningitis,

824

lesions of, in pyæmia,

967

in symptomatic parotitis,

626

middle, suppuration of, in cerebro-spinal meningitis,

811

symptoms of diphtheria,

670

Ears, significance of appearance of, in general diagnosis,

151

Early stages of yellow fever, treatment,

649

Earth-closets,

218

Effluvia, offensive, symptoms due to,

181

Effusions,

causes,

68-71

distinguished from exudations,

Elaterium, use of, in wet beriberi,

1042

in dry beriberi,

1043

Electricity, use of, in diphtheritic paralysis,

713

Elevated temperature as a cause of typhoid fever,

246

Emaciation, causes,

160

significance of, in diagnosis,

159

Emboli, action of, in production of metastatic abscesses in pyæmia,

967

Embolism,

complicating diphtheria,

675

from septic thrombus,

hemorrhagic results,

in typhoid fever, treatment,

335

mechanical effects,

necrosis from,

results,

softening, cerebral, from,

symptoms,

Embolus,

arterial,

venous,

terminations,

Emetics, use of, in cerebro-spinal meningitis,

830

in cholera,

765

during cold stage of intermittent fever,

595

in influenza,

876

in laryngeal diphtheria,

712

in pertussis,

845

Emphysema, aggravation of, by influenza,

870

significance of, in general diagnosis,

159

Endocarditis, acute, complicating diphtheria,

675

in diphtheria,

687

in puerperal fever,

990

Endo- and pericardium, lesions of, in septicæmia,

972

Endocolpitis in puerperal fever,

986

1005

Endometritis in puerperal fever,

986

Enthetic febrile diseases, hereditary nature,

130

Epidemic causation of disease,

135

Epidemics of rubeola, frequency,

560

frequency in the new-born,

563

Epiglottis, symptoms of diphtheria,

671

Epistaxis in relapsing fever,

393

complicating rubeola,

570

in remittent fever,

602

in rubeola, treatment,

580

in typhoid fever,

273

treatment,

335

Epithelia, influence of different, in spread of diphtheritic membrane,

688

Ergot, use of, in cerebro-spinal meningitis,

833

Ergotine, use of, in pyæmia,

982

Eruption, absence of, in rubeola,

568

causes of absence of, in mild scarlet fever,

505

in cerebro-spinal meningitis,

816

817

in dengue,

881

in diphtheria,

674

in influenza,

866

in malignant scarlet fever,

507

in mild scarlet fever,

504

in pyæmia,

974

in relapsing fever,

376

in rötheln,

585

586

in rubeola,

566

peculiarities in character,

569

in seat,

509

relapses,

570

retrocession of, in rubeola, treatment,

580

in tubercular form of leprosy,

789

in typhoid fever,

273

in typhus fever,

351

in varicella,

487

in variola,

437

characters,

438

position,

438

in varioloid,

444

Eruptive stage of rubeola, duration of,

567

symptoms of,

565

of variola, treatment,

452

RYSIPELAS

629

Definition,

629

Synonyms,

629

Classification,

629

History,

629

Etiology,

629

Unity of the origin,

629

Age and sex as a cause,

630

Season as a cause,

630

Contagiousness,

630

Nature of contagion,

630

Manner of propagation,

630

Relation to childbed fever,

630

Symptoms—initial,

631

Characters of cutaneous lesions,

631

Course of cutaneous lesions,

631

Severe varieties of cutaneous lesions,

632

Migration of cutaneous lesions,

632

Swelling of integument,

632

Starting-point of cutaneous lesions,

632

Physiognomy,

632

Condition of tongue,

633

of fauces and buccal membrane,

633

General symptoms of grave form,

633

pulse,

633

temperature,

633

Occurrence of gangrene,

633

Resolution,

633

Desquamation,

633

Complications and sequelæ,

633

Complicated by lymphangitis and adenopathy,

634

By pneumonia,

634

By pleuritis,

634

By inflammation of joints,

634

By inflammations of serous membranes,

634

By pyæmia and septicæmia,

634

By eye diseases,

634

Followed by seborrhoea of scalp,

633

By loss of hair,

633

Modification of previous skin disorders,

634

Chronic forms,

634

Variety and nature of chronic forms,

634

Morbid anatomy,

635

Changes in skin,

635

Viscera,

635

Mucous surfaces,

635

Diagnosis,

635

From dermatitis,

636

From eczema,

636

From erythema,

636

From pemphigus,

636

From scarlet fever,

636

From urticaria,

636

Prognosis—symptoms indicating unfavorable,

636

Treatment—preventive,

636

Hygienic,

637

General,

637

Hyperpyrexia,

637

Delirium,

637

Local,

637

Value of abortive,

638

Surgical,

638

Mouth complications,

638

Nasal complications,

638

Abscesses,

638

Value of expectant,

639

Convalescence,

639

Diet,

639

Use of quinia,

637

tincture of the chloride of iron,

637

Erysipelas, complicating diphtheria,

673

typhus fever,

355

vaccination,

469

variola,

445

relation of, to puerperal fever,

1002

Etiology, general,

125

of anthrax in animals,

928

in man,

939

of beriberi,

1038

of cerebro-spinal meningitis,

801

of cholera,

720

of dengue,

883

of diphtheria,

680

of erysipelas,

629

of glanders in horse,

911

in man,

919

of idiopathic parotitis,

620

of influenza,

859

of leprosy,

787

of pertussis,

838

of the plague,

774

of puerperal fever,

1013

of pyæmia,

955

of rabies and hydrophobia,

887

of relapsing fever,

370

of remittent fever,

598

of rötheln,

583

of rubeola,

557

of scarlet fever,

487

of septicæmia,

960

of septo-pyæmia,

963

of simple continued fever,

232

of symptomatic parotitis,

625

of typhoid fever,

242

of typhus fever,

341

of varicella,

481

of variola,

435

of yellow fever,

640

Eucalyptus, use of, in typhoid fever,

331

Excision of cicatrix for prevention of hydrophobia,

908

of primary nucleus in anthrax,

943

Exciting cause, mechanical nature of, in symptomatic parotitis,

626

of the plague,

775

of typhoid fever,

248

of typhus fever,

343

Excrement, human, disposal of, by privy-vaults,

219

dry conservancy,

218

et seq.

removal of, by water-carriage,

215

Exercise, abnormal, as a cause of disease,

134

amount necessary for health,

198

as a part of a systematic education,

199

deficiency of, a cause of disease,

135

Du Bois Reymond's definition,

198

importance of, in preservation of health,

198

relation of, to mental work,

199

Expectant treatment of erysipelas, value,

639

Expectoration, significance of, in diagnosis,

158

External anthrax, localized,

935

Exudation, distinction from transudation,

in inflammation,

in peri- and parametritis of puerperal fever,

1007

in pelvic peritonitis,

989

Eye, affections of, following cerebro-spinal meningitis,

819

in rubeola, treatment,

581

condition of, in cerebro-spinal meningitis,

810

diseases of, complicating erysipelas,

634

rubeola,

571

variola,

445

lesions of, in cerebro-spinal meningitis,

824

in pyæmia,

967

Eyes, appearance of, significance in general diagnosis,

151

Face, appearance of, in typhus fever,

348

Family predisposition to diphtheria,

681

Faradization, use of, in rabies and hydrophobia,

907

Farcy,

909

Fatigue as a cause of typhus fever,

342

Fat, sources of, in the body,

Fatty degeneration,

causes,

following diphtheritic paralysis,

676

infiltration,

metamorphosis,

Fauces, condition of, in cerebro-spinal meningitis,

814

in erysipelas,

633

in malignant scarlet fever,

508

in typhoid fever,

286

inflammation of, complicating rubeola,

571

significance of appearance of, in general diagnosis,

152

Faucial and nasal mucous membrane, condition of, in mild scarlet fever,

504

Febrifuge, use of, in relapsing fever,

428

Febrile stage of grave form of the plague,

778

Fermentation theory of disease,

138

Fever, agents producing heat in,

definition,

inflammatory,

distinguished from idiopathic,

influence of vaso-motor system on production of heat in,

intermittent,

592

malarial,

589

pernicious malarial,

605

puerperal,

984

relapsing,

369

remittent,

598

sanitary effects,

scarlet,

486

secondary, in variola,

439

simple continued,

231

symptoms,

temperature,

38-40

traumatic,

typho-malarial,

614

typhoid,

237

typhus,

338

yellow,

640

Fibrinous degeneration,

inflammation,

Filtering power of soil,

187

Filth as a cause of cholera,

721

diphtheria,

682

the plague,

774

relapsing fever,

370

Foetus, effects of maternal impression upon,

131

Fomites, propagation of cholera by,

721

special, of cholera,

723

Food, adulterations,

197

appetite as a guide to necessary amount,

195

as a cause of disease,

195

infants,

196

patient's sensations as a guide to choice of, in disease,

205

popular errors in regard to,

195

to overeating,

195

preparation of, necessity of a physician's knowledge of,

196

proper, necessity of, in prevention of pyæmia and septicæmia,

980

transmission of anthrax by,

929

Formad on peculiarities of scrofulous habit,

101

Forms of anthrax in animals and man,

934

940

of leprosy,

789

of the plague,

777

of rabies,

895

of relapsing fever,

395

of vaccine,

476

Fourth ventricle, lesions of, in cerebro-spinal meningitis,

824

Frænum linguæ, ulceration of, in pertussis,

841

Frequency of puerperal fever,

984

of typho-malarial fever,

616

Frictions, use of, in dry beriberi,

1043

Frontal pains in influenza,

867

Fruit, propagation of malaria by,

591

Fulminant form of the plague,

779

Furious form of rabies,

896

Furuncles, complicating variola,

445

Gait, peculiarity of, in beriberi,

1039

Gall-bladder, lesions of, in cholera,

746

in typhoid fever,

266

Gangrene,

complicating vaccination,

468

following typhoid fever,

293

typhus fever,

355

in erysipelas,

633

in symptomatic parotitis, treatment of,

628

of neck, complicating scarlet fever,

512

pulmonary, complicating relapsing fever,

404

Gangrenous affections following rubeola,

574

Gastro-intestinal canal, condition of, in dengue,

881

condition of, in yellow fever,

644

lesions of, in anthrax,

936

in influenza,

872

in rabies and hydrophobia,

902

in relapsing fever,

413

symptoms in influenza,

866

in mild scarlet fever,

505

in malignant scarlet fever,

507

of septicæmia lymphatica,

1011

Gelsemium, use of, in yellow fever,

651

ENERAL

TIOLOGY

125

General dropsies,

treatment of erysipelas,

639

of glanders in horse and man,

919

920

Genitalia, gangrene of, complicating variola,

446

Geographical distribution of anthrax,

926

of beriberi,

1038

of glanders,

909

of rabies and hydrophobia,

886

of relapsing fever,

369

of typhoid fever,

241

Germ, specific, of glanders, nature of,

914

of rabies and hydrophobia,

892

point of election of,

892

Germ-theory of disease,

138

of scarlet fever,

488

Giddiness, significance of, in general diagnosis,

166

LANDERS

ARCY

909

Synonyms,

909

Definition,

909

History,

909

Geographical distribution,

909

Etiology—Contagiousness,

911

Specific nature,

911

Predisposing causes,

912

Ill-health, relation of, to causation,

912

Cold and damp stables, relation of, to causation,

912

Debility from chronic diseases, relation of, to causation,

912

Infection, channels of,

913

Particular nature of the germ,

914

Virulence of the germ,

914

Modes of culture of germ,

914

Demonstration of bacillus of,

914

Symptoms—in horses,

914

Acute form,

914

Incubation period,

914

Mode of onset,

914

Local lesions,

915

Appearance of nostrils,

915

of lymphatics,

915

Enlargement of joints,

915

Appearance of ulcers,

915

Mode of death in,

915

Chronic form,

915

Premonitory symptoms,

915

Condition of general health,

915

Local lesions,

915

Lymphatics,

915

Bronchial and pulmonary form,

916

Acute cutaneous form (farcy),

916

Local lesions,

916

Chronic cutaneous form (chronic farcy),

916

Local lesions,

916

Duration,

915

Morbid anatomy,

916

Nasal lesions, characters of,

917

Pulmonary lesions, characters of,

917

Cutaneous lesions, characters of,

917

Diffuse glanderous swellings,

917

of nose,

918

of lungs,

918

of muscles,

918

Diagnosis,

918

Value of inoculation in,

918

Prognosis,

918

Unfavorable nature of,

918

Treatment—in animals,

918

Not commendable,

918

Local,

918

General,

919

Diet in,

919

Preventive,

919

Extermination of disease in animals,

919

Glanders in Man

919

History of,

919

Etiology,

919

Modes of infection,

919

immediate,

919

mediate,

920

Influence of occupation,

920

Influence of ill-health,

920

Symptoms—incubation period,

920

Appearance of wound,

920

General,

920

Mode of onset,

920

Character and seat of local lesions,

921

Appearance of sores,

921

Condition of nasal mucous membrane,

921

of submaxillary glands,

921

of conjunctiva,

921

Digestive tract,

921

Nervous system,

921

Temperature in,

921

Pulse in,

921

Chronic form,

921

General,

921

Local,

921

Cutaneous lesion,

922

Respiratory lesions,

922

Lymphatic glands,

922

Digestive tract,

922

Convalescence,

922

Duration of acute forms,

921

of chronic forms,

922

Morbid anatomy—changes in mucous membranes,

922

Lungs and pleuræ,

922

Gastro-intestinal tract,

922

Spleen and liver,

922

Joints,

922

Bones,

922

Brain and membranes,

923

Microscopy of lesions,

923

Diagnosis,

923

Pathognomonic signs in,

923

From rheumatic fever,

923

Chronic form, from pyæmia and septicæmia,

923

From syphilis,

924

From miliary tuberculosis,

924

Presence of bacillus not conclusive,

924

Value of inoculation in,

924

Prognosis—unfavorable nature of,

924

Treatment—External cases,

924

Erysipelatoid swellings,

924

Abscesses and tumors,

924

Nasal ulcers,

924

Importance of general treatment,

924

Use of antiseptics,

924

Diet,

924

Preventive,

925

Extinction of affection in animals,

925

Necessity of disinfection,

925

Glanderous swelling, diffuse,

917

Glands at angle of jaw, swelling of, symptomatic of nasal invasion, in diphtheria,

669

670

Glandular abscesses in diphtheria, treatment,

710

degenerations,

swellings in diphtheria, treatment,

709

Glycosuria, complicating relapsing fever,

410

Gout, hereditary nature,

127

Granuloma,

120

124

Grave forms of cholera, physiognomy,

734

stools,

733

symptoms,

732

of the plague,

777

of relapsing fever,

395

Grease-traps, varieties,

221

ROWTHS

, M

ORBID

105

Gums, significance of state of, in general diagnosis,

151

Habits, depressing, as a cause of cerebro-spinal meningitis,

802

Hæmatemesis, significance of, in general diagnosis,

163

in relapsing fever,

390

Hæmatoidin,

Hæmatoma,

115

122

Hæmaturia in relapsing fever,

390

Hæmoglobin,

Hæmophilia, hereditary nature,

129

Hæmoptysis, significance of, in general diagnosis,

163

Hæmostatics, use of, in yellow fever,

652

Hair, appearance of, in typhoid fever,

275

loss of, following erysipelas,

633

Headache in cerebro-spinal meningitis,

808

in idiopathic parotitis,

624

in influenza,

867

treatment,

874

in relapsing fever,

383

in typhoid fever,

277

treatment,

334

in typhus fever,

348

treatment,

366

Health, importance of exercise in preservation,

198

Health-resorts, disease from,

185

Hearing, impairment of, following cerebro-spinal meningitis,

819

disorders of, in relapsing fever,

400

modifications of, in typhoid fever,

279

significance of, in general diagnosis,

166

Heart, alterations of, in beriberi,

1041

condition of, in beriberi,

1040

in cholera,

737

in pyæmia,

976

in typhus fever,

351

disease, complicating influenza,

870

lesions of, in cholera,

746

in diphtheria,

686

in relapsing fever,

411

in septicæmia,

972

in typhoid fever,

267

in typhus fever,

357

and blood-vessels, lesions of, in rabies and hydrophobia,

902

palpitation of, in beriberi,

1039

Heart-clot, complicating relapsing fever,

402

rubeola,

672

scarlet fever,

523

Heat as a cause of disease,

133

use of, in cholera,

769

Hemorrhages in dengue,

882

in hemorrhagic form of pernicious malarial fever, treatment,

612

in remittent fever, treatment,

605

in yellow fever,

646

treatment,

651

intestinal, in typhoid fever,

287

288

treatment,

332

Hemorrhagic form of pernicious malarial fever,

609

causes,

610

seat of hemorrhages,

610

symptoms,

611

treatment,

612

of scarlet fever,

509

of variola, treatment,

454

infarction,

rubeola,

569

small-pox,

442

variola, morbid anatomy of pock in,

447

Hepatic abscess following typhoid fever,

295

Heredity as a cause of disease,

175

influence of, on marriage,

176

relation of, to life insurance,

175

as a cause of leprosy,

787

Hereditary diathesis, transmutation,

130

nature of syphilis,

127

of non-malignant morbid growths,

129

of nervous diseases,

129

of organic disease,

129

of rickets,

128

predisposition to disease,

126

Herpes labialis, complicating influenza,

874

Hiccough in cholera,

762

in relapsing fever,

405

significance of, in general diagnosis,

158

Histoid tumors,

116

History of anthrax in animals and man,

926

939

of beriberi,

1038

of cerebro-spinal meningitis,

796

of cholera,

715

of dengue,

879

of diphtheria,

656

of erysipelas,

629

of glanders in horses,

909

in man,

919

of influenza,

852

et seq.

of pertussis,

836

of rabies and hydrophobia,

886

of relapsing fever,

369

of rötheln,

582

of rubeola,

557

of pyæmia and septicæmia,

945-952

of scarlet fever,

486

of simple continued fever,

231

of typhoid fever,

238

of typhus fever,

338

of vaccination,

465

of vaccinia,

456

of varicella,

481

of variola,

434

Hodgkin's disease, complicating diphtheria,

675

Horse-pock vaccine,

473

Hospitals for infectious diseases, necessity,

203

Hospital, maternity, advantages,

1021

Hot stage of intermittent fever, treatment,

595

House-drainage,

188

disconnection of, from sewer,

190

testing,

190

House-plumbing,

190

Houses, sanitary inspection,

187

193

House-sewerage,

188

dangers to health from,

189

191

examination of a system,

188

main points in a good system,

191

peppermint-test for defects,

190

Human excrement, removal of, by drainage,

215

Humanized and animal vaccine, relative merits,

473

vaccine, points of superiority,

473

Humidity of air as a cause of disease,

133

Hunger, influence of, on causation of rabies and hydrophobia,

888

Hyaline degeneration,

Hydro-bilirubin,

Hydrocephalus, following cerebro-spinal meningitis,

819

Hydrochloric acid, local use of, in puerperal fever,

1028

Hydrophobia,

886

Hygiene,

173

importance of perfect, in cholera epidemics,

758

in pertussis,

848

public, relation of physicians to,

207

Hygienic treatment of erysipelas,

637

of hydrophobia,

906

of scarlet fever,

539

of typhoid fever,

322

of yellow fever,

654

Hygroma,

116

122

Hyperpyrexia in diphtheria, treatment,

694

in erysipelas, treatment,

637

in puerperal fever, treatment,

1032

in relapsing fever, treatment,

426

in rubeola, treatment,

579

in scarlet fever, treatment,

541

in typhoid fever, treatment,

327

in typhus fever, treatment,

364

in yellow fever, treatment,

651

Hypodermatic injection of anthrax swellings,

938

943

Ice, impure, as a cause of disease,

185

use of, in diphtheria,

702

in scarlet fever,

542

Idiopathic parotitis,

620

Idiosyncrasy as a cause of typhoid fever,

245

influence of, in causation of variola,

436

Ill-health, influence of, in causation of glanders,

912

920

Impure air as a cause of disease,

177

evil effects of,

181

water, as a cause of disease,

182

Impurities of water, from living organisms,

184

nature,

184

Incubation of relapsing fever,

376

of scarlet fever,

492

of typhus fever,

346

of varicella,

481

of variola,

436

period of anthrax in animals,

934

in man,

940

of diphtheria, duration of,

679

of glanders in horse,

914

in man,

920

of influenza,

863

of intermittent fever,

592

of the plague,

777

of rabies and hydrophobia,

894

of rötheln,

585

of typhoid fever,

259

of yellow fever,

643

stage of idiopathic parotitis, duration,

621

of idiopathic parotitis,

621

of puerperal fever,

1004

of pyæmia,

973

of rubeola,

563

Indications for treatment of puerperal fever,

1028

of septicæmia,

982

of yellow fever,

649

Infants' food,

196

Infarction, hemorrhagic,

164

Infection,

200

channels of, in glanders,

913

modes of, in human anthrax,

939

Infiltration, albuminoid,

amyloid,

fatty,

NFLAMMATION

Characteristics,

Heat,

Redness,

causes,

Pain,

causes,

Swelling,

causes,

Exudation,

Reuss on distinction of exudation from transudation,

Migration of white corpuscles,

Coagulation of exudation,

Changes in the blood-vessels,

Disturbance of functions,

Varieties of—hemorrhagic,

Diphtheritic,

Productive,

Catarrhal,

Phlegmonous,

Acute,

Chronic,

Interstitial,

Parenchymatous,

Termination,

Resolution,

New formations,

Cicatrization,

Abscesses,

Destruction of tissue,

Causes, toxic,

traumatic,

parasitic,

infectious,

constitutional,

trophic,

Course,

Sthenic and asthenic,

Serous,

Typhoidal,

symptoms,

Purulent,

Suppurative, relation of microbia,

Fibrinous,

of fauces, catarrhal and diphtheritic, complicating typhoid fever,

295

of neck, complicating parotitis,

511

simple, complicating vaccination,

468

Inflammations, serous, complicating typhus fever,

355

Inflammatory fevers,

form of typhus fever,

354

rubeola,

568

NFLUENZA

—Definition,

851

Synonyms,

851

History,

852

et seq.

Etiology,

859

Predisposing causes,

859

Age, relation of, to causation,

860

Social condition, relation of, to causation,

860

Sex, relation of, to causation,

860

Occupation, relation of, to causation,

860

Race, relation of, to causation,

860

Over-crowding and filth, relation of, to causation,

860

Season, relation of, to causation,

860

Climate, relation of, to causation,

860

Air, condition of, to causation,

860

Winds, relation of, to spread,

860

Mode of onset of epidemics,

860

861

Duration of epidemics,

861

Exciting causes,

862

Specific poison,

863

Contagiousness,

862

Dissemination,

863

Relation of, to other epidemic diseases,

863

Incubation period,

863

Clinical history,

864

Variations in intensity of symptoms,

864

Symptoms of mild cases,

864

of severe cases,

864

Symptomatology,

865

Analysis of symptoms,

865

Fever,

865

Temperature,

865

Pulse,

866

Urine,

866

Skin,

866

Eruptions,

866

Gastro-intestinal system,

866

Nausea and vomiting,

866

Physiognomy,

866

Catarrhal symptoms,

866

Condition of mucous membrane,

866

Hoarseness,

867

Cough and dyspnoea,

867

Nervous system,

867

Headache,

867

Frontal pain,

867

Pains in limbs,

868

Pleurodynia,

868

Delirium,

868

Dizziness,

868

Sleeplessness,

868

Hebetude and torpor,

868

Muscular twitchings,

868

Mental condition,

868

Duration,

865

Complications and sequelæ,

868

Inflammations of lungs,

868

Bronchitis and capillary bronchitis,

868

869

Catarrhal pneumonia,

869

Lobar pneumonia,

869

Localized pulmonary collapse,

869

Gangrene of lungs,

870

Pleurisy,

870

Pericarditis,

870

Laryngitis and chronic bronchitis,

870

Inflammation of middle ear,

870

Parotitis,

870

Herpes labialis,

870

Phthisis,

870

Emphysema, aggravation,

870

Old neuralgias, aggravation,

870

Heart disease, aggravation,

870

Bright's disease, aggravation,

870

Pregnancy,

870

Intermittent fever,

870

Morbid anatomy,

871

Essential lesions,

871

Appearance of respiratory tract,

871

Changes in gastro-intestinal tract,

872

Bronchial glands,

872

Lung tissue,

872

Pathology—Not a simple acute inflammation,

871

Specific character,

871

Diagnosis—From non-specific catarrhal affections,

872

From typhoid fever,

872

Prognosis—Influence of age,

872

pre-existing organic disease,

872

of character of epidemic,

872

Mortality,

872

873

Variability in different epidemics,

873

Rate of,

873

Cause of death,

873

Treatment—preventive,

873

Mild forms,

874

Catarrh,

874

Headache,

874

Cough,

875

Use of quinine,

874

Opium,

874

Fat inunctions,

874

Diet,

874

Severe forms,

875

Indications for treatment,

875

High temperature,

875

Cough,

876

Sub-sternal and chest pains,

876

Use of diaphoretics,

875

Bloodletting,

875

Emetics,

876

Purgatives,

876

Quinine,

876

Mineral acids,

876

Expectorants,

877

Opium,

876

Alcohol,

877

Chloral,

877

Diarrhoea,

877

Debility,

877

Lung complications,

877

Diet in,

875

Convalescence,

878

Danger of depressing measures,

878

Inhalations, use of, in pertussis,

844

Initial stage of pertussis,

840

symptoms of yellow fever,

644

Injections, intravenous, use of, in cholera,

768

in hydrophobia,

908

in puerperal fever,

1029

vaginal, use of, in prevention of puerperal fever,

1026

Inoculation as a means of diagnosis in glanders,

918

in hydrophobia,

902

as a prophylactic in anthrax,

937

in rabies and hydrophobia,

905

in scarlet fever,

536

of leprosy,

788

of rubeola,

559

of small-pox,

465

Insects, propagation of anthrax by,

929

Insomnia in typhoid fever, treatment,

334

in typho-malarial fever, treatment,

619

in typhus fever, treatment,

366

Inspection of houses, sanitary,

187

Insusceptibility to rabies and hydrophobia,

894

Intellect, impairment of, following cerebro-spinal meningitis,

819

following typhoid fever,

292

Intellectual condition in typhus fever,

348

Intemperance as a cause of cholera,

721

of disease,

197

of relapsing fever,

370

of typhoid fever,

245

of typhus fever,

342

Intermission in intermittent fever,

594

in relapsing fever,

381

NTERMITTENT

EVER

592

Incubation period,

592

Symptoms—prodromal stage,

592

Paroxysm,

592

Cold stage,

592

theory of cause of cold stage,

593

Hot stage,

593

duration of hot stage,

593

relation of type to duration of hot stage,

593

Sweating stage,

593

Nausea and vomiting during paroxysm,

593

Intermission,

594

Duration of intermission,

594

Relative frequency of different types,

594

Convertibility of different types,

594

Morbid anatomy,

594

Treatment—cold stage,

594

Use of quinia,

595

Opium,

595

Emetics,

595

Hot stage,

595

Use of opium,

595

Quinia,

596

Purgatives,

596

Of convulsions,

597

Sweating stage,

597

Use of quinia,

597

Causes of failure of quinia,

597

Adjuvants to quinia in preventing return of paroxysms,

598

Use of nitric acid to prevent return of paroxysms,

598

Internal anthrax in animals,

934

Interstitial inflammation,

Intestinal anthrax in man,

941

canal, lesions of, in cholera,

743

catarrh, chronic, following rubeola,

574

complicating rubeola,

572

tract, lesion of, in typhus fever,

357

Intestines, lesions of, in diphtheria,

689

symptoms of diphtheria of,

673

Intravenous injection of warm water in hydrophobia,

908

Inunction in scarlet fever,

541

Inunctions, use of, in rubeola,

580

Invasion of cerebro-spinal meningitis,

806

of diphtheria,

676

of variola,

438

stage of grave form of the plague,

777

of idiopathic parotitis, duration,

621

treatment,

624

of variola, treatment,

452

of varioloid,

443

Iodine as a specific in typhoid fever,

336

337

Iodoform, intra-uterine use of, in puerperal fever,

1025

Iron, persulphate, local use of, in puerperal fever,

1028

tincture of the chloride, use of, in diphtheria,

706

in erysipelas,

637

in yellow fever,

652

Irregular forms of scarlet fever,

508

Irrigation, disposal of liquid wastes by,

225

Irritability of nervous system in hydrophobia,

899

Irritants, influence of, in production of morbid growths,

108

Isolated glands, lesions of, in cholera,

745

Isolation in anthrax,

937

in diphtheria,

696

in the plague,

783

in rubeola,

578

in scarlet fever,

536

necessity of, in typhus fever,

361

principles of, in disease,

203

Jaborandi, use of, in scarlet fever,

552

in yellow fever,

650

Jaundice in relapsing fever,

391

in septicæmia venosa,

1012

complicating typhoid fever,

295

typhus fever,

356

in remittent fever,

601

in yellow fever,

646

Joints, chronic diseases of, following rubeola,

574

condition of, in glanders in man,

920

inflammation of, complicating erysipelas,

634

lesions of, in pyæmia,

967

purulent inflammation of, in puerperal fever,

990

suppuration of, in pyæmia,

976

swelling of, in cerebro-spinal meningitis,

814

in relapsing fever,

400

Jugular veins, pulsation of, significance in general diagnosis,

156

Juniper gin, use of, in wet beriberi,

1042

Kibbie's fever-cot, use of, in puerperal fever,

1034

1035

Kidney affections, complicating diphtheria,

676

complications in hemorrhagic form of pernicious malarial fever, treatment,

612

Kidneys, lesions of, in anthrax in animals,

937

in man,

942

in cholera,

746

in diphtheria,

687

in pyæmia,

969

in rabies and hydrophobia,

903

in relapsing fever,

414

in scarlet fever,

526

in septicæmia,

972

in typhoid fever,

268

in typhus fever,

357

Koch's investigation of bacillus tuberculosis,

of cholera bacilli,

745-749

of bacteria of puerperal fever,

997

Lactic acid, use of, in diphtheria,

703

Lardaceous degeneration,

Laryngeal diphtheria, local treatment,

712

prognosis,

692

Laryngitis, complicating rubeola,

571

typhoid fever,

294

Larynx, inflammation of, complicating variola,

446

lesions of, in hydrophobia,

902

in relapsing fever,

413

in typhoid fever,

266

symptoms of diphtheria,

671

Latent form of typhoid fever,

300

Leeches, use of, in puerperal fever,

1031

EPROSY

785

Definition,

785

Synonyms,

785

History,

785

Etiology,

787

Heredity as a cause,

787

788

Contagiousness,

788

Transmission, by inoculation,

788

789

Sex as a cause,

789

Forms,

789

Symptoms—prodromal stage,

789

Duration of prodromal stage,

789

Tubercular form,

789

Local,

789

Eruptions,

789

Earlier eruptions,

790

Characteristic eruptions,

790

General,

790

Duration,

790

Anæsthetic form,

790

Local,

790

General,

791

Duration,

791

Morbid anatomy,

791

Changes in nerves,

791

Skin,

791

Bacteria,

792

Seat of bacteria,

792

Diagnosis,

792

Prognosis,

793

Treatment,

793

Futility of specific, in,

793

Indications,

793

Prophylaxis,

794

Segregation of afflicted,

794

Quarantine in,

794

Local,

794

Lesions characteristic of anthrax,

935

Lethargic form of rabies in dogs,

897

Leucocytes, death of, as a cause of thrombosis,

migration,

Leucocythæmia, complicating diphtheria,

675

Lime-water, use of, in diphtheria,

703

Limbs, significance of appearance in general diagnosis,

160

Listerine as a prophylactic in scarlet fever,

537

Liver, abscess of, following typhoid fever,

295

enlargement of, in pyæmia,

976

lesions of, in cholera,

745

in diphtheria,

687

in glanders,

918

922

in pyæmia,

969

in remittent fever,

602

in relapsing fever,

414

in scarlet fever,

531

in typhoid fever,

265

in typhus fever,

357

in yellow fever,

649

Local dropsies,

lesions of glanders,

915

921

symptoms of glanders in animals,

914

of glanders in man,

921

treatment of anthrax in animals,

938

of anthrax in man,

943

of diphtheria,

701

709

of erysipelas,

637

of glanders in horse,

918

in man,

924

of pyæmia,

981

of septicæmia,

983

Lochial discharge, influence of, on causation of puerperal fever,

1015

Lung diseases, complicating influenza,

868

complicating influenza, treatment,

877

Lungs, gangrene of, in influenza,

870

hypostatic congestion of, in typhus fever,

353

lesions of, in cholera,

746

in diphtheria,

687

in glanders,

917

922

in influenza,

872

in pyæmia,

968

in relapsing fever,

413

in septicæmia,

972

in typhoid fever,

266

Lymph, dried, use of, in vaccination,

477

of vaccinia, microscopical characters,

463

vaccine, proper time for collecting,

479

Lymphangitis, complicating erysipelas,

634

vaccination,

468

Lymphatic glands, condition of, in anthrax,

940

in glanders in horses,

915

in man,

921

in malignant scarlet fever,

508

in rötheln,

586

lesions of, in human anthrax,

942

in anthrax of lower animals,

935

in diphtheria,

687

in relapsing fever,

417

pigmentation of,

Lymphatics, as channel of entrance of poison of septicæmia,

963

lesions of, in symptomatic parotitis,

626

Lymphatic swellings, seat of, in grave form of the plague,

778

system, lesions of, in the plague,

781

Lymphoma,

120

124

Magnesium sulphate, use of, in wet beriberi,

1042

Malaria,

action of poison on system,

591

entrance into system, modes of,

591

communicability by drinking-water,

590

by fruit,

591

by milk,

590

conditions necessary to mature the poison,

589

duration of incubation of poison,

591

from impure water,

182

influence of moisture in production,

187

means of access of the poison,

590

nature of the poison,

589

non-interchangeableness of the poison,

591

ponderability of the poison,

590

production,

187

specific nature of poison,

591

ALARIAL

EVER

, P

ERNICIOUS

605

Definition,

605

Varieties,

606

Algid or congestive form,

606

Causes,

606

Frequency,

607

Cases illustrating clinical history,

606

Causes of death,

607

Mortality-rate,

607

Treatment,

607

General indications for treatment,

608

Use of ice and cold in treatment,

608

Opium,

608

Alcohol,

608

Comatose form,

608

Symptoms,

608

Previous condition of persons attacked,

609

Diagnosis from congestive form,

609

Treatment,

609

Hemorrhagic form of,

609

Causes,

610

Seat of hemorrhages,

610

Cases illustrating clinical history,

611

Treatment,

612

Indications for treatment,

612

Use of quinia,

612

Hemorrhages,

612

Renal complications,

613

Depurative,

613

Use of calomel and purgatives,

613

Malarial fevers,

589

definition,

589

nature of remittent fever,

598

Malignant anthrax oedema,

940

pustule,

926

tumors,

114

Mania following cerebro-spinal meningitis,

819

Maternity hospitals, advantages of,

1021

Marriages, influence of, hereditary,

176

of diseased persons,

176

transmission of hereditary proclivities by,

131

Marriages, consanguineous,

131

Marson's theory of multiple vaccination,

467

Masked forms of yellow fever, symptoms,

654

Maturation in variola,

439

Measles,

557

relations of, to idiopathic parotitis,

620

Mechanism of transudation,

Medical diagnosis, general,

148

Melanæmia,

Melanin,

Membrane, appearance of, in severe form of diphtheria,

668

diphtheritic, artificial production,

684

characters,

685

mode of formation,

685

varieties,

686

gangrenous condition of, in diphtheria,

669

ENINGITIS

, E

PIDEMIC

EREBRO-SPINAL

795

Definition,

795

Synonyms,

795

History,

796

Etiology,

801

Seasons as a cause,

802

Meteorological agencies,

802

Localities,

802

Age, influence,

802

Sex, influence,

802

Depressing and debilitating habits,

803

Contagiousness,

803

Morbific principle,

803

Pandemic nature,

804

In the lower animals,

804

Types,

804

Forms,

805

806

Symptoms—summary of,

806

Modes of onset,

806

807

Individual,

808

Pain in the head,

808

spine,

808

Hyperæsthesia and anæsthesia of skin,

808

Spinal rigidity or opisthotonos,

809

duration of,

809

Convulsions,

809

Paralysis,

810

Aphasia,

810

Condition of eyes,

810

pupils, in,

810

strabismus,

810

blindness,

811

Deafness,

811

Suppurative inflammation of middle ear,

811

Physiognomy,

812

Delirium,

812

Coma,

812

Vertigo,

812

Debility,

813

Condition of tongue,

813

Nausea and vomiting,

813

Characters of matter vomited,

813

Appetite and digestion,

814

Thirst,

814

Constipation and diarrhoea,

814

Condition of fauces,

814

Urine,

814

Swelling of joints and limbs,

814

Respiration,

814

Pulse,

815

Temperature,

815

fluctuations of,

816

Eruptions,

816

irregularity of,

816

817

petechiæ and ecchymoses,

816

817

bullæ and pemphigus,

817

Cause of death,

818

Duration,

818

Convalescence,

819

characters,

819

cause of tardy,

819

Relapses,

820

frequency,

820

Sequelæ,

819

Followed by eye affections,

819

Impairment of hearing,

819

Deaf-mutism,

819

Impaired intellect and mania,

819

Hydrocephalus,

819

Paresis and paralysis,

819

Softening of brain,

820

Difficulty of speech,

820

Severe neuralgic pains,

820

Mortality of,

820

828

variability of death-rate,

820

828

influence of age upon,

828

Morbid anatomy,

820

General appearance of body after death,

820

Changes in the muscles,

821

in brain and membranes,

821

Changes due to congestion of brain and membranes,

821

to inflammation of meninges,

822

to softening of the brain,

823

Changes in pia mater,

821

in brain-tissue,

823

in spinal cord and membranes,

823

position of,

823

in internal and auditory apparatus,

824

Softening of fourth ventricle and auditory nerve,

824

Changes in eye and optic nerve,

824

in the viscera,

824

Absence of enlargement of spleen,

824

Changes in blood,

824

Amount of fibrine in blood before death,

825

after death,

825

Changes in blood-corpuscles,

825

Summary of pathology,

826

Diagnosis of,

826

From sporadic meningitis,

827

Functional and hysterical nervous affections,

827

Typhoid fever,

827

Typhus fever,

827

Prognosis of,

828

Symptoms indicating unfavorable,

829

favorable,

829

Imprudence of absolute, in,

829

Treatment,

829

Emetics,

830

Purgatives,

830

Futility of venesection,

830

Local depletion,

830

Cold applications,

830

Blisters,

830

Mode of using blisters,

831

Of coldness of skin,

831

Of collapse,

831

Use of alcohol,

831

Opium,

832

Value of opium,

833

Use of quinia,

833

Antipyretics,

833

Mercury,

833

Calabar bean,

834

Belladonna,

833

Ergot,

833

Potassium bromide,

834

Hydrate of chloral,

834

Potassium iodide,

834

Management of convalescence,

835

Diet in,

834

Meningitis, granular, following rubeola,

574

Menstrual disorders, complicating relapsing fever,

410

typhoid fever,

296

Menstruation, complicating typhus fever,

356

significance of abnormal, in general diagnosis,

165

Mental condition in hydrophobia,

899

in influenza,

868

in septicæmia lymphatica of puerperal fever,

1012

in typhoid fever,

277

disorders following the plague,

781

impressions, influence of, in causation of yellow fever,

643

overwork as a cause of typhus fever,

342

strain, symptoms due to,

205

work, relation of, to exercise,

199

Mercury, use of, in cerebro-spinal meningitis,

833

in diphtheria,

705

Metamorphosis, cheesy,

colloid,

croupous,

fatty,

mucous,

Metastasis in idiopathic parotitis,

623

624

treatment,

625

in pyæmia, pathology,

964

of tumors,

110

Methods of disinfection,

201

of vaccinating,

478

Metritis in puerperal fever, lesions,

987

Meteorism in typhoid fever,

286

Micro-organisms of puerperal fever,

1015

in pyæmia, blood-changes effected,

970

Microbes, as poison producers and carriers,

141

difficulty of separation of, from surrounding material,

146

liability to error from minuteness,

143

Microbia in inflammation,

Micrococci,

141

in healthy bodies,

144

Microscopic organisms, classification,

141

Microscopy of glanderous lesions in man,

923

Migration of leucocytes,

Mild forms of cholera,

731

character of stools,

732

number of stools,

732

of influenza, treatment,

874

form of typhus fever,

354

of yellow fever, symptoms,

644

Milk, adulteration,

197

as a cause of disease,

197

as a medium of dissemination of anthrax,

929

of malaria,

590

of rabies and hydrophobia,

891

of scarlet fever,

491

of typhoid fever,

252

as a vehicle of bacillus tuberculosis,

105

polluted, as a cause of diphtheria,

683

Mind, state of, in relapsing fever,

384

Miscarriage, complicating typhus fever,

356

Modern conveniences questionable benefits,

215

Moral sense, perversion of, following typhoid fever,

292

Morbid anatomy, of anthrax in animals,

935

in man,

941

of beriberi,

1040

of cerebro-spinal meningitis,

820

of cholera,

741

of dengue,

882

of diphtheria,

685

of erysipelas,

635

of glanders in horses,

916

in man,

922

of idiopathic parotitis,

621

of influenza,

871

of intermittent fever,

594

of leprosy,

791

of pertussis,

843

of the plague,

781

of puerperal fever,

985

of pyæmia,

966

of pyæmia simplex,

970

of rabies and hydrophobia,

902

of relapsing fever,

413-417

of remittent fever,

602

of rubeola,

575

of scarlet fever,

530

of septicæmia,

971

of septo-pyæmia,

972

of simple continued fever,

235

of symptomatic parotitis,

626

of typhoid fever,

260

of typhus fever,

356

of vaccinal pock,

463

of varicella,

483

of variola,

446

of yellow fever,

649

growths,

105

classifications,

114

122

Cohnheim's theory of origin,

106

influence of an irritant in production,

108

method of origin,

106

non-malignant, hereditary nature,

129

processes,

Morbific principle of cerebro-spinal meningitis,

803

Morphia, hypodermic use of, in beriberi,

1043

use of, in rabies and hydrophobia,

907

Mortality of anthrax in animals,

936

in man,

943

of cerebro-spinal meningitis,

820

828

in cholera,

754

of glanders in man,

924

of influenza,

872

of pertussis,

841

of the plague,

780

of puerperal fever,

1020

of rabies and hydrophobia,

894

in relapsing fever,

422

of remittent fever,

599

of rubeola,

577

of scarlet fever,

534

of typhoid fever,

316-320

of typho-malarial fever,

616

of typhus fever,

360

361

of yellow fever,

647

648

Mouth, condition of, in idiopathic parotitis,

622

of mucous membrane of, in erysipelas,

633

complications in erysipelas, treatment,

638

symptoms of diphtheria,

672

673

Mucous degeneration,

membranes of palate and fauces, appearance of, in prodromal stage of rubeola,

564

condition of, in confluent small-pox,

441

in rötheln,

586

eruptions of varicella on,

483

influence of different, upon the character of diphtheritic membrane,

688

lesions of, in diphtheria,

688

in glanders in man,

922

in rabies and hydrophobia,

902

in erysipelas,

635

localized redness of, symptomatic of prodromal stage of diphtheria,

667

variolous pustules upon,

439

metamorphosis,

softening,

Multiple tumors,

110

Mumps,

620

Murmurs, arterial, in beriberi,

1040

cardiac, in beriberi,

1040

Muscles, alteration of, in beriberi,

1041

lesions of, in cerebro-spinal meningitis,

821

in diphtheria,

687

in pyæmia,

966

in typhoid fever,

267

of neck, suppuration of, in symptomatic parotitis,

626

voluntary, lesions of, in relapsing fever,

410

Muscular pains in yellow fever,

644

paralysis in beriberi,

1039

rigidity after cholera,

741

spasm, in typhoid fever,

279

tenderness in beriberi,

1039

tremor in typhoid fever,

279

in typhus fever,

349

Nævi, vaccination as a means of destroying,

468

Nails, appearance of, in typhoid fever,

275

Nasal cavities, condition of, in malignant scarlet fever,

508

520

mode of invasion of, in diphtheria,

669

complications in erysipelas, treatment,

638

diphtheria, local treatment,

710

prognosis,

692

form of diphtheria, symptoms,

669

lesions in glanders,

917

mucous membrane, condition of, in influenza,

866

Nationality in relation to relapsing fever,

371

Nature of puerperal fever, views concerning,

990-1004

of vaccinia,

455

Nausea, during intermittent fever paroxysm,

593

in cerebro-spinal meningitis,

813

in influenza,

866

in relapsing fever,

390

in rubeola, treatment,

581

in typhoid fever,

285

in typhus fever,

350

in yellow fever, treatment,

652

significance of, in general treatment,

162

Negroes, insusceptibility of, to yellow fever,

644

Neck, significance of appearance of, in diagnosis,

152

Necrosis from embolism,

Neoplasms,

105

Nephritis, complicating scarlet fever,

525

in scarlet fever, treatment,

550-555

Nerves, lesions of, in leprosy,

791

in symptomatic parotitis,

626

Nervous diseases, complicating diphtheria,

675

676

hereditary nature of,

129

influence of, upon susceptibility to rubeola,

561

symptoms in relapsing fever,

383-385

complicating scarlet fever,

510

of dengue,

882

of influenza,

867

of malignant scarlet fever,

507

Nervous system, chronic diseases of, following rubeola,

574

condition of, in cholera,

741

in remittent fever,

602

lesion of, in diphtheria,

689

in septicæmia,

972

Neuralgia, following cerebro-spinal meningitis,

820

in yellow fever,

644

Neuralgias, old, aggravation of, in influenza,

870

Neurine, use of, in diphtheria,

703

Nitric acid, use of, to prevent the return of intermittent fever paroxysm,

598

Nitro-muriatic acid, use of, in anthrax,

938

Nodule, nasal, in glanders,

917

Nomenclature of pyæmia,

953

of septicæmia,

953

Nose, inflammation of, complicating variola,

445

Nostrils, condition of, in glanders in man,

921

Nourishment, necessity of, in typhus fever,

363

Nuisance, legal views as to what constitutes,

182

Obesity, tendency to, following typhoid fever,

298

Obstetrical scarlatina,

498

Occupation, influence of, in causation of anthrax,

939

of glanders,

920

of influenza,

860

of typhoid fever,

244

of typhus fever,

343

relation of, to relapsing fever,

372

Odor of body, significance of, in general diagnosis,

159

of relapsing fever,

378

Oedema,

complicating relapsing fever,

400

scarlet fever,

529

typhoid fever,

297

from nervous influence,

of glottis, complicating scarlet fever,

512

529

of lungs, Welch on cause of,

significance of, in general diagnosis,

159

Oesophagus, lesions of, in typhoid fever,

265

Offensive effluvia, symptoms due to,

181

Oil, inunctions of, in the plague,

784

Open wounds, liability of, to diphtheria,

679

Opisthotonos in cerebro-spinal meningitis,

809

Opium, use of, during cold stage of intermittent fever,

595

during hot stage of intermittent fever,

595

in algid form of pernicious malarial fever,

608

in cerebro-spinal meningitis,

832

in cholera,

767

in dengue,

885

in influenza,

874

877

in puerperal fever,

1031

in relapsing fever,

429

in remittent fever,

604

in typhus fever,

366

Ophthalmia, chronic, following rubeola,

574

Optic nerve, lesions of, in cerebro-spinal meningitis,

824

Organic disease, hereditary nature of,

129

Organisms, microscopic, classification,

141

minute, convertibility,

145

Organoid tumors,

116

Origin of vaccinia,

457

Origins, specific, of the plague,

776

Ossification,

Otitis, chronic, following rubeola,

574

complicating scarlet fever,

520

in scarlet fever, results,

521

treatment,

547

Ovaries, lesions of, in septicæmia,

972

in pelvic peritonitis in puerperal fever,

989

Overcrowding as a cause of cholera,

721

of typhus fever,

341

Overwork as a cause of disease,

204

of the plague,

775

Ozone, use of, in diphtheria,

709

Pain, in idiopathic parotitis,

623

in inflammation,

significance of, in general diagnosis,

165

Pains, muscular and joint, in relapsing fever,

385

of general peritonitis in puerperal fever,

1010

peritoneal, in para- and perimetritis of puerperal fever,

1007

rheumatic, in relapsing fever,

399

Palpitation of heart in beriberi,

1039

Pancreas, lesions of, in relapsing fever,

417

Pandemic nature of cerebro-spinal meningitis,

804

Panum's view of bacteria of diphtheria,

667

Papayotin, use of, in diphtheria,

703

Papule in variola, morbid anatomy,

446

Paralysis, complicating diphtheria,

676

variola,

445

diphtheritic, date of appearance,

676

seat,

676

treatment,

713

following cerebro-spinal meningitis,

819

typhoid fever,

293

in cerebro-spinal meningitis,

810

local, in relapsing fever,

398

motor, in relapsing fever,

385

muscular, in beriberi,

1039

sensory, in diphtheria,

676

Paralytic form of rabies in dogs,

896

stage of hydrophobia in man,

900

Parenchymatous inflammation,

Para- and perimetritis in puerperal fever, symptoms,

1005

Parametritis in puerperal fever, lesions,

987

Paresis following cerebro-spinal meningitis,

819

Parotid glands, lesions of, in idiopathic parotitis,

621

gland, lesions of, in symptomatic parotitis,

626

in pyæmia,

967

swelling, character of, in symptomatic parotitis,

627

complicating typhoid fever,

296

AROTITIS

, I

DIOPATHIC

620

Definition,

620

Nature,

620

Etiology—predisposing causes,

620

Age, influence,

620

Sex, influence,

620

Season, influence,

620

Relation to measles, diphtheria, and scarlet fever,

620

Peculiarities in mode of occurrence,

621

Anatomical appearance,

621

Changes in parotid gland,

621

Symptoms,

621

Duration of incubation stage,

621

Of invasion stage,

621

Actual attack,

621

Local,

621

Physiognomy,

622

Mouth and tongue,

622

Digestive tract,

622

Temperature and pulse,

623

Respiration,

623

Pain,

623

General,

623

Complications,

623

Metastasis,

623

Frequency,

623

Date of appearance,

623

Orchitis,

623

Symptoms,

624

Diagnosis,

624

Significance of outward displacement of lobe of ear,

624

Prognosis,

624

Result of metastatic orchitis,

624

Treatment,

624

Delirium and headache,

624

Difficult deglutition,

624

Sleeplessness,

625

Local,

625

Suppuration of gland,

625

Incomplete resolution,

625

Metastasis,

625

in females,

625

with depression,

625

AROTITIS

, S

YMPTOMATIC

or M

ETASTATIC

625

Definition,

625

Etiology,

625

Mechanical nature of exciting cause,

626

Altered blood as a cause,

626

Morbid anatomy,

626

Changes in parotid gland,

626

Suppuration of muscles of neck,

626

Changes in periosteum and cranial bones,

626

lymphatics, veins, and nerves,

626

in middle ear,

626

Thrombi of jugular veins,

626

Symptoms,

626

Characters of swelling,

627

Date of pointing of abscess,

627

Physiognomy,

627

Prognosis,

627

Of bilateral form,

627

Diagnosis—from idiopathic parotitis,

627

Treatment of,

627

Local,

628

Of incomplete resolution,

628

Of gangrene,

628

Parotitis, complicating cholera,

735

influenza,

870

relapsing fever,

404

typhus fever,

356

treatment,

367

Paroxysm of intermittent fever,

592

primary, of relapsing fever,

375

378

of remittent fever,

599

Paroxysms of hydrophobia in man,

899

of pertussis, characters,

837

duration,

840

frequency,

840

of rabies in dogs,

896

Pasteur's experiments as to infectiveness of rabies,

892

893

method of inoculation in anthrax,

937

for prevention of rabies and hydrophobia,

905

Pathognomonic lesions of rabies in dogs,

903

Pathology of glanders in man,

916

918

of influenza,

871

of pyæmia,

963

Pearly distemper, relation of, to tuberculosis,

Pelvic abscesses in puerperal fever, treatment,

1036

cellulitis in puerperal fever, lesions,

988

exudations, treatment of, in puerperal fever,

1036

peritonitis, in puerperal fever, lesions,

988

Peppermint-test for defects in plumbing,

190

Pepsin, use of, in diphtheria,

703

Perforation, intestinal, in typhoid fever,

289

290

in typhoid fever, treatment,

333

Pericarditis in relapsing fever,

402

complicating influenza,

870

Pericardium, lesions of, in cholera,

747

in pyæmia,

968

Peri-glandular lesions in the plague,

782

Periostitis, complicating typhoid fever,

297

Peritoneal effusions, encysted, in puerperal fever, treatment,

1036

Peritoneum, lesions of, in relapsing fever,

417

Peritonitis, complicating relapsing fever,

406

typhoid fever,

295

general, in puerperal fever lesions,

989

in puerperal fever, symptoms,

1010

pelvic and diffused, of puerperal fever,

988

Pernicious malarial fever,

605

Perspiration in pyæmia,

974

in yellow fever,

645

ERTUSSIS

836

History,

836

Definition,

836

Etiology,

838

Specific poison,

838

seat,

838

period of greatest virulence,

838

inoculation of animals with,

839

Childhood, influence of, in occurrence,

839

Age at which most prevalent,

839

Sex, influence of, in causation,

839

Catarrhal affections as predisposing causes,

839

Symptoms,

840

841

Initial stage,

840

Second stage,

840

Stage of decline,

841

Paroxysm, characters of,

837

duration,

840

frequency,

840

Frænum linguæ, ulceration,

841

Urine, condition,

841

Mortality,

841

Morbid anatomy,

843

Complications,

843

Prophylaxis,

843

Treatment,

844

Inhalations,

844

Emetics,

845

Potassium carbonate,

845

Alum,

845

Belladonna,

846

Ammonium bromide,

846

Chloral hydrate,

846

Quinia,

847

Pilocarpine muriate,

847

Sodium benzoate,

847

Caustic irritation,

848

Diet,

848

Hygiene,

848

Pertussis, following the plague,

781

Petechiæ, characters of, in grave form of the plague,

779

Petrifaction,

Peyer's patches, lesions of, in typhoid fever,

261

Pharyngeal spasm in rabies and hydrophobia,

899

Pharyngitis in scarlet fever, treatment,

545

and tonsillitis, complicating relapsing fever,

405

Pharynx, lesions of, in rabies and hydrophobia,

902

in relapsing fever,

413

in typhoid fever,

265

Phlebitis and phlebo-thrombosis, lesions of, in puerperal fever,

989

Phlegmonous inflammation,

Phthisis, complicating influenza,

870

following typhus fever,

355

from damp soil,

187

pulmonary, hereditary nature of,

128

Physicians as carriers of contagion in puerperal fever,

1017

mortality in,

207

relation of, to public hygiene,

207

Physiognomy of cerebro-spinal meningitis,

812

of dengue,

881

of erysipelas,

632

of hydrophobia,

899

of idiopathic parotitis,

622

of influenza,

866

of symptomatic parotitis,

627

of relapsing fever,

376

of typhoid fever,

272

of yellow fever,

644

significance of, in general diagnosis,

150

151

Pigmentation,

Pilocarpine, use of, in diphtheria,

704

in rabies and hydrophobia,

907

muriate, use of, in pertussis,

847

Pitting, frequency of, in varicella,

482

prevention of, in variola,

452

Placenta, symptoms of diphtheria,

674

LAGUE, THE

771

Definition,

771

Synonyms,

771

Classification,

771

History,

772

Etiology—Predisposing causes of,

774

Poverty and filth,

774

Bodily and mental overwork,

775

Sex and age, influence,

775

Season,

775

Exciting causes,

775

Dissemination by bodies dead from,

775

Specific origin,

776

Contagiousness,

776

Nature of the poison,

776

Air as a medium of transmission,

776

Period of incubation,

777

Forms of,

777

Grave or ordinary form,

777

Fulminant form,

779

Abortive form,

780

Symptoms,

777

Grave form, different modes of onset,

779

Invasion stage,

777

Second stage, or stage of fever,

778

Stage of fully-developed local manifestations,

778

Seat of enlarged lymphatics,

778

of buboes,

778

Characters of bubonic swellings,

778

Date of appearance of buboes,

778

Seat and character of carbuncles,

778

of petechiæ,

779

Character of vomited matter,

779

Constipation,

779

Condition of urine,

779

Stage of convalescence,

779

Fulminant form,

779

duration,

779

Abortive form,

780

General duration of,

780

Complications and sequelæ,

780

Followed by catarrhal pneumonia,

781

Pertussis,

781

Mental troubles,

781

Ulcers and abscesses,

781

Morbid anatomy,

781

Changes in lymphatic system,

781

Appearance of buboes,

781

Peri-glandular tissue,

782

Abdominal viscera,

781

Diagnosis,

782

Prognosis,

780

Mortality,

780

Treatment,

782

Preventive,

782

Isolation,

783

Quarantine,

783

Disinfection,

784

Clinical,

784

Inunction of oil,

784

Buboes,

784

Drugs used,

784

Pleura, lesions of, in pyæmia,

968

in relapsing fever,

413

in septicæmia,

972

Pleurisy, complicating typhoid fever,

294

typhus fever,

355

in septicæmia lymphatica of puerperal fever,

1012

Pleuritis, complicating erysipelas,

634

influenza,

870

relapsing fever,

404

scarlet fever,

523

in scarlet fever, treatment,

556

Plumbing, examination of defects,

190

of houses,

188

Pneumonia, catarrhal, complicating influenza,

869

following the plague,

781

complicating erysipelas,

634

relapsing fever,

404

rubeola,

571

typhoid fever,

294

typhus fever,

355

fibrinous, complicating diphtheria,

672

in rubeola, treatment,

581

in typhoid fever, treatment,

335

lobar, complicating influenza,

869

Pneumonias, nature of, complicating influenza,

870

Pock of vaccinia, date of appearance,

459

depression,

459

desquamation,

460

development,

459

incrustation,

460

in variola, characters of mature,

439

Poison, diphtheritic, fixity,

678

transmission,

678

influence of intensity of, on severity of cholera,

730

731

of anthrax, modes of transmission,

929

of cholera, nature,

749

of malaria, nature,

589

591

of the plague, nature,

776

of yellow fever, birthplace,

641

characteristics,

641

influence of heat and cold on development,

641

transportability,

641

specific, of beriberi,

1038

of pertussis,

838

Polluted soil as a means of disseminating typhoid fever,

253

Potassium bromide, use of, in cerebro-spinal meningitis,

834

carbonate, use of, in pertussis,

845

chlorate, danger of large doses,

701

use of, in diphtheria,

699

700

iodide, use of, in cerebro-spinal meningitis,

834

Poverty as a cause of typhus fever,

342

Predisposing causes of beriberi,

1042

of cholera,

720

of glanders in horse,

912

of idiopathic parotitis,

620

of the plague,

774

of typhoid fever,

242

of typhus fever,

341

Predisposition to disease, hereditary nature,

126

Predispositions, inherited, evidence,

132

Pregnancy, complicating influenza,

871

typhoid fever,

296

Preliminary papule of anthrax, treatment,

943

Premonitory symptoms of rabies and hydrophobia,

895

of scarlet fever,

502

Prevention of anthrax by inoculation,

937

Preventive treatment of anthrax in animals,

936

in man,

943

of cholera,

755

of erysipelas,

636

of glanders in horses,

919

in man,

925

of influenza,

873

of the plague,

782

of puerperal fever,

1021

of pyæmia and septicæmia,

979

980

983

of rabies and hydrophobia,

903

of scarlet fever,

536

of typhoid fever,

321

of typhus fever,

361

Previous attacks of variola, protection from,

436

Primary vaccine,

473

Privy vaults, contamination of water-supply by,

192

dangers from,

192

ROCESSES

, G

ENERAL

ORBID

Prodromal stage of diphtheria,

667

of intermittent fever,

592

of leprosy,

789

of remittent fever,

599

of rötheln,

585

of rubeola,

564

of varicella,

482

Prognosis, general,

167

of anthrax in animals,

936

in man,

943

of beriberi,

1042

of cerebro-spinal meningitis,

828

of cholera,

753

of dengue,

885

of diphtheria,

692-694

of erysipelas,

636

of idiopathic parotitis,

624

of influenza,

872

of intermittent fever,

594

of glanders in horse,

918

in man,

924

of leprosy,

793

of the plague,

782

of relapsing fever,

422-425

of remittent fever,

602

of rötheln,

588

of scarlet fever,

533

of simple continued fever,

235

of symptomatic parotitis,

627

of typho-malarial fever,

616

of typhoid fever,

314-316

of typhus fever,

359

360

of vaccinia,

464

of varicella,

484

of variola,

450

of varioloid,

444

in yellow fever,

646

647

effect of constitution,

168

of nature of malady,

169

of present state of patient,

169

influence of nursing,

169

modifying effects of medicinal agents,

169

Prophylactic treatment of diphtheria,

696

Prophylaxis, individual, in contagious diseases,

206

of leprosy,

794

of pertussis,

843

of puerperal fever,

1021

Prostration in dengue,

882

in typhus fever,

348

treatment,

365

Protective power of vaccination,

466

duration of,

468

against pertussis,

468

Pseudo-membrane, solvents of,

703

Psoas abscess in puerperal fever,

1010

Psychical treatment of hydrophobia,

906

Public sewers,

224

UERPERAL

EVER

984

Definition,

984

Frequency,

984

Etiology,

1013

Atmosphere, impure, influence on causation,

1013

1014

Malaria, nosocomial, influence on causation,

1013

Micro-organisms, influence on causation,

1013-1015

Lochial discharge, influence on causation,

1015

Atmosphere, peculiar states of, on causation,

1016

Direct inoculation,

1016

Contagiousness of,

1017

Contagion, physicians as carriers of,

1017

Dissecting poison,

1018

Self-inoculation,

1019

Morbid anatomy,

985

Spiegelberg's classification of puerperal inflammations,

986

Endocolpitis and endometritis,

986

Diphtheritic ulceration,

986

Metritis and parametritis,

987

Diphtheritic endometritis,

987

Pelvic cellulitis,

988

Cellulitis from specific infection,

988

Peritonitis, pelvic and diffused,

988

exudation in,

989

general,

989

appearance of abdominal cavity,

989

ovaries,

989

Phlebitis and phlebo-thrombosis,

989

Thrombi in uterine and pelvic veins,

989

Abscesses,

989

pulmonary,

989

Veins, inflammation,

989

Thrombi, growth,

990

Septicæmia,

990

Abscesses, metastatic,

990

Endocarditis, ulcerative,

990

Pleuritis,

990

Joints, purulent inflammation,

990

Earlier views concerning nature,

990

Modern view concerning nature,

992

Septic origin,

993-1003

Bacteria, relation to causation,

994

Koch's investigations of,

997

physical characters,

999

modes of entering the circulation,

1000

action of, upon the blood,

1000

Diphtheria of genitalia, characters,

1002

Relation of, to erysipelas,

1002

Inflammatory affections of non-specific origin,

1003

Symptoms, general,

1004

Incubation period,

1004

Chill, significance of,

1005

Of endometritis and endocolpitis,

1005

temperature,

1005

Parametritis and perimetritis,

1005

Incubation,

1006

Temperature,

1006

Pulse,

1006

Relapse,

1006

Headache,

1007

Pains,

1007

Vomiting,

1007

Duration,

1007

Exudation,

1007

Uterus fixity of,

1007

Tumors in iliac fossa,

1008

Abscesses,

1008

location,

1008

pointing of,

1008

Local peritonitis,

1009

Of psoas abscess,

1010

Of peritonitis, general,

1010

Pains,

1010

Abdomen, state,

1010

Respiration,

1010

Vomiting,

1010

Vomit, characters,

1010

Fever,

1010

Skin,

1010

Pulse,

1010

Pyæmic form,

1011

Of septicæmia lymphatica,

1011

Mode of onset,

1011

Temperature in,

1011

Abdomen, state,

1011

Skin, state,

1011

Vomiting,

1011

Tongue, condition,

1011

Pulse, condition,

1011

Respiration,

1012

Pleurisy in,

1012

Endocarditis,

1012

Mental condition,

1012

Joint affections in,

1012

Duration,

1012

Of septicæmia venosa,

1012

Chills in,

1012

Fever in,

1012

Temperature in,

1012

Pulse in,

1012

Abdomen, state of,

1012

Uterus in,

1012

Of pure septicæmia,

1013

Mortality,

1020

Relation of, to zymotic diseases,

1020

Prophylaxis,

1021

Maternity hospitals, advantages,

1021

Necessity of light and air,

1024

Antisepsis, value,

1024

methods,

1025

Sulphurous acid, use,

1025

Corrosive sublimate, use,

1025

Iodoform, use of, intra-uterine,

1025

Vaginal injections, carbolized, use,

1025

Tarnier's maternity pavilions for prevention,

1027

Treatment—indications,

1028

Disinfection,

1028

Local,

1028

Use of hydrochloric acid,

1028

Persulphate of iron,

1028

Intra-uterine injections, use,

1029

dangers of,

1029

methods,

1029

Corrosive sublimate, use,

1025

1029

Pain, peritoneal,

1031

Use of opium,

1031

in pyæmic variety,

1031

Leeches,

1031

Turpentine stupes,

1032

Hyperpyrexia,

1032

Use of purgatives,

1032

Quinia,

1032

Sodium salicylate,

1032

Veratrum viride,

1033

Digitalis,

1033

Alcohol,

1033

Cold in,

1033

Cold, method of applying,

1034

Cold water, intra-uterine injections,

1034

Baths, cold, use,

1034

Kibbie's fever-cot, use,

1034

1035

Coil,

1036

Diet,

1036

Encysted peritoneal effusions,

1036

Quinia, use,

1036

Pelvic exudations,

1036

Pelvic abscesses,

1036

Puerperal septicæmia, relations of, to obstetrical scarlatina,

499

women, general sepsis from diphtheria in,

674

symptoms of diphtheria in,

674

Pulmonary abscess in puerperal fever,

989

collapse, complicating influenza,

869

complications of typhus fever, treatment,

367

oedema, complicating rubeola,

572

Pulsation of jugular veins, significance of, in general diagnosis,

156

Pulse and temperature, relation of, in yellow fever,

644

average frequency in health and disease,

154

characters of, in erysipelas,

633

in idiopathic parotitis,

623

in general peritonitis of puerperal fever,

1010

in septicæmia,

977

Pulse, characters of, in septicæmia lymphatica of puerperal fever,

1011

venosa of puerperal fever,

1012

condition of, in acute glanders in man,

921

in beriberi,

1040

in cerebro-spinal meningitis,

815

in cholera,

737

in dengue,

881

in influenza,

866

in pyæmia,

975

in relapsing fever,

382

in typhus fever,

351

significance of, in general diagnosis,

152

in malignant scarlet fever,

507

in typhoid fever,

275

kinds of,

154

methods of examining,

153

relation to respiration,

154

temperature, relation of, in relapsing fever,

382

Pupil, significance of state of, in general diagnosis,

151

Pupils, condition of, in cerebro-spinal meningitis,

810

Pure septicæmia of puerperal fever,

1013

Purgatives, use of, during hot stage of intermittent fever,

596

in cerebro-spinal meningitis,

830

in hemorrhagic form of pernicious malarial fever,

613

in puerperal fever,

1032

in remittent fever,

604

Purity of water, standards of,

184

Purpura, complicating diphtheria,

674

Pus,

influence of, in production of pyæmia,

955

in stools, significance in diagnosis,

164

Pustule, malignant,

926

Putrefaction of cadaver, rapidity of, in puerperal fever,

971

Putrified flesh as a means of disseminating typhoid fever,

257

YÆMIA AND

EPTICÆMIA

945-955

History,

945-952

Nomenclature,

952

Pyæmia,

953

Definition,

953

Septicæmia,

953

Definition,

954

Etiology of pyæmia,

955

Theories concerning,

955

Pus, influence of, in production,

955

Character of production,

956

Thrombosis, relation of, to causation,

957

958

Contamination of blood, influence of, in causation,

958

sources,

958

Germs, disease-, influence of, in causation,

958

Wounds, characters of, influence on causation,

958

Etiology of spontaneous pyæmia,

959

Wounds of alimentary canal and genito-urinary apparatus as cause,

959

Air, vitiated, influence of, on causation,

959

Spontaneous origin,

959

Contagiousness,

960

Chemical origin,

960

Living organisms, influence of, on causation,

958-960

Etiology of septicæmia,

960

Septic intoxication, relation of, to,

961

Traumatic fever, relation of, to,

962

Dissecting wounds, relation of, to causation,

962

Putrid substances, maximum toxic action of, on the body,

962

Lymphatics as channel of entrance of poison,

963

Etiology of septo-pyæmia,

963

Pathology,

963

Condition of blood,

963

in pyæmia simplex,

963

multiplex,

963

Metastasis, conditions,

964

Pus, mode of entering the circulation,

964

Metastatic abscesses, production,

964

from primary infection,

964

from secondary infection,

964

Emboli, action of, in production of metastatic abscesses,

964

Thrombi, action of, in production of metastatic abscesses,

965

Seat of pathological changes,

965

Fat emboli, influence of, in production,

966

Morbid anatomy,

966

Of pyæmia,

966

Appearance of body,

966

Rigor mortis,

966

Lesions of cellular tissue,

966

Muscles,

966

Brain and membrane,

966

Retina and choroid,

967

Cornea,

967

Ear,

967

Bones,

967

Joints,

967

Parotid gland,

967

Arteries and veins,

967

Blood,

968

Pericardium,

968

Pleuræ,

968

Lungs,

968

Liver,

969

Spleen,

969

Kidneys,

969

Micro-organism in blood, changes effected by,

970

Pyæmia simplex,

970

Absence of abscesses in,

970

Septicæmia,

971

Putrefaction of bodies, rapidity of,

971

Blood, lesions of,

971

Sepsin, nature,

971

Lesions, nervous system,

972

Endo- and pericardium,

972

Lungs,

972

Pleuræ,

972

Kidneys,

972

Spleen,

972

Uterus,

972

Ovaries,

972

Bladder,

972

Of septo-pyæmia,

972

Symptoms,

972

Of pyæmia,

972

Prodromal stage,

973

Chills, date of appearance,

973

frequency,

973

Temperature,

974

Perspiration,

974

Eruptions,

974

Pulse,

975

Tongue, condition of,

975

Vomiting,

975

Singultus,

975

Diarrhoea,

975

Stools, character of,

976

Heart, condition of,

976

Lungs, condition of,

976

Liver and spleen, enlargement,

976

Urine,

976

Joints, suppuration,

976

Abscesses, frequency,

976

Delirium,

976

Breath, odor of,

976

Wound, changes,

976

Of septicæmia,

976

General,

976

Wound, condition of,

977

Temperature,

977

Abdomen, state of,

977

Pulse,

977

Diarrhoea,

977

Vomiting,

977

Tongue,

977

Singultus,

977

Bronchitis in,

977

Of gangrene foudroyante,

977

Skin, condition,

977

Diagnosis,

978

Of pyæmia from septicæmia, table showing,

979

Treatment,

979

In fully-developed cases unsuccessful,

980

Preventive,

979

980

Cleanliness, necessity of, in prevention,

980

Atmosphere, pure, necessity of, in prevention,

980

Food and drink, proper, necessity of, in prevention,

980

Cheerful and pleasant surroundings, in prevention,

980

Antiseptics, use of,

980

Local,

981

Of wound,

981

Metastatic abscesses,

981

Constitutional,

982

Sulphites of magnesium, sodium, potassium, and lime, use of,

982

Use of alcohol,

982

Quinia,

982

Ergotine,

982

Diet,

982

Stimulants,

982

Of septicæmia,

982

Indications for,

982

Local,

983

Preventive,

983

Of wound,

983

Diarrhoea,

983

Antisepsis,

983

Sulphites and hyposulphites, use of,

983

Quinia, use of,

983

Of puerperal septicæmia,

983

complicating erysipelas,

634

typhoid fever,

295

typhus fever,

356

Pyæmic form of general peritonitis of puerperal fever,

1010

Quarantine in cholera,

204

755

in leprosy,

794

in the plague,

783

Quinia, use of, in cerebro-spinal meningitis,

833

in dengue,

885

in diphtheria,

708

712

in erysipelas,

637

in influenza,

874-876

during cold stage of intermittent fever,

595

hot stage of intermittent fever,

596

sweating stage of intermittent fever,

597

to prevent the return of intermittent fever, paroxysm,

598

in hemorrhagic form of pernicious malarial fever,

612

in pertussis,

847

in puerperal fever,

1032

1036

in pyæmia,

982

in relapsing fever,

426

in remittent fever,

603

in rubeola,

580

in scarlet fever,

543

in septicæmia,

983

in typhoid fever,

330

in typho-malarial fever,

618

in typhus fever,

365

in yellow fever,

651

and opium, use of, in yellow fever,

651

ABIES AND

YDROPHOBIA

886

Synonyms,

886

Definition,

886

History,

886

Geographical distribution,

886

Etiology,

887

Climate, relation of, to causation,

887

Season, relation of, to causation,

887

Summer heats, relation of, to causation,

887

Hunger and thirst, relation of, to causation,

888

Improper food, relation of, to causation

888

Sex, relation of, to causation,

888

Liability of special breeds,

889

From skunk-bite,

889

Spontaneous origin,

890

Contagion,

891

Modes of dissemination,

891

Milk, propagation by,

891

Saliva, propagation by,

891

Specific germ,

892

Pasteur's experiments as to infectiousness,

892

Point of election of germ,

892

Antagonism between blood and germ,

892

893

Localization of the virus in the wound,

893

Relation of successful inoculation to bites,

893

Insusceptibility to,

894

Incubation,

894

Duration of, in lower animals,

894

in man,

894

Condition of cicatrix during,

895

Symptoms,

895

In dogs,

895

Importance of recognizing premonitory,

895

Of prodromal stage,

895

Of furious form,

896

During paroxysms,

896

Between paroxysms,

896

Of paralytic form,

896

897

Of lethargic form,

897

Popular fallacies regarding,

897

In horse and other animals,

897

In man,

898

Symptoms,

898

Prodromal stage,

898

Appearance of wound,

898

899

Of paroxysms,

899

Duration,

899

Reflex irritability during,

899

Facies during,

899

Mental condition,

900

Delirium during,

900

Relative severity in men and women,

900

Paralytic stage,

900

duration,

900