G4 



of the albumen of the serum in diseases of the heart, with dropsy, 

 and in puerperal fever, as well as in Blight's disease. 



2G. Anaemia. — This condition of the blood may, according to 

 Trousseau, who has made known his views in the Ency clographie de% 

 Sciences Medicalea, August, 184.3, occur in different pathological 



conditions, and require very different therapeutic treatment. That 

 occurring from simple loss of blood differs from chlorosis, in which 

 the constituents of the blood are changed, and, as a consequence of 

 this altered condition of the blood, changes are effected in functions 

 and even in the structure of organs. Another form coexists with 

 the cancerous and tubercular diatheses, and with diseases of the kid- 

 neys, kc. When these diatheses exist, tonic treatment is improper, 

 for by this treatment the disposition to the formation of tubercles 

 is increased; for these he considers as of inflammatory origin and 

 nature. The anaemic and tubercular states, he considers as antago- 

 nistic, hence to remove the latter is to aggravate the former. Tonics, 

 therefore, ought not to be employed in the treatment of chlorosis, 

 lest by exciting inflammation, they may favour the formation of 

 tubercles. 



27. — Beau* admits two forms of anaemia. One from direct loss 

 of blood, when all the constituents of the blood are lessened in quan- 

 tity. And another which may be spontaneous or a consequence of 

 the former, in which the quantity of the serum is relatively increased, 

 so that the mass of the blood may be actually greater that usual. 

 This lie calls "Serous Polyhccmia." This increased quantity of thin 

 blood causes the nervous symptoms in chlorosis and the " Arterial 

 Bruit;" which is not heard in the other form. In these views he is 

 sustained by Duchassaing, in the Anntiaire de Midecine et de Chi- 

 rurgie, 184G. This view of the pathology of antenna (taking, as he 

 remarks, chlorosis as the type,) is held by Dr. Alfred Stille, in his 

 work on General Pathology rf just from the press. "There arc, in 

 fact," he says, "two sorts of cases comprised under the head of 

 aneemia. They have, in common, the anatomical character, defi- 

 ciency of globules; but in one the mass of the blood is augmented, 

 in the other diminished. The former often accompanies chlorosis, 

 the latter results from frequent and profuse losses of blood, or other 

 fluids of the economy, the slow poisoning of saturnine emanations, 



* Archives Gen. de M&lecine, Aug. 1S-15. 



f Elements of General Pathology, by Alfred Stille, M.D., 1S4S, p. 423. 



