io6 



THE DISEASES OF THE THYROID GLAND 



The circulation is sluggish, the body temperature reduces, the patients 

 are chilly, and can warm themselves with difficulty. The pulse is small 

 and weak and slow often only 50 to 60 beats a minute are observed. 

 On body movements, dyspnea readily occurs. 



FIG. 10. Postoperative myxedema. 



The excitability of the entire vegetative nervous system and especially that of 

 the nerves regulating the heart is diminished. 



I here quote the clinical history of two myxedema patients in whom 

 experiments were made as to the excitability of the vegetative nerves. 



Observation XI. Karoline K., sixty-four years, single. Entered clinic Nov., 1913. 

 One uncle and one aunt on the mother's side suffered with struma. As a young girl the 



