324 ENDOCRINE GLANDS 



pain due to cardiac spasm, or late pain due to pyloric 

 spasm accompanied by aerophagia. There is a tendency 

 to hyperacidity. The pulse is as a rule slow and the 

 blood pressure low. These patients also complain of 

 palpitation, angina and occasional periods of asytole. 



The sympathicotomc patient shows a certain degree of 

 mydriasis, a tachycardia and a slight arterial hypertension. 

 Digestion is slow, and evacuation of the food from the 

 stomach is slow. Palpitation of the abdomen is painful 

 and increases the dilatation of the pupils and the 

 flushing of the face. 



An identical symptomatology can be observed in 

 the course of enteroptosis with colicy spasms, during the 

 course of colitis, and chronic appendicitis. The nervous irri- 

 tation reaching the coeliac plexus, radiates to the stomach, 

 the heart, the lung and the general nervous system. 



Next to functional hypertonia, which according to Hess 

 and Eppinger may lead to ulceration of the stomach by 

 hypersecretion and hyperacidity, we must place organic 

 hypervagotonia which has been particularly studied by 

 Loeper in ulceration of the lesser curvature. We note in 

 the course of this condition, a dysphagia, due to cardiac 

 spasms, a constant nausea, a slowing of the pulse, an 

 exaggeration of the oculo cardiac reflex which is due to the 

 toxins affecting the nerves in the neighborhood of the ulcer. 



Ill ENDOCRINE SYMPATHETIC SYNDROME. 



Clinically, the stimulation of the sympathetic is evident 

 in Basedow's disease and in Addison's disease, and prob- 

 ably also in sclerodermia. 



I. THE SYNDROME OF BASEDOW'S DISEASE. The 

 characteristic symptoms of Basedow's disease are to be 

 traced either to stimulation of the vagus: sweating, 



