384 PRACTICE OF PHYSIC. 



pochondriaca, hysterica, chlorotica, catamenialis, hsemorrhoid- 

 alis, cachectica, arthritica, nephritica. 



" Dyspepsia febrilis. While fever is presented, the dyspepsia 

 will be considered as a symptom. But though intermittents, and 

 perhaps continued fevers, are seemingly removed, a diathesis 

 often remains which affects the stomach. 



" The D. paralytica is not a frequent case, as the natural 

 as well as the vital functions escape in that disease ; but where 

 they do not, the dyspepsia must be considered as a symptom. 



" The D. hypochondriaca gives the most trouble : it is that 

 which accompanies the atrabilarian temperament in body and 

 mind. The morbid effects of this on the body are the dyspep- 

 sia, and instead of this title, I have formerly given the whole 

 under the title of hypochondriasis : but that is not proper, as 

 the notion of this has commonly been confined to cases in which 

 the mind also is affected with languor, dejection, timidity, 

 and sadness. I have, therefore, now established the two gen- 

 era of dyspepsia and hypochondriasis, as being the same in 

 the state of the stomach, but distinguished by the state of the 

 mind. This however is not satisfactory, for I find the symptoms 

 of the mind are sometimes present and absent in the same per- 

 son, the cases being otherwise the same. The mind is not al- 

 ways affected in the atrabilarian temperament, and it is ex- 

 tremely often in the Dyspepsia arthritica. 



" D. hysterica. We shall say that hysteria is properly 

 a convulsive motion of the alimentary canal, with peculiar 

 circumstances, by which it truly differs greatly from the dys- 

 pepsia : but the frequent repetition of such convulsive par- 

 oxysms leaves the stomach in such a weakened state, as to shew 

 the symptoms of dyspepsia, which I therefore term hysterica. 

 From hence it will appear, that the two diseases may be in 

 some measure combined, while the weakened state may favour 

 the spasmodic, and produce hysteric symptoms. Further, the 

 causes which have a great share in exciting proper hysteria, 

 may operate only in producing dyspepsia, or effect a combina- 

 tion of the two. This leads me to the next species 



D. chlorotica. The theory of chlorosis is sufficiently dif- 

 ficult, but nothing is more evident than the general connexion, 



