ADYNAMIA. 



"Z>. cackectica. The ancients have delivered down to us 

 a disease under the title of Cachexy, of which it is difficult to 

 give a precise notion. So far as we can, it is a beginning ana- 

 sarca, which may be referred to various causes, but is chiefly to 

 be called Cachexy, when it arises from a general loss of tone in 

 the exhalent and absorbent vessels. This we find commonly 

 connected with scirrhosities of the abdominal viscera, which 

 may operate by producing stagnation of venous blood : but 

 there are many cases wherein this will not account for the ef- 

 fects ; and such must therefore be referred to the atony of the 

 viscera communicated to the rest of the system, and which, 

 communicated to the stomach, gives the Dyspepsia cachectica, 

 analogous to the chlorotica. 



" I suspect that there is another dyspepsia which belongs to 

 this head, or should form a particular species. It is that ca- 

 chexy and concurrent dyspepsia which arises from repelled 

 eruptions and dried old ulcers. The common effect of both is 

 dyspepsia, cachexy, and dropsy. The common account of this 

 is by the re-absorption, or retention of an acrimony; and even 

 in that case we must refer the effect to loss of tone. But in 

 most cases I believe the acrimony may be neglected, or the 

 effect referred to an atony of a part that by habit had become 

 necessary to the balance, and now therefore transferred to the 

 other parts, and, as always, especially to the stomach (See 

 Morgagtii, Ep. 55.). With regard to 



" D. arthritica and D. nephritica, there is little occasion 

 for more here, after what we have said before on the subject of 



ut. The consideration of the gout, in which the symptoms 



manifestly depend upon atony, and atony transferred, does 

 much to illustrate the present subject; and again this subject, 

 ihewing so many cases of atonic affections communicated from 

 ne part to another, serves very much to confirm our theory of 



ut." 



MCCXXI. Another part of our business here might be to 

 how some other of the urgent symptoms, besides those above 

 entioned, are to be palliated. On this subject, I think it is 

 nough to say, that the symptoms chiefly requiring to be imme- 

 iately relieved, are flatulency, heartburn, other kinds of pain 



the region of the stomach, and vomiting. 



