CLASS I. 2. 2. o. OF IRRITATION, 65 



mouth and nostrils. This also occurs in the cold fits of intermit- 

 tents. In these cases 1 have also found the tongue cold to the 

 touch of the finger, and the breath to the back of one's hand, 

 whtn opposed to it, which are very inauspicious symptoms, and 

 generally f;itjil. In fevers with inirritability it is generally 

 esteemed a good symptom, when the nostrils and tongue become 

 moist after having been previously dry; as it shews an increased 

 ai;iun of the mucous glands of those membranes, which were be- 

 fore torpid. And the contrary to this is the facies Hippocratica, 

 or countenance so well described by Hippocrates, which is pale, 

 cold, and shrunk; all which are owing to the inactivity of the 

 secerning vessels, the paleness from there being less red blood 

 passing through the capillaries, the coldness of the skin from 

 there being less secretion of perspirable matter, and the shrunk 

 appearance from there being less mucus secreted into the cells 

 of the cellular membrane. See Class IV. 2. 4. 11. 

 M. M. Blisters. Incitantia. 



5. Urina parcior pallida. Paucity of pale urine, as in the cold 

 fits of intermittents; it appears in some nervous fevers through- 

 out the whole disease, and seems to proceed from a palsy of the 

 kidneys; which probably was the cause of the fever, as the fever 

 sometimes ceases, when that symptom is removed: hence the 

 straw-coloured urine in this fever is so far salutary, as it shews 

 the unimpaired action of the kidneys. 



M. M. Balsams, essential oil, asparagus, rhubarb, a blister. 

 Cantbarides internally. 



6. Torpor hcpaticus. Paucity of bile from a partial inaction 

 of rhe liver; hence the bombycinous colour of the skin, grey 

 stools, urine not yellow, indigestion, debility, followed by tym- 

 pany, dropsy, and death. 



This paralysis or inirritability of the liver often destroys those 

 who have been long habituated to much fermented liquor, and 

 have suddenly omitted the use of it. It also destroys plumbers and 

 house-painters, and in them seems a substitute for the colica 

 saturnina. See Sect. XXX. 



M. M. Aloe and calomel, then the bark, and chalybeates. 

 Mercurial ointment rubbed on the region of the liver. Rhubarb, 

 three or four grains, with opium half a grain to a grain twice a 

 day. Equitation, warm bath for half an hour every day. 



7. Torpor pancreatis. Torpor of the pancreas. I saw what 

 I conjectured to be a tumour of the pancreas with indigestion; 

 and which terminated in the death of the patient. He had been 

 for many years a great consumer of tobacco, insomuch that he 

 chewed that noxious drug all the morning, and smoked it all the 

 afternoon. As the secretion from the pancreas resembles saliva 



VOL. II. K 



