COMMUNICATIONS AND EXTRACTS. 121 



tion which he may make, as they are very seldom kept. 

 Persons who feel that smoking is injurious to them in 

 any way whatever, or who are desirous of having in- 

 structions to enable them to relinquish the habit, should 

 have recourse to the best medical advice to enable them 

 to recover from existing injurious effects, and to pre- 

 vent the accession of others which may supervene at 

 some future period, even although the habit has been 

 relinquished." 



132. Professor Siebert, of Jena, in his ^^ Treatise on 

 Diseases of the Belly," 1855, gives the following striking 

 case: — ^ 



"Advocate T , in B , a robust, muscular, and 



athletic man, was under an affection of the spine from 

 1840 to 1845. He had peculiar sensations in differ- 

 ent parts of the spinal cord, which, according to the 

 changing central seat, produced radiating effects through- 

 out the system. When this central point mounted up 

 to about the seventh vertebra of the n^ck, he expe- 

 rienced a numbness in the forearms and hands, with a 

 sense of pressure in the breast, and a short, broken 

 cough. K the pain was in the upper part of the spine, 

 then there were other eccentric symptoms, such as pal- 

 pitation of the heart. If lower down in the spine, then 

 pain in the stomach, want of appetite, and vomiting. 

 These gastric symptoms disappeared when the pain 

 went down towards the cauda equina, and then there 

 was disturbance in the sacral regions, cramp in the 

 sphincter ani, nightly pollutions, sickly appearance, and 

 hypochondriacal voice. When the entire spine wa» 

 affected, there were disturbances in the lower extren*- 



