Page:Transactions of the Provincial Medical and Surgical Association, volume 4.djvu/312

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MEDICAL TOPOGRAPHY

and organs of assimilation: the 35 remaining cases were examples of inflammatory affections of the stomach, duodenum, or liver, consequences of this state, and sufficiently characterised by their local intensity to be in some manner segregated from it. It is proper also to state, that among the 143 cases in the first column are included the cases of infantile remittent (termed by the physician, Dr. Borlase, worm-fever), as well as others ranged under cardialgia. The foulness of tongue, thirst, depraved or abolished appetite, foul and fetid and discoloured dejections, and alteration, both as to quality and quantity, of the urinary secretion, were extreme and most remarkable. I was particularly struck with the immense flow of urine, which often amounted to a true diabetes insipidus, and was of very common occurrence. All these symptoms, and with these, feverish restlessness at night, and nervous agitation amounting almost to insanity, were often relieved in the most striking manner, and almost instantaneously, by a few doses of calomel. This remedy, in such cases, had often a more unequivocal and, indeed, astonishing effect than I have witnessed by almost any treatment in other diseases, if I except, perhaps, quinine in ague, steel in chlorosis, and tartar emetic in pneumonia. I regret, however, to add, that the relief was in general also very temporary, partly because the exciting causes of the disease were immediately re-applied, indeed, had never been removed, and partly, because I do not think I had recourse to the best means for securing the benefit I had obtained by such preliminary