Page:The growth of medicine from the earliest times to about 1800.djvu/209

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latter's pulse, he called my attention to the fact that he had just had a stool, and that, owing to the circumstance of his having gotten out of bed, his pulse might be accelerated. It was in fact somewhat more rapid than it should be, but I attributed this to the existence of an inflammation. Then, observing upon the window sill a vessel containing a mixture of hyssop and honey and water, I made up my mind that the patient, who was himself a physician, believed that the malady from which he was suffering was a pleurisy; the pain which he experienced on the right side in the region of the false ribs (and which is also associated with inflammation of the liver) confirming him in this belief, and thus inducing him to order for the relief of the slight accompanying cough the mixture to which I have just called attention. It was then that the idea came into my mind that, as fortune had thrown the opportunity in my way, I would avail myself of it to enhance my reputation in Glaucon's estimation. Accordingly, placing my hand on the patient's right side over the false rib, I remarked: "This is the spot where the disease is located." He, supposing that I must have gained this knowledge by simply feeling his pulse, replied with a look which plainly expressed admiration mingled with astonishment, that I was entirely right. "And"—I added simply to increase his astonishment—"you will doubtless admit that at long intervals you feel impelled to indulge in a shallow, dry cough, unaccompanied by any expectoration." As luck would have it, he coughed in just this manner almost before I had got the words out of my mouth. At this Glaucon, who had hitherto not spoken a word, broke out into a volley of praises. "Do not imagine," I replied, "that what you have observed represents the utmost of which medical art is capable in the matter of fathoming the mysteries of disease in a living person. There still remain one or two other symptoms to which I will direct your attention." Turning then to the patient I remarked: "When you draw a longer breath you feel a more marked pain, do you not, in the region which I indicated; and with this pain there is associated a sense of weight in the hypochondrium?" At these words the patient expressed his astonishment and admiration in the strongest possible terms. I wanted to go a step farther and announce to my audience still another symptom which is sometimes observed in the more serious maladies of the liver (scirrhus, for example), but I was afraid that I might compromise the laudation which had been bestowed upon me. It then occurred to me that I might safely make the announcement if I put it somewhat in the form