A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Science
A system of practical medicine. By American authors. Vol. 2 : $b General diseases (continued) and diseases of the digestive system
Medicine -- Practice
DEFINITION.--Scurvy is an acquired condition of the body whose
essential feature is a perversion of nutrition, which gradually arises
from prolonged employment of food deficient in succulent or fresh
vegetable matter, and progresses uniformly to a fatal issue, in a
longer or shorter time, if the dietetic errors remain uncorrected. This
condition becomes manifest by a change in the complexion to a dull
yellowish or earthy tint, lassitude, marked decrease in the muscular
power, depression of spirits and mental hebetude, breathlessness on the
slightest exertion, minute flecks at the roots of the hairs, especially
those of the legs; and, later, hemorrhagic effusion into the skin,
forming blotches and spots of varying sizes and aspects, which may
finally slough and lead to obstinate ulceration; sponginess of the
gums, which bleed easily and break down into a detritus that impresses
a malodorous taint upon the breath; ecchymotic staining of mucous and
serous surfaces, and, in advanced stages of the disease, effusions of
bloody serum or of blood into the cavities and tissues of the body.
HISTORY.--Obscure passages in certain of the ancient medical classics
(Hippocrates, Celsus) and historical works (Pliny, Strabo) have been
considered as descriptive of scurvy, but the earliest trustworthy
accounts are to be found in the writings of the thirteenth century.
Jacob de Vitry describes an epidemic which occurred among the troops of
Count Saarbrücken besieging Damietta in 1218, and Sire de Joinville
another epidemic among the troops of Louis IX. lying before the same
town in 1249. On both occasions the sufferings of the men were
inexpressible and the mortality fearful. The disease was directly
traceable to defective supplies of fresh vegetable food, aided by
exposure to wet and cold weather, fatigue, and mental depression.
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