If, on the other hand, the pain-lines are heaviest about the brows, the
eyes, and the forehead, with only a sympathetic droop or twist of the
corners of the mouth, if the nostrils are not at all distorted or too
movable, if there is no fever flush and little wasting, and on turning
to the eyes we find a difference between the pupils, or a wide
distention or pin-point-like contraction of both or a slight squint, the
picture of brain tumor would rise in the mind. Once started upon any one
of these clews, then a hundred other data would be quickly looked for
and asked after, and ultimately, assisted by a thorough and exhaustive
examination with the instruments of precision and the tests in the
laboratory, a conclusion is arrived at. This, of course, is but the
roughest and crudest outline suggestive of the method of procedure.
Probably not more than once in three times will the first clew that we
start on prove to be the right one; but the moment that we find this
barred, we take up the next most probable, and in this manner hit upon
the true scent.
As to the cause and rationale of these pain-lines, only the barest
outlines can be given. Take the mouth for an example. When all is going
well in the alimentary canal, without pain, without hunger, and both
absorption of food and elimination of waste are proceeding normally, the
tissues about the mouth, like those of the rest of the body, are apt to
be plump and full; the muscles which open the aperture, having fulfilled
their duty and received their regular wages, are quietly at rest; those
that close the opening, having neither anticipation of an early call for
the admission of necessary nutriment, nor an instinctive desire to shut
out anything that may be indigestible or undesirable, are now in their
normal condition of peaceful, moderate contraction; the face has a
comfortable, well-fed, wholesome look. On the other hand, let the
digestive juices fail to do their duty properly, or the swarms of
bacteria pets which we keep in our food-canals get beyond control; or if
for any other reason the tissues be kept from getting their proper
supply of nourishment from the food-canal, the state of affairs is
quickly revealed in the mouth mirror. Those muscles which open the
mouth, instead of resting peacefully in the consciousness of duty well
done, are in a state of perpetual fidget, twitching, pulling, wondering
whether they ought not to open the portal for the entrance of new
supplies of material, since the tissues are crying for food.
Public-domain text, read in full here on John Shaqi.
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