The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand
John Stuart Mill · en
As a general rule, chronic inflammation of the stomach, duodenum, liver,
and adjacent organs, imparts a gloomy expression to the countenance, at
the same time the eye is dull, the skin dusky or yellow, and the motions
are slow. But in lung diseases, the spirits are buoyant, the skin is
fair, and the cheeks flushed with fever and distinctly circumscribed
with white, for delicacy and contrast, almost exceed the hues of health
in beauty. Note, too, the pearly lustre and sparkling light of the eye,
the quivering motion of the lips and chin, all signs of pulmonary
disease.
THE STORY OF SEXUAL ABUSE is plainly told by the downcast countenance,
the inability to look a person fairly in the face, the peculiar lifting
of the upper lip and the furtive glance of the eye. The state of the
mind and of the nervous system corroborates this evidence, for there
seems to be a desire to escape from conversation and to elude society.
The mind seems engrossed and abstracted, the individual appears absorbed
in a constant meditation, he is forgetful and loses nearly all interest
in the ordinary affairs of life. The whole appearance of a patient,
suffering from spermatorrhea, is perfectly understood by the experienced
physician, for the facial expressions, state of mind, and movements of
the body, all unconsciously betray, and unitedly proclaim his condition.
TONGUE. Much may be learned from the appearance, color, and form of the
tongue, and the manner of its protrusion. If pale, moist, and coated
white, it indicates a mild, febrile condition of the system. If coated
in the center, and the sides look raw, it indicates gastric irritation.
If red and raw, or dry and cracked, it is a sign of inflammation of the
mucous membrane of the stomach. If the inflammation is in the large
intestine, the tip of the tongue presents a deep red color, while the
middle is loaded with a dark brown coating. When the tongue is elongated
and pointed, quickly protruded and withdrawn, it indicates irritation of
the nerve-centers, as well as of the stomach and bowels. If tremulous,
it denotes congestion and lack of functional ability; this may be
observed in congestive fevers.
PULSE. Usually the pulse beats four times during one respiration, but
both in health and disease its frequency may be accelerated or retarded.
In adults, there are from sixty-five to seventy-five beats in a minute,
and yet in a few instances we have found, in health, only forty
pulsations per minute. But when the heart beats from one hundred and
twenty to one hundred and forty times a minute, there is reason to
apprehend danger, and the case should receive the careful attention of a
physician.